Wisdom teeth removal is a common oral surgical procedure. Proper post-operative care is important for a smooth recovery and to prevent complications. Understanding how to manage saliva and when it is safe to spit is a common concern. Adhering to specific guidelines contributes to effective healing.
Immediate Post-Removal Spitting Guidance
Immediately following wisdom teeth removal, it is important to avoid any forceful spitting for at least the first 24 hours. A blood clot forms in the empty tooth socket, serving as a protective barrier and a foundation for new tissue growth. Forceful spitting generates suction within the mouth, which can dislodge this newly formed and fragile blood clot. Dislodging the clot exposes the underlying bone and nerve endings, leading to a painful complication called dry socket, which delays the healing process.
Instead of forceful spitting, allow any excess saliva or minor bleeding to passively drain into a sink. Gently dab the mouth with clean gauze to absorb fluids without creating suction. Swallowing saliva is safe and will not impede healing, even if it appears slightly bloody or thicker than usual. During this initial period, refrain from vigorous rinsing, using straws, or smoking, as these actions can also disturb the blood clot.
Gradual Return to Normal Spitting
After the initial 24-hour period, a gradual return to more active oral hygiene can begin. Your oral surgeon may recommend starting gentle mouth rinses with warm salt water or a prescribed antimicrobial rinse. To prepare a salt water solution, dissolve about half a teaspoon of salt in eight ounces of warm water.
Even when rinsing, continue avoiding forceful spitting. Instead, tilt your head and let the rinse gently flow into the sink. This gentle approach helps clean the surgical sites without risking the blood clot. Normal spitting can typically resume after three to five days, though some surgeons advise continued gentleness for a full week or more. Always follow your oral surgeon’s specific instructions, as individual healing rates vary.
Recognizing Complications
While proper post-operative care minimizes risks, recognizing signs of potential complications is important. Worsening pain after the first few days, particularly if it radiates to the ear, eye, or temple, may indicate a dry socket. A foul taste or odor from the extraction site, or an empty socket with visible bone, are also indicators.
Beyond dry socket, watch for excessive bleeding not controlled by pressure, swelling increasing or persisting past two to three days, or pus discharge. Fever, difficulty swallowing, or persistent numbness also warrant immediate attention. If any of these symptoms develop, contact your oral surgeon or dentist promptly.