Problems After Wisdom Tooth Extraction
Hello, doctor.
I had my wisdom teeth removed three days ago, and my face is still very swollen, and my head is very painful.
However, the doctor only prescribed painkillers and did not prescribe any anti-inflammatory medication.
Is this the correct approach? Also, I've noticed that some hospitals use dental bibs without clips, just laying them down.
Is that acceptable?
Zhe Teng, 20~29 year old female. Ask Date: 2018/09/09
Dr. Zhu Guanyu reply Dentistry
Hello,
1.
The purpose of taking antibiotics is to prevent or control infections.
Symptoms caused by infections typically include redness, swelling, heat, and pain.
2.
As long as the paper napkin serves its purpose, whether it is clipped or not seems to be of secondary importance.
Thank you for your letter.
Wishing you safety and good health.
Sincerely,
Dr.
Kuan-Yu Chu
Director, Dental Department
Taoyuan General Hospital, Ministry of Health and Welfare
Reply Date: 2018/09/09
More Info
After having a wisdom tooth extraction, it's common to experience pain, swelling, and discomfort in the surrounding areas. The healing process can vary from person to person, but there are several key points to consider regarding your situation.
Firstly, the pain and swelling you are experiencing three days post-extraction are not unusual. After a surgical procedure like wisdom tooth removal, it is expected that the body will react with inflammation, which can lead to swelling and discomfort. The pain is often managed with over-the-counter pain relievers or prescription medications provided by your dentist or oral surgeon. If your doctor only prescribed pain medication without antibiotics, it may be because they assessed that there was no immediate risk of infection. Antibiotics are typically prescribed if there are signs of infection or if the extraction was particularly complicated.
In terms of care, here are some tips to help manage your symptoms and promote healing:
1. Ice Packs: Applying ice packs to the outside of your face for the first 24-48 hours can help reduce swelling. Use the ice pack for 15-20 minutes at a time, allowing breaks in between.
2. Rest: Ensure you get plenty of rest. Avoid strenuous activities that could exacerbate swelling or pain.
3. Diet: Stick to a soft diet for the first few days. Foods like yogurt, applesauce, mashed potatoes, and smoothies are good options. Avoid hot, spicy, or crunchy foods that could irritate 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 oral hygiene by gently rinsing your mouth with warm salt water starting 24 hours after the extraction. This can help keep the area clean and promote healing. Avoid brushing directly over the extraction site for the first few days.
6. Follow-Up: If the swelling and pain do not improve after a few days, or if you notice increased redness, pus, or fever, it’s essential to contact your dentist. These could be signs of an infection that may require treatment.
Regarding your question about the dental gauze, it is common practice for some dental offices to use gauze to control bleeding after an extraction. The gauze should be placed directly over the extraction site and bitten down on to help form a blood clot. If your dentist did not use a specific type of gauze or if they used a different method, it may be due to their personal preference or the specific circumstances of your extraction.
In summary, while your current symptoms are typical following wisdom tooth extraction, it’s crucial to monitor your condition. If you have concerns about the level of pain or swelling, or if you feel that your recovery is not progressing as expected, do not hesitate to reach out to your dentist for further evaluation and guidance. Your health and comfort are paramount, and your dentist can provide the best advice tailored to your specific situation.
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