Swollen Gums After Wisdom Tooth Extraction: Is It Normal? - Dentistry

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Swelling of the gums after wisdom tooth extraction?


I had my lower right horizontal wisdom tooth extracted on the afternoon of August 31, and I have stitches.
As of September 4, while there is no throbbing pain, the gums around the wound are still red and swollen.
When I bite down, I end up biting the swollen gums, making it difficult to eat normally; I can only consume liquid foods.
Is this a common occurrence? I have finished the course of anti-inflammatory medication and antibiotics three days ago.

Xiao Yan, 20~29 year old female. Ask Date: 2020/09/04

Dr. Huang Tingfang reply Dentistry


Dear Mr.
Hsiao-Yen: I apologize! Please consult the physician for your follow-up visit.
If you have any issues, you may seek treatment at a major hospital.
Take care! Wishing you peace and smoothness in everything! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2020/09/04

More Info


After a wisdom tooth extraction, it is quite common to experience some degree of swelling and discomfort in the surrounding gums. The procedure itself can cause trauma to the tissues in the area, leading to inflammation as part of the body’s natural healing response. In your case, having had a horizontal wisdom tooth extracted, it is not unusual for the gums to remain red and swollen for several days post-surgery, especially if stitches were involved.

Typically, the initial swelling peaks around 48 to 72 hours after the extraction and should gradually subside thereafter. However, if you are still experiencing significant swelling and redness after several days, it may indicate that your body is still in the process of healing or that there may be an underlying issue such as infection or improper healing.

The fact that you are unable to eat normally and can only consume liquid foods suggests that the swelling might be affecting your ability to chew comfortably. This is not uncommon, especially if the extraction site is still tender. It is important to monitor the situation closely. If the swelling worsens, or if you develop additional symptoms such as increased pain, fever, or pus discharge from the extraction site, it would be advisable to contact your dentist or oral surgeon for further evaluation.

Regarding the medications you have taken, it is essential to complete the prescribed course of antibiotics and anti-inflammatory medications as directed. These medications are intended to help manage pain and prevent infection. If you have finished your medication and are still experiencing discomfort, you should reach out to your healthcare provider to discuss your symptoms and possibly explore further treatment options.

In terms of what you can do to aid your recovery, here are a few recommendations:
1. Maintain Oral Hygiene: Gently rinse your mouth with warm salt water several times a day, especially after meals. This can help keep the extraction site clean and reduce the risk of infection.

2. Cold Compress: Applying a cold compress to the outside of your cheek for 15-20 minutes can help reduce swelling and numb the area, providing some relief.

3. Soft Diet: Continue to stick to a soft diet for a few more days. Foods like yogurt, smoothies, and mashed potatoes can be easier to eat without putting pressure on the swollen gums.

4. Avoid Straws: Using straws can create suction that may dislodge the blood clot forming in the extraction site, potentially leading to a painful condition known as dry socket.

5. Follow-Up Appointment: If you have not already scheduled a follow-up appointment, it may be beneficial to do so. Your dentist can assess the healing process and address any concerns you may have.

In summary, while some swelling and discomfort after wisdom tooth extraction is normal, persistent symptoms warrant further investigation. Always feel empowered to communicate with your healthcare provider about your recovery process, as they can provide personalized advice and interventions based on your specific situation.

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