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The removal of a wisdom tooth is carried out in several stages. At the first patient, an x-ray is taken and the root position is determined. On the second, the gum is cut, the upper part is pulled out with forceps and the debris is cleared out of the resulting hole. The third stage - the care of the oral cavity at home. The patient must regularly treat the wound and disinfect the oral cavity, follow the doctor's instructions and diet so that the gum will quickly heal without serious complications.
Day One: general recommendations
The dentist closes the formed hole with a cotton swab. He is held for 20-30 minutes, and then removed. Inside the wound, coagulated blood accumulates, which acts as a barrier protecting against germs and bacteria. This plug cannot be touched with your fingers or tongue, scratched with a toothbrush or other objects.
The hole will tighten and stop bleeding in 2-3 hours. During this period, you can not eat food or drinks. On the first or second day after the removal of a wisdom tooth, it is recommended to abandon raw vegetables and fruits. Cook soups, or mucous porridge, and meat and fish, cleared of bones, interrupt in a blender with a small amount of broth. Solids injure the hole left by the third molar and can trigger bleeding.
Meals should be warm. Jelly, chewing gum and other sticky products are contraindicated. Sour-milk drinks can be added to the diet, but they must be warmed to room temperature.
It is desirable to use food through a straw or with the help of a teaspoon. The patient should not open his mouth wide so that the seams do not open. Chew the healthy side so that fewer germs and leftover food fall into the hole.
On the first day after the operation, it is better to stay at home and avoid stressful situations. It is useful to sleep a lot. The body recovers faster during rest. You should not take a hot bath or visit the bath in the first week after the removal of the third molar.High temperatures can trigger bleeding that only a dentist can stop.
The patient is advised to refrain from evening tooth brushing. But in the morning it is necessary to process the oral cavity. Only the brush should not touch the blood clot and the hole, because the gum is easy to injure. And bring infection, triggering inflammation and suppuration of soft tissues.
Pain and temperature
The action of the anesthetic gradually decreases, and discomfort in the area of the third molar appears. They are intensified, making it difficult for the patient to sleep and eat. Pain is a normal reaction to the removal of a wisdom tooth, but it is not necessary to endure it.
The dentist who performs the operation should pick up drugs that remove uncomfortable sensations. If the doctor forgot to make a list of painkillers, you can try "Ketanov", "Baralgin" or "Tempalgin." But for the day to take no more than 3 tablets. Abuse of potent drugs is fraught with tachycardia, stomach pain, problems with the nervous system and pressure.
On the second or third day after surgery, when the blood clot dries out a little,You can put a piece of garlic on the hole. Spicy vegetable, peeled from the husk, cut into thin plates and pressed to the gums. Or squeeze out of the workpiece juice and soak homemade medicine gauze swab.
Garlic is an antiseptic and anesthetic in one bottle. The product destroys bacteria, reducing the likelihood of inflammation, and stimulates the healing of the hole. But compresses of spicy vegetables are applied no more than 3 times a day and hold from 10 to 15 minutes, so that the tool does not burn the delicate gums mucosa.
The pain is removed with cold compresses. Hot contraindicated. Warm lotion enhances swelling and blood circulation in the hole. Cold freeze the nerve endings and dull the discomfort. Compress is made from ice cubes or a piece of meat lying in the freezer. The product is wrapped with cling film and a small terry towel. The fabric will protect the skin from frostbite.
Cold compresses are used 3-4 times a day. The lotions are applied for 20–30 minutes, but they cannot be kept longer, otherwise the capillaries located in the gum will become brittle and brittle. The risk of bleeding will increase.
In the first days after surgery, the patient complains not only of pain, but also of high fever. Indicators considered normal are 37.6–38, 5.If the thermometer mark is smoothly approaching 39 or even 40, then you need to call the dentist or call an ambulance.
At home, the heat knocked down a copious drink. Only hot teas and decoctions are prohibited. Warm drinks are replaced by non-carbonated water, natural juices and chilled fruit drinks. It is necessary to abandon the sweet soda and jelly. Sugar is deposited on the blood clot covering the hole and creates ideal conditions for the reproduction of microbes. But bacteria cause inflammation and increase the heat.
