Having your wisdom teeth removed might not sound like a major event, but it still requires plenty of aftercare and knowledge to ensure a speedy and healthy recovery process. The first 24 hours after extraction are particularly important for setting the tone for a smooth recovery. From managing pain and swelling to knowing what foods are safe to eat, this guide covers everything you need to know when healing from wisdom tooth extraction.
Why Are Wisdom Teeth Removed?
Wisdom teeth, or third molars, are teeth which typically emerge between the ages of 17 and 25. They are colloquially known as ‘wisdom teeth’ because they supposedly begin to emerge during these years, where we are supposedly ‘wiser’ than our younger years. For many, these late-arriving teeth simply don’t fit comfortably in the mouth or jaw. They might even grow at awkward angles or remain partially trapped beneath the gums, or crowd existing teeth which causes pain or misalignment. Even wisdom teeth that fully emerge can be difficult to clean properly, making them prone to decay or gum disease. It’s for these many reasons why wisdom teeth are often removed from a patient’s jaw, saving issues associated with pain and impacted oral health.
Is Pain After Wisdom Tooth Extraction Normal?
Pain or discomfort after wisdom tooth removal is completely normal. Once the local anaesthetic wears off, most people begin to feel a dull ache or throbbing in the area. This usually peaks within 6 to 12 hours and gradually eases over the following days. Over-the-counter pain relief such as ibuprofen or paracetamol is often sufficient for dealing with the pain, though your dentist or oral surgeon may provide a stronger prescription if necessary. Applying a cold compress to the outside of your face can also help soothe discomfort in the early hours.
While some soreness is expected in the following day or so, pain that suddenly worsens after a couple of days may indicate a complication such as dry socket. If you’re unsure, it’s always best to contact your dental practice.
How Much Swelling Should You Expect?
Facial swelling usually begins a few hours after surgery and can continue to develop for up to 48 hours. This is your body’s natural response to trauma and isn’t usually cause for concern. In most cases, swelling begins to subside after two to three days.
To help minimise puffiness, hold an ice pack against your cheek intermittently – 15 minutes on, 15 minutes off – for the first 24 hours. After that, switching to a warm compress can help encourage blood flow and reduce inflammation more quickly.
Swelling that is severe, worsens after day three, or comes with fever may signal infection and should be checked by a professional.
Controlling Bleeding After Wisdom Tooth Extraction
Mild bleeding or oozing from the extraction site is common in the hours after surgery. You may notice some blood when you spit or see pink saliva — this is normal. To manage bleeding, gently bite down on a clean gauze pad for 20 to 30 minutes.
If bleeding persists, replacing the gauze and applying light pressure can help. Avoid rinsing your mouth vigorously or using straws on the first day, as these actions can dislodge the blood clot forming in the socket.
Persistent or heavy bleeding that doesn’t slow down after several hours should be reviewed by your dentist promptly.
What Can You Eat After Wisdom Tooth Removal?
In the early recovery period after extraction, your diet should be soft, smooth and easy to chew. Think yoghurt, mashed potatoes, blended soups and smoothies. These foods are gentle on the extraction sites and require minimal effort to eat.
Avoid anything hot for the first few hours, as heat can encourage bleeding. Likewise, skip hard, crunchy or chewy foods that could disturb the healing area — nuts, crisps and crusty bread are best saved for later.
Acidic or spicy foods may also irritate the wounds. Instead, opt for nourishing and soothing options until your mouth begins to feel more comfortable, usually within a few days.
How to Sleep After Wisdom Tooth Removal
Getting proper rest can be challenging when you’re feeling sore or swollen. It’s advisable to sleep with your head elevated on pillows to help reduce swelling and prevent blood pooling at the surgical sites. Try to lie on your back rather than your side. You may also wish to place a towel on your pillowcase in case of light bleeding during the night. Taking any prescribed painkillers before bed can also improve your ability to rest undisturbed.
Brushing Your Teeth and Keeping Your Mouth Clean
Oral hygiene is crucial for healing, but it needs to be approached carefully. Avoid brushing the extraction area directly on the first day. Instead, you can gently clean the surrounding teeth using a soft-bristled toothbrush.
From the second day onwards, you may be advised to rinse gently with a saltwater solution – half a teaspoon of salt dissolved in a cup of warm water. Swish around your mouth very lightly and avoid spitting forcefully to avoid disturbing the blood clot.
Steer clear of commercial mouthwashes for at least a few days, as these can be too harsh on the healing tissues.
Signs to See Your Dentist After Wisdom Tooth Removal
Some discomfort, bleeding and swelling are all expected parts of the healing process. However, it’s important to know when things may not be progressing as they should.
If you experience any of the following, it’s worth contacting your dentist:
- Pain that worsens rather than improves after 2 – 3 days
- Bad breath or a foul taste in your mouth
- Fever or feeling unwell
- Excessive swelling or pus around the site
- Difficulty opening your mouth (trismus) that doesn’t ease
Prompt attention can help resolve any complications before they become more serious.
Activities to Avoid During Recovery
For the first 24 – 48 hours, be sure to take things slow and easy, as any strenuous physical activity can raise your blood pressure and increase the risk of bleeding. Avoid bending over, lifting heavy objects or going to the gym.
Similarly, avoid smoking or drinking alcohol. Smoking can interfere with blood flow and delay healing, while alcohol can irritate the tissues and interact with any medications you’ve been prescribed.
It’s wise to take a day or two off work or study, especially if your job is physically demanding or involves lots of talking.
Conclusion
The key to a smooth recovery lies in rest, proper care and being aware of what’s normal and what isn’t. Stick to soft foods, manage pain with care and don’t hesitate to reach out to your dentist if something feels off. Most people find that their symptoms improve steadily over the first week. With a little patience and mindful aftercare, you’ll be back to normal before you know it.
