Post-Wisdom Tooth Extraction Care: Essential Tips and Guidelines

Q: Post-Wisdom Tooth Extraction Care: Essential Tips and Guidelines

Hello： It is recommended that you wait until the wound has healed before applying any pressure to the area. <br>If food gets stuck, gently rinse with mouthwash using a syringe; do not intentionally reopen the wound that is in the process of healing. <br>Regarding coagulation func

Post-operative Care and Precautions After Extraction of Upper and Lower Right Wisdom Teeth

The doctor successfully extracted two upper and lower wisdom teeth (vertically positioned) on the afternoon of August 22.
The procedure went smoothly without complications, but there was bleeding for 8 hours (biting on gauze, changing it every hour, using 6-8 pieces).
I had an immediate follow-up visit, and the doctor said the wound is normal, but it may be due to my personal tendency for poor coagulation.
Therefore, I would like to inquire about the following post-operative care questions:
1.
When can I brush my teeth normally with toothpaste?
2.
When can I rinse my mouth with normal force?
3.
When can I eat normally on both sides (currently only using the right side)?
4.
If food gets stuck in the extraction site, how should I remove it? Should I rinse my mouth or use a syringe to irrigate? Thank you, doctor.

jenny mama, 30~39 year old female. Ask Date: 2023/08/24

Dr. Lin Jiayong reply Dentistry

Hello: It is recommended that you wait until the wound has healed before applying any pressure to the area.
If food gets stuck, gently rinse with mouthwash using a syringe; do not intentionally reopen the wound that is in the process of healing.
Regarding coagulation function, it is advisable to have an examination, especially if you are taking non-steroidal anti-inflammatory drugs (NSAIDs), as they can affect coagulation.
If your condition is not good, it is recommended to adjust your medication.

Reply Date: 2023/08/24

More Info

After undergoing wisdom tooth extraction, it's crucial to follow proper post-operative care to ensure a smooth recovery and minimize complications. Here are some essential tips and guidelines based on your queries and general medical knowledge regarding post-extraction care.

1. Brushing Teeth with Toothpaste
Typically, you should avoid brushing the extraction site for the first 3 to 5 days post-surgery. This allows the blood clot to stabilize and the tissue to begin healing. After this initial period, you can gently brush your teeth, but be careful to avoid the extraction site. Use a soft-bristled toothbrush and a gentle touch to prevent dislodging the clot.

2. Mouth Rinsing Techniques
For the first 24 hours, avoid rinsing your mouth altogether to allow the blood clot to form properly. After this period, you can start rinsing your mouth gently with warm salt water (1 teaspoon of salt in a cup of warm water) to help keep the area clean. Avoid vigorous rinsing, as this can dislodge the clot. Generally, you can start rinsing gently after the first 24 hours, but be cautious for at least a week.

3. Eating on Both Sides
You should stick to a soft food diet for the first few days following the extraction. Gradually, after about 5 to 7 days, you can start using both sides of your mouth for eating, provided that you feel comfortable and the extraction site is healing well. It's essential to listen to your body; if you experience pain or discomfort, revert to eating soft foods on the unaffected side.

4. Removing Food Particles from the Extraction Site
If food particles become trapped in the extraction site, you can use a syringe filled with warm salt water to gently flush the area. This method is effective and minimizes the risk of disturbing the healing tissue. Avoid using your fingers or other objects to dislodge food, as this can lead to infection or delayed healing.

Additional Considerations
- Bleeding: It's not uncommon to experience some bleeding for several hours post-extraction. If bleeding persists beyond 24 hours or becomes heavy, you should contact your dentist or oral surgeon.

- Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. If prescribed medication is not effective, consult your dentist for alternatives.

- Signs of Infection: Be vigilant for signs of infection, such as increased swelling, persistent pain, fever, or pus discharge. If you notice any of these symptoms, seek medical attention promptly.

- Follow-Up Appointments: Attend any scheduled follow-up appointments to ensure proper healing and address any concerns you may have.

Conclusion
Post-operative care after wisdom tooth extraction is vital for a smooth recovery. By following these guidelines, you can help ensure that your healing process is as comfortable and efficient as possible. Always consult your dentist or oral surgeon if you have specific concerns or if your symptoms seem unusual. Remember, your health and comfort are the top priorities during your recovery.

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