Extraction and Gum Surgery

Wisdom tooth extraction is a common procedure, often leading to discomfort, swelling, and in some cases, complications like dry socket. The good news? Most of these issues can be easily prevented with proper aftercare and professional periodontal treatments, which can significantly improve recovery times and reduce risks of further complications.

How Long Does the Pain Last?

Pain after wisdom teeth extraction can last between 3 to 7 days. However, those undergoing more extensive procedures such as periodontal treatments (gum surgeries or bone grafting) might experience discomfort for a longer period. The pain can vary based on:

  • Whether the extraction was surgical or related to cosmetic periodontal procedures

  • Your personal pain tolerance and healing rate

  • How closely you follow post-op care instructions provided by your periodontist

Post-Op Tips for Surgical Extractions and Gum-Related Procedures

If your wisdom tooth was extracted surgically, involving stitches or bone trimming, you might experience more swelling and discomfort. Similarly, if you have undergone additional procedures such as bone grafting or ridge augmentation, it’s essential to follow the post-op guidelines closely to speed up recovery.

Make sure to take all prescribed painkillers and anti-inflammatories according to the schedule. For the first 24 hours, apply cold compresses to help reduce swelling and keep your head elevated while resting to encourage better circulation. Additionally, avoid strenuous physical activities that might interfere with the healing process.

Stick to soft foods and avoid anything too hot, spicy, or crunchy that could irritate your gums or newly placed dental implants. If you notice persistent pain after 7 days, worsening swelling, or signs of infection such as fever or pus, contact your periodontist immediately for professional evaluation and treatment.

Care After Simple (Non-Surgical) Extraction and Periodontal Procedures

If your wisdom tooth was removed without surgery or your treatment was a less invasive periodontal intervention such as lip repositioning or pinhole surgical technique, recovery is generally easier. However, even after simple procedures, proper care is critical:

  • Don’t rinse your mouth for the first 24 hours to allow for initial healing.

  • Avoid using straws as suction can dislodge the protective blood clot.

  • Stick to soft, cool foods (like yogurt, applesauce, soup) to minimize irritation.

  • Refrain from alcohol and smoking for at least 48 hours to promote gum healing.

  • Do not brush directly over the extraction site for the first day.

  • Avoid touching the site with your fingers or tongue.

When Can You Eat Normally?

You can begin eating soft, liquid foods once the numbness wears off, but avoid chewing near the extraction or implant site.

From day 4 onward, you can gradually introduce soft solids such as mashed potatoes or scrambled eggs if pain and swelling have decreased. After 7 days, most patients can return to a normal diet.

Fastest Way to Heal After Wisdom Teeth Removal and Gum Treatments

For the quickest recovery after wisdom teeth removal or gum surgeries:

  • Take your pain medication before the anesthesia wears off.

  • Use ice packs for the first 24 hours (20 mins on, 20 mins off) to manage swelling.

  • After 48 hours, consider using warm compresses to relax the tissues.

  • Stay hydrated and avoid using straws.

  • Rest and refrain from vigorous physical activity.

  • Keep your head elevated while resting to promote circulation and reduce swelling.

Oral Hygiene After Extraction and Periodontal Treatment

Good oral hygiene is essential for faster healing, especially if you’ve had procedures like gum recession repair or dental implants. Here’s how to care for your mouth post-procedure:

  • Begin gently rinsing with saltwater (½ tsp salt in 1 cup warm water) starting on day 2 or 3, 2-3 times a day.

  • Brush and floss the rest of your mouth as usual, but avoid the extraction or implant site until instructed otherwise.

  • After day 4, you can resume brushing near the treated area with a soft-bristled brush and gentle strokes to keep the area clean without causing irritation.

 

Day 5 After Wisdom Teeth Removal

Around day five, you should notice a decrease in pain and swelling, though this may vary depending on the type of procedure performed. If you’ve had cosmetic periodontal surgery or other gum-related procedures like gum recession repair, recovery timelines can vary slightly. Generally, the pain begins to subside, but complications such as dry socket (which occurs when the blood clot dislodges) may still happen. This typically occurs between days 3 to 5, often requiring professional intervention from a periodontist for proper treatment.