Horizontal wisdom tooth
Hello, doctor.
I had my lower right wisdom tooth extracted on February 18, and I am still experiencing difficulty opening my mouth, only able to open it about the width of one finger.
Is this a normal phenomenon? How long will it take to recover to normal? My face is still slightly swollen.
Edward, 30~39 year old female. Ask Date: 2022/02/20
Dr. Lin Jiayong reply Dentistry
Hello: If you still experience fever, swelling, difficulty swallowing, or shortness of breath more than 48 hours after surgery, it is recommended to consult your original physician for a re-evaluation, or to seek further treatment at a hospital or medical center to prevent the risk of deep neck infection.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2022/02/20
More Info
When it comes to impacted wisdom teeth, particularly after extraction, it is not uncommon to experience some complications during the recovery process. Your concerns about difficulty opening your mouth and facial swelling are valid and can be part of the normal healing process. However, let’s delve deeper into what you might expect during recovery and what could be causing your current symptoms.
After the extraction of an impacted wisdom tooth, especially if it was horizontally positioned, the surrounding tissues can be significantly affected. The surgery often involves cutting through the gum and possibly removing some bone, which can lead to swelling and discomfort. Swelling typically peaks around 48 to 72 hours post-surgery and can take several days to subside. It is not unusual for patients to experience limited mouth opening, known as trismus, which can occur due to muscle spasms or inflammation in the jaw area.
In terms of recovery time, most patients begin to notice improvements in their ability to open their mouths and the reduction of swelling within a week. However, complete recovery can take longer, sometimes up to a few weeks, depending on the individual’s healing process and the complexity of the extraction. If you are still experiencing significant difficulty in opening your mouth after a week, it may be worth consulting your oral surgeon or dentist to rule out any complications, such as infection or excessive scar tissue formation.
To aid in your recovery, here are some recommendations:
1. Follow Post-Operative Instructions: Ensure you are adhering to the care instructions provided by your dentist or oral surgeon. This typically includes maintaining oral hygiene, managing pain with prescribed medications, and applying ice packs to reduce swelling.
2. Warm Compresses: After the initial swelling has decreased, applying warm compresses to the jaw can help relax the muscles and improve your ability to open your mouth.
3. Gentle Jaw Exercises: Once the initial healing has occurred, gentle stretching exercises can help improve your range of motion. Start slowly and avoid any movements that cause pain.
4. Stay Hydrated and Nourished: Eating soft foods and staying hydrated can help your body heal. Avoid hard, crunchy, or spicy foods that might irritate the extraction site.
5. Monitor Symptoms: Keep an eye on your symptoms. If you notice increased swelling, fever, or pus, these could be signs of infection, and you should seek medical attention promptly.
6. Follow-Up Appointments: Attend any scheduled follow-up appointments with your dentist or oral surgeon to ensure that your healing is progressing as expected.
In conclusion, while some discomfort and limited mouth opening can be normal after wisdom tooth extraction, it is essential to monitor your symptoms closely. If your condition does not improve or worsens, do not hesitate to reach out to your healthcare provider for further evaluation. Your recovery is important, and addressing any concerns early can help ensure a smoother healing process.
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