Recovery Issues After Wisdom Tooth Extraction
Hello doctor, I had my lower left horizontal wisdom tooth extracted on January 4th and had my stitches removed on January 9th.
Today, January 13th, the wound bleeds when I yawn or sneeze, and the blood has a foul odor.
The area where the blood is coming from feels tender, and there is a slightly red piece of tissue just behind the tooth.
I have been using a cotton swab to absorb the blood, and I noticed that applying gentle pressure to the tender area causes it to ooze blood.
Since I started cleaning it actively, the blood continues to flow intermittently, and it has a salty, foul smell.
My teeth still feel sensitive, similar to the pain of sensitive teeth when I eat ice, especially when brushing; it becomes very painful after brushing.
Additionally, I feel a small hard lump in my jaw, and sometimes there is a pulling sensation in my ear, but it doesn't hurt—just feels like my ear is being tugged.
Is this normal?
Tina, 20~29 year old female. Ask Date: 2023/01/13
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended to have the physician continue prescribing a low dose of antibiotics, and to apply some antibiotic ointment to the wound.
A follow-up appointment with the physician can be scheduled weekly for further evaluation.
Additionally, it is important to understand that tooth extraction is a minor surgical procedure that involves injury to both the bone and gums, and the healing process will take some time.
Patience is essential, and one should avoid excessive stress.
Reply Date: 2023/01/13
More Info
After a wisdom tooth extraction, particularly for a horizontally impacted tooth, it is not uncommon to experience a variety of symptoms during the recovery process. Based on your description, it seems you are dealing with several issues that can arise post-surgery, including bleeding, discomfort, and sensitivity in the surrounding teeth and gums.
Firstly, the presence of blood-tinged fluid, especially if it has an unpleasant odor, could indicate a few things. One possibility is that there may be a small amount of residual blood or a clot that has not fully stabilized, which can happen after an extraction. It's essential to avoid disturbing the area too much, as this can dislodge any clots that are forming, leading to further bleeding. If you notice that the bleeding continues or worsens, it is crucial to contact your dentist or oral surgeon for a follow-up. They may need to assess the site to ensure that there are no complications such as dry socket, which can occur when the blood clot is lost prematurely.
The sensitivity you are experiencing, particularly when brushing your teeth or consuming cold items, is also a common post-extraction symptom. This sensitivity can be due to exposed dentin or nerve endings in the area where the tooth was removed. It is advisable to use a soft-bristled toothbrush and to be gentle while brushing around the extraction site. Additionally, avoiding very hot or cold foods and drinks can help minimize discomfort.
The sensation of pressure or pulling in your ear, while not uncommon, can be concerning. This sensation may be related to the proximity of the jaw and ear structures. The jaw joint (temporomandibular joint or TMJ) can sometimes react to changes in the mouth, especially after surgery. If this sensation persists or becomes painful, it would be wise to consult with your dentist.
Regarding the red area you mentioned, this could be a sign of inflammation or irritation in the gum tissue. Keeping the area clean is essential, but be cautious not to over-clean, as this can exacerbate irritation. Rinsing gently with warm salt water can help promote healing and reduce inflammation.
In terms of recovery, it typically takes several weeks for the extraction site to heal adequately. Full healing of the bone and soft tissue can take several months. During this time, it is essential to maintain good oral hygiene, avoid smoking, and follow any specific instructions given by your dentist regarding diet and activity.
If you continue to experience symptoms such as persistent bleeding, significant pain, or signs of infection (such as fever or increased swelling), it is crucial to seek professional help. Regular follow-ups with your dentist can help monitor your healing process and address any complications early on.
In summary, while some discomfort and sensitivity are normal after wisdom tooth extraction, persistent or worsening symptoms should not be ignored. Maintaining communication with your dental care provider and following their recommendations will be key to a smooth recovery.
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