wisdom teeth swelling
Wisdom teeth are the third and therefore last molars in your jaw. They appear in the lower jaw and in the upper jaw on both sides. They are the last teeth to break through in the mouth - usually between the ages of 16 and 25 - and often do not have enough space in our modern jaws that they need.
While most of our permanent teeth grow when we are quite young, wisdom teeth don't show up until all of our baby teeth are gone. The wisdom teeth are also often referred to as the "eighth" because these teeth are the eighth, counting from the middle of your row of teeth. This applies to the upper jaw and the lower jaw on both sides. However, the late arrival causes annoyance in the mouth and jaw due to the lack of space and can cause severe discomfort, which can make an operation necessary.
Wisdom teeth swelling before surgery
Swelling in the gum tissue behind wisdom teeth
Another common cause of swelling in the mouth is peri-coronitis. This consists of a swelling of the gum tissue surrounding the erupting teeth (most often the lower wisdom teeth).
This happens when the tooth has not finished erupting and it creates an opening in the gum line where food debris and bacteria can lodge. Sometimes pericoronitis resolves on its own once the tooth grows further, but it is often necessary to intervene to treat the infection temporarily.
Antibiotics may be necessary. It is generally indicated to clean the site with an antiseptic mouthwash or with a saline solution to dislodge as much debris and bacteria as possible. Sometimes it is possible to remove a portion of the gum tissue that promotes the retention of bacteria or food debris to prevent the problem from recurring.
If the tooth is incorrectly positioned and it is not possible to simply reshape the gum tissue, it may be appropriate to extract the tooth. It is common for the upper wisdom tooth to worsen the problem of irritation of the gum tissue surrounding the lower wisdom tooth.
If the tip of the tooth from above touches the gum below during closure, it may be advisable to remove the tooth. This simple intervention often results in immediate relief. The lower tooth will usually also have to be removed, but it may be advisable to wait until the gum is less irritated before intervening.
Swelling after a wisdom teeth operation
A swelling after wisdom teeth - OP is completely normal and usually no cause for alarm.
The more extensive the operation and the longer it lasted, the more likely it is. Since the surrounding tissue is heavily stressed and traumatized during the wisdom tooth operation, there is a subsequent swelling as part of the wound healing.
Table of contents:
Why does edema occur after wisdom teeth surgery?
How long does the swelling last?
What to do to remove the tumor?
What if the edema persists?
When is the swelling to be expected after wisdom teeth removal?
The swelling usually occurs the next day . Increased fluid builds up in the injured tissue. This cannot be removed by the body as quickly and is part of the normal healing process. The swelling after the operation usually peaked after 24 to 36 hours.
The strength of the swelling
The strength and extent of the swelling depends on the extent and duration of the wisdom teeth surgery . The gentler and shorter the operation, the less the swelling will be.
In addition, the individual constitution of the patient also plays a role, ie the physical condition of the patient. Patients with weak connective tissue tend to have more swelling. The swelling can develop over the entire cheek on the affected side and reach the eyelid.
The fabric feels warm and the skin is tense. The swelling can lead to a restricted mouth opening , this must be observed and should be checked by a dentist if there is any further restriction .
Duration of the swelling(Timeline)
The swelling after the wisdom tooth surgery can last up to a week . It peaks within the first 24 to 36 hours.
If the swelling afterwards still more and also feels solid, you should see their dentist visit because it not only could be a normal swelling, but also inflammation.
In addition, the extent of the swelling and the duration varies from person to person and also depends on the patient's physical situation. Someone with poor connective tissue is more likely to experience long and extensive swelling than other patients. The duration of the swelling can be reduced by protecting the affected area and providing adequate cooling.
The swelling disappears during the course of healing by itself. If the wound is a good healing process, forms the swelling back . This should usually happen on the third day .
Removal of wisdom tooth is one of the most difficult procedure in dentistry. The reasons lie in the unpredictability of this tooth, namely: the number of roots, canals, their shape, the tooth is often not completely cut through, covered with a mucous membrane, sometimes even bone. Also, all manipulations with this tooth are complicated by its localization, very limited access. In addition, many patients experience problems with wide mouth opening.
All this makes the removal process very difficult and traumatic, therefore, after removing a wisdom tooth, a swollen cheek and pain are in the order of things, and you should not be afraid of them. To help your body manage symptoms and speed up healing, you need to follow your doctor's orders and follow simple guidelines for managing symptoms.
Why does edema occur?
Edema is the excess accumulation of blood in the extracellular spaces of the body to accelerate healing. If the cheek is swollen after the removal of a wisdom tooth, there may be several physiological reasons for this:
manifestation of an allergic reaction to the anesthetic;
purulent focus of inflammation, usually eliminated before surgery;
elongated roots of the extracted tooth,
These factors are mainly individual for each organism. Most often, cheek swelling after wisdom tooth extraction is a natural defensive reaction to surgery. If there are no pathological factors, and the dynamics of healing is proceeding as expected, then you should not worry.
If puffiness is formed due to natural reasons, this condition is considered the norm.
How to determine the natural origin?
The tumor appears a day after the intervention.
The pain and swelling gradually subside.
Body temperature is normal or slightly high.
Slight painful sensations during swallowing or chewing processes.
