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Medical Forum / General / Dentistry / October 2007

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Questions about wisdom tooth extraction

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Ray D. - 02 Oct 2007 00:15 GMT
First off, here is the best picture I could take of the hole left from
the wisdom tooth that I had taken out on Friday afternoon.  I only had
one of the upper molars taken out.

http://users.rowan.edu/~delvec28/tooth.jpg

It's Monday now, and I still haven't had much pain throughout the
entire experience (haven't taken any painkillers or tylenol and I've
been fine).  I did have a couple questions though:

1.)  Obviously the biggest concern would be dry socket and/or
infection.  Considering I have no pain, I know I don't have either,
but I heard either could occur a few days after the surgery.  First,
does it look like my tooth (or hole) has a blood clot?  It's basically
a little blackness within the hole, so I'm assuming that's what it is,
but I really have no idea.  Also, when you dislodge the blood clot, is
this something that is very noticeable (i.e. a big chunk of dried
blood in your mouth?  I was told not to smoke within 24 hours after
the extraction, but I'm curious if it would be okay now that its about
3 days.  I've heard some say they smoked a day later and nothing
happened, and others say they smoked 5 days later and got dry socket.
I'm assuming this varies with the severity of the case.

If I did smoke, should I put in gauze to cover the area?  Also, is it
best to rinse with salt water after smoking?  How about in the morning
- is it best to rinse first then brush or vice versa?

2.) The paper the dentist gave me warned me about smoking and using a
straw, but what about other things such as blowing your nose or
coughing?  Is it possible for this to dislodge the clot?

3.)  What about alcohol?  I'm not an alcoholic, but I do enjoy going
out and having a couple drinks, so how long should I wait before I can
do that again?  Also, I generally use Listerine often and I know that
has alcohol in it, so when it is best to resume rinsing with that.

I know there are a lot of questions there, but I appreciate any
input!  Hopefully some dentists out there can help me out.  Thanks a
lot.
Steven Bornfeld - 02 Oct 2007 03:17 GMT
> First off, here is the best picture I could take of the hole left from
> the wisdom tooth that I had taken out on Friday afternoon.  I only had
[quoted text clipped - 35 lines]
> input!  Hopefully some dentists out there can help me out.  Thanks a
> lot.

    It looks good.  At this point the blood clot is covered by fibrin,
which accounts for the whitish appearance.  Usually if the clot is going
to be knocked out it's within the first 12 hours or so after extraction,
and usually is accompanied by bleeding, so you may not see a discrete clot.
    It is certainly possible to still get a dry socket at this point, but
they are far less likely in the upper than the lower jaw.  Smoking still
can irritate the area and I'm certainly not one to encourage smoking,
but after 3 days it probably doesn't increase your risk in this area
much.  Neither would a beer or glass of wine.  If you're going to rinse
at this point you're still probably better using warm salt water, 1/2
tsp./ 8 oz. water than Listerine.  Coughing or blowing your nose will
not be a problem after 3 days either.  Just don't stick anything up
there (say, a Q-tip--I've seen people do this).

Steve
 
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