How Long Does The Pain Last After A Tooth Extraction


How Long Does The Pain Last After A Tooth Extraction
Pain After a Tooth Extraction – You will not experience pain when having a tooth removed as the dentist will use an anesthetic. The area surrounding the tooth to be extracted is numbed prior to the extraction. However, once the analgesic wears off, you will feel pain and discomfort.

  1. The pain is due to the underlying inflammation and the reaction of the body’s anti-inflammatory cells as they fight it.
  2. Due to a dry socket, you may have severe pain in the extraction site three or four days after an extraction.
  3. This condition occurs when a blood clot does not form in the tooth socket or is dislodged.

It leads to pain since the underlying bone and nerves are exposed. In addition, infection forms at the site, resulting in bad odor and taste emissions. Most people ask how long post-extraction dental pain lasts. Generally, the level and duration of the pain vary from individual to individual.

How long should there be discomfort after a tooth extraction?

Reasons Why One May Experience Pain After Extraction – are common, especially when treatment options such as root canal or dental fillings can’t solve the dental issue. After the procedure, one should expect some discomfort, swelling, sensitivity, or pain.

  • The pain experienced is usually due to the underlying gum inflammation.
  • What is considered “normal” pain is likely to last for about three days post-extraction.
  • If you are more of the sensitive type, expect a lingering tenderness on the extraction site for longer.
  • However, other reasons could cause pain after tooth extraction.

They include:

Sinus perforation. Sinuses are located on the upper molars. On some occasions, they may be damaged during tooth extraction. The sinus is separated from the teeth by a very thin lining. In some cases, a lengthy procedure may result in a ruptured sinus. A dry socket. It is not an uncommon complication after tooth extraction. A blood clot will develop after the extraction to fill up the gap. After a few weeks, the blood clot solidifies and becomes part of the gum and jaw. However, the clot can dislodge, expose the bone and cause pain. Our dentist near you will you to keep off carbonated drinks, using straws or blowing air by pursing your lips. They can interfere with the blood clot resulting in a dry socket. A dying bone, also known as osteonecrosis, is when a part of your bone dies. The bone is usually exposed, and the gums surrounding it do not heal. It is an uncommon complication but predominantly happens to cancer patients. Talk to your dentist if the jaws and gums haven’t healed after six weeks.

Why does my tooth still hurt after extraction?

DISCUSSION – An extraction socket with an exposed bone, either whole or in part, is diagnosed as dry socket, and stimulation of this extraction socket induces sharp persistent pain and odor, However, pain develops gradually in the adjacent tooth and is occasionally progressive in severity.

  1. Pain in the adjacent tooth is often felt at night or on pressure application and is characteristically dull, continuous, and gradually progressive.
  2. It increases with percussion of the adjacent tooth (second molar) and may be moderate at rest but exacerbated on biting of the opposing teeth while chewing, teeth clenching, and bruxism.

The bone pain described by Mercadante, et al. has the following similar characteristics: 1) gradual onset over weeks or months; 2) progressive intensity; 3) localization; 4) presentation at night or on occlusion; 5) dull and continuous in character; 6) associated with pressure in the area of involvement; 7) moderate on resting but exacerbated with body movements and postures, such as standing, walking, or sitting,

Pain in the adjacent tooth after extraction of a third molar could be caused largely by the inflammatory reaction after osteotomy and the pressure applied after the extraction. The buccal bone is frequently removed during surgical extraction of the mandibular third molar, and in cases of extraction of a completely impacted tooth, the osteotomy is often extended to the buccal side of the second molar and is close to the periodontal ligament space of this tooth.

The periodontal ligament is densely innervated by free nerve endings, and therefore, is more sensitive to pain compared to the surrounding bone tissues. The healing process following tooth extraction with bone removal might be similar to the healing process following an indirect (secondary) fracture.

  1. Blood clots are formed; the inflammatory reaction begins; and the acute inflammatory response peaks within 24 hours and lasts for seven days,
  2. At this time, tumor necrosis factor-α, interleukin (IL)-1, IL-6, IL-11, and IL-18 are released ; inflammatory cells are recruited; and angiogenesis is stimulated.

