Wisdom Tooth Swelling: When to Worry and Call Your Dentist

Not all post-surgery swelling is created equal. Here’s how to tell what’s normal, what’s not, and when it’s time to pick up the phone.
Dental at The Met Staff
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4
min read
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Let’s start with the basics. You just had your wisdom teeth out - there’s going to be some puffiness. It’s your body’s way of saying, “Hey, I’m healing here.”

Here’s what normal swelling looks like:

  • Peaks around day 2 or 3
  • Feels tender but not unbearable
  • Starts easing off by day 4
  • Paired with mild bruising or stiffness

You might even look like a chipmunk for a hot minute. Totally normal. It doesn’t mean anything’s wrong.

When swelling is a red flag

Swelling isn’t always just swelling. If it gets intense or starts changing fast, it could mean your body’s trying to fight something off.

Here’s when to pay attention:

  • Swelling suddenly gets worse after day 3
  • You feel heat radiating from your cheek or jaw
  • One side is way more swollen than the other
  • You’re having trouble opening your mouth or swallowing

These are all signs something more serious might be going on - and it’s time to check in with your dentist.

The risk of infection: know the signs

Infections after wisdom tooth removal aren’t super common, but they do happen. And swelling is usually one of the first signs.

Others include:

  • Fever or chills
  • Bad taste in your mouth that won’t quit
  • Pus or discharge at the surgery site
  • Throbbing pain that gets worse, not better

Even if the pain isn’t severe, any combo of those symptoms is your cue to call us. We’d always rather check early than have you wait too long.

Other complications that can hide behind swelling

Sometimes swelling isn’t just about infection.

It could also point to:

  • A dry socket (when the blood clot that’s supposed to protect your bone gets dislodged)
  • A hematoma (a collection of blood under the skin that doesn't go away)
  • Nerve irritation

These issues need a dentist to take a look. The good news? They’re all treatable. But delaying care makes things harder, not easier.

How to help swelling go down faster

First: follow your aftercare instructions like your healing depends on it (because it does).

A few other pro tips:

  • Ice the area for 20 mins on, 20 mins off for the first 24–48 hours
  • Sleep with your head elevated
  • Avoid hot foods and drinks early on
  • Don’t poke or prod the area (yes, even with your tongue)

Also... skip the gym for a few days. We love a workout too, but now’s the time for rest.

When to call us (and what we'll likely do)

If you’re not sure, call. Full stop. We’re not here to judge - we’re here to help.

When you call us, we’ll ask a few things:

  • What day of recovery you’re on
  • If the swelling is getting better or worse
  • Whether you have a fever or pain
  • How the area looks (we might ask for a photo if you’re comfy with that)

If needed, we’ll get you in for a quick look. Sometimes all you need is reassurance. Other times, a prescription or quick in-chair treatment can fix it fast.

TL;DR: the “should I worry?" checklist

If you’re seeing these signs, don’t wait - reach out:

  • Swelling is worse after day 3
  • It’s red, hot, or one-sided
  • You feel feverish or sick
  • There’s a weird taste or smell
  • Pain is increasing, not decreasing

Need help? We've got you

If something feels off - even if it’s just a gut feeling - call us.

No stress, no judgment, just expert care that feels human.

We’re your go-to Beltline dental fam, and we’re here to make sure your recovery goes smooth.

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