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Treatment after wisdom tooth extraction

Medical expert of the article

Maxillofacial surgeon, dentist
, medical expert
Last reviewed: 04.07.2025

Treatment after wisdom tooth extraction includes antiseptic rinses. They should be started on the second day after wisdom tooth extraction. For this, solutions prescribed by the dentist are used, as well as soda-salt baths, herbal infusions (chamomile, eucalyptus, calendula, etc.), and a furacilin solution. Rinsing is recommended 2-3 times a day, holding the solution in the mouth for several minutes.

Wisdom tooth removal is a procedure that requires following doctor's recommendations and taking medications in the postoperative period in order to reduce the duration and intensity of toothache.

If the pain is severe, you can take a painkiller (Solpadeine, Ketanov, Dolaren, etc.), after consulting with your doctor, since many analgesics have a number of contraindications.

In order to prevent inflammatory processes in the postoperative period, the dentist may prescribe anti-inflammatory drugs (Mefenamic acid, Nimesil, etc.), especially if there was a complicated removal of a wisdom tooth. Antibacterial drugs (Sumamed, Amoxiclav, Ceftriaxone) and desensitizing agents (Erius, Loratadine, Suprastin) may also be prescribed. The patient should strictly adhere to the treatment prescribed by the doctor to avoid all possible complications.

Medications after wisdom tooth removal

Removal of a wisdom tooth involves a recovery period, which is sometimes complicated by various unpleasant symptoms and consequences. To prevent the development of infections, the doctor may prescribe a course of antibiotics to the patient. Usually, antibacterial drugs are prescribed after a complex tooth extraction, as well as if the patient has a carious process and inflammation of the surrounding tissues. In surgical dentistry, the most common antibiotics are Amoxiclav, Augmentin, Flemoxin, Ceftriaxone, Trichopolum, etc. Effervescent forms of antibacterial drugs, such as Flemoxin Solutab, are absorbed from the intestines into the blood faster, so they are recommended for people with problems with the gastrointestinal tract.

For pain relief during wound healing, analgesics are used (Ketanov, Ketorol, Nise). Among the anti-edematous drugs used after wisdom tooth extraction, Traumeel C can be singled out. To maintain immunity, the patient is recommended multivitamin preparations: Centrum, Alphabet, Vitrum, etc.

Medicines after wisdom tooth extraction should be taken strictly as prescribed by the dentist. Self-treatment of any postoperative complications can only worsen the situation and will not lead to anything good.

The postoperative wound requires careful treatment. In the first days after the third molar is removed, antiseptic rinses are recommended. Various antiseptics are used for this: stomatophyte solution, chlorhexidine solution (0.05%), miramistin solution (0.01%), as well as herbal decoctions (oak bark, chamomile, sage, herbal anti-inflammatory infusions).

Antibiotics after wisdom tooth removal

Wisdom tooth extraction may occur against the background of an existing carious or inflammatory process, as well as infection. In this case, the patient is prescribed antibiotics to prevent further development of the infectious disease. Antibiotics are mandatory if the third molar was removed in a complex manner.

It is strictly forbidden to take antibiotics on your own after the removal of a wisdom tooth; they should only be prescribed by a doctor who will select the best option for an antibacterial drug based on the patient's condition. Thus, if the patient has problems with the gastrointestinal tract, more gentle drugs are prescribed, for example, Flemoxin Solutab or Unidox Solutab.

The most common antibacterial drugs in modern dentistry are Amoxicillin, Amoxiclav or Augmentin, Metronidazole or Trichopolum, Lincomycin, Sumamed, Flemoxin, Ceftriaxone, Tsifran ST, etc. To eliminate the side effects of antibiotics, Bifiform and Linex are used.

It should be noted that antibiotic therapy is a very complex process that requires careful selection of the drug, taking into account the characteristics of the patient's body. The dosage form, as well as the dosage of the antibiotic and the duration of treatment should be determined by the attending physician.