The temperature is reduced by “Ibuprofen”, “Nurofen” or “Nise”. Drugs have analgesic properties. Also in case of heat after the removal of a wisdom tooth, Paracetamol and Nimesil are recommended. Tablets are taken in 6-8 hours, no more. If the temperature does not decrease, you should consult with your doctor.
Disinfecting procedures
Improper care for a fresh wound leads to complications and serious diseases:
- alveolitis;
- stomatitis;
- hematomas;
- osteomyelitis of the jaw;
- purulent periodontitis;
- abscesses
In order for the hole to heal quickly and without problems, the patient must give up heavy physical exertion for 1–2 weeks. You can not lift heavy bags, buckets and go to the gym.Even morning exercises in the early days is contraindicated.
The risk of complications increases due to smoking. Hot smoke dissolves the blood clot, so it can fall out ahead of time. There will be an open wound into which infections and bacteria will penetrate.
Rinse the mouth can not be, and do disinfectant baths can be. Disinfecting compounds prepared from medicinal plants:
- daisies;
- oak bark;
- calendula;
- eucalyptus;
- sage
Herbs not only kill germs, but also stop inflammation. It also stimulates the regeneration of soft tissues and dulls the pain. Broths are prepared from 2-3 Art. l healing raw materials and a cup of water. Plants or steamed boiling water, or use a water bath. Solutions for disinfection of the oral cavity are cooled to 35–36 degrees and must be filtered through gauze folded in 7–8 layers. The main thing that the infusion was not small particles that can get stuck in the hole.
Antiseptics for washing the wells are made from baking soda. For 300 ml of cooled boiled water, 35–40 g of powder. Plus 5-6 drops of iodine or calendula alcohol tincture. You can use "Chlorophyllipt", but not necessarily.Soda composition also filtered through cheesecloth.
The third version of the antiseptic is prepared from cooking or iodized salt. The spice kills germs and burns the edges of a fresh wound, reducing the likelihood of bleeding. The solution should not be too concentrated, so 25-30 grams of salt is taken on a cup of liquid. Stir until seasoning crystals completely dissolve, and then filter to prevent solids from damaging the gums.
A patient about to remove a wisdom tooth may purchase Miramistin or Chlorhexidine in advance. The second option is practically no different from the first, but it is two to three times cheaper. Pharmacy antiseptics are used to disinfect the oral cavity after 3-4 hours after surgery.
So that the solution does not wash the blood clot, you need to take the drug in your mouth and slowly "pour" on the sore side. Keep the antiseptic for 5 to 15 minutes and then spit out gently. The procedure is repeated 4–5 times a day.
Bleeding has opened
At home, a wad of sterile gauze is pressed against the wound. Cotton wool will not work, particles of material stick to the gum and remain in the open hole. Swab pressed with his teeth. The billet can be moistened in a solution of soda with iodine or in "Chlorhexidine". Before surgery, you can buy a hemostatic tablet "Vikasol" or "Ditsinon." But the doctor must approve the drugs, because they are not suitable for all patients. If the bleeding does not decrease within 5–10 minutes, call an ambulance.
Alarming symptoms
Edema appears in the first day after the removal of the third molar. On a 2-3 day day, it should decrease. If the cheek is swollen, and the body temperature is kept within 37–39 degrees, you need to make an appointment with a doctor.
Consultation of the dentist will be needed if the patient has:
- headache;
- inflammation of the lymph nodes located next to the wisdom tooth;
- numbness of the lower face or gums;
- foul odor indicating rotting;
- throbbing pain, exciting lower jaw and ear.
A person with complications is opened the gum.Remove purulent contents and wash the well with antiseptic solutions. And then antibiotics are prescribed to prevent re-inflammation. Only a dentist or maxillofacial surgeon should conduct manipulations and select drugs. Remove the blood clot and pierce boils in the home is prohibited.
There are many nerve endings, lymphatic vessels and blood capillaries in the wisdom teeth, so the removal of the third molar is often accompanied by pain, swelling and fever. But the symptoms disappear on day 3–6, if the person follows the recommendations of the doctor, does not forget to take the prescribed drugs and carefully cares for the oral cavity.
Video: recommendations after tooth extraction
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