Wisdom teeth removal post op |A complete guide.
Wisdom teeth removal post-op…
Some people think that the hardest part of having teeth extracted is the procedure itself but this is actually quite untrue. The hardest part of the whole experience is what you go through post wisdom tooth removal or after wisdom teeth extraction.
The reason why this is the hardest part is because of one thing, you really do not feel anything during the tooth extraction because of the anesthetic.
For another thing, there is so much you have to do or keep in mind when you are going through the healing process after the tooth extraction.
After wisdom teeth removal procedures, having proper wisdom teeth removal aftercare routine is an essential part of promoting healing of the surgical site.
Your dentist will usually review many home care steps with you before and after your surgery, but most likely you will not remember so they typically provide them to you in printed form as well.
If you are taking any pain medications or feel groggy then it is best to have someone helping you who is also familiar with the aftercare procedures as well.
- Follow written home-care instructions from your doctor
- Have a family member assist you on the first day after wisdom teeth removal
- Expect a general healing time of 10-14 days
Most of the special steps required after wisdom teeth removal will only last for a week or so. Generally, healing time lasts between 10-14 days, and then normal oral care routines return to normal.
Before that time special care needs to be taken so that healing can occur properly and side effects such as infections of dry sockets can be avoided.
Keep The clot over the extraction site!
One thing that you have to keep in mind about post wisdom tooth removal is that you must keep the blood clot over the tooth extraction site.
The reason you need to be sure to do this is that, if the blood does not clot or if the blood clot dislodged in any way, you will develop a dry socket.
Dry socket is a condition that occurs when dislodgement of a blood clot occurs and patients feel mild to moderate pain after three or four days after tooth extraction.
Treatment: Other than irrigation and mediated dressing there is no treatment for it.
your dentist will also prescribe some medication like an anti-inflammatory, painkiller, and antibiotics too.
Prevention: Prevention is better than treatment so follow these 7 wisdom teeth removal post-ops you’ll never get any complication after the extraction.
- No Smoking before & after tooth extraction.
- No spitting, eating, washing, or using a straw for drinking.
- Good oral hygiene and gently brushing the teeth near the wound.
- Using a warm saltwater rinse to keep the clean area.
- Don’t touch the wound with your fingers or other objects.
- Eat soft foods and avoid foods that could lodge in the wound, such as popcorn, peanuts, rice, or pasta.
- Follow all instructions as exactly as recommended by your dentist after the extraction.
Check this blog that includes everything about dry socket
Dry socket basically delays your healing and causes inflammation of the socket or extracted area resulting in pain on day 3.
Prevention: Avoid sucking through a straw, smoking cigarettes, gargling, or touching the extraction site with your tongue.
If you want to check or see if the blood clot is there or not, you can look at the site in the mirror or ask a friend to check.
What are the Wisdom teeth removal post-ops that patients can follow?
- Suturing of the socket:
If the wisdom tooth is normal and straight removed, the only thing is that hole, socket or the extracted tooth area is open so food particles might go in.
What will happen if by chance food particles become trapped into the socket?
As I mentioned above there is the formation of blood clot taking place in the socket right after the surgery and these food particles will not allow it to stay there, it will dislodge,
So When we do surgical extraction we normally close the gums with the switcher.
One question which is always asked by the patient, how many sutures?
It is not the point of concern that how many sutures you’ll get and you don’t even have to worry about it because you’ll feel nothing while procedure.
The point of concern is, how good is the closing of the socket your dentist has done?
when your dentist closes the socket completely, nothing will go inside and there won’t be any postoperative inflammation or infection
- Using gauze (Most important Wisdom teeth removal post-op ):
Gauze is a white thin cloth normally used as a bandage and dressing in the case of surgeries including wisdom teeth removal to absorb and stop the bleeding.
so the first instruction immediately after extraction is that:
We put a gauze piece in the socket and tell the patient to give pressure when the patient compresses the gauze, a pressure will create that causes bleeding to stop and the clot formation takes place that is what we need.
We make you wait for half an hour or 45 minutes, If there is no bleeding then we allow you to go.
Swelling or Bruising
Swelling is to be expected when you have the dental procedure done and normally go away within 24 hours and sometimes not.
Ice or cold compressor can help in the reduction of the swelling and helpful in stopping bleeding because coldness makes arteries constrict or squeeze.
