Wisdom tooth extraction is usually safe, but understanding possible problems helps you prepare. Most people heal without issues, but knowing what to watch for keeps you safe. Some complications are minor and heal quickly, while others need immediate care.
At Townsville Dental Clinic, we explain all risks before surgery. This helps you make smart choices about your treatment.
What Are Possible Complications?
Wisdom tooth extraction can cause different types of problems. Most are mild and go away on their own. Some need treatment from your dentist. Understanding these helps you know when to call for help.
Common Problems
Dry Socket happens when the blood clot falls out too early. This leaves the bone exposed and causes severe pain. The pain usually starts 2-3 days after surgery. Your dentist can treat this by cleaning the area and placing medicine in the socket.
Infection can develop if bacteria get into the wound. Signs include increasing pain, swelling, fever, and bad taste. This usually happens because people don’t follow care instructions. Antibiotics can treat most infections if caught early.
Too Much Bleeding is scary but usually manageable. Some bleeding is normal for the first day. Heavy bleeding that soaks through gauze every 30 minutes needs attention. Bite down firmly on gauze and call your dentist if bleeding won’t stop.
Swelling peaks around day 2-3 after surgery. Your face may look puffy and feel tender. Ice packs help reduce swelling in the first 24 hours. After that, warm compresses work better.
Less Common Problems
Nerve Damage can cause numbness in your lip, chin, or tongue. This happens when surgery affects nearby nerves. Most nerve problems are temporary and heal within months. Permanent damage is very rare, affecting less than 1% of patients.
Jaw Stiffness makes it hard to open your mouth wide. Some stiffness is normal for a few days. If you can’t open your mouth after a week, contact your dentist. Gentle exercises and warm compresses usually help.
Sinus Problems can happen with upper wisdom teeth. Sometimes surgery creates a small opening between your mouth and sinus. Most heal on their own within a few weeks. Avoid blowing your nose hard if this happens.
Can Nerve Damage Occur During Extraction?
Nerve damage is one of the most feared complications. Two main nerves can be affected during lower wisdom tooth removal. The inferior alveolar nerve controls feeling in your lower lip and chin. The lingual nerve affects your tongue and taste.
Risk Factors include being over 25 years old when roots are fully formed. Teeth that are deeply buried or lying sideways pose higher risks. Your dentist can see these risks on X-rays before surgery.
Symptoms of nerve damage include numbness, tingling, or strange sensations. You might feel like your lip is asleep all the time. Some people notice changes in taste or speech. These symptoms usually appear right after the numbness from surgery wears off.
Recovery varies from person to person. Most nerve problems are temporary and improve within 6 months. About 90% of people recover completely within 2 years. Permanent nerve damage affects less than 1% of all extractions.
Prevention starts with choosing an experienced surgeon. Advanced 3D scans help dentists see exactly where nerves are located. Sometimes dentists modify their technique or suggest leaving part of the tooth to protect nerves.
What If I Have Excessive Bleeding?
Some bleeding after surgery is normal. It should slow down within a few hours and mostly stop by the next day. Heavy bleeding that won’t stop is a problem that needs quick action.
Normal Bleeding looks like light oozing that makes your saliva pink. You might see small clots smaller than a grape. The bleeding should get less and less each hour.
Problem Bleeding means blood flowing steadily or soaking through gauze quickly. Large clots bigger than a grape forming repeatedly is concerning. Blood that keeps flowing after 24 hours needs attention.
What Causes Heavy Bleeding includes taking blood thinners or having clotting disorders. High blood pressure can make bleeding worse. Activities like spitting, using straws, or smoking can restart bleeding.
How to Stop Bleeding starts with firm pressure. Bite down hard on gauze placed directly over the bleeding spot. Keep your head up higher than your heart. Apply ice to the outside of your face. If bleeding continues after 30 minutes of pressure, call your dentist.
