Post-Extraction Bruising and Pain Under Tongue After Wisdom Tooth Removal - Dentistry

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After wisdom tooth extraction, it's not uncommon to experience bruising and pain in the surrounding areas, including under the tongue. This can be particularly true if the extraction was complicated or if the tooth was impacted, as it often involves more extensive manipulation of the surrounding tissues.
The bruising you are noticing is likely due to the trauma that occurred during the extraction process. When a tooth is removed, the surrounding soft tissues, including the gums and possibly the muscles under the tongue, can sustain damage. This can lead to localized bleeding, which manifests as bruising. The pain you feel when pressing on the area is a normal response to this trauma, as the tissues are inflamed and sensitive.

The tight feeling in your mouth and pain when opening wide can also be attributed to swelling and inflammation. After surgery, the body responds by sending more blood to the area to promote healing, which can cause swelling. This swelling can restrict movement and create discomfort when you try to open your mouth fully.

To manage the pain and discomfort you're experiencing, here are some recommendations:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain and reduce inflammation. Always follow the dosage instructions on the label or those provided by your dentist.

2. Cold Compress: Applying a cold compress to the outside of your jaw near the extraction site can help reduce swelling and numb the area, providing some relief from pain. Use the compress for 15-20 minutes at a time, with breaks in between.

3. Salt Water Rinse: After the first 24 hours, gently rinsing your mouth with warm salt water can help keep the extraction site clean and promote healing. Be careful not to swish too vigorously, as this can disturb the healing tissue.

4. Soft Diet: Stick to a soft diet for a few days post-extraction. Foods like yogurt, mashed potatoes, and smoothies can provide nutrition without putting pressure on the extraction site.

5. Hydration: Staying hydrated is essential for recovery. Drink plenty of fluids, but avoid using straws, as the suction can dislodge the blood clot that forms in the extraction site.

6. Follow-Up: If the bruising and pain persist beyond a few days or worsen, it’s important to follow up with your oral surgeon or dentist. They can assess for any complications, such as infection or dry socket, which can occur after tooth extraction.

7. Avoid Irritants: Refrain from smoking or consuming alcohol, as these can hinder the healing process and increase the risk of complications.

In summary, while bruising and pain under the tongue after wisdom tooth removal can be concerning, they are often part of the healing process. By following the recommended care steps and keeping an eye on your symptoms, you should see improvement in the coming days. If you have any doubts or if symptoms worsen, don’t hesitate to reach out to your healthcare provider for further evaluation.