Post-operative care for wisdom teeth extraction and gum pain on the third day?
I had my lower right and upper right wisdom teeth extracted on December 1 (Friday), which was the first day of my menstrual period.
For the first three days, I gently brushed the right side of my mouth, avoiding the extraction sites, and noticed a metallic taste.
On the left side, I used an electric toothbrush to lightly clean the surface and gently touched the teeth near the front on the right side.
I used the electric toothbrush because I have fillings in my lower right and lower left first molars, and I was concerned about not cleaning them properly, which could lead to cavities.
On December 3 (Sunday), the second day, when I brushed my lower right gums, I experienced pain in the gums of the first molar and second premolar (without bleeding).
On December 4 (Monday), the third day, in the evening, I used an alcohol-free mouthwash, swishing it around in my mouth (DenTek Fresh Mint Mouthwash, blue bottle), and although there was no significant stinging sensation at the extraction site, I noticed some light blood streaks.
On December 5 (Tuesday), due to the pain on December 3, I felt mild swelling and tenderness in the lower right gums.
During these days, I did not specifically clean the extraction sites, and I took the prescribed antibiotics and painkillers on time.
I am currently waiting to have my stitches removed.
I have the following questions:
1.
Does having my menstrual period affect the healing speed of the extraction site? (The oral surgery nurse at the large hospital said it wouldn't affect the extraction, which is why I went ahead with it.)
2.
Could using an electric toothbrush in other areas slow down the healing of the extraction site?
3.
Is the pain I felt when lightly brushing my gums on December 3 related to the wisdom tooth extraction? What is the best way to clean my mouth now? Should I avoid that area for now?
4.
Is special cleaning required for the extraction site before the stitches are removed?
5.
Is it safe to use alcohol-free mouthwash available on the market? Are there any recommended medicated mouthwashes for post-operative care?
6.
When can I start using alcohol-free mouthwash and resuming rinsing my mouth? If there is still blood-tinged water when rinsing, is that normal?
7.
Currently, on December 5 (the fourth day), is it normal to still have a metallic taste in my mouth after drinking water? How many days should it take for the metallic taste to disappear to be considered normal?
Thank you, doctor.
O, 20~29 year old female. Ask Date: 2023/12/05
Dr. Lin Jiayong reply Dentistry
Hello:
1.
If your immune system is weaker during your menstrual period, there may be a risk of acute infection after tooth extraction.
However, based on your description, there are no signs of acute symptoms, so it should not affect the healing of the wound.
2.
No.
3.
Normal cleaning is sufficient; for the area around the wound, gentle cleaning is advised.
Avoid pulling or applying too much pressure, and you may combine it with mouthwash.
4.
Maintain a normal and calm mindset.
5.
Yes, you can use medicated mouthwash, which is available by prescription from a doctor (it requires out-of-pocket payment as it is not covered by insurance).
6.
Avoid forceful spitting when rinsing your mouth, do not blow your nose forcefully, and do not use a straw to suck drinks vigorously.
7.
Approach the situation with a calm mindset.
Accept that your body has a wound; normal epithelial healing takes at least one week, while mucosal recovery may take one month.
If the alveolar bone has been filed down, it will take at least...
Reply Date: 2023/12/05
More Info
Post-wisdom tooth extraction care is crucial for ensuring a smooth recovery and minimizing complications. Based on your detailed account of your experience and concerns, let's address your questions systematically.
1. Does menstruation affect the healing speed of the wound?
Menstruation itself does not significantly impact the healing process of oral wounds. However, hormonal fluctuations during your menstrual cycle can affect your pain perception and may lead to increased sensitivity. If a healthcare professional advised you that it was safe to proceed with the extraction during your menstrual period, you can trust that it was a medically sound decision.
2. Can using an electric toothbrush in other areas slow down the healing of the wound?
Using an electric toothbrush on areas away from the extraction site should not hinder healing. However, care should be taken to avoid the extraction site until it has healed sufficiently. Gentle brushing in other areas is important to maintain oral hygiene, but you should avoid vigorous brushing near the extraction site to prevent irritation.
3. Is the pain when brushing the gums on December 3rd due to the wisdom tooth extraction? How should I clean my teeth now?
Yes, the pain you experienced when brushing your gums is likely related to the extraction. The area around the extraction site can be sensitive and inflamed during the initial healing phase. It is advisable to avoid brushing directly over the extraction site for the first few days. Instead, you can gently brush the surrounding teeth and use a soft-bristled toothbrush to minimize discomfort.
