Difficulty Opening Mouth After Wisdom Tooth Extraction: Solutions - Dentistry

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Inability to open the mouth?


I would like to ask, I had my wisdom teeth removed and the stitches taken out about 4 days ago.
I can only open my mouth a little bit and cannot eat larger pieces of food.
The wound doesn't hurt, but my mouth has been painful since the extraction and I can't open it very wide.
What should I do?

Xiao An, 20~29 year old female. Ask Date: 2012/09/20

Dr. Huang Zhicheng reply Dentistry


Dear Xiao An,
After the extraction of wisdom teeth, the wound may become localized and inflamed.
Due to its proximity to the opening muscles (buccinator muscles), you may experience difficulty in opening your mouth.
Applying a warm compress can help, and the discomfort will gradually alleviate.

Wishing you safety and health,
Dr.
Huang Chih-Cheng
Director of Dentistry, Taoyuan General Hospital, Department of Health

Reply Date: 2012/09/20

More Info


After wisdom tooth extraction, it's not uncommon to experience difficulty in opening your mouth, a condition known as trismus. This can occur due to inflammation, muscle spasms, or even the surgical trauma associated with the extraction. Given that you are four days post-operation and are still experiencing limited mouth opening, here are some strategies and insights to help alleviate your symptoms.


1. Heat Therapy
Applying a warm compress to the jaw area can help relax the muscles and improve blood circulation. You can use a warm towel or a heating pad for about 15-20 minutes several times a day. Make sure the heat is not too intense to avoid burns.


2. Gentle Stretching Exercises
It's essential to start gentle mouth-opening exercises to gradually increase your range of motion. Here’s a simple exercise you can try:
- Place your fingers on your chin and gently push down while trying to open your mouth. Hold for a few seconds and then relax. Repeat this several times a day.

- You can also try placing a small object (like a popsicle stick) between your teeth and gradually increasing the thickness as you become more comfortable.


3. Medications
If you are experiencing muscle tightness, your dentist may recommend muscle relaxants or anti-inflammatory medications. These can help reduce pain and swelling, making it easier to open your mouth. Always follow your dentist's instructions regarding medication.


4. Stay Hydrated and Nourished
Since you are having difficulty eating larger foods, focus on consuming softer foods that are easier to manage, such as yogurt, smoothies, or soups. Staying hydrated is crucial for healing, so drink plenty of fluids.


5. Follow-Up with Your Dentist
If your mouth opening does not improve or if you experience increased pain, swelling, or any signs of infection (such as fever or pus), it’s important to return to your dentist. They can assess your healing process and determine if further intervention is necessary.


6. Physical Therapy
In some cases, if the trismus persists, your dentist may refer you to a physical therapist who specializes in jaw and facial rehabilitation. They can provide tailored exercises and treatments to help restore normal function.


7. Avoid Stress and Anxiety
Sometimes, anxiety about the pain or the procedure can lead to muscle tension. Practice relaxation techniques such as deep breathing or meditation to help reduce stress.


Conclusion
In summary, while difficulty in opening your mouth after wisdom tooth extraction can be frustrating, there are several strategies you can employ to help alleviate the issue. Heat therapy, gentle stretching, proper medication, and a follow-up with your dentist are key components of recovery. Remember that healing takes time, and it’s essential to be patient with your body as it recovers from the surgery. If you have any concerns or if your symptoms worsen, do not hesitate to seek professional advice. Your oral health is important, and timely intervention can prevent complications.

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