A child’s baby tooth was pulled out – what to do: recommendations, consequences, healing

Situations in which swelling is not a cause for concern

In many cases, swelling that occurs after tooth extraction is normal and should not cause alarm.

There is no need to worry if:

1. The swelling is mild and does not increase over time. If tooth extraction turned out to be traumatic or was carried out against the background of severe inflammation, then slight swelling is allowed to appear, which should go away on its own in a couple of days.
2. Body temperature is slightly elevated, but does not increase over time, or is completely within acceptable values. Removing a tooth when it is inflamed can cause a slight increase in temperature, which, if the source of pain has been eliminated, quickly subsides.
3. There is no increasing pain. A sign of normality is the presence of slight pain (after all, removal is a surgical procedure during which soft tissues are injured), gradually decreasing over time. If the pain does not go away, or its strength increases, then this indicates either increasing inflammation or the occurrence of any complications.
4. The hole left after the operation is closed with a blood clot. Naturally, after the procedure, the hole is filled with rapidly clotting blood. This clot reliably protects the tissue, preventing the development of an inflammatory process.

After removal, the cheek may look swollen for one day - this is a period during which you should not worry. If after 24 hours there is no obvious deterioration and the swelling decreases, there is no need to waste time on a visit to the dentist. But if at least one of the symptoms listed above is present, this indicates the need to make an appointment with a dentist as quickly as possible in order to prevent the situation from worsening.

In what cases is medical assistance needed?

Symptoms of the postoperative period should alert you in the following cases:

• with redness of the mucous membrane and skin, shortness of breath (signs of tachycardia);
• if a rash has formed on the upper body (allergy to drugs);
• when the tumor increases, it appears on other parts of the gum or on the entire side of the face;
• when your health worsens (fever, difficulty swallowing saliva, opening your mouth, painful chewing);
• progressive pain;
• if a putrid odor begins to emanate from the mouth;
• when the swelling went away after the operation, and after some time began to grow again;
• swelling lasts too long.

Each option may indicate an ongoing complication, so there is no point in wasting time postponing a visit to the doctor.

When you can't do without a doctor's help

If any of the situations listed below arise, you need to go to the dentist, who will take the necessary measures (wash the hole, put in medicine, take measures to release pus, etc.).

So, you can’t do without a trip to the dental clinic if:

1. The swelling that appears after removal does not subside, but, on the contrary, grows. In this case, there is no point in continuing to wait, since it is obvious that the situation will not resolve itself. Swelling may indicate inflammation or suppuration. In some cases, swelling can develop to large sizes, affecting the area under the eye.

2. There is pain that does not decrease over time. Severe pain for a couple of days is acceptable only with a particularly difficult removal, accompanied by sawing out the bone: in all other situations, the pain should decrease and completely disappear after 1-2 days.
3. The temperature rises.
4. Feeling unwell does not go away.
5. There are difficulties opening the mouth and making swallowing movements.
6. There is no blood clot in the hole left after tooth extraction. Perhaps the clot simply fell out or was washed out when rinsing the mouth. If there is no clot, then the risk of inflammation increases, which is accompanied by very severe pain. It is useless to wait patiently for the pain to go away on its own: the dentist, having assessed the situation, will administer the required medicine, which will quickly relieve the discomfort.

Sometimes swelling does not appear immediately, but 3-4 days after surgery. Typically this is due to the fact that:

• the blood clot in the socket has festered;
• inflammation began in the hole.

This condition is called alveolitis. With this inflammatory lesion, self-medication using antibiotics and other medications is pointless. Only a doctor can alleviate the patient’s condition by clearing the hole of small food debris and placing medicine inside.

Sometimes a hematoma may form on the gum. In the first few days after its appearance, it may not cause attacks of pain or lead to swelling of the cheek, however, when obvious signs of suppuration are visible, leading to pain, you should consult a dentist, who will most likely open the hematoma.

Important! Swelling of the gums and cheeks may be a sign of complications.

In most cases, complications are the result of damage to the blood clot inside the socket. If the wound surface is broken, infection enters the hole. An acute inflammatory process develops. This is signaled by the rapid increase in swelling of the gums and cheeks. This situation requires prompt medical intervention.

When exactly should you go to the doctor?

• swelling increases despite the fact that more than 2 days have passed since surgery;
• throbbing pain in the gum, cheek, jaw has appeared and is intensifying;
• body temperature reaches 38℃ and above, lasts more than 1 day;
• there was a pain in the throat when swallowing;
• there is a feeling of weakness and malaise.