4. Do I need to clean the wound before the stitches are removed?
Generally, you do not need to clean the extraction site directly. It is essential to maintain good oral hygiene by brushing your teeth gently and rinsing with a non-alcoholic mouthwash, but avoid disturbing the wound itself. Your dentist will provide specific instructions on how to care for the area during your follow-up appointment.
5. Is it safe to use non-alcoholic mouthwash after surgery? Are there recommended medicated mouthwashes?
Non-alcoholic mouthwashes are typically safe to use after dental surgery. They can help keep your mouth clean without causing irritation to the healing tissues. If you are looking for medicated options, your dentist may recommend a chlorhexidine mouthwash, which is often used post-operatively to reduce the risk of infection.
6. When can I start using non-alcoholic mouthwash and rinsing my mouth? Is it normal to see blood in the rinse?
You can generally start using a non-alcoholic mouthwash a few days after the extraction, but it’s best to wait until your dentist gives you the green light, usually around the time of your follow-up appointment. Seeing a little blood in your rinse is not uncommon in the first few days post-extraction, especially if you are rinsing gently. However, if you notice significant bleeding or if it persists beyond a few days, you should contact your dentist.
7. Is it normal to have a blood taste in my mouth on December 5th? When should this taste disappear?
Having a metallic or blood taste in your mouth a few days after the extraction can be normal, especially if there is still some residual blood in the area. This taste should gradually diminish as the healing progresses. If the taste persists beyond a week or is accompanied by other symptoms like increased pain or swelling, it would be wise to consult your dentist.
In summary, while some discomfort and sensitivity are expected after wisdom tooth extraction, maintaining good oral hygiene is essential. Be gentle with your brushing, avoid the extraction site, and follow your dentist's instructions closely. If you have any concerns about your healing process or experience unusual symptoms, do not hesitate to reach out to your dental care provider for guidance. Your recovery is important, and they can provide personalized advice based on your specific situation.
Similar Q&A
Post-Wisdom Tooth Extraction: Managing Pain and Preventing Infection
Hello Doctor, I had my lower right wisdom tooth extracted on October 28th (with stitches) because it was impacted and growing in an unusual way. After the extraction, I experienced pain for about 3 to 4 days. I have been applying ice packs continuously and trying to avoid brushin...
Dr. Huang Tingfang reply Dentistry
Dear Ms. Tsai: Regarding your post-operative issues after wisdom tooth extraction, it is essential to maintain proper oral hygiene. If you notice any odor or yellow discharge, please seek medical attention promptly. Take care! Wishing you a smooth and safe recovery! Sincere...[Read More] Post-Wisdom Tooth Extraction: Managing Pain and Preventing Infection
Common Concerns After Wisdom Tooth Extraction: Pain, Healing, and Hygiene
Hello, doctor. It has been five days since I had my wisdom teeth extracted. 1. I am still experiencing a dull pain. Could this be due to damage to my inferior alveolar nerve during the extraction process? 2. In addition to the dull pain at the extraction site, the adjacent too...
Dr. Lin Jiayong reply Dentistry
Hello: 1. When there is nerve injury, it usually presents with numbness rather than a dull ache. However, individual sensitivity may vary. It is recommended to increase your intake of vitamin B and to relax and rest. 2. The main cause of discomfort in the anterior teeth is likely...[Read More] Common Concerns After Wisdom Tooth Extraction: Pain, Healing, and Hygiene
Post-Wisdom Tooth Extraction Care: Managing Pain and Recovery Tips
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 ...
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, ...[Read More] Post-Wisdom Tooth Extraction Care: Managing Pain and Recovery Tips
Post-Wisdom Tooth Extraction Care: Managing Pain and Preventing Infection
Hello, Doctor: I had my upper wisdom tooth extracted last Friday (August 14), and I have stitches. The doctor prescribed me medication for three days, but I won't be able to have the stitches removed until the 25th. Is there a concern about the wound becoming infected? I am ...
Dr. Huang Tingfang reply Dentistry
Hello Mr. Lin: After tooth extraction, it is important to keep the wound clean to prevent infection. When using mouthwash, it is recommended to choose one that is alcohol-free to avoid excessive irritation of the wound. Take care! Wishing you a smooth and safe recovery! Sincerely...[Read More] Post-Wisdom Tooth Extraction Care: Managing Pain and Preventing Infection
Related FAQ
(Dentistry)
Post-Extraction(Dentistry)
Toothache(Dentistry)
Wisdom Teeth(Dentistry)
Tongue Pain(Dentistry)
Tmj(Dentistry)
Mouthwash(Dentistry)
Gum Ulcer(Dentistry)
Bruxism(Dentistry)
Local Anesthesia(Dentistry)