Post-Wisdom Tooth Extraction Concerns: Healing and Care Tips - Dentistry

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Post-operative issues after wisdom tooth extraction?


Hello, Doctor.
I had my upper wisdom tooth extracted in the oral surgery department on September 9th.
I used collagen due to concerns about the connection between the oral cavity and the sinus, and the sutures used were non-dissolvable.
I would like to ask you two questions.
First, if collagen was placed in the wound, should I still be cautious about blowing my nose too hard? Second, the extraction was for an impacted upper molar, and the gum was incised.
It has been a week since the procedure, and I feel some pain near the wound and around the second molar.
Is this normal? The clinic informed me that since I am using non-dissolvable sutures and there is no severe pain, a follow-up visit is not necessary.
However, I still feel somewhat uncomfortable and would like to seek your professional judgment.
Thank you, Doctor.

Wayne, 20~29 year old female. Ask Date: 2022/09/16

Dr. Lin Jiayong reply Dentistry


Hello: Due to the alveolar bone remodeling after the extraction of the incisors, it typically takes about 3 to 6 months for complete recovery.
However, if you are concerned about the possibility of a sinus communication issue, it is advisable to continue follow-up visits within this six-month period for better management.
You may go to a hospital or medical center to have a panoramic X-ray or a CT scan for confirmation.

Reply Date: 2022/09/16

More Info


After a wisdom tooth extraction, particularly when it involves surgical procedures like the one you described, it's common to have concerns about healing and post-operative care. Let's address your questions and provide some additional insights into the healing process.


1. Caution When Blowing Your Nose
Even if you have had collagen placed in the wound, it is still crucial to avoid blowing your nose forcefully. The reason for this is that the upper jaw is anatomically close to the sinuses, and excessive pressure can potentially disrupt the healing process or even lead to a sinus perforation. This is particularly important if the extraction site is near the maxillary sinus, which can happen with upper wisdom teeth. Gentle nasal hygiene is advisable, and if you need to clear your nose, try to do so softly or use saline sprays to keep the nasal passages moist without forceful expulsion.


2. Pain Around the Extraction Site
Experiencing some discomfort or pain around the extraction site and the adjacent teeth, such as the second molar, is not uncommon after a wisdom tooth extraction. This can be attributed to several factors:
- Inflammation: The body’s natural response to surgery includes inflammation, which can cause discomfort in the surrounding tissues.

- Nerve Sensitivity: The extraction process can irritate nearby nerves, leading to temporary pain or sensitivity.

- Healing Process: As the tissue heals, you may experience varying levels of discomfort. This is often normal, especially in the first week post-surgery.

However, if the pain is significant or worsening, or if you notice other symptoms such as swelling, fever, or discharge from the extraction site, it would be wise to consult your dentist or oral surgeon. They can assess whether there is an infection or any other complication that may require intervention.


Additional Care Tips
- Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. You can start brushing your teeth again, but avoid the area directly around the extraction for the first few days. After that, you can gently brush the area with a soft-bristled toothbrush.

- Diet: Stick to soft foods for the first few days post-extraction. Avoid hot, spicy, or hard foods that could irritate the wound.

- Pain Management: If you are experiencing discomfort, over-the-counter pain relievers like ibuprofen or acetaminophen can be effective. Always follow the dosage instructions and consult your healthcare provider if you have any concerns about medication interactions.

- Follow-Up Care: Since you mentioned that you have an absorbable suture, it is generally not necessary to return for suture removal. However, if you have any concerns about healing or if the pain persists, do not hesitate to reach out to your dentist for a follow-up appointment.


Conclusion
In summary, while some discomfort is normal after a wisdom tooth extraction, it is essential to monitor your symptoms closely. Avoiding forceful actions like blowing your nose and maintaining gentle oral hygiene will aid in your recovery. If you have any doubts about your healing process or experience significant pain, seeking professional advice is always a good idea. Your oral health is paramount, and ensuring proper healing will help prevent complications down the line.

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