Swelling is a normal part of healing after a tooth extraction, especially after surgical extractions or wisdom tooth removal. Knowing what to expect each day can reassure you and help you spot signs that something is not right.
Swelling begins within hours. Apply a cold compress to the cheek for short periods, rest with your head elevated and follow your dentist's instructions.
Swelling usually peaks around 48 to 72 hours. Some bruising may appear. Continue rest and soft foods, and switch to warm compresses after the first two days if advised.
Swelling should gradually reduce. Jaw stiffness may also improve. Gentle salt water rinses help keep the area clean.
Cold compresses in the first day, keeping your head elevated, avoiding strenuous activity and following medication instructions all help reduce swelling.
Swelling that increases after day three, fever, pus, a bad taste, or difficulty swallowing or breathing may indicate infection and need prompt attention.
Swelling is part of the body's natural healing response. After a tooth is removed, the body sends extra blood and fluid to the area to begin repairing the tissues, which causes puffiness and tenderness. Surgical extractions, where gum is lifted or bone is removed to access the tooth, usually cause more swelling than simple extractions. Lower wisdom teeth tend to cause the most swelling because of their position and the amount of bone around them. Swelling is not usually a sign that something has gone wrong; it is a normal response. Understanding this can help you stay calm and focus on the steps that keep swelling under control.
Along with swelling, some people experience jaw stiffness, making it difficult to open the mouth fully. This is common after wisdom tooth removal and usually improves within a week. Gentle jaw exercises, such as slowly opening and closing the mouth, can help once your dentist advises it is safe. Bruising may appear on the cheek or jaw a day or two after surgery and can change colour from purple to yellow as it fades. Bruising is more common in older adults and people taking blood thinners. Warm compresses after the first two days may help bruising fade more quickly.
While swelling is at its peak, eating can be uncomfortable. Choose soft, cool or lukewarm foods such as yoghurt, smooth soups, mashed potatoes and scrambled eggs. Cut food into small pieces and chew on the opposite side. Avoid hot, spicy, crunchy or chewy foods that can irritate the extraction site. At night, sleep with your head raised on an extra pillow to reduce swelling and throbbing. Place a towel on your pillow in case of minor oozing. Rest is important for healing, so try to avoid strenuous activity for a few days and give your body time to recover.
Usually around two to three days after the procedure.
Most swelling settles within a week.
Mild bruising can occur, especially after surgical extractions.
Contact us if you are concerned about swelling after an extraction.
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