Risk of Infection After Wisdom Tooth Extraction: HIV and Syphilis Concerns - Urology

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Hello doctor, I apologize for the question.
Two weeks after having my wisdom teeth removed, there is no bleeding from the wound.
If I engage in deep kissing, is there a risk of contracting HIV or syphilis? I'm sorry to trouble you, doctor.

jain, 20~29 year old female. Ask Date: 2023/02/13

Dr. Chen Jiansheng reply Urology


Please seek medical attention.

Reply Date: 2023/02/13

More Info


After wisdom tooth extraction, the risk of HIV or syphilis infection through deep kissing is generally considered to be very low. Let’s break down the factors involved in your situation.


Understanding HIV Transmission
HIV (Human Immunodeficiency Virus) is primarily transmitted through specific bodily fluids, including blood, semen, vaginal fluids, rectal fluids, and breast milk. The most common routes of transmission are through unprotected sexual intercourse, sharing needles, and from mother to child during childbirth or breastfeeding.
In the context of deep kissing, the risk of HIV transmission is extremely low. While HIV can be present in saliva, the concentration is significantly lower than in blood or other fluids. Moreover, the virus does not survive well outside the human body, and it is not transmitted through casual contact, including kissing, unless there are open wounds or sores in the mouth of either party.


Factors to Consider
1. Oral Health: After wisdom tooth extraction, the surgical site is healing, and while it may not be actively bleeding, there could be some sensitivity or minor wounds in the mouth. If you or your partner had any cuts or sores in the mouth, this could theoretically increase the risk of transmission, but it remains very low.

2. Syphilis Transmission: Syphilis is primarily transmitted through direct contact with syphilis sores, which can occur in the genital area, anus, or mouth. If your partner had an active syphilis sore in their mouth, there could be a risk of transmission through deep kissing. However, if there were no visible sores, the risk remains low.

3. Time Frame: Two weeks post-extraction is a critical healing period. While the risk of infection through kissing is low, it’s essential to maintain good oral hygiene and avoid contact with potentially infectious fluids during this time.


Recommendations
- Monitor Symptoms: If you experience any unusual symptoms such as fever, rash, sore throat, or swollen lymph nodes in the weeks following your encounter, it would be wise to consult a healthcare provider for evaluation and possible testing for STIs, including HIV and syphilis.


- Testing: If you are concerned about potential exposure to HIV or syphilis, consider getting tested. For HIV, testing is typically recommended at 2-4 weeks after potential exposure, with follow-up testing at 3 months for conclusive results. For syphilis, testing can be done at any time after exposure, but it may take a few weeks for antibodies to develop.

- Consult a Healthcare Provider: If you have ongoing concerns about your health or potential exposure to STIs, it’s best to consult a healthcare provider who can provide personalized advice and testing options.


Conclusion
In summary, the risk of contracting HIV or syphilis through deep kissing after wisdom tooth extraction is very low, especially if there are no visible sores in the mouth. However, if you have concerns or experience any symptoms, seeking medical advice and testing is the best course of action. Remember, prevention and early detection are key in managing sexual health.

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