Post-Wisdom Tooth Extraction Care: Managing Pain and Recovery Tips

Q: Post-Wisdom Tooth Extraction Care: Managing Pain and Recovery Tips

Hello： The medications that dentists can prescribe are usually quite limited and mild, so there is no need to worry excessively. <br>It is recommended to continue using the psychiatric/systemic medications that you were originally taking. <br>If there is inflammation in the denta

Care for the wound after tooth extraction?

Hello, doctor.
In October, I discovered that three fragments of a molar next to my impacted wisdom tooth had broken off due to decay.
The dentist informed me that I could not have the cavity filled without extracting the wisdom tooth, so I had the wisdom tooth removed on October 16 and returned to have the stitches removed on October 21.
During this period, I took medication, brushed my teeth gently, and used an alcohol-free mouthwash without vigorous rinsing.
On October 22, while cleaning my mouth, I noticed small blood clots falling out, accompanied by slight blood streaks.
At that time, I had already finished my medication and was experiencing severe pain, so I quickly went to another dental clinic that was open on Sunday.
The clinic informed me that the wound looked fine and that the inflammation was a normal occurrence after stitch removal.
They prescribed me anti-inflammatory and pain relief medication for a few more days.
By October 26, after finishing the medication, I felt ready to start eating solid food (there was slight pain while chewing, but I was too hungry to continue eating liquids or pureed foods).
Since I wanted to inquire about dental filling, I returned to the original clinic where I had the extraction.
However, they said that there was a significant amount of food debris left in the extraction site, which had caused the inflammation (the inflammation had not healed), and there was indeed a slight occurrence of blood clots falling out.
The dentist prescribed more anti-inflammatory and pain relief medication, provided me with a syringe for cleaning the wound, and packed the wound with a brown, thread-like substance, advising me not to rinse my mouth for the time being.
This packing material would be absorbed by the body.
I had several questions at that time, but I couldn't process everything quickly and was asked to leave the examination room.
I only remember the doctor saying it was okay to rinse my mouth with normal force.
I have a few questions I didn't get to ask, and I would like to consult you, doctor, regarding the following:
1.
Can I eat regular solid food from outside? It’s inevitable that I might consume some fried food, but I will avoid alcohol and spicy foods.
Is that acceptable?
2.
Can I consume sesame oil and chicken soup?
3.
Is it okay to drink sugary and caffeinated beverages?
4.
What is the packing material used? How long does it take for it to be absorbed, and how long after packing can I eat?
5.
I am currently taking psychiatric and sleep medications, and I am concerned about potential interactions with the anti-inflammatory and pain relief medications.
I have tried to minimize the frequency of taking them after the extraction, but I have been unable to sleep more than three hours each night, so I have taken sleep medication for the past two days, although its effectiveness has diminished.
Is there any contraindication or reason for this?
6.
I have a poor health history, having suffered from chronic gastritis and poor liver function.
I am worried about continuously taking medications.
If I do not feel any discomfort after finishing this course of medication, can I proactively ask the doctor not to prescribe any more medication during my follow-up visit? Or can I skip the follow-up and wait two weeks to get the filling done? After nearly ten days of medication combined with psychiatric drugs, should I get a blood test to check my values for safety?
I apologize for having so many concerns and questions.
Thank you for your patience in reading this, and I hope to receive a response.

Niming, 20~29 year old female. Ask Date: 2023/10/26

Dr. Lin Jiayong reply Dentistry

Hello: The medications that dentists can prescribe are usually quite limited and mild, so there is no need to worry excessively.
It is recommended to continue using the psychiatric/systemic medications that you were originally taking.
If there is inflammation in the dental area, a low-dose antibiotic can be continued.
If you are still very concerned, you can indeed have blood tests done for further evaluation.

Reply Date: 2023/10/26

More Info

After a wisdom tooth extraction, proper care and management of pain are crucial for a smooth recovery. Here are some guidelines and answers to your questions based on your situation:
1. Dietary Considerations:
- Solid Foods: It is generally advisable to avoid hard, crunchy, or sticky foods for at least a week post-extraction. While you may feel tempted to eat solid foods, especially if you're hungry, it’s important to prioritize soft foods that require minimal chewing. Foods like yogurt, mashed potatoes, and smoothies are good options. If you choose to eat out, opt for softer items and avoid anything that could irritate the extraction site.

- Fried Foods: While you may want to indulge in fried foods, it’s best to avoid them as they can be irritating to the healing tissue and may lead to discomfort.

