Wisdom teeth extraction is a routine dental procedure many individuals undergo to prevent or resolve oral health issues. Swelling is a common and expected part of the body’s natural healing process after this surgery. Understanding this swelling’s typical progression helps patients feel more prepared and less anxious during recovery.
The Swelling Timeline
Swelling begins within hours after wisdom teeth removal. The most significant swelling, often with bruising, peaks approximately 48 to 72 hours post-surgery.
After peaking, swelling generally subsides. Patients notice significant reduction in puffiness and discomfort by the fourth or fifth day. Most noticeable swelling resolves within a week, though some residual puffiness might persist for up to ten days. By the end of the first week, patients typically experience no significant discomfort.
Factors Influencing Swelling
Swelling degree and duration vary among individuals. Extraction complexity plays a role; impacted teeth (trapped in jawbone or gums) result in more significant swelling than fully erupted teeth. The number of teeth removed also influences the inflammatory response, leading to greater swelling.
Individual healing capabilities are another determinant, as some heal faster or have less inflammation. Adherence to post-operative instructions also impacts swelling. Following recommended care, such as applying cold compresses and resting, helps manage the body’s inflammatory response and minimize swelling.
Managing Post-Extraction Swelling
Managing swelling effectively improves comfort. For the first 24 to 48 hours post-surgery, apply cold compresses to the outside of the face near the surgical site. This constricts blood vessels, reducing fluid and inflammation. Apply intermittently: 20 minutes on, 20 minutes off.
After the initial 24 to 48 hours, transition to moist heat to reduce swelling and alleviate jaw stiffness. Warm compresses increase blood flow, promoting healing and jaw muscle relaxation. Keeping the head elevated aids in reducing swelling by promoting proper drainage. Over-the-counter anti-inflammatory medications, or those prescribed by the dentist, assist in controlling pain and swelling.
When to Contact Your Dentist
While some swelling is normal, certain signs indicate a need for professional medical attention. Contact your dentist if swelling worsens after the peak period or does not subside as expected. Swelling significantly larger on one side or feeling excessively hard and warm is also a concern.
Other red flags include severe pain not improving with prescribed medication or becoming more intense. Signs of infection, such as fever, chills, pus discharge, or a foul taste, warrant immediate consultation. Difficulty swallowing or breathing, or persistent numbness in the lips, tongue, or chin beyond the expected timeframe, require prompt medical evaluation.