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Sutures after wisdom tooth removal

Removal of a wisdom tooth most often ends with suturing the cut gum. Usually, suturing occurs in complicated cases, with severe ruptures of the mucous membrane. This manipulation is necessary for normal wound tightening and retention of a blood clot or platelet serum in the socket. In addition, suturing prevents pathogenic bacteria and food debris from entering the wound, since its cavity remains closed. In addition, this procedure predisposes to the fastest healing of the postoperative wound and reduces the risk of bleeding in the socket of the extracted tooth. To suture the wound after the removal of the third molar, the dental surgeon uses different types of threads: soluble, which dissolve on their own, and insoluble - requiring subsequent removal. Most often, dentists use insoluble threads for suturing in their practice.

Sutures after wisdom tooth extraction are removed fairly quickly and painlessly. The dentist will remove the sutures after a follow-up examination of the patient approximately 6-7 days after the operation, but only when he is completely sure that the edges of the wound have healed well.

Drainage after wisdom tooth extraction

Removal of a wisdom tooth with gum incisions most often ends with the application of stitches and installation of drainage - a special medical instrument designed to remove inflammatory exudate, pus, blood impurities, and serous fluid from periodontal tissues. Externally, drainage is a strip or tube that can be made of silicone or rubber. With the help of drainage, you can not only perform oral hygiene, but also introduce the necessary medications into the wound.

Drainage after wisdom tooth extraction is necessary in cases of complications in the postoperative period. In particular, it is used to prevent infection and treat inflammation of the periosteum - periostitis.

If the postoperative wound has begun to fester, drainage is simply necessary, since a single procedure for removing pus is not enough - it will continue to be released for some period of time - until the inflammation has completely subsided.

The constant outflow of purulent discharge from the abscess is carried out through a specially installed tube (drainage), which helps to avoid the ingress of various pathological fluids into the soft tissues of the periodontium. If you neglect the installation of drainage after a single cleaning of the wound, you can provoke its overgrowth, which will cause further suppuration as a result of the lack of external outflow of pus. As for the timing of the installation of drainage, everything depends on the specific case, and this is determined by the dentist, who assesses the condition of the postoperative wound and monitors the healing process.

Rinsing after wisdom tooth extraction

Removing a wisdom tooth, like any surgical intervention, can cause a lot of trouble for a person. Despite modern methods of pain relief used in dental surgeries, the patient almost always experiences severe pain in the postoperative period. In addition, complications in the form of inflammatory processes and wound infection are possible. To prevent such conditions, dentists recommend rinsing the oral cavity with various antiseptics.

Rinsing after wisdom tooth extraction is one of the most effective ways to relieve pain and inflammation. Common rinses include:

  • Miramistin. Solution with antiseptic action. Recommended to use 2-3 times a day, holding the solution in the mouth when rinsing for 1-3 minutes.
  • Chlorhexidine. An effective antiseptic that is used prophylactically to avoid infection of the socket in the postoperative period. You can buy a ready-made solution in pharmacies. You should rinse your mouth several times a day.
  • Infusions of medicinal herbs: calendula, chamomile, eucalyptus, sage, St. John's wort, etc. Have a less pronounced antiseptic effect than antiseptic solutions. To prepare an infusion, pour 1 tablespoon of the herb with 200 ml of boiling water and leave to infuse to room temperature.
  • Soda-salt baths. Used in cases where there is an inflammatory process in the gums and a drainage system was used to drain the pus. Rinse your mouth with a strong solution of salt and soda 2-3 times a day.
  • Furacilin solution. Has a pronounced antimicrobial effect and is effective against various types of pathogenic microorganisms. Available in ready-to-use form (solution in vials) and tablets (to prepare the solution, dissolve 2 furacilin tablets in a glass of water). It is recommended to rinse the mouth 3-4 times a day between meals and before bedtime.

You should rinse your mouth after removing the "eight" no earlier than the second day after the operation. This should be done very carefully so as not to damage the blood clot protecting the socket of the extracted tooth. The rinse liquid should be warm (25-35 °C).

Healing after wisdom tooth removal

Removing a wisdom tooth is a labor-intensive dental operation, so it should be taken seriously, strictly following all the doctor's recommendations.

Healing after wisdom tooth extraction does not always go smoothly. For the normal course of this process, it is necessary to monitor the restoration of damaged tissues and the condition of the socket of the extracted tooth. First of all, you need to ensure that the blood clot that forms in the socket and performs protective functions is not damaged. For this reason, you should not rinse your mouth in the first 24 hours after surgery, so as not to create a vacuum that can provoke deformation, loss or displacement of the clot.

