Only a few people are allowed to use their own wisdom teeth Pain. For many of these teeth are not completely created or have too little space in the jaw, so they – gradually or all at once – must be removed. This is not a problem for the healthy chewing function, because even without wisdom teeth, food can be chewed easily.
If it is foreseeable that one or more eights – the wisdom teeth Removal are counted from the center of the dentition, counting the eighth teeth in the row of teeth – cannot easily break, surgical removal by the dentist or an oral surgeon is inevitable. The surgery is usually done under local anesthesia and is therefore painless. In particularly anxious or sensitive patients, the extraction can also be carried out in twilight sleep, under general anesthesia or with nitrous oxide sedation.
Pain After Wisdom Tooth Surgery
If multiple wisdom teeth are or need to be removed, this often happens in a single operation. Then the patient only has to relive the pain and chewing problems after extraction. How strong the pain is and how long it lasts depends on many factors. For example, how much of the particular tooth was already created and fused in the jaw, the direction of growth of the tooth and not least the behavior of the patient in the hours and days after the operation.
If your dentist or oral surgeon has prescribed you an antibiotic or other medication, you should take it according to the doctor’s instructions. You generally have to take antibiotics until the entire amount has been used up, even if the symptoms have dropped significantly after a short time. You should also take a prescribed painkiller, if necessary several times a day. Because even with an optimal cure pain can hardly be ruled out, but they can be mastered very well with the right painkiller.
Where Do Pain And Swelling Come From?
Pain and swelling are possible after each surgical procedure. If the tooth has been pulled or surgically removed, the dentist may suture the wound in the jaw to accelerate wound healing and prevent food debris or bacteria from entering. Nevertheless, it often comes after surgery to painful swelling of the affected area. This is mainly due to the fact that tooth extraction also affects the surrounding soft and bone tissue and takes time to recover.
If the wisdom tooth is placed in the bone but has not yet reached the level of the occlusion, it must be milled out of the bone. This additionally traumatizes the bone tissue, so it takes longer to heal.
In general, the swelling reaches its peak on the third day. Often visible then visible bluish discoloration (hematoma) on the cheeks. The swelling makes it difficult for some patients to fully open their mouths in the first few days. This, too, is a perfectly normal symptom of wisdom tooth removal.
Incidentally, swelling and pain in the upper jaw go back usually faster because it is better supplied with blood than the lower jaw.
Which Analgesics Are Recommended?
In the first days after the operation, you should take pain medication for the pain. Even with a problem-free extraction of the wisdom teeth pain can occur, which are stored in the memory of pain, if you do not fight it with an analgesic. The duration and frequency of ingestion should be discussed with your dentist. However, the pain usually resolves completely within a week.
Completely unsuitable as a painkiller is an active ingredient acetylsalicylic acid, which is contained in the known painkiller aspirin. This analgesic has a blood-thinning effect and can thus delay the closing of the wound in the mouth and trigger rebleeding.
On the other hand, the active ingredient Ibuprofen, which can be obtained up to a dosage of 400 mg without prescription in every pharmacy, is particularly well suited. In a survey of the website
Weisheitszaehne-op.de 713 patients were asked which analgesic actually helped them against the pain. Around 80 percent called it ibuprofen in different dosages. Because this analgesic also works against inflammation. Insensitive people, however, it can cause stomach discomfort.
The Healing Process
Most importantly, after a wisdom-number surgery, you give your body enough time to heal itself. Do not work on the day of the operation and also on the next days, but spare yourself. Physically strenuous activities should only be carried out in consultation with your dentist who checks the healing process after about one week.
How Does The Wound Heal The Fastest?
Do not rinse your mouth vigorously in the first few days after removal of the teeth, as the wound must form a graft, similar to the wounds on dry skin. This graft needs a few days in a damp environment until it is solid enough. You should give the time to him and not remove it prematurely by mouth rinsing. And of course, you should brush your other teeth just as regularly and thoroughly as before the surgery to positively affect wound healing.
But be especially careful when brushing your teeth. Because touching the sensitive tissue with the toothbrush can be very painful. It is best to use a toothpaste with a mild taste, or use common salt instead of toothpaste in the first few days. As soon as the swelling subsides, you can also easily reach the posterior molars while brushing your teeth. Nevertheless, you should not overdo it. Only when the threads are pulled, you can brush your teeth as usual and use your usual toothpaste.
What Can I Eat And Drink?
As long as the anesthetic works, you should completely abstain from eating and drinking. Because there is a risk that you accidentally hurt yourself while chewing because you have no feeling in the tongue and cheeks. If the anesthesia has subsided completely, you can eat safely again, but will only open your mouth a little bit. And chewing will be harder for you in the first few days after surgery. This should be considered when choosing food.
Dairy products of all kinds are strictly prohibited as long as you take the antibiotic prescribed by the dentist or oral surgeon. Because the lactic acid bacteria contained therein can cause inflammation and delay the healing process. Therefore, you should abstain from consuming milk, yogurt, quark, butter, and cheese for 3 to 4 days even after stopping the antibiotic.
And even if it is difficult: Smokers should as long as possible without cigarettes, tobacco or the e-cigarette until the wounds in the mouth have completely healed. Smoking delays wound healing and, in the worst case, can lead to further complications. Therefore, it is better to completely abstain from smoking for a few days.
Also strictly prohibited are alcohol and caffeine. Both can impair wound healing and cause inflammation. In addition, coffee, black tea, and alcohol raise blood pressure, which can bleed the wounds in the mouth. So wait until the swelling has gone down and the affected areas in the mouthfeel normal again.
In general, you should make sure that you eat the softest or most liquid food, as the purchase function is limited in the first days and weeks after surgery. The following list presents food and drinks that can be eaten without hesitation after a wisdom tooth operation:
|Recommended foods||Foods to avoid|
|Clear broths and passed soups||Spicy foods|
|Soft bread without crust||Hot food|
|Pureed vegetables, z. Eg mashed potatoes||Hard or tough foods|
|scrambled eggs||fruit juices|
|Pasta, soft-boiled||Carbonated drinks|
|Lukewarm chamomile tea|
When Are The Threads Pulled?
After about a week, in some cases only after 10 or more days, the threads can be pulled. Self-dissolving threads, such as those used in other operations, are not useful for wounds in the mouth. Therefore, the threads must be removed after healing the wounds. The pulling of the threads should definitely be left to your dentist, who usually stuns the surface of the gums with a surface anesthetic for a short time so that you do not feel any pain during the subsequent stringing. If the threads are completely removed, the wound can finally heal. This usually takes another week.
When May I Play Sports Again?
For a period of two days after surgery, you should take full rest and avoid any physically strenuous activity. Even then, you should step down until the threads are pulled, and then slowly get used to your usual sports routine.
In contact-intensive sports such as football, martial arts, etc., where there is a risk that the jaw is hit, you should give up a few weeks longer. It’s best to talk to your dentist – he can tell you exactly when your jaw will heal completely and the jawbone will be fully loaded again.