Post-Wisdom Tooth Extraction: Infection Risks and Concerns - Urology

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Infection issues


Hello, doctor.
I apologize for the interruption.
May I ask if, after having my wisdom teeth removed, there is no bleeding and no pain at the wound site for about two weeks, is there a risk of contracting HIV or syphilis from deep kissing? Thank you for your help, doctor.

hao, 20~29 year old female. Ask Date: 2023/02/11

Dr. Du Shixi reply Urology


Hello: If the partner has a sexually transmitted infection (STI), there is a possibility of transmission.
The following is a classification of sexual behaviors based on their level of risk:
- No risk behaviors include masturbation, hugging, and touching areas other than the genitals.
- Low-risk behaviors include mutual masturbation, light kissing, mutual rubbing, and sexual intercourse with condom use.
- Moderate-risk behaviors include deep kissing, oral sex, and withdrawal before ejaculation.
- High-risk behaviors include unprotected intercourse and intercourse that causes wounds or bleeding.

Reply Date: 2023/02/11

More Info


After a wisdom tooth extraction, it's understandable to have concerns about potential infections, especially regarding serious conditions like HIV or syphilis. However, the risk of contracting these infections through a dental procedure is extremely low, provided that standard hygiene practices are followed.

Firstly, let's clarify how infections can occur post-extraction. The primary concern after a tooth extraction is the risk of a localized infection at the extraction site, which can happen if bacteria enter the open wound. This is typically due to poor oral hygiene, smoking, or not following post-operative care instructions. Common symptoms of an infection include increased pain, swelling, redness, and discharge from the extraction site. If you notice any of these symptoms, it’s crucial to contact your dentist for evaluation.

Regarding your specific concerns about HIV and syphilis, these viruses are primarily transmitted through specific routes. HIV is mainly spread through blood, sexual contact, and from mother to child during childbirth or breastfeeding. Syphilis is transmitted through direct contact with syphilis sores, which are usually found on the genitals, anus, or mouth. In the context of a wisdom tooth extraction, the risk of contracting either of these infections is negligible unless there was direct exposure to infected blood or bodily fluids during the procedure.

To address your question directly: if your extraction site is healing well, with no bleeding or pain, the likelihood of contracting HIV or syphilis from the extraction itself is virtually nonexistent. The standard practice in dental offices includes using sterile instruments and following strict infection control protocols, which significantly reduces any risk of cross-contamination.

Moreover, if you have not engaged in any high-risk behaviors (such as unprotected sex with an HIV-positive individual or sharing needles), your risk of contracting HIV or syphilis remains low. If you have concerns about your sexual health or potential exposure to these infections, it may be beneficial to discuss them with a healthcare provider who can offer testing and further guidance.

In summary, while it’s natural to have concerns after a medical procedure, the risk of contracting HIV or syphilis from a wisdom tooth extraction is extremely low, especially if proper hygiene and care are maintained. If you have any ongoing concerns or symptoms, it’s always best to consult with your dentist or a healthcare professional for personalized advice and reassurance.

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