Post-Wisdom Tooth Extraction: Managing Pain and Swelling Concerns

After the extraction of horizontal teeth, there is swelling in the neck and pain when swallowing saliva?

Hello, regarding the issue of extracting a horizontal wisdom tooth (with incision and sutures), I had my lower left wisdom tooth removed on Thursday morning (it took 30 minutes).
I applied ice packs all day afterward.
On Friday, I returned to work normally, but swallowing saliva was painful.
However, I suddenly developed a high fever and shortness of breath at midnight and went to the emergency room.
The doctor said this is a normal swelling and pain phenomenon, and prescribed the same pain relief and anti-inflammatory medications as the clinic (three types of medication).
But today, Sunday, my lower left neck (where the lymph nodes are) continues to swell, and it has slightly extended to the middle of my neck (it is visibly red and swollen).
Swallowing and breathing are also painful.
Is this normal? Should I continue with ice packs or switch to heat therapy? (The wisdom tooth extraction site stopped bleeding and has not been painful since the first day.) Thank you, I don't want to go to the emergency room again and waste resources.

Miss Lin, 20~29 year old female. Ask Date: 2015/10/04

Dr. Zeng Guanghui reply Dentistry

In the above situation, it is important to be aware of the possibility of a severe infection.
It is recommended to return for a follow-up appointment with a dentist for further examination.

Reply Date: 2015/10/04

More Info

After a wisdom tooth extraction, especially when it involves surgical intervention, it is common to experience pain, swelling, and discomfort. The symptoms you are describing, such as persistent swelling in the neck area and pain when swallowing or breathing, may indicate a few potential issues that need to be addressed.

Firstly, it is important to understand that some swelling and discomfort are normal following the extraction of a wisdom tooth. This is due to the body's inflammatory response to the surgical trauma. However, the extent of swelling and the presence of redness can sometimes indicate complications such as infection or the development of a hematoma (a localized collection of blood outside of blood vessels). The fact that you experienced a fever and difficulty breathing is concerning and suggests that you should not ignore these symptoms.

In terms of managing pain and swelling, here are some general recommendations:
1. Ice Therapy: Ice packs can be applied to the outside of the cheek for the first 24 to 48 hours post-surgery. This helps to reduce swelling and numb the area, providing pain relief. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin, which can cause frostbite.

2. Heat Therapy: After the initial swelling has decreased (usually after 48 hours), you can switch to warm compresses. Heat can help to relax the muscles and improve blood flow to the area, which can promote healing.

3. Medications: Continue taking the prescribed pain relievers and antibiotics as directed by your dentist or oral surgeon. If you find that the pain is not adequately managed with over-the-counter medications, consult your healthcare provider for further advice.

4. Hydration and Nutrition: Stay hydrated and consume soft foods that do not require much chewing. Avoid hot, spicy, or acidic foods that can irritate the extraction site.

5. Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. Rinsing with warm salt water can help keep the area clean and reduce the risk of infection.

Given your symptoms of persistent swelling extending to the neck and the pain associated with swallowing and breathing, it is advisable to seek medical attention. While some swelling is expected, the degree of swelling you are experiencing, especially if it is accompanied by redness and fever, could indicate an infection or other complications that may require intervention.
In conclusion, while some discomfort and swelling are normal after wisdom tooth extraction, the symptoms you are experiencing warrant a follow-up with your dentist or oral surgeon. They can assess the situation more thoroughly and determine if any additional treatment is necessary. It is always better to err on the side of caution when it comes to post-operative complications.

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