How much swelling is normal after wisdom tooth extraction

Swelling is a common side effect after wisdom tooth extraction. How long does swelling last after wisdom tooth extraction?

How much swelling is normal after wisdom tooth extraction

How Long Will A Face Swollen After Wisdom Tooth Removal?

Most people experience some level of swelling after having their wisdom teeth removed. The amount of swelling varies from person to person, and also depends on how many wisdom teeth were removed. In general, the swelling will peak two to three days after the procedure, and then gradually start to go down. However, it can take up to a week for the swelling to completely subside.

If you had all four of your wisdom teeth removed, you can expect the swelling to be more significant than if you only had one or two removed. Additionally, if your wisdom teeth were impacted (stuck in your jawbone), the swelling may be more pronounced.

If you’re still experiencing swelling after a week, or if you have any other concerns, be sure to contact your dentist or oral surgeon.

It is common to experience some pain and discomfort after having wisdom teeth removed. This is normal and usually subsides within a few days. However, some people may experience pain that lasts for longer than a week.

There are a few reasons why you may continue to experience pain after wisdom teeth removal. One reason is that the teeth were particularly difficult to remove and caused extensive damage to the surrounding tissue. This can lead to pain and discomfort that lasts for several days or even weeks.

Another reason for prolonged pain is if an infection develops. This is more likely to happen if the teeth were not removed properly or if they were extracted without using sterile instruments. Infections can be extremely painful and may require antibiotics to clear up.

If you are still experiencing pain after wisdom teeth removal, it is important to see your dentist. They will be able to determine the cause of the pain and provide you with the appropriate treatment. In some cases, over-the-counter pain medication may be all that is needed to relieve the pain.

What To Do To Reduce Swelling After Wisdom Tooth Removal

It is not uncommon to experience some swelling after having wisdom teeth removed. In fact, it is actually quite common. There are a few things that you can do to help reduce the swelling and speed up the healing process. Here are a few things to keep in mind:

  • Apply an ice pack to the outside of your cheek for the first 24 hours. This will help to keep the swelling down. Be sure to wrap the ice pack in a towel so that you don’t damage your skin.
  • Take over-the-counter pain medication as directed. This will help to alleviate any pain that you may be experiencing.
  • Try to eat soft foods for the first few days. Avoid anything that is hard to chew or that may irritate your gums.
  • Drink plenty of fluids. This will help to keep your body hydrated and will also help to flush out any bacteria that may be present.
  • Gently rinse your mouth with warm salt water several times a day. This will help to keep the area clean and will also promote healing.
  • Avoid smoking or using any type of straw for at least the first week. This can cause dry socket, which is a very painful condition.
  • Follow your dentist’s instructions carefully. They will know what is best for your particular situation.

If you experience any severe pain, bleeding, or swelling, be sure to contact your dentist right away. These could be signs of a serious complication and should be treated immediately. With proper care, you should be able to heal quickly and without any problems.

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Helping you make a speedy recovery after removal of wisdom teeth

What to expect after the operation

Recovery after wisdom-tooth surgery is generally quite straightforward, but you are likely to experience pain and swelling, particularly in the first 2 days. Rarely, complications can occur, such as poor healing of the tooth socket or nerve injury. If you have had adult intravenous sedation or a general anaesthetic, you will require someone to escort you to and from surgery, and it is important to take it easy for a day or two after the operation.

Pain

You are likely to experience pain for the first 48 hours, although your mouth may well be sore for up to a week or so after the operation. Local anaesthetic injections given during the procedure ensure that you have no pain for the first 3–4 hours after surgery, but once the anaesthetic wears off, you need to take the painkillers given to you. You should take these regularly to ensure that you sleep well on the first night; this will maximise your recovery. You will normally be prescribed paracetamol and ibuprofen. When these two drugs are taken together, they enhance the effect of each other because they work in different ways. Be sure to follow the directions given to you by your surgeon or the pharmacist. Some patients may not be able to take these medications due to medical problems, but in these cases, alternatives will be provided.

The area around the extraction sites will be sore and you may find it difficult to clean your teeth. Follow the instructions for good oral hygiene as this is very important to minimise the risk of infection. Antibiotics will only be prescribed if there is active ongoing infection.