Even if the swelling looks terrible, the condition may be completely normal for the first few days after surgery. It is worth worrying if, after the allotted time, there is a tendency to the progress of pain and swelling.
How long does the swelling last?
The term is directly related to the complexity of the surgical intervention. On average, after tooth extraction, the swelling lasts for 3 days. Moreover, on the third day, its development can reach a maximum. Then the tumor begins to gradually subside, at which time a hematoma may appear. The most important thing is to provide timely assistance to the body in treating the tumor and monitor whether the edematous place lends itself to simple medical measures. However, if the healing period is prolonged, it is worth consulting your dentist immediately.
What to do to remove the tumor?
If, after the removal of a wisdom tooth, the tissues nearby are swollen, then the patient's main task is to fulfill all the doctor's prescriptions after the procedure. This is the only way to minimize swelling and pain.
It is necessary to keep the cold at the disturbed place and in no case warm it - this is the main and main condition for combating edema. The cold is kept every hour and a half for 7-10 minutes during the first day after the intervention. A thick cloth soaked in cool water or a bottle of water chilled in the freezer is suitable as a source of cold. In this case, you need to periodically change the compress when it gets warm, and make sure that frostbite of the skin is not allowed.
It is advisable to measure the temperature on the first day after the operation, it may rise, but it should not exceed 38 ° C.
It is forbidden to eat hot food and drink, take a hot bath or shower, as well as visit a bathhouse for at least two to three days after the event. Also, after removing a wisdom tooth, you cannot puff out your cheeks and rinse out a protective blood clot from the wound. It is not recommended to chew on the side of the removal.
From medicines, antibiotics are prescribed (for example, Tsiprolet 500 mg for 5 days, two tablets a day) to reduce the risk of infection. Pain relievers are also prescribed (in particular, Nimesil powders, no more than three bags a day).
It is imperative to brush your teeth, this again reduces the risk of infection. However, you should be careful near the extraction socket so as not to damage the protective blood clot. For the procedure, it is better to give preference to an instrument with soft bristles.
Whether the cheek is swollen after the removal of a wisdom tooth or not, for treatment and for the prevention of puffiness, in any case, you can use Dicinon, treat the wound with miramistin, or do oral baths with chlorhexidine. You can also rinse your mouth with anti-inflammatory substances and solutions: chamomile or sage infusion, furacillin, etc. But rinsing should be done very carefully so as not to disturb the protective clot.
Special gels will help reduce tissue swelling and soreness, and effectively fight inflammation. The appointment of such medications is carried out only by the attending dentist.
It is also advisable to exclude cigarettes, alcoholic beverages, food with an abundance of salt, sugar, hot spices and solid food from life at least for a while. For the healing period after surgery, it is better to give preference to food of soft consistency.
What if the edema persists?
If, after the removal of a wisdom tooth, the pain and swelling of the cheeks do not go away for a maximum of five days, or, on the contrary, increase, then an urgent need to visit a doctor. It is highly desirable that this is the same person who performed the removal. It is necessary to revise the well and take appropriate measures.
You should also go to see a doctor and in the following conditions:
the temperature does not decrease on the second day;
general weakness and poor health - perhaps this is a consequence of intoxication;
compacted areas near the disposal site;
increasing painful sensations when swallowing or opening the mouth;
there is no blood clot in the hole.
How to Prevent Swelling after wisdom teeth surgery
With a normal reaction to wisdom teeth extraction, strict adherence to all the doctor's recommendations will help reduce discomfort. There are several points that you need to be aware of, so that after the operation, the healing of the gums passes faster, the swelling quickly disappears and an inflammatory process does not occur.
Important rules after surgery:
Don't touch the wound
After teeth extraction, the body heals itself: a blood clot forms in the hole, which closes the wound from infections. It is very important to keep it intact to avoid inflammation. Care must be taken when eating, brushing your teeth, and rinsing your mouth.
Comply with restrictions
Do not eat or drink for four hours after wisdom teeth extraction. And then you need to refrain from spicy, sweet, salty foods, alcohol and smoking for a few more days. To avoid unpleasant consequences, do not eat food or drinks that are too hot or cold.
Make a compress
Applying cold outside for a few minutes every half hour will help reduce swelling in the gums and cheeks. This simple remedy for relieving discomfort is useful only immediately after teeth extraction and during the first day. In the following days, the compress is contraindicated.
Follow your doctor's recommendations
When prescribing, take all recommended drugs, observe the time of admission and dosage, do not stop taking it yourself.
Swelling of the gums and cheeks as a sign of complications
Most often, deterioration after wisdom teeth extraction occurs from non-compliance with the recommendations for caring for the hole. If infections have penetrated into it, then acute inflammation develops, the gums and cheek swell even more. You need to get an appointment with the dentist as soon as possible.
Don't waste time and hurry to the dentist if:
the cheek is very swollen and the swelling grows, although more than two days have passed since the extraction of the tooth
there is intense throbbing pain that only gets worse
the temperature has risen above 38 degrees and does not drop for more than 1-2 days
painful when swallowing, pain in the cheek increases with jaw movement general health worsens
The doctor will thoroughly clean the hole and treat the wound surface with an antiseptic solution. Re-surgery and antibiotic therapy may be required. After treatment, the swelling will subside and the cheek and gums will return to their normal size.