- Soups: Chicken soup and similar broths can be beneficial, but ensure they are not too hot, as heat can exacerbate inflammation. Avoid any chunky ingredients that may require significant chewing.

- Oils: Consuming sesame oil or similar oils in moderation is generally fine, but avoid excessive amounts that may lead to discomfort.

2. Beverages:
- Sugary and Caffeinated Drinks: It’s best to limit sugary drinks, as sugar can promote bacterial growth, which may lead to infection. Caffeine can also lead to dehydration, which is not ideal for recovery. Stick to water or herbal teas that are gentle on your stomach.

3. Medications:
- The medication your dentist placed in the extraction site is likely a type of absorbable gel or packing material designed to promote healing and prevent dry socket. The absorption time can vary, but typically, it should dissolve within a few days to a week. You should avoid vigorous rinsing until the material has fully dissolved to prevent dislodging it.

- If you are taking psychiatric medications and are concerned about interactions with your pain management regimen, it’s essential to consult your healthcare provider. Some medications can interact, leading to increased sedation or side effects.

4. Follow-Up Care:
- If you feel that your pain is not adequately managed or if you experience any unusual symptoms (like increased swelling, fever, or persistent bleeding), it’s important to return to your dentist for a follow-up. You can discuss your concerns about medication and the potential need for further treatment.

- If you feel well and your pain is manageable, you might consider waiting for your scheduled follow-up appointment before proceeding with any additional dental work, such as fillings.

5. Health Monitoring:
- Given your history of chronic gastritis and liver issues, it’s wise to monitor how your body responds to medications. If you experience any adverse effects, such as stomach pain or unusual fatigue, consult your healthcare provider. A blood test may be prudent to ensure your liver function is stable, especially after a prolonged course of medication.

In summary, while it’s understandable to want to return to normal eating and activities, prioritizing gentle care and monitoring your recovery is essential. If you have any lingering concerns or if your symptoms worsen, do not hesitate to reach out to your dentist or healthcare provider for guidance. Your health and comfort should always come first during the recovery process.

Similar Q&A

Understanding Post-Extraction Pain: Causes and Management Tips

Hello Doctor: I have always had healthy teeth, but recently my right gum has been swelling frequently, causing pain that makes it difficult to sleep. After consulting with my dentist, I was advised to have my lower right wisdom tooth extracted. The extraction went smoothly on the...

Dr. Wu Jinjun reply Dentistry
Hello: Wisdom tooth extraction surgery is generally considered a complex invasive procedure in oral treatment. Sometimes, due to the position of the wisdom tooth being too deep or too close to the neurovascular structures, discomfort may occur shortly after the extraction. This u...

Managing Pain After Wisdom Tooth Extraction: When to See Your Dentist

Hello, I had surgery five days ago (on May 25) at a large hospital to remove my upper and lower wisdom teeth. I have been applying ice packs as needed, and my wound is healing well. I have been using dental floss and mouthwash (prescribed by my doctor) after each meal for cleanin...

Dr. Huang Tingfang reply Dentistry
Dear (TTДTT): Hello! There is an issue with your wound; please return to the hospital for an examination as soon as possible! Thank you! Wishing you safety! Sincerely, Dr. Huang Ting-Fang, Dentistry.

Post-Wisdom Tooth Extraction: Dealing with Discomfort and Pain

I recently had my wisdom teeth extracted, but now I have a slight stabbing pain in the gum tissue, which is a bit uncomfortable.

Dr. Lin Jiayong reply Dentistry
Hello: If you experience a fever lasting more than 48 hours after tooth extraction, along with difficulty swallowing or breathing, please seek medical attention promptly. If you are experiencing general redness, swelling, heat, and pain, it is recommended to follow up at your ori...

Managing Wisdom Tooth Extraction Recovery and Dental Sensitivity Issues

Hello, doctor! Last month, I asked you about my situation. After being hospitalized in the emergency department (intensive care unit), I experienced weakness in my front teeth, which became sensitive, and my upper left wisdom tooth was blocking the front teeth, leading to cavitie...

Dr. Zeng Guanghui reply Dentistry
After having wisdom teeth extracted, it takes about 2-3 months for the gum tissue or bone to fully heal and integrate. Any cavities in the teeth in front of the wisdom teeth should be filled, and the surrounding gum tissue should be cleaned thoroughly to naturally improve gum inf...