After the third molar is removed, the patient is not recommended to brush their teeth for several days, so as not to injure the painful area with a toothbrush. For normal wound healing, one should refrain from eating for the first 3 hours after the operation, and also refrain from smoking until the wound heals. It is better to exclude hot dishes from the diet, and also to refrain from drinking alcohol. For successful healing, in the first days after the wisdom tooth removal surgery, the patient should take care of proper rest. During this period, excessive physical activity, as well as prolonged exposure to the sun, hot baths, visiting a sauna, etc. are contraindicated.

If during the healing process of the wound there are symptoms such as swelling of the cheek, swelling of the gum, fever and severe, increasing pain, the patient should immediately contact his doctor. Perhaps an inflammatory process has begun, which requires immediate intervention and medical care.

Care after wisdom tooth removal

Removing a wisdom tooth is a very complex operation that requires the patient to follow all the dentist’s recommendations and carefully care for the wound during the postoperative recovery period.

Care after the removal of a wisdom tooth comes down to performing procedures aimed at normal wound healing and restoration of tissues damaged during the operation. All actions of the patient must be careful so as not to damage the tooth socket, in which a special blood clot forms after the operation, which plays an important role in the healing process. Thus, on the first day after the removal of the third molar, it is not recommended to rinse your mouth, and for the next few days you cannot eat hard and hot food, smoke or drink alcohol. It is advisable not to spit saliva sharply so as not to provoke bleeding from the socket.

After wisdom tooth removal, sudden temperature changes, as well as hypothermia or overheating, should be avoided. A patient who has undergone wisdom tooth removal surgery should avoid heavy physical work, visiting a swimming pool or sauna, intense exercise, playing sports, or taking a hot bath.

For gentle wound care, it is recommended to use baths of herbal infusions (sage, calendula, oak bark, chamomile, etc.), as well as Chlorhexidine (an antiseptic solution from a pharmacy), a soda-salt solution, or a solution of potassium permanganate or furacilin, which have an antimicrobial effect.

To avoid damaging the wound, do not touch the suture site with your finger, tongue or toothbrush. It is recommended to apply a special Solcoseryl dental adhesive paste to the sutures three times a day. Absorbable sutures usually fall off within two weeks after they are applied, and non-absorbable sutures will be removed by a doctor after a repeat examination of the patient's oral cavity.

Care after wisdom tooth extraction should be gentle, aimed at preventing all sorts of postoperative complications. Applying a cold bag will help reduce the risk of swelling on the face and reduce swelling. In case of pain, you should take only those analgesics prescribed by the doctor. Cracked corners of the lips from the temperature can be lubricated with Vaseline or sea buckthorn oil. 3-4 days after the removal of the "eight", it is recommended to open and close the mouth more often to return the jaws to normal mobility.

If there are unpleasant sensations, intense pain, a feeling of severe discomfort, burning, swelling, etc. in the area of the extracted tooth, you should not take any independent actions. It is imperative to see a doctor who will assess the state of healing of the tooth socket.

Alcohol after wisdom tooth removal

Wisdom tooth extraction is quite common in dental practice. This is a rather complicated task for a regular dentist, so it is performed by a specially trained dental surgeon, because such a procedure is a real surgical intervention with the use of anesthesia. Therefore, postoperative oral care and control over the wound healing process are as important as in any other operation.

In order for the postoperative period to pass without complications and any consequences, the patient needs to take care of his health and monitor the healing process of the tooth socket. In this case, he should give up bad habits - smoking and alcohol.

Alcohol after wisdom tooth extraction is strictly prohibited during the entire postoperative period, especially if the doctor has prescribed a course of antibiotics for the patient. It is well known about the negative impact of alcohol on the human body: it reduces the activity of all processes, including wound healing, and also dilates blood vessels, thereby thinning the blood, which negatively affects the formation of a blood clot.

When drinking alcohol, medications stay in the human body longer due to liver dysfunction. As a result of alcohol intoxication, the production of special enzymes in this vital organ for cleansing the human body of metabolic products is significantly reduced, which leads to unwanted intoxication. It is important to remember that some medications are absolutely incompatible with alcohol. First of all, this concerns antibacterial agents. Simultaneous use of antibiotics and alcohol can cause dangerous complications that pose a threat to human life.

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