Wisdom teeth removal is a common dental procedure. Many individuals report feeling “high” or disoriented afterward, and this article explains why these sensations occur and what to expect during recovery, helping manage expectations for a smoother post-operative experience.
The Role of Anesthesia
The feeling of being “high” or disoriented primarily stems from the anesthesia. Oral surgeons commonly use local anesthesia, intravenous (IV) sedation, or general anesthesia. Local anesthesia numbs the specific area. IV sedation, often called “twilight sleep,” induces a deeply relaxed state with little memory of the procedure. General anesthesia renders the patient completely unconscious for more complex cases.
These agents, especially IV sedation and general anesthesia, temporarily affect the central nervous system. They can cause grogginess, mild confusion, and a dream-like state as effects wear off. Patients may also experience temporary amnesia regarding the procedure. The specific sensation depends on the type and dosage of anesthesia and individual physiological response.
Impact of Post-Operative Pain Medication
Beyond anesthesia, prescribed pain medications also contribute to altered sensations. As anesthesia wears off, discomfort may arise, leading to pain relief. Opioids can induce drowsiness, nausea, dizziness, and detachment. These effects are distinct from anesthetic agents and result from the medication’s impact on pain receptors and the central nervous system.
Strong non-steroidal anti-inflammatory drugs (NSAIDs) may also be prescribed, though they cause fewer disorienting effects than opioids. The goal of these medications is pain management, and any altered sensations are a side effect. Patients are often advised to start with over-the-counter pain relievers and use stronger medications only if necessary.
Duration and Expected Sensations
The duration of altered sensations varies by anesthesia and pain medication. Numbness from local anesthesia typically subsides within a few hours. Effects from general anesthesia wear off within 45 minutes to an hour, causing sleepiness and confusion. IV sedation can result in grogginess lasting a few hours, with some lingering effects up to 12 to 24 hours.
Common sensations include mild grogginess, slowed reactions, and a feeling of being out of sync. Patients may also experience swelling, bruising, and jaw stiffness, which are normal parts of healing. These sensations are temporary and improve as the body recovers.
Safety and When to Seek Medical Advice
Given the potential for altered mental states, specific safety precautions are important after wisdom teeth removal. Patients who received IV sedation or general anesthesia should arrange for a responsible adult to drive them home and monitor them for several hours. It is important to avoid driving, operating machinery, making significant decisions, or consuming alcohol for at least 24 to 48 hours following the procedure.
While some discomfort and disorientation are normal, certain signs indicate a need for medical attention. These include:
Severe pain not relieved by medication.
Excessive or persistent bleeding.
Swelling that worsens after two or three days.
A fever above 100 degrees Fahrenheit.
Pus draining from the surgical site.
Difficulty swallowing or breathing.
Persistent numbness in the lips, tongue, or chin.
Contact your oral surgeon if any of these occur for appropriate evaluation and care.