Problems After Wisdom Tooth Extraction
1.
After wisdom tooth extraction, it is advised to avoid forceful sneezing, blowing your nose, and coughing.
How long should one wait before sneezing, blowing the nose, or coughing? Additionally, sneezing is often involuntary, and the same goes for coughing.
3.
It is stated online that after surgery, one should avoid forcefully blowing the nose or sneezing to prevent damage or perforation of the maxillary sinus mucosa.
How can one determine if there is any damage or perforation?
2.
I had an appointment with a specific doctor, but a resident physician attended to me instead, which made me feel insecure.
Previously, when I had wisdom teeth removed, the doctor prescribed a four-day supply of medication, taking two pills every eight hours.
However, this resident prescribed a three-day supply, taking one pill after each meal.
Why is there a difference? I am concerned about the effectiveness of the medication and feel uneasy about the resident physician.
After the procedure, there was no follow-up from the doctor to check on me regarding any potential damage or perforation.
Mingming, 30~39 year old female. Ask Date: 2016/12/07
Dr. Huang Tingfang reply Dentistry
Dear Mr.
Mingming,
Hello! As mentioned, you had your upper wisdom tooth extracted? Typically, one week post-surgery, the wound should have formed a blood clot, which is a good sign! If you notice that water is leaking from your nostrils, this indicates a potential perforation or damage to the maxillary sinus mucosa.
Additionally, regarding medication, the dosage will determine how many times you need to take it.
Generally, if it’s a routine tooth extraction without infection, antibiotics may not be necessary; you can take pain relievers as needed for discomfort.
Please communicate frequently with your physician!
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2016/12/07
More Info
After wisdom tooth extraction, it's common to experience a range of concerns, particularly regarding post-operative care and symptoms such as sneezing, coughing, and potential complications like sinus perforation. Here’s a comprehensive overview addressing your questions and providing additional insights based on medical knowledge.
Post-Operative Care and Symptoms
1. Avoiding Sneezing, Coughing, and Forceful Nose Blowing:
After wisdom tooth extraction, especially if the upper teeth were involved, it is crucial to avoid forceful sneezing, coughing, or blowing your nose for at least a week or until your dentist gives you the green light. This is because these actions can create pressure in the sinus cavities, potentially leading to complications such as a sinus perforation, particularly if the roots of the teeth were close to the sinus membrane.
2. When Can You Resume Normal Activities?:
While it’s difficult to control sneezing or coughing, you can minimize the risk by trying to sneeze with your mouth open, which can help reduce pressure in the nasal passages. Generally, after about a week, if you are healing well and have no signs of complications, you can gradually resume normal activities. However, always follow your dentist's specific advice regarding your recovery timeline.
3. Signs of Sinus Perforation:
If there is a perforation of the sinus membrane, you may notice symptoms such as a salty or foul taste in your mouth, nasal drainage that resembles oral fluids, or difficulty breathing through your nose. If you experience any of these symptoms, it is essential to contact your dentist or oral surgeon immediately for evaluation. They may recommend imaging studies, such as a CT scan, to assess the situation.
Concerns About Medication and Care
1. Medication Differences:
It’s understandable to feel uneasy about the differences in prescribed medication regimens. The prescribing practices can vary based on the dentist's clinical judgment, the complexity of the extraction, and the individual patient's needs. If you feel that the prescribed medication is insufficient for your pain management, do not hesitate to discuss your concerns with your dentist. It’s important to communicate openly about your pain levels and any worries regarding the effectiveness of the medication.
2. Follow-Up Care:
If you have concerns about the care you received from a less experienced practitioner, it’s perfectly acceptable to seek a second opinion or request a follow-up appointment with a more experienced dentist. Post-operative follow-up is crucial, especially if you have concerns about healing or complications.
3. Oral Hygiene After Extraction:
Maintaining oral hygiene is essential for recovery. However, you should avoid brushing the extraction site for the first few days. After that, you can gently brush the area with a soft-bristled toothbrush, being careful not to disturb the healing tissue. Rinsing with warm salt water can help keep the area clean and reduce the risk of infection.
Conclusion
In summary, after wisdom tooth extraction, it’s vital to follow your dentist’s instructions regarding care and medication. Avoiding forceful sneezing and coughing is crucial to prevent complications, and being aware of the signs of sinus perforation can help you seek timely care if needed. If you have concerns about the treatment you received or the medications prescribed, don’t hesitate to reach out for further clarification or a second opinion. Your health and comfort during recovery are paramount, and open communication with your healthcare provider is key to a smooth healing process.
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