Post wisdom teeth removal, What to Expect: Wisdom teeth are among the most frequently extracted teeth. Because of their size and position at the back of the dental arches, it is often harder to extract them than another tooth located elsewhere in the mouth.
There are therefore more complications and potential risks to obtain them. The advice and recommendations below refer to wisdom teeth but may apply to any dental extraction.
We recommend reading the article: Eating and drinking after wisdom teeth removal
Post wisdom teeth removal: Bleeding
Bleeding is inevitable from the time of surgery until several hours after returning home.
- It is critical to tell your surgeon if you are taking anticoagulants so that extra precautions are taken to avoid more abundant or uncontrollable postoperative bleeding.
- Even little bleeding may seem more important because of the mixture of blood and a large number of salivae in the mouth. The amount of blood you see in your mouth is therefore probably not as significant as you think.
- Mild bleeding or seepage, often seen by a red or pinkish tinge of saliva or a taste of blood in the mouth, may persist for up to 2-3 days after surgery; These bleeds are standard and are not precursors of a problem.
- Bite firmly and continuously in a folded gauze pad or moistened tea bag placed directly on the extraction site for 30 to 60 minutes. Repeat as needed for 30 minutes, changing the compress or pouch of moistened tea if soaked with blood, ideally every 30 minutes.
- Tea contains tannic acid that has the property of contracting blood vessels, which will help stop bleeding by the faster formation of a blood clot in the extraction site.
- Avoid looking to see if the bleeding is stopped just a few minutes after beginning to bite into a compress or a tea bag, failing to prolong the bleeding unnecessarily.
- DO NOT chew the gauze pad or tea bag or try to speak at the same time pressure is applied to the surgical site; An even greater production of saliva will ensue, which could cause more bleeding instead of stopping them.
- DO NOT touch the wounds with your fingers, tongue or another object to avoid bleeding.
- DO NOT brush your teeth for 24 hours after surgery.
Raise the head and remain calm; Physical activity and household tasks should be avoided during the first few days after surgery.
- If you think that bleeding will increase or continue instead of decreasing or stopping, despite the recommendations above, consult your surgeon.
Post wisdom teeth removal: Swelling (edema)
- The swelling is characterized by a region of the body near the surgical site, such as the cheeks, chin, neck, lips, nose or even the forehead, which swells and sometimes becomes warmer than elsewhere.
- The swelling is a normal phenomenon that is part of the healing process. It may be more or less important depending on the individual. Some patients report having the appearance of a squirrel with cheeks filled with hazelnuts because of swelling after surgery.
- It occurs up to 24 hours after surgery and usually reaches its maximum 48 to 72 hours after surgery and then disappears quietly after 7 to 10 days.
- Swelling can cause a sore throat, as the muscles of the face and neck may be swollen. The patient may then have pain while swallowing. These sore throats should subside as the swelling decreases.
- POSITION: For 24 to 48 hours after surgery, keep your head elevated above the rest of the body, as with bleeding, with extra pillows if needed.
- COLD: Apply ice to the face as soon as the swelling occurs for 20 minutes per hour during the first 48 hours. It is important not to exceed 20 minutes consecutively to avoid frostbite to the skin. The ice can be substituted by “ice packs” or a bag of frozen vegetables that allows conforming to the shape of the face.
- HEAT: Beyond 48 hours after surgery, the ice will have no effect on the swelling. To reduce it after this period, hot and moist compresses applied to the swollen tissues, as often as you want and can tolerate it, will help to reduce the swelling. A hot water bottle applied to the cheeks is also particularly useful.
Post wisdom teeth removal: Pain and discomfort
- Pain and discomfort are very common, if not ‘normal’ or unavoidable, after tooth extraction. The pain intensity peak is expected to occur approximately 6 hours after surgery, immediately after the disappearance of the effect of local anesthesia used during surgery.
- Stitches: some people report feeling a twinge or a sensation “throbbing” (as if they were feeling their heartbeats) in the region or extraction (s).
- Individual variations: The intensity of pain is unique to each patient; A high power does not necessarily indicate postoperative complications.
- Duration of pain: It is expected to decline as the recovery is ongoing gradually but the length can vary widely (days to weeks) from one person to another depending on the complexity or severity of the surgery performed to remove the teeth.
- Thus, more discomfort or pain may be expected and for a longer period after the extraction of a severely included wisdom tooth than after extraction of a non-included tooth (exit in the mouth ).
- The extraction of several teeth from the simple extraction of a single tooth (e.g., a healthy premolar extracted for orthodontic treatment) and the type of extracted tooth (molar, premolar, etc.) will have different repercussions on The pain and its duration. The intensity and duration of the pain, therefore, depend on several variables that are difficult to “measure” precisely.
- If the pain and discomfort did not diminish with time, contact your surgeon so he can evaluate and take all action necessary.
- Start taking a painkiller before the local anesthetic effect fades to tolerate postoperative pain better. There are medicines for nonprescription pain, either in the form of non-steroidal anti-inflammatory like Aleve or ibuprofen (Motrin or Advil ) or as acetaminophen (Tylenol, Atasol). It is important to check with your pharmacist if the pain reliever you are taking is right for you.
- DO NOT wait until pain sets in before taking pain relievers; It is preferable to take preventive and regular at first to avoid suffering unnecessarily.
- In some cases, ibuprofen or acetaminophen will not be able to relieve your pain. In such a case, contact your surgeon so that he can prescribe narcotics if you have not already received a prescription before leaving the clinic after the surgical procedure. It is important to know that special precautions must be taken when using narcotics; Ask your pharmacist to take drugs safely and minimize side effects, such as drowsiness, nausea, and constipation.
- Always follow the dosage of any medication prescribed or available over-the-counter to relieve pain.
Post wisdom teeth removal: Nausea and vomiting
- During the first 24 to 72 hours after the procedure, you may have nausea and vomiting.
- They can be caused by several elements, including conscious sedation or general anesthesia during the proceedings, taking narcotics or swallowing blood during surgery.
- Food: Eating correctly. Nausea and vomiting will be more present if your stomach is empty, especially if you are taking narcotics to control the pain. Prefer the liquids that will be busted slowly to make sure you tolerate them well.
- Choose soft foods for the stomach, such as soda biscuits or foods that have anti-nausea properties; Ginger is the best-known antinauseant.
- Medication: Substitute narcotics by analgesics available over the counter that are usually better tolerated by the stomach.
- The anti-nausea plug type Gravol may be indicated; You can discuss it with your surgeon, or with a pharmacist before consuming it to make sure the product is right for you.
o In the case of vomiting that persists beyond 24 hours after surgery, contact your surgeon so he can assess your situation and take actions necessary to avoid dehydration.
Post wisdom teeth removal: Dizziness and Fainting
- Several factors can promote dizziness and fainting, such as the horizontal position in which you will be during the surgical procedure, the fact that you may be fasting for surgery and the patient’s reaction to the prescribed analgesics.
- DO NOT drive if you suffer from dizziness to not put yourself or others at risk.
- DO NOT of physical activity in case of dizziness; It could aggravate them and put you at risk of hurting yourself.
- If you are fasting, try eating or drinking.
- When you are lying down for an extended period, sit down for at least a minute before standing upright.
You may also be interested in: Precautions and recommendations: wisdom teeth removal aftercare