These cytokines play a role in triggering pain or in lowering the pain threshold, They may migrate to the periodontal ligament, which is located close to the osteotomy site, and contribute to pain in the adjacent tooth following the extraction, by lowering the pain threshold at the noxious free nerve endings in the periodontal ligament.

  • The effect of pressure on the adjacent tooth during and after extraction may be attributed analogously to occlusal trauma.
  • Occlusal trauma is an injury of the teeth or their attachments from excessive occlusal forces,
  • The periodontal ligament consists of dense fibrous connective tissues, which attach and support the teeth to the alveolar bone,

Therefore, pain caused by application of pressure on teeth could be associated with the periodontal ligament, Excessive occlusal forces may increase the degree of tooth movement and decrease the bone density, Moreover, they may affect the periodontal ligament and the alveolar bone,

Occlusal traumas can clinically present as tooth movements, fractures, migrations, sensitivity to extremes of temperature, wear facets, premature occlusal contacts, and pain on muscle palpation. Radiographically, alteration of the lamina dura, widening of the periodontal ligament space, evidence of root resorption, and bone loss may be observed,

Frost first proposed a hypothesis in 1965 that bone changes in volume and structure in response to physical demands, such as application of pressure, The theory of occlusal overload inducing bone resorption is supported by reports of the intracellular biological signaling process,

  • In the absence of pressure, disuse atrophy leads to bone resorption, and fatigue overloading of the bone also causes microfractures and resorption of the bone,
  • Cytokines, such as bradykinin, prostaglandin, nerve growth factors, serotonin, adenosine triphosphate, and proton, which are released by osteoclasts to stimulate bone resorption, stimulate the nociceptors in the bone and periodontal ligament and cause bone pain,

Roqué M, et al. described the association between bone destruction and pain, stating that pain is the result of bone destruction, and progressive bone destruction increases the pain intensity, In experimental animal models of trauma from occlusion, the density and size of the calcitonin gene-related peptide and substance P immunoreactive nerve increased locally in the gingiva, periodontal ligament, and pulp tissues.

  1. In addition, axonal proliferation and morphologic changes in the nerve appeared in the pulp tissues.
  2. Nerve reactions in the periodontal tissues were localized in the cervical and apical regions,
  3. Thus, pain may be associated with damage to the periodontal ligament from pressure application, while it may be misunderstood as pulpal pain,
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Postoperative endodontic examination for delayed or severe pain in the adjacent tooth revealed positive tooth vitality, excluding the adjacent teeth with preoperative caries with pulpal involvement ( Fig.3 and ​ 4 ). Panoramic radiograph of a 45-year-old man from group B acquired before #48 extraction and periapical radiographs acquired simultaneously and three weeks after the extraction Panoramic radiograph of a 27-year-old man from group C acquired before #38 extraction and periapical radiographs acquired simultaneously and eight weeks after the extraction because of persistent pain in the adjacent tooth (#37) However, this study could not ascertain whether or not post-extraction pain was caused by the pressure applied during extraction.

The proportion of patients who complained of pain in the adjacent tooth after extraction of the third molar was 22.4%. Most patients did not complain of pain after extraction. Although the possibility that the pain was caused by the pressure applied on the bone and the tooth adjacent to the mandibular third molar during extraction could not be completely excluded, the surgeon had taken special care during extraction to ensure that the extraction force was not exerted on the adjacent tooth by surgically dividing the third molar during the extraction.

Furthermore, the pain can be caused by a single application of pressure and not by continuous pressure because the pain associated with bone resorption is moderate at rest and deteriorates with movement or pressure application, The pain from periodontal ligament damage can be caused by persistent postoperative stress from biting on the gauze with more force than necessary to achieve hemostasis after extraction and from the forces exerted because of parafunctional habits, such as unconscious clenching and nighttime grinding, which can also contribute to alveolar bone loss,

Pain after surgical removal of the mandibular third molar could originate from the periodontal ligament or from the bone of the adjacent tooth. Therefore, the patients’ age, duration of pain, and prognosis could help in distinguishing this condition from dry socket. In this study, the differences in age among the patient groups were not statistically significant, but the time required for symptom relief was longer in group C (mean: 19.4 days) compared to group A (mean: 11.2 days).

In patients with pain in the adjacent tooth, the symptoms gradually improved after following the instructions of controlled chewing in the affected area and resolving the parafunctional habits. When symptoms persisted for over three weeks, periapical radiography was performed.

