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

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Issues After Wisdom Tooth Extraction


Hello Doctor, I had my lower left wisdom tooth extracted on June 22 and had the stitches removed at the hospital on June 29.
Now there is a dark hole in that area, and it feels a bit strange.

1.
I sometimes feel a slight pain on the left side.
Could this be because I started rinsing my mouth normally and spitting? Or does this mean I shouldn't be rinsing my mouth normally yet?
2.
I am currently using an alcohol-free mouthwash.
Can I switch to saltwater rinses or a mouthwash that contains alcohol?
3.
How long after the extraction can I go for a dental cleaning? Thank you.

Penny, 30~39 year old female. Ask Date: 2015/07/02

Dr. Zhuang Suhui reply Dentistry


Penny: Hello! 1.
You can rinse your mouth; it won't have any negative effects.
Oral hygiene is still the most important.
2.
Both options are fine.
Rinsing with just water is also acceptable.
The key is maintaining oral cleanliness.
3.
It depends on the healing of the wound.
Generally, tooth extractions do not affect dental cleanings.
If you have any further questions, feel free to ask again, and we can discuss and research together.
Online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/07/02

More Info


After having a wisdom tooth extraction, it's common to have concerns about the healing process and how to care for the extraction site. Here are some insights and recommendations based on your questions:
1. Pain and Mouth Rinsing: It's not unusual to experience some discomfort after the extraction, especially if you've started rinsing your mouth normally. Gentle rinsing can help keep the area clean, but vigorous rinsing or spitting can dislodge the blood clot that forms in the extraction site, leading to increased pain or even a condition known as dry socket. If you're feeling pain, it might be a sign that the area is still healing, and you should be cautious with how you rinse. It's advisable to wait until the extraction site has healed more significantly before resuming normal rinsing practices.

2. Mouthwash Choices: Using an alcohol-free mouthwash is a good choice post-extraction, as alcohol can irritate the healing tissue. Saltwater rinses are often recommended because they can help reduce inflammation and promote healing. You can start using a warm saltwater rinse a few days after the extraction, but avoid using any mouthwash that contains alcohol until the area is fully healed. Saltwater is gentle and can help keep the area clean without causing irritation.

3. Timing for Teeth Cleaning: After a wisdom tooth extraction, it's generally recommended to wait at least a week or until your dentist gives you the go-ahead before having your teeth professionally cleaned. This allows the extraction site to heal adequately and reduces the risk of complications. If you have any concerns about your oral hygiene during this time, you can maintain your routine brushing and flossing, being careful to avoid the extraction site directly.


Additional Considerations:
- Signs of Infection: Keep an eye out for signs of infection, such as increased swelling, persistent pain, or discharge from the extraction site. If you notice any of these symptoms, it's important to contact your dentist promptly.

- Dietary Adjustments: Stick to soft foods and avoid anything that could irritate the extraction site, such as crunchy or spicy foods, until you feel comfortable.

- Pain Management: If you're experiencing pain, over-the-counter pain relievers can be effective. However, if the pain persists or worsens, consult your dentist for further evaluation.

- Follow-Up Appointments: Regular follow-ups with your dentist are crucial to ensure proper healing. If you have any concerns about the healing process or if the extraction site appears to be healing poorly, don't hesitate to reach out to your dentist for advice.

In summary, while some discomfort is normal after a wisdom tooth extraction, it's essential to be gentle with your oral care routine and monitor the healing process closely. Using saltwater rinses, avoiding alcohol-based mouthwashes, and waiting to have your teeth cleaned are all prudent steps to ensure a smooth recovery. If you have any ongoing concerns, your dentist is the best resource for personalized advice and care.

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