Post-Wisdom Tooth Extraction: Dealing with Odor and Discomfort - Dentistry

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Post-operative issues after wisdom tooth extraction?


About 5 to 6 days after having my wisdom teeth removed, the sutured area has a foul odor.
There is no bleeding or pain, and it seems like there is some fluid oozing out, but it smells bad.
I read on other websites that this could be normal tissue fluid, but does that mean I have to let this smelly fluid continue to flow in my mouth? When will it get better? Can I use a water flosser on that area? I have been brushing my teeth properly and using mouthwash.
I would appreciate your guidance, thank you.

Ruby, 10~19 year old female. Ask Date: 2020/02/12

Dr. Lin Jiayong reply Dentistry


Hello: The extraction site will take at least one week to show initial healing.
If you experience symptoms such as fever, swelling, or difficulty breathing, it is advisable to seek medical attention.
For general discomfort at the wound site, it is recommended to monitor the situation until your next follow-up appointment.
Thank you!

Reply Date: 2020/02/12

More Info


After wisdom tooth extraction, it's not uncommon to experience some discomfort and unusual sensations in the mouth, including odor and discharge from the surgical site. Let's break down your concerns and provide some guidance on how to manage these symptoms effectively.


Understanding Post-Extraction Symptoms
1. Odor and Discharge: The presence of a foul odor and discharge from the extraction site can be concerning. This could be due to several reasons:
- Normal Healing Process: After surgery, it's typical for the body to produce a fluid known as exudate, which can sometimes have an unpleasant smell. This fluid is part of the healing process and helps to flush out debris and bacteria from the wound.

- Infection: If the odor is particularly strong or accompanied by other symptoms like increased swelling, redness, or pain, it may indicate an infection. Infections can occur if bacteria enter the surgical site, leading to complications such as dry socket or abscess formation.

2. Timing of Symptoms: It's common for symptoms to peak around the fifth to seventh day post-surgery. By this time, the initial swelling should be subsiding, and the healing process is well underway. If the odor persists beyond this period or worsens, it’s essential to consult your dentist or oral surgeon.


Managing Odor and Discomfort
1. Oral Hygiene: Maintaining good oral hygiene is crucial during recovery. Continue brushing your teeth gently, avoiding the extraction site to prevent irritation. Using an antibacterial mouthwash can help reduce bacteria in your mouth, which may alleviate some of the odor.

2. Irrigation: Using a water flosser or an oral irrigator can be beneficial, but it’s essential to do so with caution. If you choose to use a water flosser, set it to a low pressure to avoid dislodging any blood clots that may be forming in the socket. Aim to gently flush the area without directly targeting the extraction site initially.

3. Diet and Hydration: Eating soft foods and staying hydrated can aid in the healing process. Avoiding spicy, acidic, or hard foods can prevent irritation to the surgical site.

4. Follow-Up Care: If the odor persists or if you notice any signs of infection (such as fever, increased pain, or swelling), it’s crucial to return to your dentist for an evaluation. They may need to clean the area or prescribe antibiotics if an infection is present.


When to Seek Help
- If you experience any of the following, seek immediate dental care:
- Persistent or worsening odor that does not improve with good oral hygiene.

- Increased pain or swelling around the extraction site.

- Fever or chills, which could indicate a systemic infection.

- Any unusual discharge that appears green or yellow, which may suggest pus.


Conclusion
In summary, while some odor and discharge can be a normal part of the healing process after wisdom tooth extraction, it’s essential to monitor your symptoms closely. Maintain good oral hygiene, consider gentle irrigation, and consult your dentist if symptoms persist or worsen. Healing takes time, and with proper care, you should see improvement in the coming days. If you have any further questions or concerns, don’t hesitate to reach out to your dental care provider for personalized advice.

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