Having your wisdom teeth removed is a common dental procedure that millions of people undergo each year. At Brookfield Oral Surgery, we understand that knowing what to expect during recovery can help ease anxiety and ensure a smooth healing process. This guide will walk you through what to expect after your wisdom tooth extraction, from the first 24 hours to complete recovery.
The First 24 Hours
The initial recovery period is crucial for proper healing and minimizing complications.
Immediately After Surgery
- Gauze pads: You’ll leave our office with gauze pads placed over the surgical sites. Keep them in place with gentle pressure for about 30-45 minutes to control bleeding.
- Facial swelling: Apply ice packs to your face in 20-minute intervals (20 minutes on, 20 minutes off) to minimize swelling.
- Rest: Plan to rest for the remainder of the day. Avoid strenuous activities and keep your head elevated.
- Transportation: Arrange for someone to drive you home, as the effects of anesthesia and pain medication can impair your ability to drive safely.
Managing Bleeding
Some bleeding or oozing is normal during the first 24-48 hours. If bleeding persists:
- Replace the gauze pad over the extraction site
- Apply firm, continuous pressure for 30 minutes
- Sit upright and avoid physical activity
- Avoid rinsing or spitting forcefully, as this can dislodge blood clots
Pain Management
- Take prescribed pain medication as directed
- If prescribed antibiotics, complete the entire course
- Over-the-counter pain relievers like ibuprofen can help reduce inflammation and discomfort
Days 2-3: Managing Swelling and Discomfort
Swelling typically peaks around 48-72 hours after surgery before gradually subsiding.
Reducing Swelling
- Continue using ice packs for the first 48 hours
- After 48 hours, switch to warm, moist heat to help reduce swelling
- Keep your head elevated while sleeping using extra pillows
Diet Recommendations
- Stick to soft foods like yogurt, applesauce, mashed potatoes, and smoothies
- Avoid using straws, as the suction can dislodge blood clots and lead to dry socket
- Stay hydrated but avoid extremely hot beverages
- Gradually introduce more solid foods as comfort allows
Oral Hygiene
- Begin gentle rinsing with warm salt water (1/2 teaspoon of salt in 8 oz of water) 24 hours after surgery
- Continue brushing your teeth, but avoid the extraction sites
- Avoid commercial mouthwashes that contain alcohol
Days 4-7: Continued Healing
What to Expect
- Swelling should begin to subside
- Jaw stiffness may persist but should gradually improve
- Mild bruising may appear on the face and neck
- Some patients experience a sore throat or ear pain as referred pain from the extraction sites
Activity Level
- Return to normal activities gradually
- Avoid strenuous exercise for at least 3-5 days
- Listen to your body and rest when needed
Warning Signs to Watch For
Contact our office if you experience:
- Excessive bleeding that doesn’t subside with pressure
- Severe pain not controlled by prescribed medication
- Swelling that worsens after 3-4 days
- Fever or signs of infection
- Difficulty swallowing or breathing
Weeks 1-2: Returning to Normal
Most patients can resume their normal activities and diet within 7-10 days after surgery.
Dietary Considerations
- Gradually return to your normal diet as comfort allows
- Continue to avoid very hard, crunchy, or sticky foods that could irritate healing areas
Follow-Up Care
- Attend your scheduled follow-up appointment, typically 1-2 weeks after surgery
- This appointment allows us to check your healing progress and remove any non-dissolving stitches
Long-Term Recovery
Complete healing of the socket can take several months, but most visible healing occurs within the first few weeks.
Potential Long-Term Effects
- Mild numbness in the lip, tongue, or cheek is possible but usually temporary
- Some patients may feel a depression where the tooth was as the bone remodels
- Improved dental alignment in some cases as pressure from wisdom teeth is eliminated
Preventing Complications
Dry Socket Prevention
Dry socket occurs when the blood clot at the extraction site is dislodged, exposing bone and nerves. To prevent this painful condition:
- Avoid smoking for at least 72 hours after surgery
- Do not use straws for at least one week
- Follow all post-operative instructions carefully
- Maintain good oral hygiene without disrupting the surgical sites
When to Call Us
While complications are rare, please contact Brookfield Oral Surgery immediately if you experience:
- Persistent numbness beyond the expected timeframe
- Signs of infection (increased swelling, pain, foul taste, or odor)
- Difficulty opening your mouth after one week
- Fever above 101°F
Final Thoughts
At Brookfield Oral Surgery, we’re committed to making your wisdom tooth extraction and recovery as comfortable as possible. Remember that healing times vary from person to person, and following post-operative instructions carefully will help ensure a smooth recovery. If you have any questions or concerns during your recovery, don’t hesitate to contact our office.
We’re here to support you every step of the way on your journey to better oral health!