Post-Operative Discomfort After Wisdom Tooth Extraction: What to Expect

Discomfort after the extraction of horizontal wisdom teeth?

Hello Doctor: I underwent the extraction of my lower right wisdom tooth on March 13.
I had my stitches removed a week later.
Since the surgery, I have been experiencing a tingling and swollen sensation in my lower teeth, lips, and chin.
I am also unable to open my mouth (I can barely open it enough to fit one finger between my upper and lower teeth).
However, in the past two days, my teeth feel very swollen, and several of my lower teeth (including those on the left side) are particularly sensitive when I bite down.
I am unsure if this condition is normal.
I have been trying my best to maintain oral hygiene, but due to my limited ability to open my mouth, I have only been able to consume liquid foods since the surgery.
I am a bit concerned that this might be due to inflammation at the surgical site.

Vicki, 30~39 year old female. Ask Date: 2020/03/22

Dr. Huang Tingfang reply Dentistry

Dear Ms.
Vicki,
Hello! After the extraction of your horizontal wisdom teeth, please apply ice packs for 20 minutes every hour during the first two days post-surgery.
Additionally, it is important to maintain oral hygiene for one week.
Take care! Wishing you a smooth and safe recovery!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/03/22

More Info

Post-operative discomfort after wisdom tooth extraction is a common experience, and it can manifest in various ways, including swelling, sensitivity, and limited mouth opening. Based on your description, it seems that you are experiencing several typical post-operative symptoms, but there are also some concerns that warrant further attention.

Firstly, the feeling of numbness or tingling in the lower lip and chin area is often due to the proximity of the wisdom tooth roots to the inferior alveolar nerve, which runs through the jawbone. During the extraction, this nerve can be temporarily traumatized, leading to sensations of numbness or tingling. This condition, known as paresthesia, can take time to resolve, and while many patients experience improvement within a few weeks, some may take longer. If the numbness persists beyond a few months, it is advisable to consult your oral surgeon for further evaluation.

The swelling and difficulty in opening your mouth, known as trismus, are also common after wisdom tooth extraction. This can be due to inflammation in the surrounding tissues and muscles. Applying ice packs to the outside of your jaw for the first 24-48 hours post-surgery can help reduce swelling. After that, warm compresses may promote healing and improve mobility. It is essential to follow your dentist's post-operative care instructions, including any prescribed medications for pain and inflammation.

The sensitivity you are experiencing in your lower teeth, especially when biting down, could be attributed to several factors. After the extraction, the adjacent teeth may become more sensitive due to changes in the bite or pressure distribution. Additionally, if there is any inflammation or infection at the extraction site, it could contribute to discomfort in the surrounding teeth. It is crucial to monitor this sensitivity; if it worsens or does not improve, you should return to your dentist for a thorough examination.

Regarding your concern about potential infection, signs of infection can include increased pain, swelling, redness, and discharge from the extraction site. If you notice any of these symptoms, it is essential to seek medical attention promptly. Your dentist may need to evaluate the site and possibly prescribe antibiotics if an infection is present.

In terms of dietary restrictions, it is understandable that limited mouth opening can make it challenging to maintain a balanced diet. However, it is crucial to ensure you are getting adequate nutrition during your recovery. Soft foods, smoothies, and soups can provide necessary nutrients while being gentle on your healing tissues. As your mouth opens more comfortably, you can gradually reintroduce more solid foods.

In summary, while some discomfort and sensitivity after wisdom tooth extraction are normal, it is essential to remain vigilant for signs of complications, such as infection or prolonged numbness. If your symptoms persist or worsen, do not hesitate to reach out to your oral surgeon or dentist for further evaluation and guidance. They can provide you with the best advice tailored to your specific situation and ensure a smooth recovery process.

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