This ice application has to be continued every hour or two hours for 5-10 minutes so that the swelling remains within control.
Don’t be worried, you only have to do this for a day or one after the extraction.
On the first day use of hot and cold compresses alternatively on the side of the jaw, It will alleviate swelling and bruising that otherwise might occur after the surgery, and on the second day just use cold compresses.
NOTE: If you notice a lot of swelling 48-72 hours after the tooth extraction, you should contact your dentist to make sure that you have not developed an infection in the tooth extraction site.
What to eat and what not after wisdom teeth removal?
Don’t bite anything till the anesthesia effect is over because cheeks and tongue can come between the teeth while mastication and injury may occur and you will feel nothing until the effect of anesthesia reduces so try to avoid biting right after the surgery for at least for 30 minutes.
I told you not to bite but you can take chill cold drinks, milkshakes and other drinks too, they won’t exert force on the clot, besides this, they will also produce a cold effect that causes blood to clot and not allow its dislodgement.
In the evening you can chew a little bit of a soft or very soft diet but after eating don’t rinse your mouth it will exert force on the clot and cause it to remove which leads to a painful condition called dry socket.
Things to keep in mind on day First and second of wisdom teeth removal
Don’t eat hot and spicy food on the day first, it can affect the incision area and try to eat from the other side of the mouth.
On the second day after the extraction, when you wake up you might find little swelling but this swelling is not due to any problem,
it is because when you lie down on the bed there is more circulation towards the head and that circulation gives that swelling as the hour passes. The swelling will go down so you don’t need to be worried about this.
Cleansing the Area
- Gently do rinsing with warm salt water
- Avoid brushing for 2-3 days after wisdom teeth removal
On the first day, do not gargle or rinse the mouth vigorously and avoid brushing teeth, as irritation might occur at the surgical site.
After the 24 of extraction, you can rinse your mouth with warm salt water or with normal saline water every 3-4 hours in a day to alleviate swelling and cleanse the mouth.
Continue rinsing for a few days and wait at least a day before resuming toothbrushing, so as not to introduce bacteria into the surgical site.
You can start doing brushing after two days of extraction but only on surrounding teeth, paying close attention to avoid the surgical site.
Note: Although you have to avoid gargles and rinsing vigorously on day first after tooth extraction, you can do it gently if they are really needed, just take the water, keep it in your mouth and just leave the water down don’t force it out.
Medication After Wisdom Teeth Removal
- Take an anti-inflammatory such as ibuprofen
- Take all medication with food
- Take all medication as directed
Take an anti-inflammatory medication such as ibuprofen as directed after wisdom teeth removal, to decrease swelling of the surgical site.
Your dentist may prescribe a prescription-strength pain reliever to use to manage discomfort or will direct you to take a certain amount of over the counter ibuprofen throughout the day.
Do not take medication on an empty stomach, doing so can cause severe stomach cramping or nausea depending on what medication is being taken.
Many people may suspect they are allergic to a medication because it causes stomach cramps when in reality they just need to have more food in the stomach when they take the medication.
If you do experience allergic reaction symptoms such as rash, difficulty breathing, or diarrhea, then speak with your dentist to find an alternative medication to manage your symptoms
- Dry sockets can take 2 or more weeks for the pain to subside
- Do not smoke
- Do not drink through a straw
- Some people may be more predisposed to developing dry socket
- Don’t brush for two days after extraction after 2 days you can brush gently and avoid touching sutures but you can use mouthwash.
- Your fingers are the hotbed for germs and bacteria, so avoid touching the extracted site, it will greatly increase the risks of developing an infection.
A detailed discussion of the above highlighted points
Please be extremely careful to follow all the wisdom teeth post-ops to avoid the risk of developing complications after the surgery like dry socket and infection.
Things like drinking through a straw or smoking can contribute to the chance of getting a dry socket. When you sucking the drink by using a straw, you’re actually using force, and that force is also applied on the socket so it can cause dislodgement of the clot.
Smoking causes the inadequate blood circulation in the mouth by encouraging atrophy of the blood vessels. This makes it extremely difficult for the body to heal surgical sites quickly such as extractions and will also contribute to other oral diseases such as periodontal or gum disease.
Women that take oral contraceptive medication may be at an increased risk to develop dry sockets. Please do not discontinue taking your contraceptive medication without consulting your medical practitioner.
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