The removal of wisdom teeth is a common surgical procedure, and managing fluid intake afterward is a significant part of a comfortable recovery. Proper hydration is important for healing and preventing complications, but the way you drink and the types of liquids chosen must be carefully managed. Following specific guidelines for post-operative drinking helps ensure that the surgical sites heal without disruption.
Immediate Hydration Guidelines
You should begin drinking as soon as the initial gauze is removed and heavy bleeding is controlled, typically within the first hour after the procedure. Staying hydrated prevents nausea, aids recovery from anesthesia, and supports the healing process. Sufficient fluid intake also compensates for the temporary reduction in food intake.
The best liquids for the initial 12 to 24 hours are plain water, clear broths, and non-acidic, diluted fruit juices like apple or cranberry juice. Consume these at room temperature or slightly cool, as very hot or very cold liquids can cause discomfort or disrupt the protective blood clot. Sip slowly from a regular cup and avoid gulping to prevent undue pressure.
The Danger of Suction and Carbonation
The most significant risk to healing comes from actions that dislodge the blood clot formed in the extraction site. This protective clot is the foundation for new tissue growth; its premature removal leads to alveolar osteitis, or “dry socket.” Dry socket occurs when the underlying bone and nerve are exposed, causing intense pain that often radiates toward the ear.
Using a straw is prohibited because the sucking action creates negative pressure, which can pull the blood clot free. Forceful spitting or vigorous rinsing should be avoided for the same reason. Since dry socket typically develops within three to five days, avoid suction for at least five to seven days, or until advised by the surgeon.
Carbonated beverages, such as soda and seltzer, should also be avoided for the first 72 hours. The effervescence, or bubbling action, from these drinks can physically irritate the wound site and disrupt the blood clot before it stabilizes. The acidity often found in carbonated drinks presents an additional chemical irritation to the exposed tissue.
When Can I Resume Restricted Drinks?
Certain beverages are restricted not because of the mechanical action of drinking, but due to their chemical properties or temperature. Highly acidic juices, specifically citrus varieties like orange juice or lemonade, can sting or chemically irritate the open wound. It is advisable to avoid these acidic drinks for up to 10 days until the initial healing is more advanced.
Very hot liquids, including coffee, tea, and hot soup, are restricted because heat can increase blood flow to the surgical area, potentially causing renewed bleeding or swelling. Furthermore, the heat can dissolve the protective blood clot. You should wait at least 24 to 48 hours before consuming beverages at a normal, warm temperature.
Alcohol consumption must be avoided for a minimum of 48 to 72 hours post-surgery. Alcohol can cause blood vessels to expand, which may increase the risk of bleeding and compromise the stability of the blood clot. More importantly, it can have dangerous interactions with prescription pain medications, such as narcotics, commonly given after the procedure. It is safest to avoid alcohol until you are completely finished with any prescribed pain medication.