Post-Wisdom Tooth Extraction: Heat Compress Concerns and Healing Time

Post-operative issues with applying heat after wisdom tooth extraction?

Last Friday (June 9th), I went to a regional hospital to have a tooth extraction.
The doctor said my lower right wisdom tooth was impacted and asked if I wanted to have it removed as well.
I thought it would be better to do it now rather than later, so I agreed.
During my tooth extraction in February, I experienced prolonged bleeding from the wound, which required sutures, and the next day my face was somewhat swollen.
I took anti-inflammatory medication and applied ice packs.
The hospital's instructions indicated that I should apply heat three days later, but even today (the fourth day), I still have some swelling.
My family mentioned that this indicates there is still inflammation, and I read online that applying heat can cause bleeding at the extraction site.
After the extraction, I experienced moderate bleeding that night, and I quickly asked my family to take me back to the hospital for a check-up, fearing that applying heat would cause more bleeding.
If I do not apply heat, will it affect the healing of the wound? Additionally, I would like to know how long it typically takes for a wisdom tooth extraction site to fully heal, as I also need to have my lower left wisdom tooth removed and would like to wait until the right side is completely healed before proceeding.

Ailuo, 20~29 year old female. Ask Date: 2017/06/13

Dr. Zhu Guanyu reply Dentistry

Dear Ailo,
Hello! If you feel a hard area when touching the swollen spot, you can start applying a warm compress.
Heat therapy can accelerate the resolution of the hardened lump, although it will typically heal on its own without heat, just taking a bit longer to resolve.
About a week after tooth extraction, you can have the doctor evaluate the condition of the wound.
If the wound has begun to heal and there are no signs of infection, it is generally acceptable to proceed with the extraction of another tooth.

Thank you for your letter.
Wishing you peace and good health.
Sincerely,
Dr.
Kuan-Yu Chu
Director, Department of Dentistry
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2017/06/13

More Info

After a wisdom tooth extraction, it is common to have concerns regarding swelling, healing time, and the appropriate use of heat compresses. Your experience of swelling and bleeding is not unusual, especially considering the complexity of wisdom tooth extractions, particularly when the tooth is impacted or positioned awkwardly.

Healing Process After Wisdom Tooth Extraction
Typically, the healing process after a wisdom tooth extraction can take anywhere from a few days to several weeks, depending on various factors such as the complexity of the extraction, the individual’s overall health, and adherence to post-operative care instructions. Generally, the initial healing phase lasts about 3 to 5 days, during which swelling and discomfort are most pronounced. After this period, the swelling should gradually decrease, and the pain should become more manageable.

Use of Heat Compresses
Regarding the use of heat compresses, it is important to follow the specific instructions provided by your dentist or oral surgeon. In the first 24 to 48 hours post-extraction, ice packs are typically recommended to reduce swelling and numb the area. After this initial period, heat compresses can be beneficial to promote blood flow and healing, but only if there is no active bleeding or significant swelling.

Since you mentioned that you experienced moderate bleeding the night of the extraction and are still seeing some swelling on the fourth day, it is advisable to be cautious with heat compresses. Applying heat too soon can potentially exacerbate swelling or lead to increased bleeding, especially if the blood clot has not fully stabilized.

Recommendations
1. Monitor Swelling and Pain: If the swelling persists beyond the typical timeframe or if you experience increased pain, it may be wise to consult your dentist. They can assess whether there are any complications, such as dry socket or infection.

2. Avoid Heat Until Safe: Given your concerns about bleeding, it may be best to avoid heat compresses until you are certain that the bleeding has stopped and the swelling has started to decrease. You can continue using ice packs intermittently to manage swelling.

3. Follow-Up Care: If you notice any unusual symptoms, such as increased redness, pus, or a fever, contact your dentist immediately. These could be signs of infection.

4. Healing Time: Complete healing of the extraction site can take several weeks. Generally, soft tissue healing occurs within 1 to 2 weeks, while the bone may take longer to fully heal, sometimes up to 6 months. It is advisable to wait until you feel completely comfortable and your dentist gives the green light before proceeding with the extraction of the left lower wisdom tooth.

5. Post-Operative Instructions: Always adhere to the post-operative care instructions provided by your dental professional. This includes dietary recommendations, activity restrictions, and medication usage.

In summary, while heat compresses can be beneficial after the initial healing phase, caution is warranted if there is ongoing swelling or bleeding. Always prioritize communication with your healthcare provider to ensure safe and effective recovery.

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