Wisdom teeth and training

This morning I got my wisdom teeth pulled( all four of them ) and I’ve got a pretty big tri for me on the 23rd of this month. I’m just wondering how long I should wait until I start training.

as soon as you feel like it.

You should be fine in like a week, you just need to make sure the holes have closed enough they don’t start bleeding with the bouncing from running and water getting into your mouth when swimming could cause an infection.

It depends on how difficult the extractions were. If they popped right out and no bone or tissue was cut, you shouldn’t have too much trouble resuming training right away. If the surgeon was in there for an hour, cutting bone and sectioning the teeth, you might want to give it a few days before really getting the blood pumping. The key is that you don’t want to dislodge the clot and end up with a dry socket.

This post is for informational purposes only…unless you happen to be a patient of mine…

John

Same thing for me as soon as I get courage. Maybe in the fall.
;

you just need to make sure the holes have closed enough they don’t start bleeding

this.
you really don’t want that to happen.
peggy

I got mine out a few weeks ago. All 4 were impacted, and my Doctor said they were some of the toughest he’s done. Maybe I should have had them extracted in 2008 when my dentist told me to.

Anyway, I ran the morning of the operation and then took the rest of that day, and the following day off. Was back on the bike for a couple 3 hour rides on days 3 and 4, started running on day 5, and took a full week away from the pool.

I’m a dentist. Training won’t hurt you in any way, provided you are no longer taking pain meds. Resume when you feel good.

I’m a dentist. Training won’t hurt you in any way, provided you are no longer taking pain meds. Resume when you feel good.

So are you going to see him in your office tomorrow to place some dry socket paste after he wakes up and does hill repeats? As a dentist, I think your statement is a bit hyperbolic.

I’d like to know the physiology of bike riding causing dry sockets. I refer out no surgery-zero. And in 12 years of practice I can count the number of dry sockets on one hand. 9/10 cases of post-op discomfort are misdiagnosed IMO. I also think dry sockets are largely iatrogenic, secondary to poor closure and hemostasis as well as inadequate home care instructions. I’ve never limited a patients physical exertion beyond what they deem comfortable post op and have no problems. I digress.

Btw the paste is worthless

I don’t fully disagree with you about the dry socket paste (i.e. I believe it is possible that the relief that patients DO feel when it is placed in the socket is placebo, but lacking adequate evidence to support this, I choose to follow the standard of care), and I apologize for that part of my response as it was a bit belligerent.

Your statement that he can do no harm by training is naive based on the evidence you have. These could have been 4 full bony impacted 3rds, done by some hack-job This guy has stated that the event for which he is training is very important to him. Every set of post extraction instructions I have ever seen from dental school, through residency, the IHS, private practice and community health clinic settings has included a statement warning about over exertion. “Adequate home care instructions” would include not smoking (the chief problem being suction) nor sucking through a straw. I think it is likely that this guy will be causing plenty of negative pressure in his mouth once he gets rolling in some tempo workout. In addition he will have increased blood pressure and flow which could disrupt the clots.

Will he probably be ok…sure, but would you honestly tell a patient after surgery that there was NO possible way that he could cause any post op complications by heavy exercise? The only real problem I had with your original response was the “won’t hurt you in any way.”

I just had mine removed. They were impacted and the bone had to be drilled through or something like that. I swelled up like a balloon for two weeks, and spent that time in a advil/reddit haze. I did get some karma out of it though =/

I’m a dentist. Training won’t hurt you in any way, provided you are no longer taking pain meds. Resume when you feel good.

I got mine out and ran that afternoon. My wife has always used that and the subsequent dry socket as an example of my being a moron sometimes.

Are you saying I was right? Hooray for that! Dry socket was no fun though. Had some hack at the dental clinic do the next one, he cracked my jaw from yanking on it.

Had all four wisdom teeth pulled in an emergency procedure. Flew to Kona two days later (to watch the race not compete before I get accused of a humble brag) and blew up spectacularly on a 60 mile training ride 4 days after the procedure. I was struggling to go downhill. Just take it easy and start back slow, it takes your body longer than you would expect to recover from the trauma of the procedure.

surgery of that sort will put a pretty large stress on your body, you should not train for 4-5 days, the mouth heals very quickly but you gotta give it a chance, start with easy stuff 4-5 dasy from surgery and cycle and swim first. leave running last, you are not actually going to loose any fitness in a week.

I went back and read my post and you’re right. It seems flippant and the short wording doesn’t convey my actual feelings. Ill blame that on posting from an iPhone but its basically apathy from being a slow typist.

The message I try to convey is to listen to your body. Pain is a good indicator. When I said as soon as you’re off the pain meds I was making the assumption that you’d be sedated the first day and likely on meds for 2-3 days post op. resume training when you feel good means just that- when you feel good, not sooner. My patients ask when they can return to work, or if they can work the day after. I tell them if they feel like it, but in reality they never do. If you feel like crap you shouldn’t train. If you’re hurting enough to need pain meds you shouldn’t train. If you’re taking the pain meds for fun you shouldn’t train. If you’re still sedated postop you shouldn’t train. If you’re bleeding you shouldn’t train. If training makes it hurt more you shouldn’t train. However, to specifically correlate a dry socket with a ride a few days post op is silly. I apologize for the first post being so short worded.

I asked the Dr. if I was clear to run without threat of getting dry socket. He said he saw no problem. So I ran 5 miles the next day with no issues.