How Long Should I Be Swollen After Wisdom Teeth?

Wisdom teeth extraction is a common dental procedure, and experiencing swelling afterward is a normal part of the healing process. This swelling occurs as the body naturally responds to the surgical manipulation of tissues, sending increased blood flow and inflammatory cells to the extraction site to aid in recovery.

Expected Swelling Duration

Following wisdom teeth removal, swelling typically becomes noticeable on the day after surgery and tends to reach its most significant point within 48 to 72 hours post-procedure. After reaching this peak, the swelling generally begins to subside gradually over the next three to seven days. Most individuals observe a substantial reduction in the visible swelling by the end of the first week following the extraction. While the most apparent swelling resolves within this timeframe, some minor residual puffiness or tightness might persist for up to two weeks, particularly if the extraction was more complex.

Influences on Swelling Recovery

The degree and duration of swelling experienced after wisdom teeth extraction can be affected by several factors. The complexity of the extraction plays a significant role, as impacted teeth or those requiring surgical removal with bone manipulation often result in more pronounced swelling compared to simple extractions. The number of teeth removed simultaneously can also influence the overall inflammatory response and subsequent swelling. Additionally, an individual’s unique healing capabilities, including their age and general health, contribute to how quickly the body processes and resolves the swelling. Adherence to post-operative instructions provided by the dental professional is also important, as proper care can significantly mitigate the extent and duration of swelling.

Reducing Swelling and Aiding Recovery

Managing swelling effectively after wisdom teeth extraction involves several practical steps to support the healing process. Applying ice packs to the outside of the face, particularly during the first 24 to 48 hours post-surgery, can help reduce swelling by constricting blood vessels. This should be done intermittently, such as 20 minutes on and 20 minutes off. Keeping the head elevated, especially while resting or sleeping, helps minimize blood flow to the surgical site and can further reduce swelling.

A diet of soft foods is recommended to avoid irritation to the extraction sites, and it is important to stay hydrated. While proper oral hygiene is necessary, vigorous rinsing or spitting should be avoided, especially in the initial days, to protect the blood clot that forms in the socket. Gentle salt water rinses may be recommended by your dentist after the first 24 hours. Avoiding strenuous physical activity is also crucial, as increased blood flow from exertion can worsen swelling and potentially dislodge the protective blood clot.

Signs Requiring Dental Attention

While some swelling is expected, certain symptoms indicate that the healing process may not be progressing normally and require immediate dental consultation. If swelling worsens or increases after the initial 3 to 4 days, instead of gradually improving, it could be a sign of a complication. Severe pain that is not alleviated by prescribed medication, or a noticeable increase in pain over time, also warrants professional attention.

Other concerning signs include the development of a fever, the presence of pus or a foul-tasting discharge from the extraction site, or a persistent foul odor. Difficulty swallowing or breathing, and numbness that does not resolve as expected, are also symptoms that necessitate immediate contact with your dentist or oral surgeon. Recognizing these warning signs and seeking timely professional help can prevent potential complications and ensure a smoother recovery.