Of all the teeth in the oral cavity, it is the wisdom teeth that have to be removed most often. There are a number of important reasons for this:
the remote location of wisdom teeth complicates their hygiene, eventually contributing to a fairly rapid destruction of enamel; often, wisdom teeth do not have enough space in the jawbone, and they cut unevenly, "in the cheek", or abut against adjacent teeth, contributing to their destruction;
if one of the wisdom teeth was removed, its antagonist begins to move towards the absent one, deforming the dentition; inflamed tissue and pain in the gums near the wisdom tooth.
What to do after removing a wisdom tooth?
First of all, follow the recommendations of your doctor!
The tampon that the doctor leaves in the mouth after surgery should be removed after twenty minutes, as this may interfere with further normal healing.
Usually it is recommended not to eat or rinse your mouth for 2 hours. The first day after the intervention, chew food on the other side of the jaw so that food does not get into the open wound.
Patients often ask about rinsing: what, when and how many times? On the day after the operation, you do not need to actively rinse, otherwise you can wash out the protective blood clot from the hole. It is allowed to make passive mouth baths with disinfecting solutions (chlorhexidine) after meals. For 3-4 days, you can change chlorhexidine to anti-inflammatory herbal decoctions (chamomile, sage).
If there was a toothache or gum inflammation before removal, the doctor will most likely prescribe a course of antibacterial and anti-inflammatory therapy.
The first day after the intervention, it is possible not to clean the teeth near the hole, so as not to accidentally damage the fragile clot. However, in the following days, it is very important to clean the teeth from plaque, including those adjacent to the removed one. Microbial plaque from dirty teeth easily passes to the gums and enters the hole, causing inflammation and slowing down healing.
Also, after a while, it is necessary to visit a dentist to control the cessation of bleeding and healing of the hole, excluding secondary infection of the wound.
What not to do after wisdom tooth extraction
It is strictly forbidden to heat the wound, cheek or skin over the extracted tooth. Do not use the UHF device! It is useful to keep ice on the first day after the operation. You can freeze a bottle of water in the freezer at home, wrap it in a napkin and apply it to the outside of the removal site every two hours for twenty minutes.
You should also exclude hot drinks, a visit to the gym and sauna, since this can provoke secondary bleeding.
You can not climb into the hole with your tongue, toothpick or other objects, as this destroys the blood clot that protects the hole. Even if it seems to you that "there is something there," it is always best to see a doctor. X-rays can be taken if necessary.
How long will the pain last?
Pain in the gums is a very subjective concept, it depends on the complexity of the event, and on whether there was an inflammatory process in the gums initially, and on the patient himself. Under normal conditions and with minimal trauma, the pain worries only on the day of the intervention and does not recur. In some patients, the gums hurt for two to three days, then the pain gradually weakens and goes away. If during the operation it was necessary to make an incision, or there was a purulent inflammation of the gums, the pain may bother for 5-7 days. The total wound healing period after wisdom tooth extraction is 7-10 days.
If a week or more has passed after the surgery, and the pain does not stop and grows, this is a serious reason to contact your doctor!
Swelling after wisdom tooth extraction
Often, facial tissue swells after surgery. In the vast majority of cases, edema occurs after the removal of the lower teeth. This is due to the anatomical features of the lower jaw. Edema on the first day after surgery usually does not pose a great danger, since it is the body's response to the intervention. There may also be pain when opening the mouth and when swallowing, an increase in body temperature to 37.2-37.9 ° C. But if the swelling persists for 2-3 days, grows, becomes "pulsating" in nature, then you must immediately visit your doctor - this will help to avoid serious complications.