After wisdom tooth extraction and suture removal?
Hello, Doctor! I had my wisdom tooth and an adjacent tooth extracted, and after returning for suture removal, I have been experiencing recurrent fever, chills, body aches, and fatigue for the past three days without improvement.
Is this normal? My gums are slightly swollen but not very uncomfortable.
The clinic's LINE response suggested it might be a cold.
How should I proceed? Should I continue to observe? Thank you for your guidance, Doctor!
Awei, 30~39 year old female. Ask Date: 2024/05/25
Dr. Lin Jiayong reply Dentistry
Hello: If you have a persistent high fever and fatigue for 48 hours after taking medication, and you are unsure whether it is related to tooth extraction, it is advisable to go directly to a major hospital for examination to check for other sources of infection or any biological/psychological factors that may be interfering.
Reply Date: 2024/05/25
More Info
After wisdom tooth extraction, it is not uncommon for patients to experience some discomfort, swelling, and even fever. However, the symptoms you are describing—persistent fever, chills, body aches, and fatigue lasting for three days—are concerning and warrant further evaluation.
Firstly, it is essential to understand that while some degree of fever can occur after surgery due to the body's inflammatory response, a fever that persists for more than 48 hours post-operation may indicate an underlying issue, such as an infection. Infections can occur in the surgical site, especially if bacteria enter the area during or after the procedure. Symptoms like swelling of the gums, increased pain, or discharge from the extraction site can further suggest an infection.
The fact that you are experiencing chills and body aches in addition to fever raises the possibility of a systemic response, which could be due to an infection or even a viral illness like the flu or a cold. It is also worth noting that the dental procedure itself can sometimes lead to a temporary immune response that may mimic the symptoms of a viral infection.
Here are some steps you can take to manage your symptoms and determine the best course of action:
1. Monitor Your Symptoms: Keep track of your fever, noting any changes in temperature, and observe for any additional symptoms such as increased swelling, redness, or discharge from the extraction site. If the fever exceeds 101°F (38.3°C) or if you experience worsening symptoms, it is crucial to seek medical attention.
2. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help alleviate discomfort and reduce fever. However, be sure to follow the recommended dosages and consult with your healthcare provider if you have any underlying health conditions or are taking other medications.
3. Hydration and Rest: Ensure you are staying well-hydrated and getting plenty of rest. This will support your immune system as it works to combat any potential infection.
4. Follow-Up with Your Dentist: Since your dental clinic suggested that your symptoms might be due to a cold, it is still advisable to follow up with them, especially given the duration and severity of your symptoms. They may want to examine the extraction site to rule out any complications, such as dry socket or infection.
5. Seek Medical Attention if Necessary: If your symptoms do not improve within the next 24 hours, or if they worsen, it is important to seek medical attention. A healthcare provider may perform a physical examination, possibly order blood tests, or even imaging studies to assess for infection or other complications.
In summary, while some discomfort and mild fever can be expected after wisdom tooth extraction, persistent fever and systemic symptoms like chills and body aches should not be ignored. Monitoring your symptoms closely and maintaining communication with your healthcare providers will be key in ensuring a smooth recovery. If in doubt, it is always better to err on the side of caution and seek professional advice.
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