Post-Extraction Pain and Care After Wisdom Tooth Removal

Post-operative pain after wisdom tooth extraction?

Hello, I had my lower left wisdom tooth extracted six days ago, and the procedure took over two hours (I don't understand why it took so long).
I have stitches, and the day after the extraction, the wound wasn't very painful.
However, starting from the second day, the pain became so severe that I couldn't eat anything or chew.
Now, on the sixth day, my left cheek is still swollen, the wound still hurts, my throat is also sore, and I can only swallow or consume liquid foods.
I would like to understand if there is any issue with this.
Additionally, I bought a mouthwash containing iodine (Ainwei Gold Iodine Mouthwash) and noticed that rinsing helps relieve the discomfort.
Can I use this mouthwash? Is there any danger in swallowing it? What problems could it cause for the wound?

Xiao Zhu, 30~39 year old female. Ask Date: 2016/12/24

Dr. Huang Tingfang reply Dentistry

Dear Miss Piglet,
Hello! Post-operative pain after wisdom tooth extraction is understandable.
However, after six days, the left side of your face is still swollen, the wound is still painful, your throat hurts, and you are unable to chew, which may indicate a larger wound.
Please consult your dentist for a re-evaluation.
The iodine mouthwash has antibacterial properties for the wound but should not be swallowed.
Please communicate more with your physician.
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2016/12/24

More Info

After wisdom tooth extraction, it is common to experience pain and discomfort, especially if the procedure was complicated or if there were any complications during the extraction. In your case, having undergone a lengthy extraction process that lasted over two hours, it is understandable that you are experiencing significant pain and swelling six days post-operation.
The pain you are feeling could be attributed to several factors. First, the extraction site may still be healing, and the body is responding to the trauma of the surgery. Swelling is a normal part of the healing process, but if it persists or worsens, it could indicate an infection or other complications. The pain radiating to your throat could also suggest that the inflammation is affecting nearby tissues.

Using a mouth rinse like the one you mentioned, containing chlorhexidine (often referred to as "杏輝金碘漱口液"), can be beneficial for oral hygiene and may help reduce the risk of infection. However, it is essential to follow the instructions provided by your dentist or oral surgeon regarding its use. Generally, chlorhexidine mouthwash is safe to use after dental procedures, but it should not be swallowed. If you accidentally swallow a small amount, it is unlikely to cause harm, but it is best to avoid ingesting it intentionally.
Here are some additional tips for managing pain and promoting healing after wisdom tooth extraction:
1. Pain Management: Continue taking any prescribed pain medications as directed. Over-the-counter pain relievers like ibuprofen or acetaminophen can also help alleviate discomfort. Be sure to consult with your dentist before taking any new medications.

2. Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and numb the area, providing temporary relief from pain.

3. Soft Diet: Stick to a soft diet for the time being. Foods like yogurt, smoothies, mashed potatoes, and soups can be easier to consume without aggravating the extraction site.

4. Hydration: Stay hydrated, but avoid using straws, as the suction can dislodge the blood clot that forms in the extraction site, leading to a painful condition known as dry socket.

5. Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. You can gently rinse your mouth with warm salt water after the first 24 hours to help keep the area clean and promote healing.

6. Follow-Up Care: If your pain persists or worsens, or if you notice any signs of infection (such as increased swelling, pus, or fever), it is crucial to contact your dentist or oral surgeon. They may need to evaluate the extraction site to rule out complications.

7. Rest: Ensure you are getting enough rest to allow your body to heal. Avoid strenuous activities that could increase blood flow to the area and exacerbate swelling.

In summary, while some pain and swelling are normal after wisdom tooth extraction, persistent or worsening symptoms warrant a follow-up with your dentist. Using a mouth rinse can be helpful, but be cautious not to swallow it. Prioritize rest, hydration, and a soft diet to aid your recovery. If you have any concerns, do not hesitate to reach out to your dental care provider for personalized advice.

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