After wisdom teeth extraction, swelling is a normal and anticipated part of the body’s healing process. It occurs as surrounding tissues react to surgical trauma by increasing blood flow, leading to inflammation. This natural mechanism facilitates recovery and is generally not a cause for alarm.
Understanding Swelling Progression
Swelling typically begins minimally within the first 24 hours following wisdom tooth extraction. It usually peaks around the second or third day post-surgery, when it will be most noticeable. During this period, patients often observe the most significant puffiness around the cheeks and jaw.
Following the peak, swelling generally starts to subside by day four or five. Most visible swelling should disappear within a week, although some minor residual puffiness might persist for up to 7 to 10 days, particularly after more complex extractions. The exact timeline can vary depending on individual healing factors and the complexity of the procedure.
Managing Swelling and Discomfort
To manage swelling, applying ice packs to the affected area during the initial 24 to 48 hours is beneficial. Place a cold compress on the cheek for 15-20 minutes at a time, with breaks in between. After 48 hours, switching to moist heat, such as a warm compress, can help improve blood flow and alleviate jaw stiffness.
Keeping your head elevated, especially while sleeping, by using an extra pillow, can help minimize swelling overnight. Staying well-hydrated and adhering to post-operative dietary instructions, often involving soft or liquid foods, helps avoid disturbing the extraction sites. Taking prescribed pain relievers and anti-inflammatory medications as directed by your dentist or oral surgeon aids in managing discomfort and reducing inflammation.
When to Seek Professional Advice
While swelling is a normal part of recovery, certain signs indicate professional advice should be sought. If swelling significantly worsens after the initial peak (typically after day three) or does not begin to subside, it could signal a complication like an infection. Extreme pain not controlled by prescribed medication or becoming more intense over time is also a warning sign.
Other concerning symptoms include fever, difficulty swallowing or breathing, or pus, a foul taste, or odor from the extraction site. Any of these symptoms warrant immediate contact with your dentist or oral surgeon to ensure proper evaluation and treatment.