Wisdom Tooth Extraction: Swelling Duration and Keloid Concerns - Dentistry

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Surgical extraction of wisdom teeth?


I have two questions: How many days will I experience swelling after having my wisdom teeth removed (counting from the moment the extraction is done)? Is there a direct correlation between keloid-prone skin and tooth extraction in the oral cavity?

CAT, 20~29 year old female. Ask Date: 2010/01/12

Dr. Zhuang Suhui reply Dentistry


Hello: If you undergo surgery to remove wisdom teeth, swelling may last around 3-4 days.
Keloid formation is not directly related to tooth extraction in the oral cavity.

Reply Date: 2010/01/12

More Info


When it comes to wisdom tooth extraction, swelling is a common postoperative symptom. Typically, patients can expect some degree of swelling to occur immediately after the procedure, peaking around 48 to 72 hours post-extraction. This swelling is a natural response of the body to the surgical trauma and can vary in intensity depending on several factors, including the complexity of the extraction, the individual’s healing response, and adherence to postoperative care instructions.

In most cases, the swelling should begin to subside after the peak period, with significant reduction noticeable by the end of the first week. However, complete resolution of swelling can take up to two weeks or longer, especially if the extraction was complicated or if the patient has pre-existing conditions that may affect healing. It is essential to follow your dentist's or oral surgeon's postoperative care instructions, which may include applying ice packs to the affected area, taking prescribed medications, and maintaining a soft diet to minimize irritation.

Regarding your second question about keloid formation and its relation to wisdom tooth extraction, it is important to note that keloids are a type of raised scar that can occur when the body produces an excess of collagen during the healing process. Individuals with a predisposition to keloid formation may experience this condition more readily after any surgical procedure, including dental extractions.
While the extraction of wisdom teeth itself does not directly cause keloids, if you have a history of keloid formation, it is crucial to inform your oral surgeon or dentist before the procedure. They can take additional precautions to minimize the risk of keloid formation, such as using specific suturing techniques or recommending postoperative care that may help reduce scarring.

In summary, after wisdom tooth extraction, swelling is expected and typically peaks within the first few days, gradually subsiding over the following week or two. If you have a history of keloid formation, it is advisable to discuss this with your healthcare provider to ensure that appropriate measures are taken to minimize the risk of keloid development. Always remember that if you have concerns about your healing process or notice unusual symptoms, it is essential to reach out to your dentist or oral surgeon for guidance. They can provide personalized advice and interventions to ensure a smooth recovery.

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