However, bone resorption was not apparent in the periapical view in such cases ( Fig.3 and ​ 4 ). Pain in the adjacent tooth after extraction of the third molar can be improved by limiting the pressures applied on the affected tooth. Therefore, in patients who do not limit/control unconscious parafunctional habits, such as clenching and bruxism, the pain may not improve and may deteriorate.

The effects of parafunctional habits on the prognosis of painful teeth should be investigated in future studies. This study had several limitations. There was no control group with patients who did not receive instructions on mastication and parafunctional habits for relief of postoperative pain in the adjacent tooth.

However, considering the retrospective nature of the study, it is clinically pertinent that such instructions were not omitted for any patient. Furthermore, for an alternative study design, comparing the clinical results among different surgeons was not pertinent because the criteria for the indication of extraction, surgical technique, and postoperative follow-up and management would be different.

Further studies with the use of the visual analog scale to quantify pain in the adjacent teeth and a prospective study design using pain records would contribute to the prevention and effective treatment of post-extraction pain.

How do I know if I have dry socket or normal pain?

After tooth extraction, a normal socket will develop a blood clot while the wound heals. In a dry socket, the blood clot will partially or fully detach from the wound, which can worsen the pain. Dry socket, or alveolar osteitis, is a common complication of tooth extraction.

  1. It develops when the blood clot that protects the wound disintegrates or breaks loose, leaving the nerves and bone in the socket exposed.
  2. This article will look in more detail at the differences between dry sockets versus normal healing sockets.
  3. It also explores what causes dry socket, as well as treatments and recovery time.

We will also look at whether it is possible to experience this condition with no pain. Following a tooth extraction, an empty socket will usually heal on its own, while any pain from the procedure will gradually improve. In contrast, with a dry socket, the pain will improve and then suddenly get worse, which could be more painful than the extraction procedure.

  1. The pain of a dry socket may throb and radiate across a large area of the jaw or up towards the ear.
  2. The following table shows the differences between a dry socket versus a normal socket: Most cases of dry socket develop within 3–5 days after surgery.
  3. The risk of this condition decreases over time, so the longer the wound heals, the lower the likelihood.

For standard tooth extractions, complete recovery takes a couple of weeks. However, wisdom tooth extractions can take much longer to heal. Once the wound fully heals, there is no risk of dry socket. After a tooth extraction, the body creates inflammation,

  1. This causes mild swelling around the affected area.
  2. Platelets in the blood clump together to form a clot, which protects the wound by sealing it.
  3. If this clot disintegrates, becomes dislodged, or does not form, the empty tooth socket is unprotected.
  4. This increases the risk of intense pain due to the exposed nerves in the socket.

Certain risk factors increase the likelihood of developing a dry socket, including:

Pressure on the wound: Chewing or biting down on the empty socket can dislodge the blood clot. Similarly, using straws, sucking on foods, and blowing the nose can create negative pressure inside the mouth, increasing the risk of the blood clot detaching. Location and type of extraction: Dry socket is more common in wisdom tooth removal and tooth extractions from the lower jaw. It is also more prevalent if the extraction is complicated or traumatic, as well as depending on the surgeon’s experience level. Preexisting infection: People with bacterial infections in the mouth before undergoing tooth extraction have a higher risk for dry socket. Those with preexisting infections should speak with their dentist about antibiotics, History of serious illness and cancer : A 2019 analysis of dental records found that dry socket was more common in people with a history of mouth sores, hospitalization from a serious illness, and cancer. Smoking: Most studies suggest there is a link between smoking and dry socket. This may be due to the tobacco itself, or the sucking motion involved in smoking. Birth control pills: Females taking birth control pills may have higher rates of dry socket. One study suggests people taking oral contraceptives might have a two-fold increased risk of the condition.

Treatment for a dry socket focuses on reducing pain. The American Dental Association advise going returning to the dentist to manage symptoms. A dentist will first flush out the socket with a medicated mouthwash or saline. Then, they will fill in the socket with a medicated dressing to control the pain.

  1. Depending on how long the pain lasts, people may need to change this dressing after a couple of days.
  2. Adults can also take nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil),
  3. In most cases, the pain of dry socket improves within 24–72 hours, according to the Canadian Dental Association.

