Common Complications After Oral Surgery For Wisdom Teeth

By Author: Ansley Colton
Total Articles: 52
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Oral surgery for wisdom teeth often triggers a predictable set of challenges. Patients usually experience discomfort, swelling, and limited jaw movement in the first days after extraction. Awareness of these issues and early intervention can speed recovery. Timely communication with your dental professional helps address complications before they worsen.

Postoperative Pain and Swelling: Mild to moderate pain and facial swelling are normal responses to tissue trauma. Pain typically peaks 24–48 hours after surgery and then subsides. Applying a cold compress during the first 12 hours and switching to warm packs after 48 hours can ease discomfort. Over-the-counter pain relievers, taken as directed, also support healing.

Alveolar Osteitis (Dry Socket): Dry ...
... socket occurs when the blood clot at the extraction site dissolves or dislodges prematurely, exposing bone and nerves. Symptoms include sharp, throbbing pain radiating toward the ear and a foul taste in the mouth. A dentist can apply a medicated dressing to protect the socket and promote clot formation. Experience relief with expert wisdom teeth removal in Whyalla—learn more!

Infection and Fever: Although rare with proper care, surgical sites can become infected. Signs include persistent swelling, redness, warmth around the area, and fever above 100.4°F (38°C). Maintaining gentle oral hygiene—using a saltwater rinse after meals—helps prevent bacterial buildup. Any suspected infection warrants prompt evaluation and antibiotic therapy if indicated.

Nerve Irritation and Paresthesia: Damage or irritation to the inferior alveolar or lingual nerves can lead to tingling, numbness, or altered sensation in the lower lip, chin, or tongue. This condition is usually temporary but may last several weeks. If numbness persists beyond two months, notify your surgeon for assessment and potential referral to a specialist.

Prolonged Bleeding and Hematoma Formation: Bleeding typically slows within a few hours of extraction. Continued oozing or the appearance of a bruise (hematoma) in the cheek can occur. Biting on a clean gauze pad for 30–45 minutes, and avoiding vigorous rinsing or spitting, encourages clot stability. Seek care if bleeding soaks through multiple gauze pads.

Jaw Stiffness and Trismus: Reduced mouth opening, or trismus, results from muscle inflammation and soreness. Gentle stretching exercises—slowly opening and closing the mouth—can restore mobility over several days. Warm compresses and soft-food diets make jaw exercises more comfortable and limit further irritation.

Sinus Communication and Discomfort: Removal of upper wisdom teeth can create a small opening between the mouth and sinus cavity. Symptoms include sinus pressure, fluid leakage, or sneezing with fluid at the extraction site. Avoid nose blowing and strenuous activity. If sinus pain or persistent fluid drainage occurs, consult your surgeon for closure of the communication.

Author Bio:-

Ansley has 12 years of experience in the dental world. You can find his thoughts at oral surgery blog.