After the Extraction: Risks and Possible Complications
Once your tooth is out, your dentist will place gauze over the area and ask you to bite down gently to help form a clot and stop the bleeding. This clot is crucial—it protects the socket as it heals. You might be sent home with extra gauze, instructions for care, and a prescription for pain relief or antibiotics if needed.
While tooth extraction is generally safe, there are a few risks to be aware of. Keep in mind that these complications are uncommon when proper technique and aftercare are followed.
Dry Socket: This occurs when the protective blood clot is dislodged or dissolves too early, exposing bone and nerves. It can be painful and delay healing. Things that increase the risk include smoking, drinking through a straw, or vigorous rinsing, especially during the first 24–48 hours.
Infection: Signs of an infection include prolonged pain, swelling, fever, or pus. Call your dentist as soon as you notice any of these.
Nerve Injury: This can cause numbness or tingling in the lips, chin, or tongue. It is rare, but it can happen, especially with lower wisdom teeth.
Sinus Issues: For upper back teeth, the roots may be close to the sinus cavities, so sometimes an opening between the mouth and sinus, known as a sinus communication or oroantral communication, occurs. This may require additional treatment.