In some people, the pain may last up to 7 days. However, prompt treatment can reduce the pain faster. If the socket dressing is not effective, or the pain persists for longer than a few days, a dentist may reevaluate to see if another condition is responsible for the pain.

  • For most people, the main symptom of dry socket is severe pain.
  • However, pain tolerance and perceptions differ from person to person.
  • Therefore, some people may experience less pain than others.
  • Dentists will typically diagnose dry socket based on the presence of pain and breakdown of the clot after a tooth extraction.
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The primary treatment for dry socket is pain management, so if the condition causes little or no pain, it does not require treatment. The socket will heal and get better on its own. However, contracting a bacterial infection is a potential complication following a tooth extraction.

  • People with symptoms that indicate an infection, such as pus from the socket, should seek treatment, even if the affected area is not painful.
  • People experiencing worsening or severe pain after a tooth extraction should speak with a dentist.
  • If the cause is a dry socket, they can help relieve pain quickly.

It is also important to see a dentist for:

pain that does not respond to pain medication new or worsening swelling a few days after surgeryswelling, pus, and fever pain elsewhere in the mouthbroken teeth near the surgery site

Dry sockets become increasingly painful in the days after a tooth extraction. They may also have exposed bone or tissue, or an unpleasant smell. By comparison, normal healing sockets get less painful over time and do not cause any other symptoms. A dry socket can be very painful, but it is not usually serious.

How much pain is normal 4 days after tooth extraction?

Check for Signs of Normal Healing Pain – Your body has special pain receptors that respond when they detect damage or trauma. A tooth extraction involves irritating your gums and the underlying bone. Although your Tempe dentist is careful to avoid causing unnecessary trauma, your body recognizes this as an injury.

Normal healing pain typically becomes noticeable after the oral anesthetic wears off. It tends to worsen over the next several hours. After peaking sometime within the first 24 hours, you’ll notice it gradually improving. Most people feel mostly pain-free by the third or fourth day. Some swelling and soreness can continue throughout the first week.

Throbbing pain during the first 24 hours after your extraction is likely just a sign that your body is healing. The pain should respond well to any over-the-counter or prescription medications you take. It may also decrease with basic self-care. Applying a cold pack to the outside of your cheek can help soothe the inflammation that causes pain.

How do I know if my tooth extraction is healing properly?

What’s normal after the tooth extraction? – In the first 24 hours of tooth extraction, you may experience discomfort, bleeding and clotting of the area your tooth was previously. Your dentist or surgeon will instruct you on how to care for your in-chair tooth removal or wisdom teeth extraction recovery such as recommending types of food and how to brush your teeth.

The post-care instructions from your dentist are to ensure your gums and jaw heal in the quickest possible time frame. Pain medication is given at the dentist’s discretion. You may also find ice packs on the outside of the cheek are very helpful. Your dentist may also recommend a mouthwash for yourself to use or just recommend warm salty water.

We do not recommend using straws to drink as the sucking motion can make dry socket more likely to occur. By day 3, your gum swelling should subside and your open wound from extraction will begin to close. In 7 days, your gums should be very close to being completely healed with minimal sensitivity or pain.

Why is my pain getting worse after tooth extraction?

Overview – Dry socket (alveolar osteitis) is a painful dental condition that sometimes happens after you have a permanent adult tooth extracted. Dry socket is when the blood clot at the site of the tooth extraction fails to develop, or it dislodges or dissolves before the wound has healed.

  • Normally, a blood clot forms at the site of a tooth extraction.
  • This blood clot serves as a protective layer over the underlying bone and nerve endings in the empty tooth socket.
  • The clot also provides the foundation for the growth of new bone and for the development of soft tissue over the clot.
  • Exposure of the underlying bone and nerves results in intense pain, not only in the socket but also along the nerves radiating to the side of your face.

The socket becomes inflamed and may fill with food debris, adding to the pain. If you develop dry socket, the pain usually begins one to three days after your tooth is removed. Dry socket is the most common complication following tooth extractions, such as the removal of third molars (wisdom teeth).

Is day 3 the worst after tooth extraction?

