Post-Wisdom Tooth Extraction: Blood Taste, Swelling, and Bad Odor Concerns

Hemorrhage, swollen chin, and foul odor?

Hello Doctor, I had two wisdom teeth extracted on the right side on the afternoon of June 19th.
The lower tooth was horizontally impacted and very close to the nerve, and I had a protein filler placed to aid in recovery.
I have three questions:
1.
It has been four days since the extraction, but I still have a metallic taste in my mouth and slight oozing of blood.
Is this normal?
2.
I noticed that the swelling has shifted from my cheek to my jawline, but there are no bruises.
Is this normal?
3.
There is a persistent bad odor coming from my mouth, similar to the smell of not brushing teeth for a long time.
However, I cannot brush the wound.
I have been using mouthwash, but the odor persists, and I do not see any food debris.
Could this be the smell from the filler? However, the wound does not hurt.

Mr. Hong, 20~29 year old female. Ask Date: 2020/06/23

Dr. Huang Tingfang reply Dentistry

Dear Mr.
Hong,
Hello! Based on what you described, there may be inflammation.
Please return for a follow-up appointment for treatment as soon as possible.
Additionally, it is important to maintain oral hygiene.
Take care! Wishing you all the best and a smooth recovery!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/06/23

More Info

After a wisdom tooth extraction, especially involving complex cases like impacted teeth, it's common to experience various symptoms as part of the healing process. Let's address your concerns one by one.

1. Blood Taste and Slight Bleeding: It's not unusual to have a metallic taste in your mouth or to notice slight bleeding a few days post-extraction. The presence of a small amount of blood can be normal, especially if the extraction was complicated. However, if the bleeding is persistent or increasing, it may indicate a complication such as a dry socket or inadequate clot formation. It's essential to monitor the situation; if the bleeding continues beyond a few days or becomes heavier, you should contact your dentist or oral surgeon for further evaluation.

2. Swelling: Swelling is a typical response following dental surgery, and it can take several days to peak before gradually subsiding. The fact that the swelling is moving from your cheek to your chin is not uncommon. This can occur as the body’s inflammatory response progresses. The absence of bruising is a good sign, as bruising often indicates more significant trauma. However, if the swelling continues to worsen or if you experience severe pain, fever, or other concerning symptoms, it’s advisable to seek medical attention.

3. Bad Odor: A foul odor emanating from the mouth after tooth extraction can be concerning. This could be due to several factors, including the presence of food particles trapped in the extraction site, the breakdown of tissue, or even the material used for filling (if applicable). While you mentioned not seeing food debris, it’s possible that small particles could still be lodged in the area. Using a gentle saline rinse can help keep the area clean. If the odor persists despite good oral hygiene practices, it may indicate an infection or other complications, and you should consult your dentist.

In summary, while some bleeding, swelling, and odor can be part of the normal healing process after wisdom tooth extraction, it’s crucial to stay vigilant. If any of your symptoms worsen or if you have concerns about your recovery, do not hesitate to reach out to your oral surgeon or dentist. They can provide specific guidance based on your situation and ensure that your recovery proceeds smoothly. Remember, maintaining good oral hygiene and following post-operative care instructions is vital for a successful recovery.

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