Facial swelling is a common and expected part of the recovery process after wisdom teeth removal. It is a normal physiological response as the body begins the healing process. It indicates your body’s natural protective mechanisms are mending the affected area.
The Body’s Response
Swelling occurs due to trauma to the surrounding soft tissues and jawbone during wisdom teeth removal. The body recognizes this as an injury, immediately triggering an inflammatory response.
This response increases blood flow to the surgical site, bringing fluid and immune cells to nourish and protect the tissues. The accumulation of this fluid and immune cell activity leads to visible puffiness and warmth in the cheek and jaw. This process guards against potential infection and initiates tissue repair. The extent of swelling can vary depending on factors such as the complexity of the extraction and the individual’s healing capacity.
Swelling Timeline
Swelling typically begins within hours after wisdom teeth removal. It usually peaks around 24 to 72 hours post-surgery, often on the second or third day. During this time, the face may appear significantly puffy.
After peaking, swelling generally subsides by the fourth or fifth day. Most individuals notice a significant reduction within a week. While major inflammation should be on the decline, some minor residual puffiness might persist for up to two weeks.
At-Home Swelling Management
Apply a cold compress to the outside of the cheek during the initial 24 to 48 hours after surgery. Cold constricts blood vessels, which helps minimize fluid accumulation and inflammation. Apply the ice pack for 15 to 20 minutes at a time, followed by 20-minute breaks, wrapped in a cloth to prevent skin irritation.
After 24 to 48 hours, switch to warm compresses to reduce swelling and promote healing. Warmth dilates blood vessels, increasing blood flow to carry away fluids and reduce jaw stiffness. Apply a warm cloth or heating pad for 20 minutes on and 20 minutes off.
Keep your head elevated, especially while resting or sleeping, to reduce swelling. Using extra pillows helps gravity drain fluids away from the surgical site, decreasing blood pressure in the area and minimizing pooling. Rest and avoid strenuous physical activity for efficient healing.
Maintaining proper hydration by drinking plenty of fluids supports the body’s healing process. Sticking to a soft diet avoids irritating the extraction site and prevents undue pressure on the healing tissues. Gently rinsing the mouth with warm salt water after the first 24 hours can help keep the surgical area clean, but vigorous swishing should be avoided to protect the blood clot.
When to Contact Your Dentist
While some facial swelling is a normal part of wisdom teeth removal recovery, certain signs indicate that professional attention may be necessary. You should contact your dentist or oral surgeon if the swelling continues to worsen after three to four days, rather than improving. Swelling that feels hard, hot, or uneven can also be a cause for concern.
A fever, particularly if it rises above 101°F (38.8°C), warrants immediate contact with your dental professional. The presence of pus or any unusual discharge from the extraction site is a clear indicator of a potential infection. Persistent severe pain that is not adequately managed by prescribed medication, or pain that worsens after initial relief, should also prompt a call.
Difficulty swallowing or breathing, excessive bleeding that does not stop, or a foul odor or taste that persists in the mouth are also important symptoms to report. Additionally, if you experience significant difficulty opening your mouth or jaw stiffness that does not improve, it is advisable to seek guidance from your dentist. Prompt communication with your dental team ensures that any complications are addressed appropriately.