After Removal Of Multiple Teeth – A small amount of bleeding is to be expected following the operation. If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 30 minutes. If bleeding continues, a moist tea bag can be used for 30 minutes.

If bleeding occurs, avoid hot liquids, exercise, and elevate the head. If bleeding persists, call our office immediately. Do not remove immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture. Use ice packs (externally) on the same side of the face as the operated area.

Apply ice for the first 36 hours only. Apply ice continuously while you are awake. A low grade fever is common immediately after the surgery but to call if the fever exceeds 101 degrees. For adults, for mild discomfort use aspirin, Tylenol or any similar medication; two tablets every three to four hours.

  • Ibuprofen (Advil, Motrin) 200mg can be taken two to three tablets every three to four hours.
  • For severe pain, use the prescription given to you.
  • If the pain does not begin to subside in two days, or increases after two days, please call the office.
  • If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.

Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. Drink at least six glasses of liquid the first day. Do not rinse your mouth for the first post-operative day, or while there is bleeding. After the first day, use a warm salt-water rinse every four hours and following meals to flush out particles of food and debris that may lodge in the operated area.

  1. One teaspoon of salt in a glass of lukewarm water.).
  2. After you have seen your dentist for denture adjustment, take out denture and rinse three to four times a day.
  3. Restrict your diet to liquids and soft foods that are comfortable for you to eat.
  4. As the wounds heal, you will be able to advance your diet.

The removal of many teeth at one time is quite different than the extraction of one or two teeth. Because the bone must be shaped and smoothed prior to the insertion of a denture, the following conditions may occur (all of which are considered normal): The area operated on will swell, reaching a maximum in two days.

  • Swelling and discoloration around the eye may occur.
  • The swelling will build over the first 48 to 72 hours and then plateau for 2-3 days making the 3rd-5th days the worst for pain and swelling.
  • The application of a moist warm towel will help eliminate the discoloration.
  • The towel should be applied continuously for as long as tolerable beginning 36 hours after surgery (remember ice packs are used for the first 36 hours only).

A sore throat may develop. The muscles of the throat are near the extraction sites. Swelling into the throat muscles can cause pain. This is normal and should subside in two to three days. If the corners of the mouth are stretched, they may dry out and crack.

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Your lips should be kept moist with an ointment like Vaseline. There may be a slight elevation of temperature for 24-48 hours. If temperature continues, notify the office. If immediate dentures have been inserted, sore spots may develop. In most cases, your dentist will see you within 24-48 hours after surgery and make the necessary adjustments to relieve those sore spots.

Failure to do so may result in severe denture sores, which may prolong the healing process. Go Back to Top

Is day 2 the worst after tooth extraction?

The second day following surgery is usually the worst day for swelling. If your post-operative pain or swelling worsens or unusual symptoms occur call my office for instructions. There will be a cavity where the tooth was removed. The cavity will gradually, over the next month, fill in with the new tissue.

Can I drink coffee after tooth extraction?

Ok, But When Can I Drink Coffee Again? – The good news is that you don’t have to survive for too long without your precious jolt of caffeine in the morning. While every patient heals at a slightly different pace, most people can begin drinking small amounts of coffee around 5 days after an extraction.

What should you avoid after tooth extraction?

Don’ts – Below are some things to avoid while you’re healing.

Don’t drink with a straw, suck on candy or ice pops, slurp soups or other liquids, rinse your mouth vigorously, or smoke for 24 hours. These things create suction in the mouth. This may dislodge the blood clot. Don’t drink alcohol or use mouthwash containing alcohol for 24 hours. Alcohol use may delay healing. Don’t spit. Spitting may loosen or dislodge the clot.

What if I can’t get food out of extraction site?

How to Clean Your Wisdom Teeth Sockets – Once wisdom teeth are removed, keeping the extraction sockets clean is essential for the healing process. Food particles can get stuck in the wisdom teeth sockets and cause inflammation, but it’s important not to disrupt the clot from forming. Use the following tips for ways to remove food stuck in your wisdom teeth sockets:

  1. Dislodge the food by gently rinsing your mouth with warm salt water (saline) solution. Avoid swishing the water around and don’t spit—this can lead to painful dry sockets,
  2. If you received a syringe from your clinician, you can use warm water or salt water to gently flush the socket clean. Be careful not to touch the gums with the syringe.
  3. Rinsing with a germicidal oral rinse can reduce the number of bacteria in the mouth. Your dentist or oral surgeon may prescribe this after your procedure.

