Post-Wisdom Tooth Extraction Care and Cavity Treatment Guidelines

Q: Post-Wisdom Tooth Extraction Care and Cavity Treatment Guidelines

Hello： 1. <br>It is recommended to wait until the wound has completely healed and there is no pain when opening your mouth before proceeding with dental treatment. <br>2. <br>Maintain good oral hygiene, keep a regular schedule, and avoid irritants such as tobacco and alcohol. <br

Wisdom Tooth Extraction & Cavity Filling

1.
It has been one week since I had my wisdom teeth extracted (the upper and lower right wisdom teeth), and I just had my stitches removed.
I currently have a cavity in my upper right first molar that is being treated with medication.
How long after wisdom tooth extraction can I typically get the cavity filled, or what are the evaluation criteria? The medication has been in place for two months, and I am concerned about changes in the cavity.
2.
After having my wisdom teeth extracted and stitches removed, how should I clean the extraction sites to avoid inflammation?
3.
When can I resume normal rinsing force? Currently, I am using a mouthwash but am unsure how to control the force, as I am worried about bleeding from the wounds.
How can I assess this?
4.
On the fourth day, I noticed slight bruising on my cheek.
Is this normal? Can I use topical ointment for bruising?
5.
Although the gums on the right side are not numb, they feel swollen.
Is this a sign that the wounds are still healing?
6.
The cavity in my first molar has been treated with medication, but the dentist mentioned that if I still experience pain, I may need root canal treatment, or he suggested proceeding directly with root canal treatment.
My situation is that for the past couple of months, I have felt sensitivity to cold foods, but I do not experience pain when not consuming cold items.
Currently, my teeth do not hurt, but I occasionally feel mild discomfort at the junction of the first molar and the first two premolars (not sharp pain).
Interestingly, I sometimes notice bleeding when using dental floss, or I feel slight pain when touching the base of the gums, but the dentist has said everything looks fine.
Why could this be happening?
7.
If the area of decay on my tooth exceeds half of the tooth, is it advisable to consider root canal treatment? Thank you, doctor.

O, 30~39 year old female. Ask Date: 2023/12/08

Dr. Lin Jiayong reply Dentistry

Hello: 1.
It is recommended to wait until the wound has completely healed and there is no pain when opening your mouth before proceeding with dental treatment.
2.
Maintain good oral hygiene, keep a regular schedule, and avoid irritants such as tobacco and alcohol.
3.
Once the wound has fully healed and there is no pain when opening your mouth, you can use normal force.
Avoid using straws too often or forcefully spitting or spraying saliva.
4.
The discomfort may be due to the force used during tooth extraction; alternating ice and heat packs and increasing vitamin C intake can help.
5.
It has only been a week since the extraction, and mild discomfort is normal; it is important to accept that there is a wound in the body.
6.
It is advisable to return for a follow-up appointment for the doctor to reassess.
7.
If there is already pulp inflammation or injury, root canal treatment may be a better option.

Reply Date: 2023/12/08

More Info

After undergoing wisdom tooth extraction, it's crucial to follow proper care guidelines to ensure a smooth recovery and address any dental issues, such as cavities. Here’s a comprehensive response to your questions based on the provided context and general dental care principles.

1. Timing for Cavity Treatment Post-Extraction: Generally, it is advisable to wait at least a week after wisdom tooth extraction before addressing any cavities, especially if you have just had your stitches removed. This waiting period allows the extraction sites to heal adequately, reducing the risk of complications such as infection. However, if the cavity has been treated with medication for two months and you are concerned about its condition, it’s best to consult your dentist for an evaluation. They can assess the cavity's status and determine if immediate treatment is necessary.

2. Cleaning Wisdom Tooth Extraction Sites: To prevent inflammation and promote healing of the extraction sites, gentle cleaning is essential. You can rinse your mouth with warm salt water starting 24 hours after the extraction. This helps to keep the area clean and reduces the risk of infection. Avoid vigorous rinsing, as this can dislodge the blood clot that forms in the socket, leading to a painful condition known as dry socket. Instead, gently swish the salt water around your mouth and then spit it out without force.

3. Resuming Normal Rinsing Techniques: You should gradually return to your normal rinsing strength as the extraction sites heal. Typically, you can start using a normal rinsing force about one week after the extraction, but this can vary based on individual healing. Pay attention to any signs of bleeding or discomfort. If you notice any bleeding while rinsing, reduce the force and consult your dentist if it persists.

4. Bruising and Topical Treatments: It is not uncommon to experience slight bruising on your cheek after wisdom tooth extraction, especially if the procedure was surgical. This bruising is usually a normal part of the healing process. You can apply a topical bruise ointment, but it’s best to consult your dentist before using any medication to ensure it won’t interfere with your recovery.

5. Swelling and Healing: The sensation of swelling in the gums, even if there is no pain, can indicate that your body is still in the healing phase. Swelling is a natural response to surgery, and it may take several days to subside. If the swelling persists or worsens, or if you develop pain, it’s important to reach out to your dentist.

6. Sensitivity and Discomfort in Adjacent Teeth: The discomfort you are experiencing in the first molar and the adjacent premolars could be due to several factors, including residual inflammation from the extraction or sensitivity from the cavity treatment. If you notice bleeding when using dental floss, it may indicate gum irritation or periodontal issues. It’s essential to maintain good oral hygiene while being gentle around the extraction sites. If the discomfort continues or worsens, further evaluation by your dentist is warranted.

7. Cavity Size and Root Canal Consideration: If a cavity extends beyond half of the tooth's structure, your dentist may recommend a root canal treatment, especially if there are signs of pulp involvement or if you experience persistent pain. However, the decision for a root canal is based on various factors, including the tooth's overall health, the extent of decay, and your symptoms. Regular check-ups and X-rays can help monitor the situation and guide treatment decisions.

In summary, after wisdom tooth extraction, it’s vital to follow your dentist's post-operative care instructions, maintain good oral hygiene, and monitor any changes in your dental health. If you have concerns about your recovery or the condition of your teeth, don’t hesitate to reach out to your dentist for personalized advice and treatment options.

Similar Q&A

Post-Wisdom Tooth Extraction Care: Essential Tips and Guidelines

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 im...

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...

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, ...

Understanding Wisdom Tooth Root Canal Treatment: When to Consider Extraction

Hello, Dr. Huang. I discovered a month ago that my wisdom tooth was painful and had a cavity. The dentist said that all four of my wisdom teeth are properly positioned and functional, and recommended root canal treatment. I have completed the root canal treatment, and the day aft...

Dr. Huang Tingfang reply Dentistry
Dear Ms. An, Hello! Regarding your situation, if the wisdom tooth pain does not return to normal, it may be necessary to extract it. This is because it can be difficult to treat and maintain proper hygiene. Please communicate more with your dentist. Thank you! Wishing you well! ...

Managing Tooth Decay Pain: Insights on Anesthesia and Treatment Options

Hello, Doctor. I have a wisdom tooth partially erupted at the back of my lower right jaw, creating a groove between it and the molar, which causes food debris to get trapped. Due to improper cleaning, both the wisdom tooth and the molar have developed cavities, but I don't f...

Dr. Lin Jiayong reply Dentistry
Hello: If the wisdom tooth is not extracted, the second molar in front cannot be properly treated, so the prerequisite is to first remove the wisdom tooth. The doctor has explained that if there is pain during this period, you should return to him for treatment, indicating that t...