- Swelling is a normal part of the healing process and protects the empty tooth socket from further trauma and irritation. It usually lasts 3 to 5 days, but can last up to a week or longer.
- If a blood clot does not form or remain in place after the extraction, a dry socket may occur, which is painful.
- It is important not to smoke, drink through a straw, or eat hot and hard foods during the recovery period.
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Are you worried about swelling after tooth extraction? Here's everything you need to know.
How long does swelling last after wisdom teeth removal?
When does the swelling stop wisdom teeth? Swelling after wisdom teeth removal usually reaches its peak within 48 hours. Then it begins to subside.
In most people, swelling lasts for 3 to 5 days, but sometimes it can last a week or more. If you experience prolonged swelling that does not seem to be decreasing or have pain that does not decrease in severity, it is important to consult your dentist.
Normal swelling after tooth extraction
If there are no complications, swelling should subside in the few days after the extraction. It is important to follow your dentist's post-extraction instructions. Take all medications as prescribed. Swelling is usually worst in the first 24-48 hours and may last up to 5-7 days.
If you develop other symptoms, or your swelling does not go away within 7 days, it may indicate one of the following complications.
Dry socket
Dry socket, also known as alveolar osteitis, is a painful dental condition. After the extraction, a blood clot forms in the socket to protect the wound from infections and promote healing. If for some reason the blood clot does not form or if the blood clot does not stay in place, you may develop dry socket. Common ways that a dry socket may occur are from using straws, forcefully spitting, or smoking within the first few days following the extraction.
Symptoms of dry socket include pain, bad breath, and a foul taste in the mouth. Treatment can range from getting the extraction site cleaned by your dentist to antibiotics.
How to reduce swelling after wisdom teeth removal?
Although swelling from wisdom teeth removal is natural, you can reduce it using one or several of the following options.
Ice packs
Apply ice packs right onto the affected site to reduce wisdom teeth swelling and pain.
Over-the-counter medications
Take an over-the-counter anti-inflammatory medication, such as ibuprofen or acetaminophen. They can help you to reduce swelling from wisdom teeth as well as painful sensations.
Warm salt water rinse
Before you use this home remedy, note that you should refrain from it during the first 24 hours after the extraction. Rinsing your mouth can dissolve the blood clot and hinder the recovery process.
To make the saltwater rinse, dissolve 1 teaspoon of salt in 8 ounces of warm water. Swish the solution in your mouth for 30 seconds and and let the salt water fall out of your mouth over the sink. DO NOT spit out the rinse, as this can result in a dry socket. DO NOT swallow the salt water solution. This remedy can be used as many times a day as is desired.
Diet modifications
Eat soft foods that are easier to chew and swallow without irritating the extraction site. Try applesauce, yogurt, mashed potatoes, ice cream, smoothies, scrambled eggs, and cooked cereals. Try to avoid foods that are too hot and can irritate the tooth socket. Avoid hard and crunchy foods that can be difficult to chew and may irritate the extraction site. Do not eat chips, nuts, hard candy, popcorn, and raw vegetables.
Drink plenty of fluids to stay hydrated and aid the healing process. Do not have hot beverages and avoid straws. Drinking through straws creates a sucking motion that can dislodge your blood clot.
Refrain from smoking
Refrain from smoking or vaping as much as possible for at least the first 5 days following an extraction. Smoking and vaping can lead to a painful dry socket.
Sleep with elevated head
After tooth extraction, it is important to elevate your head during sleep to reduce swelling and allow for better healing. To do this, use an extra pillow or two any time you lie down. It is also an effective way to avoid post-operative bleeding.
FAQ
Why is one side more swollen after wisdom teeth removal?
If you have removed wisdom teeth on both sides of your jaw, it is natural to have swelling of different intensity. One side may be more swollen because the extraction may have been more complex on that side. It does not necessarily indicate any complications.
Is heat or ice better for swelling wisdom teeth?
Ice is usually better for swelling associated with wisdom teeth. Applying a cold compress to the affected area can help reduce swelling. This will relieve the discomfort.
References
- Wray, D; Stenhouse D; Lee D; Clark AJE (2003). Textbook of general and oral surgery. Edinburgh [etc.]: Churchill Livingstone. pp. 216–217. ISBN 0443070830.
- Odell, Edward W., ed. (2010). Clinical problem solving in dentistry (3rd ed.). Edinburgh: Churchill Livingstone. pp. 67–69. ISBN 9780443067846.
- Coulthard, P; Horner K; Sloan P; Theaker E (2008). Master dentistry. volume 1: Oral and maxillofacial surgery, radiology, pathology and oral medicine (2nd ed.). Edinburgh: Churchill Livingstone/Elsevier. p. 90. ISBN 9780443068966.