Popular questions on tooth extraction:
Possible consequences and complications of tooth extraction
Most of the complications after tooth extraction are associated with the addition of infection. Many microorganisms inhabit the oral cavity, many of them conditionally pathogenic – that is, under certain conditions they can provoke an infectious process.
So, if the hole after the removal of the tooth is deep enough, it is not closed by a blood clot and does not heal for a long time, food debris and pathogenic microorganisms can accumulate in it, which provokes wound suppuration and inflammation:
Alveolitis is an inflammatory process in the well, which usually manifests itself on the third day after surgery and is characterized by severe pain, unpleasant smell from the mouth. The process of wound healing slows down, which can lead to a number of other complications; (See also: Alveolitis – causes, symptoms, complications, treatment)
With a long non-healing wound after extraction of the tooth, in the area of which purulent-inflammatory processes are observed, the risk of osteomyelitis of the jaw increases;
If the infection has affected the wound after the removal of the lower wisdom tooth, the risk of complications and serious consequences increases several times, since the soft tissues in this area have an intensive blood supply. Infectious process, which may occur after an incorrectly performed operation or if the rules of the rehabilitation period are not followed, spreads deep into the tissues. This creates the prerequisites for such serious complications as abscess, phlegmon, or even sepsis, in which pathogenic microorganisms enter the blood and spread to other organs. Sepsis can lead to disruption of the entire body and even fatal.
The infection can get into the wound directly during the operation with insufficient sterility of the conditions, or develop after it if the patient ignores the rules of hygiene and wound care during the rehabilitation period.
After the operation after the rehabilitation period, it is recommended to install the implant in place of the extracted tooth, otherwise a number of other unpleasant consequences develop. First, the chewing function is disturbed, the load is unevenly distributed on the remaining teeth, which leads to their rapid wear and causes a number of dental problems in the future. With insufficient chewing of food can cause problems with the digestive system.
The absence of a tooth can lead to a distortion of the facial features, the appearance of early wrinkles, and atrophic changes in the jaw tissue. That is why the installation of the implant should be done as early as possible, especially since the engraftment process immediately after the removal of the tooth is faster.
Signs of complications after tooth extraction:
Steady rise in temperature up to 38 degrees and more;
Edema that does not subside for several days; swelling so big that it interferes with swallowing and opening the mouth; (See also: Edema after wisdom tooth removal)
Severe pain in the region of the extracted tooth, which lasts for several days and does not subside after taking painkillers;
Bleeding does not stop for more than 12 hours, while the blood comes out in large quantities and has a bright red color;
Numbness in one or both jaws, which does not pass more than two days from the time of the anesthetic, which was used during the operation.
If you have any of these signs, you should consult a doctor, as they indicate the development of an infectious process.
What can not be done after the removal of the tooth?
You can not immediately throw a gauze swab, which is installed on the wound by the doctor – it helps to stop the bleeding and the formation of a blood clot. It is kept for half an hour or even an hour in case of problems with blood clotting;
Do not rinse immediately after surgery and on the first day. Instead, they use baths of soda solution (the liquid is kept in the mouth for a minute and spit gently so as not to create negative pressure and excessive mechanical stress);
You can not drink and eat at least three hours after surgery, and possibly longer. This period depends on the speed of blood clot formation, which closes the well and does not allow food debris to accumulate in it. The diet should not include food that causes irritation – spicy and burning, sour or too hot. At this time, it is also better to refuse sweet and overly salty foods;
In the first few days after the operation to remove the tooth, thermal procedures such as a sauna, hot tub, or solarium are contraindicated for the patient. Overheating of the body can cause bleeding, which causes the blood clot to fall out and the healing process is delayed;
Avoid heating the site of the operation and the face in its area, as this may stimulate the inflammatory process;
Brush your teeth after removing teeth should be very carefully, trying not to affect the area of the extracted tooth, use a minimum of toothpaste or do without it;
Eliminate any mechanical effect on the affected area. In particular, this concerns attempts to touch the wound with the tongue or fingers, as patients often do. Any manipulations with the wound are carried out by the attending physician or according to his recommendation. Self-medication and self-diagnostics in this period will only aggravate the situation, even if there is really something wrong with the wound;
Until the wound heals completely it is impossible to chew the cud and eat sucking sweets. Chewing load creates unnecessary mechanical irritation, there is a risk of disrupting the healing process. When sucking candy, there is a negative pressure in the oral cavity, which provokes the displacement of a blood clot;
It is not recommended to go in for sports after operation, it is better to refrain from increased physical exertion for several days. Avoid any stress, as they can increase blood circulation, increase pressure, which provokes bleeding from a wound;
It is not recommended to use an irrigator for at least three days after surgery.
What to do after tooth extraction?
If the gum swells severely after the operation, you can put a cold compress on the cheek at the site of edema, maintaining it for 10-15 minutes;
To relieve pain after tooth extraction, you can take painkillers, which the doctor prescribed, avoiding drugs that affect blood clotting like aspirin;
If a tooth extraction was performed on a woman during lactation, breastfeeding is permitted, as anesthetic drugs will not affect the baby’s body.
