Maintaining oral hygiene after wisdom teeth removal is crucial for effective healing and to minimize complications. This guide outlines safe care practices following extraction.
When and How to Floss
After wisdom tooth removal, avoid flossing for the first 24 to 48 hours. This protects the blood clot at the extraction site, essential for healing. Dislodging it can lead to dry socket. Some dental professionals advise waiting at least three full days before flossing near the surgical area.
Once cleared to resume, floss with gentleness. Begin by cleaning teeth away from the extraction sites. When flossing near healing areas, use slow, careful motions, ensuring the floss does not directly contact or disturb the surgical site. A water flosser on a low setting offers a gentle alternative for cleaning sensitive areas, removing food particles without aggressive contact. If pain occurs, stop and allow more healing time.
Other Essential Oral Care
Beyond flossing, maintaining oral cleanliness is important for a smooth recovery. Gentle brushing can begin the day after surgery, but avoid extraction sites for the first 24 hours. Use a soft-bristled toothbrush and mild toothpaste, brushing other teeth with slow, circular motions, careful not to disturb healing areas.
Rinsing is an important aspect of post-operative care. Avoid vigorous swishing or spitting for the first 24 to 48 hours, as this can dislodge the blood clot. After this period, gentle rinsing with warm salt water is recommended. Prepare this by dissolving about half a teaspoon of salt in eight ounces of warm water, using it several times daily, especially after meals, to cleanse the area and reduce infection risk. If prescribed, an antimicrobial mouthwash, like chlorhexidine, can be used starting 24 to 48 hours after surgery, following your dental professional’s instructions.
Recognizing Issues and Seeking Advice
While proper oral hygiene promotes healing, be aware of potential complications after wisdom teeth removal. Mild discomfort and swelling are common. However, persistent or worsening pain not relieved by medication can indicate a problem. Swelling that increases or doesn’t subside after two to three days, or is accompanied by redness or heat, could signal an infection.
Other signs of potential issues include a foul odor or taste in the mouth, suggesting bacterial presence or pus, and any visible pus or discharge from the extraction site. A fever exceeding 101°F is another indicator that immediate attention may be needed. Severe pain starting a few days after surgery, pain radiating to your ear or temple, or a missing blood clot from the socket could indicate dry socket, a condition that exposes the underlying bone and nerves. If any of these symptoms arise, or if there is excessive or continuous bleeding beyond 24 hours, contact your dentist or oral surgeon promptly for guidance.