Post-Wisdom Tooth Extraction Care: Managing Pain and Oral Hygiene

Q: Post-Wisdom Tooth Extraction Care: Managing Pain and Oral Hygiene

Hello： 1. <br>If your immune system is weaker during your menstrual period, there may be a risk of acute infection after tooth extraction. <br>However, based on your description, there are no signs of acute symptoms, so it should not affect the subsequent wound healing. <br>2. <b

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 while avoiding the extraction sites, and I noticed a metallic taste of blood.
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 the first molars on both the lower right and lower left sides, and I was concerned about not cleaning them properly, which could lead to cavities.

On December 3 (Sunday), the second day after the extraction, I experienced pain in the gums of the lower right area while brushing, specifically around the first molar and second premolar (without bleeding).
On December 4 (Monday), the third day, I used an alcohol-free mouthwash, swishing it around in my mouth and letting it slowly flow out (using Dentene Fresh Dual Action Mouthwash, blue bottle).
Although there was no significant stinging sensation at the extraction site, I noticed some slight 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 antibiotics and pain medications prescribed by my doctor on schedule.
I am currently waiting for my stitches to be 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 matter, which is why I went ahead with the extraction.)
2.
Could using the electric toothbrush in other areas slow down the healing of the extraction site?
3.
Is the pain I felt while lightly brushing my gums on December 3 related to the wisdom tooth extraction? How should I clean my mouth properly now? Should I avoid that area for the time being?
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? Or do you have any recommendations for post-operative medicated mouthwash?
6.
When can I start using alcohol-free mouthwash, and when can I resume rinsing my mouth? If there is still blood in the rinse, is that normal?
7.
Currently, on December 5 (the fourth day), is it normal to still have a metallic taste of blood in my mouth after drinking water? How many days until the metallic taste disappears is 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 subsequent wound healing.
2.
No.
3.
Normal cleaning is sufficient; for the area around the wound, gentle cleaning is recommended.
Avoid pulling or applying too much pressure, and you may use mouthwash in conjunction.
4.
Maintain a normal 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, blowing your nose, or using a straw to suck drinks forcefully.
7.
Approach it 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 affected, it may take at least six months before you feel normal or no foreign body sensation.

Reply Date: 2023/12/05

More Info

Post-wisdom tooth extraction care is crucial for ensuring proper healing and minimizing discomfort. Based on your detailed account, it seems you have been attentive to your oral hygiene, which is commendable. Let's address your questions one by one, while also providing some general advice on managing pain and maintaining oral hygiene after wisdom tooth extraction.

1. Does menstruation affect the healing speed of the wound?
While some believe that hormonal changes during menstruation can influence healing, the consensus among healthcare professionals is that menstruation should not significantly impact the healing process of a dental extraction site. Your oral surgeon's advice aligns with this understanding. However, individual experiences may vary, and if you notice any unusual symptoms, it's always best to consult your dentist.

2. Can using an electric toothbrush in other areas slow down healing?
Using an electric toothbrush on areas away from the extraction site should not affect healing. However, you should avoid vigorous brushing near the extraction site until it has healed adequately. Gentle brushing is key to maintaining oral hygiene without disrupting the healing process.

3. Is the pain when brushing the gums on December 3rd related to the extraction? What should I do for cleaning?
Yes, the pain you experienced while brushing is likely related to the extraction. The surrounding gums may be sensitive and inflamed as they heal. It’s advisable to avoid brushing directly over the extraction site for at least a week or until your dentist gives you the go-ahead. Instead, focus on gently brushing the other areas of your mouth and consider using a soft-bristled toothbrush.

4. Do I need to clean the wound before the stitches are removed?
Generally, you do not need to clean the extraction site directly. Your body will naturally work to heal the wound. However, maintaining good oral hygiene in the surrounding areas is essential. Follow your dentist's instructions regarding any specific cleaning methods or products.

5. Is it safe to use non-alcoholic mouthwash? Any recommendations for post-operative mouthwash?
Non-alcoholic mouthwash is typically safe to use after dental surgery. Alcohol can irritate the healing tissues, so opting for a non-alcoholic version is wise. Look for mouthwashes that contain chlorhexidine, as they are often recommended for post-operative care due to their antibacterial properties.

6. When can I start using non-alcoholic mouthwash and rinsing? Is it normal to see blood in the rinse?
You can usually start using a non-alcoholic mouthwash around 24 to 48 hours after the extraction, but it's best to confirm with your dentist. If you notice blood in the rinse, it can be normal in the initial days following the extraction, especially if you are rinsing gently. However, if the bleeding persists or is heavy, you should contact your dentist.

7. Is it normal to have a blood taste in the mouth on December 5th? When should this subside?
A blood taste can be normal in the days following an extraction, particularly if you have not fully healed. It should gradually diminish as the healing progresses. If the taste persists beyond a week or is accompanied by other symptoms like severe pain or swelling, it would be prudent to consult your dentist.

In summary, managing pain and maintaining oral hygiene after wisdom tooth extraction requires a delicate balance. Continue taking your prescribed medications, avoid direct contact with the extraction site while brushing, and use a gentle mouthwash. If you have any concerns about your healing process or experience unusual symptoms, do not hesitate to reach out to your dentist for further evaluation. Healing can take time, so patience is essential.

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