Is Limited Mouth Opening Normal After Wisdom Tooth Extraction? - Dentistry

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It has been a week since I had my wisdom teeth removed, and I still cannot fully open my mouth?


Hello doctor: It has been a week since I had my lower right wisdom tooth surgically extracted, and the swelling has completely subsided.
However, I still cannot open my mouth fully; I can only open it to about two fingers' width.
Is this a normal phenomenon?????? Thank you!!!!!!

Alley, 20~29 year old female. Ask Date: 2015/11/18

Dr. Zhang Xiangyuan reply Dentistry


Dear user, based on your description, it has been one week since you had your wisdom teeth removed, and you are still unable to fully open your mouth.
I recommend that in addition to avoiding overly tough foods while eating and maintaining good oral hygiene, you can also practice mouth opening exercises daily.
Gradually increase the extent of mouth opening each day and monitor for any improvement.
If you still cannot fully open your mouth or if you experience unusual pain at the surgical site, please consult your dentist for further evaluation and treatment.
Thank you for your inquiry.

Reply Date: 2015/11/18

More Info


After wisdom tooth extraction, experiencing limited mouth opening, also known as trismus, can be a common occurrence. This condition can arise due to various factors associated with the surgical procedure, including inflammation, muscle spasms, or even the trauma inflicted during the extraction. It is important to understand that while some degree of limited mouth opening can be normal in the immediate aftermath of the surgery, it should gradually improve over time.

Typically, the swelling and discomfort following a wisdom tooth extraction can lead to muscle tightness around the jaw, which may restrict your ability to open your mouth fully. In most cases, this limitation should start to resolve within a week or two as the tissues heal and inflammation decreases. However, if you find that your mouth opening has not improved significantly after a week, or if it worsens, it is advisable to consult your dentist or oral surgeon for further evaluation.

In addition to the physical healing process, psychological factors such as anxiety or fear of pain can also contribute to limited mouth opening. Patients may subconsciously avoid opening their mouths wide due to discomfort or apprehension about the procedure's aftermath. Communicating your concerns with your healthcare provider can help address these issues and may lead to recommendations for muscle relaxants or physical therapy to alleviate the tightness.

To promote healing and improve mouth opening, consider the following strategies:
1. Gentle Jaw Exercises: Once the initial pain and swelling have subsided, gentle stretching exercises can help improve mobility. Start with small movements, gradually increasing the range as tolerated.

2. Warm Compresses: Applying warm compresses to the jaw area can help relax the muscles and reduce stiffness. This can be done for 15-20 minutes several times a day.

3. Pain Management: Ensure that you are managing any pain effectively with over-the-counter pain relievers as recommended by your healthcare provider. Adequate pain control can facilitate better jaw movement.

4. Hydration and Nutrition: Staying hydrated and consuming soft foods can help ease the discomfort associated with limited mouth opening. Avoid hard or chewy foods that may exacerbate the issue.

5. Follow-Up Appointments: Regular follow-ups with your dentist or oral surgeon are crucial. They can assess your healing progress and determine if any additional interventions are necessary.

If the limited mouth opening persists beyond a few weeks or is accompanied by other symptoms such as severe pain, swelling, or difficulty swallowing, it may indicate a more serious condition, such as an infection or a complication related to the extraction. In such cases, prompt medical attention is essential.

In summary, while limited mouth opening can be a normal part of the recovery process following wisdom tooth extraction, it is important to monitor your symptoms and seek professional advice if there are concerns about your healing progress. Open communication with your healthcare provider will ensure that you receive the appropriate care and support during your recovery.

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