Persistent Gum Swelling After Wisdom Tooth Extraction: What to Do? - Dentistry

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After wisdom tooth extraction, persistent gum swelling can be a common issue, particularly if the extraction site is difficult to clean or if food particles become trapped, leading to inflammation. In your case, it sounds like you have already taken some steps by consulting with a dentist and undergoing a dental cleaning to remove any calculus or plaque buildup. However, the ongoing swelling in the gum area around the lower left wisdom tooth site, even after a week, suggests that further attention may be needed.

Here are some recommendations to address your persistent gum swelling:
1. Maintain Oral Hygiene: Continue to practice good oral hygiene. Brush your teeth gently but thoroughly, especially around the extraction site. Use a soft-bristled toothbrush to avoid irritating the gums further. Rinsing with warm salt water can help reduce inflammation and promote healing. Mix about half a teaspoon of salt in a cup of warm water and rinse your mouth several times a day, especially after meals.

2. Avoid Irritants: Stay away from tobacco products and alcohol, as these can irritate the gums and delay healing. Additionally, avoid very hot, spicy, or acidic foods that may aggravate the area.

3. Monitor for Infection: Keep an eye on the swelling. If it worsens, or if you notice increased redness, pus, or a fever, these could be signs of an infection. In such cases, it’s essential to contact your dentist immediately for further evaluation and possible treatment, which may include antibiotics.

4. Pain Management: If you are experiencing discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. However, consult your dentist before taking any medication, especially if you have any underlying health conditions or are taking other medications.

5. Follow-Up Appointment: Since the swelling has persisted for a week, it would be wise to schedule a follow-up appointment with your dentist. They can assess the extraction site for any complications, such as dry socket or residual food particles that may be causing irritation. They may also recommend further treatments, such as a medicated rinse or additional cleaning.

6. Dietary Adjustments: Consider modifying your diet to include softer foods that are easier to chew and less likely to irritate the extraction site. Foods like yogurt, smoothies, and mashed potatoes can be good options during the healing process.

7. Hydration: Staying well-hydrated is essential for healing. Drink plenty of water, and consider using a straw to avoid disturbing the extraction site if you consume beverages that might irritate the gums.

8. Avoiding Physical Activity: If you are engaging in strenuous physical activity, it may exacerbate swelling. Try to rest and avoid heavy lifting or intense exercise until the swelling subsides.

In summary, while some swelling can be expected after wisdom tooth extraction, persistent swelling should not be ignored. It’s crucial to maintain good oral hygiene, monitor for signs of infection, and consult your dentist for a follow-up evaluation. With proper care and attention, most issues can be resolved, allowing for a smoother recovery process.