Since you technically have an open wound healing in your mouth, it is best to use good oral hygiene practices with recommendations from your dentist or oral surgeon. Wash your hands thoroughly before eating, and make sure anything you put into your mouth is clean.

  • Suction can lead to dry sockets – avoid using straws, smoking, spitting, or aggressively swishing liquids around in your mouth
  • Stay hydrated by drinking plenty of liquids
  • Apply ice packs to your cheeks to help with swelling
  • Do not touch the surgical site if possible

As tempting as it may be, leaving your wisdom teeth sockets alone and letting them heal is the best thing you can do. Following your dental professional’s post-operation instructions can ensure you have a speedy recovery and limit your pain. Talk to your dental professional if you experience signs of infection. You’ll be back to your old self in no time!

Can dry socket heal itself?

Will a dry socket heal on its own? – Yes, in most cases a dry socket will heal on its own. However, because most people experience moderate to severe dry socket pain, seeing your dentist for prompt treatment can help ease discomfort sooner.

How do I know if I dislodged my blood clot?

How will I know if my blood clot fell out? – If you develop dry sockets, the pain will let you know that your wound is no longer protected. Swelling is also an indication you have lost your blood clot, as is the taste of blood in your mouth.

Should I still have pain 48 hours after tooth extraction?

Signs of infection – If you have a tooth removed (extraction), look for any signs of infection. The pain and swelling usually get worse about 4 to 6 days after surgery. If you have an infection, this can be treated with antibiotics. However, antibiotics can make the contraceptive pill less effective.

Is pain normal 48 hours after tooth extraction?

Pain. It is normal for post-operative pain to increase in the first 1-2 days along with swelling which usually peaks at about 48 hours. It is also normal in the case where four third molars have been removed for some sites to hurt more than others.

Is it normal to still have pain 7 days after wisdom tooth extraction?

What Is the recovery time after wisdom tooth extraction? – The recovery time after wisdom teeth removal varies from one individual to the next. In some cases, patients need stitches to close the wounds, which may be removed after a week. In some cases, you may have additional swelling, bruising, and pain.

You’ll have to place an antiseptic gauze in the empty socket for a few hours to encourage blood clot formation. The blood clots will form within 24 hours. You should be extremely careful not to dislodge the blood clot because that will lead to a “dry socket,” which can be extremely painful. The swelling in your mouth and cheeks will gradually improve over two to three days. You may have a follow-up appointment wherein the dentist removes the sutures within seven days. The soreness and jaw stiffness will completely dissipate within 10 days. Even those with the slowest healing processes will heal completely within 2 weeks.

The wisdom teeth removal recovery process is different for different people. However, there are some things you can actively do or avoid to speed up the recovery process. The most important consideration is maintaining the blood clots in your mouth because they prevent excessive bleeding, protect the open wounds from infections, allow tissue growth, and generally speed up the recovery process.

Don’t brush your teeth near the wisdom tooth extraction site for a day. Don’t rinse your mouth because the pressure may dislodge the blood clot. Don’t drink anything hot. Don’t eat anything crunchy or hard. Don’t make any sucking motions, either on straws or cigarettes. Don’t drink alcohol or smoke for at least 24 hours.

How do I know if my tooth extraction is healing properly?

What’s normal after the tooth extraction? – In the first 24 hours of tooth extraction, you may experience discomfort, bleeding and clotting of the area your tooth was previously. Your dentist or surgeon will instruct you on how to care for your in-chair tooth removal or wisdom teeth extraction recovery such as recommending types of food and how to brush your teeth.

The post-care instructions from your dentist are to ensure your gums and jaw heal in the quickest possible time frame. Pain medication is given at the dentist’s discretion. You may also find ice packs on the outside of the cheek are very helpful. Your dentist may also recommend a mouthwash for yourself to use or just recommend warm salty water.

We do not recommend using straws to drink as the sucking motion can make dry socket more likely to occur. By day 3, your gum swelling should subside and your open wound from extraction will begin to close. In 7 days, your gums should be very close to being completely healed with minimal sensitivity or pain.