The dentist will clean and disinfect the hole with a special antiseptic; if necessary, perform additional surgery and prescribe antibiotic therapy. After treatment, swelling of the gums and cheeks will completely disappear, and the condition will return to normal.

“Center for Modern Dentistry” invites you for treatment and tooth extraction. Our surgeons will perform the operation carefully and painlessly, minimizing the risk of complications. If necessary, you will be provided with emergency assistance for gum swelling, eliminate postoperative complications, and help you recover.

When should swelling occur?

There are situations when the development of noticeable edema is inevitable. They arise:

1. After an operation of increased complexity. Removal accompanied by damage to nearby tissues (for example, when it is necessary to saw out bone or incisions in the mucous membrane) leads to the appearance of edema. In some situations (for example, when the eighth tooth is removed), facial asymmetry is likely to occur.
2. When removed due to severe inflammation. Then an infection remains in the hole, which can become the main cause of swelling. If the operation is carried out in compliance with all the rules, then the dentist, seeing inflammation, is obliged to thoroughly rinse the wound with an antiseptic solution, and then apply the medicine. Sometimes antibiotics are prescribed. However, even then it cannot be said that the inflammatory process will not begin.
3. When cutting the gums on which there is an abscess, the dentist makes an incision to release the pus located in the soft tissues. If there was already a slight swelling during the procedure, it may increase slightly in size, which is normal.
4. When contacting people suffering from certain diseases. Quite often, according to the observations of dentists, patients who have high blood pressure complain about swelling of the cheek after tooth extraction, leading to the accumulation of a subcutaneous fat layer on the face. In such people, swelling may well appear even with normal removal, which proceeds without any complications.

Possible consequences

Even simple tooth extraction is accompanied by tissue injury. During the operation, blood vessels and mucous membranes are damaged, so for 3-7 days the patient may be bothered by:

• swelling,
• pain of different localization,
• discomfort in the oral cavity,
• slight increase in body temperature,
• discomfort when closing the jaws.

After tooth extraction, a wound remains in the gum, which takes at least one week to heal. It is necessary to ensure that the hole is always filled with blood. The blood clot prevents food particles and pathogenic bacteria from entering the socket.

How to get rid of swelling at home

If there is no reason to see a doctor, but you want to get rid of the swelling as soon as possible, you can try the following methods:

• Immediately after removal or surgery, apply a cold compress (water bottle, wet cloth). The application must be repeated throughout the day once every half hour for 5 minutes. ATTENTION! Using a cold compress on the second, third, etc. day is unacceptable.
• Use special decongestant ointments.
• Sleep with your pillow raised high.
• After a few days, cold compresses are replaced with warm ones. A single session of the procedure should not exceed half an hour. Vasodilation and increased blood flow promote faster recovery.
• use corticosteroids. Since this type of drug has many side effects, it is better to consult a doctor before taking it. You should resort to these medications only in cases of extreme necessity, when pain due to swelling interferes with normal daily activities.
• These methods should be used if there are no complications: in other cases, it is recommended to consult a doctor for a detailed examination.

What to do to eliminate the tumor?

If, after the removal of a wisdom tooth, the tissues nearby are swollen, then the patient’s main task is to follow all the doctor’s instructions after the procedure. This is the only way to minimize swelling and pain.

It is necessary to keep the affected area cold and under no circumstances heat it - this is the main and fundamental condition for the fight against swelling. The cold is kept every hour and a half for 7-10 minutes during the first day after the intervention. A thick cloth soaked in cool water or a bottle of water chilled in the freezer are suitable as a source of cold. In this case, you need to periodically change the compress when it warms up, and make sure that the skin is not frostbitten.

It is advisable to measure the temperature on the first day after surgery; it may increase, but should not exceed 38°C.

Eating hot food and drinking, taking a hot bath or shower, and visiting bathhouses is prohibited for at least two to three days after the event. Also, after removing a wisdom tooth, you should not puff out your cheeks and rinse out the protective blood clot from the wound. It is not recommended to chew on the removal side.

Antibiotics are prescribed as medications (for example, Tsiprolet 500 mg for 5 days, two tablets per day) to reduce the risk of infection. Painkillers are also prescribed (in particular Nimesil powders, no more than three packets per day).

