The co-author of this article is Ken Miyazato, DDS. Dr. Miyazato is a dentist at the Santa Clara Valley Medical Center in California. He graduated from the residency at the Lutheran Medical Center in 2014.
The number of sources used in this article is 33. You will find a list of them at the bottom of the page.
After the removal of the wisdom tooth, complete and quick recovery requires postoperative care. If you do not thoroughly brush your teeth and oral cavity, an infection or inflammation called alveolar osteomyelitis can occur. Osteomyelitis develops in approximately 20% of cases of removal of the lower wisdom teeth, therefore, to avoid this, it is recommended to take additional precautions. Thorough oral care is necessary for at least one week after tooth extraction. You will need to follow only a few simple procedures, a little time and effort.
Is it possible to brush my teeth immediately after removal
As a rule, after tooth extraction, the dentist applies a small piece of bandage folded several times. Usually after 15-30 minutes it must be spat out. If there is a need to keep the bandage longer, the doctor will definitely notify you.
After tooth extraction, bleeding should stop either immediately or after one, at most two days. But provided that a very small amount of blood is released from the hole.
If more than two days have passed and the blood is still oozing, consult a doctor immediately.
Comment from the reader:
Removing a tooth is the same operation as all others that are performed in the oral cavity. After each of them, a good dentist always recommends rinsing your mouth with chlorhexidine. The solution is collected in the mouth, carefully placed in the mouth by tilting the head, and then allow the fluid to flow from the mouth into the sink without any efforts on its part (you can not rinse). Do this after each meal. When a similar story happened in my life, the doctor allowed me to brush my teeth from the first day, but not to touch the soft tissues where the wound is located after the extracted tooth. She commented on it this way: why did you leave your teeth dirty even for a day, you need to continue to brush them. She also recommended in the first days after tooth extraction not to drink drinks through a straw and if they are hot (this applies to food). She also allowed, if necessary, to drink painkillers.
How to clean the oral cavity in the first two days
On the first day, it is recommended not to brush your teeth at all. Because on the first day the blood flowing from the wound is formed into a clot. It is he who will protect the hole from infection until the edges of the gums completely cover the wound. Therefore, you do not need to intensively rinse your mouth or poke around in the hole with foreign objects. Try not to eat solid foods, and if you chew, then do this on the side of the teeth free of surgery.
After a day, you can rinse your mouth with a weak saline solution (a pinch of salt in a glass of warm water is enough). And you just type the solution in your mouth and alternately tilt your head from side to side. Then bend over to the sink and let the water flow out of your mouth. Do this after every meal.
Two days after tooth extraction, they can already be cleaned, but again bypassing the hole, so as not to harm the proper healing of the wound.
How to brush your teeth after tooth extraction
In addition to regular brushing, clean the tongue and interdental space with floss. If you can not imagine life without an irrigator, then in the first week after tooth extraction, try to use it with minimal pulsation.
Remember that it is important to keep your mouth, if not perfect, but clean. Since infection is fraught with unpleasant consequences, up to blood infection.
If a wisdom tooth is removed
After removing the wisdom tooth, you need to carefully consider oral hygiene. Because wisdom teeth are in the "embrace" of soft tissues, which are very plentifully supplied with blood. Therefore, in the case of infection, a transient development of the abscess is possible, and it can quite realistically be fatal.
Perhaps, in the case of a wisdom tooth, it will not work out with one cotton or gauze swab, so be prepared to change them every 30 minutes. But the doctor will surely notify about this.
- The first day - do not rinse your mouth, do not brush your teeth.
- On the second day, you can type a weak saline solution in your mouth and shake your head.
- Using a brush and toothpaste, we clean the oral cavity after removing the wisdom tooth only on the third day. Again, try to avoid intense rinsing.
- The irrigator should be abandoned for a week.
The need for brushing after tooth extraction
Note! After the removal procedure, a wound is formed in place of the incisor or molar, which bleeds and has no protection against the penetration of pathogenic bacteria.
Microorganisms, penetrating an open wound, can:
- infect it, causing suppuration and local inflammation,
- spread throughout the body, which leads to complications - up to otitis media or meningitis.