Swelling

Swelling, particularly in the cheek area and both inside and outside the mouth, is common. Again, it is worse for the first 2 days, after which it will gradually subside. It can be relieved by using ice packs, starting shortly after surgery. Bruising to the skin of the face may also occur.

Jaw stiffness

You may have difficulty opening your mouth and experience pain or stiffness of the jaw joint. This will normally disappear after a couple of days, but can occasionally last for up to 2 weeks. You may need to eat a soft diet for a week or so.

Be careful not to force your jaw open before it is ready and do allow time for the swelling to go down. Ibuprofen will help to relieve this pain.

Teeth sensitivity

Sensitivity of the teeth next to the wisdom-tooth socket is common; good oral hygiene will resolve this, although it may last for several weeks.

Bad breath

You may experience bad breath; this is unlikely to last more than a week.

Stitches

Stitches will dissolve by themselves and do not need removing, but it is important that 3–4 days after surgery you start brushing the sutures away to minimise food trapping.

When the tooth is removed the roots leave a ‘socket’ in the bone. This hole in the gum may last for up to 3 months. As your wound heals, blood clots form over the empty tooth sockets; it is important not to dislodge these.

Bleeding

If later bleeding occurs from the extraction site, you will need to bite on a cotton gauze or handkerchief for 3–5 minutes to stop it. Avoid drinking or eating food that is hot or very cold as this may restart bleeding.
Follow-up appointments are not usually booked after wisdom-tooth surgery. However, if you have complications or your bleeding does not stop, you should contact your surgeon.

Tiredness

Your body is using energy to heal itself, so you may feel more tired than usual – this is perfectly normal.

Exercise and sport

It is important to avoid strenuous activity and exercise for the first few days. While you’re building up your activities, you probably won’t feel like doing much, but walking is the best way to return to fitness. If you play rugby or do martial arts, you should discuss returning to these activities with your surgeon before the operation.

Complications

Dry socket happens in 5–10% of patients; it presents as intense and persistent pain occurring 3–5 days after the initial pain has subsided. If this occurs, it is important that you contact your surgeon as soon as possible, who will wash out the socket and remove the trapped debris that is causing the pain.

Nerve injury is far less common and is normally caused by bruising of the nerve(s) that lie very close to the roots of the lower wisdom teeth. Rarely, it can be caused by the injections given during surgery. Nerve injury occurs in up to 2% of patients and is generally temporary, but it can be permanent in 0.5% (1 in 200) of patients.

Nerve injury can cause pain, tingling, altered sensation (pins and needles) or numbness, and may occur to the inferior alveolar nerve (the sensory nerve supplying your lower lip, inside and outside, and your lower gums and teeth) or lingual nerve (the nerve that supplies feeling to one or other side of your tongue and adjacent gums).

If your lower wisdom tooth is positioned close to the ‘lip’ nerve, you will be advised that the likelihood of nerve injury is more common (20% of patients are likely to experience temporary injury and 2% permanent injury). If this is the case, you may need an additional special X-ray investigation (cone beam CT scan) and be offered a different surgical approach to minimise the injury (coronectomy).

Damage to adjacent teeth may also occur if they are heavily restored.


It is very important that you maintain good oral hygiene and brush your teeth as usual as best you can, gradually brushing nearer to the wound day by day, eventually brushing away the stitches after several days. You may be recommended to use an antimicrobial mouthwash and often you will be prescribed salt-water rinses to help with wound healing. Do this gently on the first postoperative day to avoid dislodging the clots that will have formed over the wounds.


When should I be concerned about swelling after wisdom teeth removal?

It takes only a minute or so, and there is no discomfort associated with this procedure. So it's really nothing to worry about. The pain and swelling should subside more and more each day following surgery. If your post-operative pain or swelling worsens or unusual symptoms occur call my office for instructions.

How much swelling is too much after tooth extraction?

If your swelling doesn't start to go down by day four, or if it worsens, contact our office to schedule a follow-up consultation. Either of these could be a sign of an infection, which needs immediate treatment.