Dealing with Bad Odor After Wisdom Tooth Extraction: Tips and Advice - Dentistry

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Wisdom tooth extraction?


I had my lower left wisdom tooth extracted last Thursday, but starting from the third day, I noticed a foul and sour smell coming from the area.
Brushing and rinsing haven't helped.
What should I do? Can I use mouthwash to rinse?

Sorry,, 10~19 year old female. Ask Date: 2016/02/01

Dr. Huang Zhicheng reply Dentistry


Hello: Wisdom teeth are often removed due to infection and pain.
The oral microbiota can easily infect the alveolar bone at the surgical site, leading to localized alveolar osteitis.
Mouthwash can be used, but it only suppresses bacteria.
Please have the physician perform a medicated rinse of the wound, and medication can help control the situation.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/01

More Info


After having a wisdom tooth extraction, it is not uncommon to experience some unpleasant odors, especially if there is food debris or bacteria trapped in the extraction site. The presence of a foul smell can indicate that there may be an infection or that the healing process is not proceeding as expected. Here are some tips and advice on how to deal with bad odor after wisdom tooth extraction:
1. Maintain Oral Hygiene: It is crucial to keep the mouth clean after the extraction. While you should avoid vigorous brushing directly on the extraction site for the first few days, you can gently brush your other teeth. After about 24 hours, you can start to gently rinse your mouth with warm salt water (1/2 teaspoon of salt in a cup of warm water) to help cleanse the area and reduce bacteria. This can also help with inflammation and promote healing.

2. Use of Mouthwash: You can use an alcohol-free mouthwash to help freshen your breath and reduce bacteria in your mouth. However, avoid using mouthwash that contains alcohol for the first few days, as it can irritate the extraction site. If you have been prescribed a medicated mouthwash by your dentist, follow their instructions carefully.

3. Avoid Certain Foods: After the extraction, it’s best to avoid hard, crunchy, or spicy foods that can irritate the extraction site. Stick to soft foods and maintain a balanced diet to support healing. Foods like yogurt, mashed potatoes, and smoothies are good options.

4. Stay Hydrated: Drinking plenty of water can help flush out food particles and bacteria from your mouth, which may help reduce the odor.

5. Monitor for Infection: If the bad odor persists, or if you notice increased swelling, pain, or discharge from the extraction site, it may indicate an infection. In such cases, it is essential to contact your dentist or oral surgeon as soon as possible. They may need to evaluate the site and possibly prescribe antibiotics if an infection is present.

6. Follow-Up Appointments: Make sure to attend any follow-up appointments with your dentist. They can assess the healing process and provide additional care if necessary.

7. Avoid Smoking and Alcohol: Smoking and consuming alcohol can hinder the healing process and contribute to bad odors. It is advisable to avoid these substances for at least a week after the extraction.

8. Use a Soft-Bristled Toothbrush: When you resume brushing your teeth, use a soft-bristled toothbrush to avoid irritating the extraction site. Be gentle around the area of the extraction.

In summary, while some odor can be normal after a wisdom tooth extraction, persistent bad smells should not be ignored. Maintaining good oral hygiene, using appropriate rinses, and monitoring for signs of infection are crucial steps in ensuring a smooth recovery. If you have any concerns, do not hesitate to reach out to your dental care provider for guidance and support.

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