Be sure to brush your teeth, this again reduces the risk of infection. However, you should be careful near the socket of the extracted tooth so as not to damage the protective blood clot. For the procedure, it is better to give preference to a tool with soft bristles.

Whether the cheek is swollen after the removal of a wisdom tooth or not, for the treatment and prevention of swelling, in any case, you can use Dicynone, treat the wound with Miramistin, or do oral baths with chlorhexidine. You can also rinse your mouth with anti-inflammatory substances and solutions: infusion of chamomile or sage, furacillin, etc. But rinsing should be done very carefully so as not to disturb the protective clot.

Special gels will help reduce tissue swelling and pain, and also effectively fight inflammatory processes. The prescription of such medications is carried out only by the attending dentist.

It is also advisable to at least temporarily exclude cigarettes, alcoholic beverages, foods with a lot of salt, sugar, hot spices and solid foods from your life. During the healing period after surgery, it is better to give preference to foods with a soft consistency.

Complications of edema and methods of dealing with them

Often, swelling is accompanied by one or more complications from the list below:

• bleeding. A little bleeding is normal. If there is more blood, the wound can be pressed with a gauze pad moistened with an antiseptic (for example, Chlorhexidine). If bleeding does not go away for more than 2 days, you should not delay visiting a doctor;
• numbness. After any dental procedure, the area around the mouth may lose sensation. There is nothing wrong with this if the side effect goes away within 12 hours;
• the occurrence of pain, which is acceptable even after surgery. The main rule is that pain should decrease within a couple of days. In some cases, the pain can be so severe that a person cannot chew food (the condition should last no more than 5 days). To alleviate this condition, you can take painkillers (for example, paracetamol);
• the occurrence of a dry socket after surgery (especially important for smokers). In this case, a blood clot, without which the healing process is impossible, does not form. The condition is often accompanied by a feeling of pain and an unpleasant taste in the mouth. The most effective way to combat it is to wash the wound several times a day, followed by applying an antiseptic bandage.

Diseases that occur after tooth extraction and cause swelling

When teeth are removed (in particular, molars, canines and incisors), the following diseases may occur:

• alveolitis, when suppuration of the hole occurs. Accompanied by swelling of the cheeks and cheekbones. The temperature rises, general weakness occurs, and bad breath appears;
• osteomyelitis is a disease in which the jaw bone becomes inflamed (the process is accompanied by the formation of pus). The cheek swells at the site of inflammation, and the pain affects the entire row of teeth. It becomes painful for a person to open his mouth and talk. The disease is accompanied by severe headache and fever; in some cases, blood poisoning is possible (if you do not consult a doctor in time);
• neuritis. The facial nerve is affected, which is accompanied by acute pain. Quite often it occurs when teeth with long roots are removed. With neuritis, the cheek becomes swollen and numb; numbness also affects the palate, larynx and tongue.

How to prevent complications?

To avoid swelling and subsequent treatment, it is recommended:

• Keep your head held high for at least 12 hours after surgery (or better yet, 24 hours). To do this, while lying down, you need to place several pillows under your head;
• do not touch the hole with your tongue or fingers;
• do not use warm compresses for 36 hours after surgery;
• do not smoke or drink alcohol for 72 hours after surgery.

Correct behavior after surgery is no less important than the procedure itself: if you adhere to the above rules, the swelling will go away either in the shortest possible time or will not occur at all.

Preventive measures

Since the likelihood of swelling after tooth extraction is quite high, the following recommendations should be followed to minimize the risk of cheek swelling (the same rules apply in cases where swelling has already formed and needs to be removed as soon as possible):

• use oral baths (the salt liquid is only kept in the mouth without rinsing, since otherwise infection of the hole may occur);
• use anesthetics to relieve pain. As a rule, these are Ketanov, Ibuprofen and other similar drugs that reduce the inflammatory process and relieve pain. The most important thing is to follow the dosage indicated in the instructions;
• follow the diet. If an operation has been performed, then on the first day you should not eat hard or hot food, as it can cause injury to the already damaged gum. During the week after surgery, the basis of the diet should be soft and non-spicy foods. Until the swelling goes away, it is better to chew on the other side of the mouth, doing it slowly;
• Avoid taking hot baths, as this may cause bleeding from the socket;
• When brushing your teeth, skip the operated area until the swelling goes away.
• On average, swelling subsides within 2-3 days from the date of surgery: if this does not happen, you will have to contact the dentist again for an examination and additional research if necessary.