Therefore, in the first few days, it is necessary to carefully monitor the cleanliness and healthy microflora oral cavity.
Particularly careful should be in the first couple of days after surgery, until the wound is initially tightened.
When can I clean after removal?
In place of an open wound in the clinic the doctor will place a sanitary swab. After returning from the hospital this swab must be replaced immediately with a new one.
Keep in mind! For its manufacture, you can use sterile cotton wool or bandage (sold in pharmacies).
A bandage or cotton wool that has already been opened for several weeks cannot be used - they can be infected.
A clean small swab should be slightly bitten, like a new filling - to tightly clamp the wound.
Take out the plug very carefully every hour. and assess the condition of the gums.
Blood should stop flowing after a maximum of 4 hours after operation.
If the bleeding suddenly drags on, be sure to return to the doctor.
In the first 24 hours, a blood clot forms on the wound - it is needed for the normal healing of the gums.
Also, the clot prevents the penetration of pathogens into the wound.
When can I clean? To let the wound drag on and not injure the gums - on the first day after surgery, brushing your teeth or using paste and powder should not be categorically.
On the second day, you can brush your teeth very gently with a soft brush, on the fourth -return to your usual care behind the oral cavity.
Stay up to date! Removing a wisdom tooth requires more careful hygiene control.
This is explained by the fact that inflammation can lead to very unpleasant consequences - up to inflammation of the meninges.
therefore after the procedure you need:
- swab every 30-45 minutesassessing the condition of the wound,
- after stopping the bleeding in no case do not touch the resulting clot.
Also, you can not rinse your mouth with active movements.
At the same time, it is important to prevent crumbs and traumatic food from entering the cavity,
- change the toothbrush to the softest and use it
- brush your teeth no earlier than three days after the procedure, gently brushing the wound on the gum,
- in four to five days, depending on the healing procedure, start thorough oral hygienewithout applying a stiff brush.
Important! In some cases, to prevent inflammation after removing a wisdom tooth, the dentist prescribes antibiotics in the form of tablets for three consecutive days after surgery.
After removing a normal tooth
First three days after surgery, starting from the first day, it is necessary rinse your mouth with Chlorhexidine Dental Solution.
And do not actively rinse, but simply gently roll the liquid inside the mouth, thus conducting the disinfection procedure.
On the second day, gently clean the entire tooth surface with as soft a brush as possible without touching the hole.
After each cleaning, rinse your mouth with Chlorhecasdin prophylactically.
You should know! Be sure to gargle gently with a mixture of salt and soda - in a glass of warm water, a spoonful of natural soda and half a spoonful of sea salt.
Such a mixture will not allow the development of pathological microorganisms - bacteria and fungi - and will protect the oral cavity from stomatitis.
Continue the manipulation twice a day for three days, then you can return to the usual brush, paste and rinse aid.
After removing the wisdom tooth
For a week or two after the operation, you need to replace the usual brush with the softest, buy baby fluoride-free paste and do not use alcohol-based rinses.
As soon as the wound lasted well (but not earlier than three days after the manipulation):
- gently, in a circular motion, without touching the hole and gum around it, clean the teeth from plaque,
- treat the oral cavity with chlorhexadine,
- clean the pulp twice a day with a brush or a clean cloth with soda, tongue and cheeks.
Need to know! A stiff brush and a standard paste are not used for at least a week after the procedure, all this time carefully monitoring the condition of the wound and general health.
General oral hygiene after removal
To prevent infection it is necessary to thoroughly clean not only the tooth surface itself, but also the cheeks, tongue and throat.
What do you need to do the first few days after surgery?
First 3-4 days after removal worth using irrigator - a special dental syringe for rinsing the mouth. If it is not, you can use a regular syringe without a needle.
As a disinfectant it is permissible, except for Chlorhexadine, to use a solution of soda and salt or medicinal herbs - chamomile, sage, anti-inflammatory fees.
Remember! Hygiene after removing a wisdom tooth must be very thorough.
If the doctor prescribes antibacterial drugs for external use - is necessary them apply several times a day.
Often prescribe tablets or capsules that need to be dissolved in water and make lotions on the wound from the resulting solution.
Also for disinfecting the entire oral cavity It is worth using a weak solution of soda or infusion of chamomile.
