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

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Post-operative issues after wisdom tooth extraction?


Hello Dr.
Lin, it has been over a month since I had my wisdom teeth extracted.
Yesterday, I went to the hospital for a dental cleaning, and the doctor mentioned that they would also rinse out the socket of the wisdom tooth.
They used mouthwash to rinse that area as well.
However, after the rinsing, I used a syringe to flush the socket after eating, and I noticed some bleeding.
I quickly stopped taking fish oil, and today when I rinsed the socket again, there was no bleeding, but I could still taste blood.
Dr.
Lin, does this mean that the wound has reopened, or is it just that the wound has not fully healed yet?

Xiao Chen, 20~29 year old female. Ask Date: 2024/03/19

Dr. Lin Jiayong reply Dentistry


Hello, it may not have fully healed yet, so please be very careful when rinsing.

Reply Date: 2024/03/19

More Info


After a wisdom tooth extraction, it's common to have concerns about healing and proper care. Based on your situation, it seems that you are experiencing some typical post-operative symptoms, but let's break down your concerns and provide some guidance.

Firstly, it's important to understand that after a wisdom tooth extraction, the healing process can take several weeks. The initial healing phase, where the gum tissue closes over the extraction site, usually takes about one to two weeks. However, complete healing, including the underlying bone, can take several months. The presence of a blood taste after rinsing or cleaning the extraction site indicates that the area is still sensitive and may not be fully healed yet.

1. Bleeding After Rinsing: If you experienced bleeding after using a syringe to rinse the extraction site, it could be due to several factors. The extraction site may still have some residual healing to do, and vigorous rinsing can disrupt the clot that has formed, leading to bleeding. It's crucial to be gentle when cleaning the area. If you notice bleeding, it’s best to stop rinsing and allow the area to rest. Applying gentle pressure with a clean gauze can help control any bleeding.

2. Blood Taste: The taste of blood can be a sign that the area is still healing. It’s not uncommon for patients to experience this sensation for a few days to weeks post-extraction, especially if the site is disturbed. If the bleeding is minimal and stops quickly, it may not be a cause for concern. However, if you continue to taste blood or if the bleeding increases, it would be wise to consult your dentist.

3. Cleaning the Extraction Site: While it’s important to keep the area clean, you should avoid aggressive rinsing or using a syringe too forcefully. Instead, consider using a saline solution (saltwater) to gently rinse your mouth. This can help keep the area clean without the risk of dislodging the clot. You can start rinsing gently after 24 hours post-extraction, but avoid vigorous swishing.

4. Signs of Complications: Watch for signs of infection or complications, such as increased swelling, persistent pain, fever, or pus discharge from the extraction site. If you experience any of these symptoms, it’s essential to seek dental care promptly.

5. Diet and Activity: Stick to soft foods and avoid anything that could irritate the extraction site, such as crunchy or spicy foods. Also, refrain from using straws, as the suction can dislodge the clot and lead to a painful condition known as dry socket.

6. Follow-Up Care: Since you had your wisdom teeth removed over a month ago, it’s advisable to have a follow-up appointment with your dentist if you have ongoing concerns. They can assess the healing process and provide specific recommendations tailored to your situation.

In summary, while some bleeding and a blood taste can be normal during the healing process, it's essential to be gentle with the extraction site and monitor for any signs of complications. If you have any doubts or if symptoms persist, don’t hesitate to reach out to your dentist for further evaluation and guidance. Proper care and attention during this healing phase will help ensure a smooth recovery.

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