Wisdom Tooth Extraction: What to Expect at Home

Your Recovery

After your procedure, you may have some pain and swelling. You should feel better in a few days. Your doctor can give you medicine for pain. Your doctor will remove the stitches after a few days, if needed.

This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to get better as quickly as possible.

How can you care for yourself at home?

Activity

• Rest after surgery. Avoid strenuous activity and heavy lifting until your dentist or doctor says its okay.
• Elevate your head with pillows when lying down. This may help reduce swelling.
• Don't drive until your dentist or doctor says it's okay.

Diet

• Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as you heal.
• Do not use a straw for the first few days. Sucking on a straw can loosen the blood clot that forms at the surgery site. If this happens, it can delay healing.

Medicines

• Your doctor will tell you if and when you can restart your medicines. You will also get instructions about taking any new medicines.
• If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.
• If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.
• Be safe with medicines. Read and follow all instructions on the label.
  • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
  • If the doctor gave you a prescription medicine for pain, take it as prescribed.
  • Store your prescription pain medicines where no one else can get to them. When you are done using them, dispose of them quickly and safely. Your local pharmacy or hospital may have a drop-off site.
• If you think your pain medicine is making you sick to your stomach:
  • Take your medicine after meals (unless your doctor has told you not to).
  • Ask your doctor for a different pain medicine.

Incision care

• Bite gently on the gauze pad periodically, and change pads as they become soaked with blood. Call your dentist or oral surgeon if you still have bleeding 24 hours after your surgery.
• While your mouth is numb, be careful not to bite the inside of your cheek or lip, or your tongue.
• After 24 hours, gently rinse your mouth with warm salt water several times a day to reduce swelling and relieve pain. Do not rinse hard. This can loosen the blood clot and delay healing.
• Avoid rubbing the area with your tongue or touching it with your fingers.
• Continue to brush your teeth and tongue carefully.

Ice and heat

• Try using an ice or a cold pack on your cheek for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the first 1 to 2 days (when you are awake) or until the swelling goes down. Put a thin cloth between the ice and your skin. Then for the following few days, you can try applying heat on your cheek. Apply heat for 10 to 20 minutes at a time, several times a day.

Other instructions

• Do not smoke, vape, or use tobacco products for at least 24 hours after your surgery. They can increase your risk for complications and delay wound healing.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and contact your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

• You passed out (lost consciousness).
• You have severe trouble breathing.

Contact your doctor now or seek immediate medical care if:

• You have pain that does not get better after you take pain medicine.
• You have loose stitches, or your incision comes open.
• You have new or more bleeding from the site.
• You have symptoms of infection, such as:
  • Increased pain, swelling, warmth, or redness.
  • Red streaks leading from the area.
  • Pus draining from the area.
  • A fever.
• You have new or worse nausea or vomiting.
• You are too sick to your stomach to drink any fluids.
• You cannot keep down fluids.

Watch closely for any changes in your health, and be sure to contact your doctor if you have any problems.