When to Get Emergency Help includes bleeding that won’t stop despite proper pressure. Signs of blood loss like dizziness, weakness, or pale skin need immediate care. Difficulty breathing because of blood in your throat is an emergency.
What Causes Infection After Surgery?
Infections happen when bacteria get into the surgical site. Your mouth has many bacteria normally, but the wound from surgery can let them cause problems. Most infections start 2-5 days after surgery.
How Infections Start begins with bacteria entering the open socket. Poor oral hygiene increases infection risk. Smoking reduces blood flow and makes infections more likely. People with diabetes or weak immune systems have higher infection rates.
Signs of Infection include pain that gets worse instead of better. Swelling that increases after the third day is concerning. Bad taste or smell from the surgery site suggests infection. Fever above 100°F means bacteria might be spreading.
Types of Infection range from simple socket infections to serious spreading problems. Socket infections stay in one area and respond well to cleaning and antibiotics. Cellulitis spreads through facial tissues and needs immediate treatment. Bone infections are rare but very serious.
Treatment usually involves antibiotics and cleaning the infected area. Your dentist might need to remove infected tissue or debris. Rinse with salt water several times daily. Take all prescribed antibiotics even if you feel better.
Prevention starts before surgery with good oral hygiene. Don’t smoke or use tobacco products. Follow all aftercare instructions carefully. Take prescribed antibiotics exactly as directed. Call your dentist if you notice signs of infection.
How Can I Prevent Complications?
Prevention is the best way to avoid problems after wisdom tooth extraction. Most complications can be prevented with proper planning and care. This starts before surgery and continues through complete healing.
Before Surgery
Choose an experienced oral surgeon who does many wisdom tooth extractions. Get advanced imaging like 3D scans to see nerve locations. Tell your surgeon about all medical conditions and medications. Stop smoking at least 24 hours before surgery.
Make sure any infections are treated before extraction. Get your other teeth cleaned if needed. Plan time off work or school for recovery. Arrange for someone to drive you home after surgery.
During Recovery
Follow all aftercare instructions exactly. Bite on gauze for the full time recommended. Use ice packs for the first day to reduce swelling. Keep your head elevated when resting. Don’t disturb the blood clots by spitting or using straws.
Take prescribed medications as directed. Eat soft foods for the first few days. Avoid hot, spicy, or crunchy foods. Don’t smoke or drink alcohol during healing. Rinse gently with salt water starting the day after surgery.
Long-term Care
Attend all follow-up appointments with your dentist. Keep the surgical areas clean as healing progresses. Watch for signs of complications and report them quickly. Be patient with healing as it takes time for everything to return to normal.
Maintain good oral hygiene to prevent future problems. See your dentist regularly for checkups. If you have other wisdom teeth, discuss whether they need removal too.
When to Call Your Dentist
Contact your dentist immediately for heavy bleeding that won’t stop. Severe pain that gets worse instead of better needs attention. Signs of infection like fever, increasing swelling, or bad taste require treatment. Numbness that doesn’t improve after the first week should be evaluated.
Don’t wait to call if you’re concerned about your healing. Early treatment of complications prevents bigger problems. Your dental team wants to help you heal safely and comfortably.
Townsville Dental Clinic’s Safety Approach
At Townsville Dental Clinic, we use the latest technology to make wisdom tooth extraction as safe as possible. Our 3D imaging shows exactly where your nerves are located. This helps us plan the safest approach for your specific situation.
We take time to explain all risks and answer your questions. Our experienced team has performed thousands of wisdom tooth extractions safely. We provide detailed aftercare instructions and are available for questions during your recovery.
Your safety is our top priority. We would rather take extra time or modify our approach than rush and cause complications. If your case is particularly complex, we work with specialists to ensure the best outcome.
Worried about wisdom tooth extraction complications? Contact Townsville Dental Clinic to discuss your concerns. We’ll evaluate your specific situation and explain exactly what to expect. Our goal is to help you heal safely and comfortably with minimal risk of complications.