To relieve inflammation and reduce pain, baths can be made on the basis of medicinal herbs, holding the decoction in the mouth for several minutes;
With an increased risk of infectious complications, the doctor may prescribe antibiotics. Nursing mothers need to warn a specialist about their condition and pick up drugs that are safe for the child;
Hygiene procedures are carried out with warm water to avoid overheating of the body and bleeding. Head washing is also allowed, but it should not be lowered to avoid blood flow to the head;
Coffee and tea can be drunk only chilled no earlier than three hours after surgery. Other drinks, except alcohol, are also allowed, but they can not be drunk through a straw. From the permitted food products during the rehabilitation period – vegetable and fruit purees, dairy products, you can eat ice cream. Avoid solid foods, as chewing gums can be mechanically injured when chewing;
Air travel after tooth extraction is allowed if the journey takes a little time. You should take a sterile cotton swab with you in case of sudden bleeding. If during the operation sutures were imposed, then you can fly on an airplane no sooner than they will dissolve.
What to do if gum hurts after tooth extraction?
Pain in the gums at the site of the extracted tooth is a normal phenomenon after surgery, they begin two to three hours after the end of the anesthetic action and can appear 2-3 more days with different intensity. In addition to pain, swelling and swelling of soft tissues are normal, difficulty in swallowing. After the removal of wisdom teeth, it may be difficult for some time to open the mouth, a hematoma may occur at the site of the operation, which is often observed in patients with high blood pressure. All of these are signs of post-traumatic inflammation.
Edema can go to the chewing muscles – this complication usually resolves on its own, but if there is no improvement after four days, it is necessary to consult a doctor.
Pain syndrome can be removed with painkillers prescribed by the attending physician. It is forbidden to use drugs that affect blood clotting. If the pills do not help, and the pain does not stop for several days, you need to contact a specialist.
How much does the gum hurt after tooth extraction?
Pain can last from several hours to several days after surgery. In the case of their intensity and duration, the doctor may prescribe painkillers, which are started one and a half hours after the extraction and continue at intervals of six hours.
What to do if the gum is swollen after tooth extraction?
Gum swelling after surgery is a typical post-traumatic phenomenon, a local inflammatory process that develops when the tissue is mechanically damaged.
Edema can go to the chewing muscles – this complication usually resolves on its own, but if there is no improvement after 4 days, it is necessary to consult a doctor.
How much does the gum and hole heal after tooth extraction?
The hole at the site of the extracted tooth brings discomfort during the healing process – food residues can get into it, it can bleed and ache. Moreover, it is necessary to carefully monitor its condition, observing all the rules of hygiene and care in order to avoid suppuration and inflammatory processes of the alveolitis.
Immediately after the removal of a tooth, a blood clot forms in its place, which plays an important role in the wound healing process. It closes access to bacteria and does not allow food particles to clog in the well. That is why picking the wound with your fingers, toothpick, tongue is strictly contraindicated so as not to dislodge the blood clot, as this threatens with complications in the form of a dry hole or alveolitis.
Gradually, as healing progresses, the blood clot is replaced by granulation tissue, which, in turn, is replaced by the osteoid. Thus, in the place where there used to be a tooth, new bone tissues are formed, over which there are gums.
At the first stage of tissue repair, the circular ligament that surrounds the tooth is tightened, bringing the edges of the gums closer together. This process is also called secondary tension, and its success largely depends on the quality of the operation. If during the removal of the tooth the surrounding tissues were severely damaged and smashed, the wound is healed for a long time and is problematic.
So, normally, the edges of the gums converge after about 2-3 weeks, and during a traumatic operation, this process is delayed for a month or two. Moreover, in case of complications, the complete healing process takes from four months to six months.
How much does swelling hold after tooth extraction?
A slight swelling after removal of the teeth is normal, as surgery causes a local inflammatory process, and swelling and redness of the tissues are its signs. Local inflammation appears in violation of the integrity of the gums, without which it is impossible to remove a tooth. The danger is a situation in which the edema does not subside in a week, but gradually increases, affecting the cheek and chin area.
With a normal operation without complications, edema lasts no more than 4 days, disappears completely in a week. In the absence of improvements, you should contact a specialist.
However, if the swelling after tooth extraction does not decrease or, on the contrary, increases, going over to the cheek or chin, then it is necessary to consult a doctor, as this may indicate the development of infectious and inflammatory complications.
How to remove swelling after tooth extraction?
A slight swelling of the cheek in the place of the projection of the extracted tooth occurs in many patients and does not pose a threat to health. However, it is very important to independently control the size of the edema and record the slightest changes. Usually, the edema subsides a day after the operation and does not require additional measures to eliminate it. In order to prevent complications, you can take photographs of your face several times a day to compare the amount of edema and the dynamics of the process over time, as well as to take temperature every two to three hours. Swelling and a slight increase in temperature within