Post-Wisdom Tooth Extraction Care: Cleaning Tips and Concerns - Dentistry

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Post-operative issues after wisdom tooth extraction?


Hello, doctor.
I had my wisdom tooth extracted yesterday, and I received stitches.
Today, I am no longer in pain, and there is no bleeding or noticeable swelling.
I brush my teeth after eating, but the stitched area is very close to my molars, and I'm unsure if I need to clean the plaque on the molars carefully.
I'm afraid that brushing in that area might accidentally affect the stitches or the wound.

Shawn, 10~19 year old female. Ask Date: 2024/01/31

Dr. Lin Jiayong reply Dentistry


Hello: You can use a gauze pad soaked in mouthwash to gently wipe the molar.
Avoid pulling or excessively cleaning the wound area and the sutured area.

Reply Date: 2024/01/31

More Info


After having a wisdom tooth extraction, especially when stitches are involved, it’s crucial to maintain proper oral hygiene while being cautious around the surgical site. Here are some detailed tips and considerations for post-extraction care, particularly regarding cleaning and maintaining the area around the extraction site.


Immediate Post-Extraction Care
1. Gentle Cleaning: It’s understandable to be concerned about cleaning the area near the stitches. While it’s important to keep your mouth clean, you should avoid vigorous brushing around the extraction site for the first few days. Instead, you can use a soft-bristled toothbrush to gently brush the teeth that are not directly adjacent to the extraction site. For the area near the stitches, consider using a piece of gauze or a clean, soft cloth to gently dab the area without applying too much pressure.

2. Rinsing: If your dentist has not provided a specific mouthwash, you can use a saline solution (a mixture of salt and warm water) to rinse your mouth. This can help keep the area clean and reduce the risk of infection. However, avoid swishing vigorously as this can dislodge the blood clot that is essential for healing. Instead, gently swish the saline solution in your mouth and then let it fall out without force.

3. Avoid Certain Foods: For the first few days, avoid hard, crunchy, or sticky foods that could irritate the extraction site or get lodged in the stitches. Soft foods like yogurt, mashed potatoes, and smoothies are recommended during the initial healing phase.


Long-Term Care
1. Gradual Return to Normal Brushing: After a few days, as the pain subsides and the swelling decreases, you can gradually return to your normal brushing routine. However, continue to be gentle around the stitched area. You may also want to consider using an antibacterial mouthwash to help reduce bacteria in your mouth, but consult your dentist first to ensure it’s appropriate for your situation.

2. Use of Dental Tools: If food particles continue to get trapped in the extraction site, your dentist may provide you with a syringe or a special tool to help flush out debris. This is particularly useful as the socket begins to close and food becomes more likely to get trapped.

3. Monitoring for Complications: Keep an eye on the extraction site for any signs of infection, such as increased swelling, redness, or discharge. If you experience severe pain that does not improve with over-the-counter pain relievers, or if you notice a foul taste in your mouth, contact your dentist promptly.

4. Follow-Up Appointments: Make sure to attend any follow-up appointments with your dentist. They will check the healing process and can provide additional guidance on cleaning and care as the site heals.


Conclusion
In summary, while it’s important to keep your mouth clean after a wisdom tooth extraction, you should proceed with caution around the surgical site. Gentle cleaning methods, such as using a soft toothbrush and saline rinses, are advisable. As healing progresses, you can gradually return to your regular oral hygiene routine. Always consult your dentist if you have any concerns or if you notice any unusual symptoms during your recovery. Proper care will help ensure a smooth healing process and prevent complications.

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