At the same time, active rinsing movements should be avoided.
Can I rinse my mouth after surgery?
Rinse are a significant measure to prevent infection and accelerate wound healing.
You just need to use the simple rules:
- in the first three to four days use an irrigator - it prevents the dissolution or damage of a blood clot in the hole,
- gently, with rolling movements, move the solution inside the oral cavity,
- daily make fresh infusions of medicinal herbs - just hold it in your mouth for a few seconds,
- do not use ready-made alcohol-based rinses,
- Be sure to disinfect your throat with warm water and soda and salt.
Note! Infusions and solutions should be neither cold nor hot - the optimum temperature is about 36 degrees.
What to look for to speed up the healing of the hole?
The most important thing is to let a blood clot formthat prevents bacteria from entering the gums and not damage it until the gums heal completely.
For this avoid brush contact with the woundactive rinsing movements and eating rough food.
Chew food on the opposite side of the gum, gently washing the crumbs with an irrigator after each meal.
Minimum on do not drink alcohol or smoke for two weeks after surgery - This will allow the wound to drag on faster.
- refuse hot food and drinks for at least three days after removal,
- don't warm your cheek
- do not go to the bath, sauna, to the beach,
- thoroughly treat the gums with an irrigator with medicinal infusions,
- take antibiotics if necessary.
From this video you will learn how to care for the oral cavity after tooth extraction:
If you follow these simple rules - inflammation does not occur and the wound will heal in a few days.
If bleeding from the hole lasts more than four hours, there are signs of suppuration, bad breath, sore gums or severe swelling - you should definitely visit the dentist again.
Hygiene: the basic rules
It is important to understand that tooth extraction is perceived as an injury by body systems, and post-traumatic inflammation - normal occurrence.
Photo 1. After removing any tooth, it is important to remember to rinse your mouth in the first 24 hours, you need to carefully, otherwise you can wash the blood clot.
Depending on the features of the operation, the risk of complications and the general condition of the patient, the doctor gives a number of recommendations. The more carefully the patient adheres to them in the postoperative period, the faster the inflammation will be stopped.
Important! Dentists note that extraction of a wisdom tooth from the lower jaw is more complicated surgery due to bone characteristics. Surgeon have to injure a larger gum sectionand the patient more delicate oral care after surgery.
Oral care in the first days after removal of the wisdom tooth in the lower jaw
Immediately after surgery the surgeon places a gauze swab in the hole, which should be kept in the mouth for 20-30 minutes.
This is done, contrary to the stereotype, not so that the blood is absorbed there, but for compression (compression) of the edges holes. A gauze swab performs the same function here as pressure dressings on open wounds.
Within 2-4 hours after the operation, neither food nor drinks should be taken..
It is at this time blood clot formation occurs in the vacated hole. This clot protects an open wound from pathogenic microorganisms.
Important! Many patients cannot bear the taste of blood in their mouths, especially noticeable on the first day after tooth extraction. However it is necessary to endure, because the use of an irrigator is strictly prohibited.
How long can I brush my teeth and how to care for my gums after surgery?
- Most dentists do not recommend the patient to brush his teeth on the first day after extraction.
On the second day, you should not use a brush.
Can rinse your mouth with a weak saline solution (one pinch of salt in a glass of barely warm water) without rinsing. It will be enough just to put a solution into your mouth and, as it were, roll it over, tilting your head to the left or right.
Restrictions in the first week: is it possible to play sports?
- Do not visit the bathhouse, sauna, solarium, beach,
- do not smoke or drink alcohol,
- do not overload the chewing process that half of the mouth on which the injured hole is located,
- do not apply warming compresses,
- prevent physical overwork, postpone sports until the hole is completely healed.
Important! To avoid complications it is recommended not to fly on the plane immediately after removal tooth of wisdom. Before bedtime it is advisable to place an extra pillow under the headto keep your head in a comfortable upright position.
What does postoperative recovery depend on?
Recovery from complex operations depends not only on the competence of medical personnel and the effectiveness of drugs. After removing the wisdom tooth, the patient will also have to make some efforts to contribute to his recovery: strictly follow the doctor’s recommendations and observe the restrictions.