What is the fastest way to reduce facial swelling after having my wisdom teeth removed? i understand that ice can help but what is the quickest way?

Yes!: Trauma to the gum and mandible from dental extraction causes disruption of the dentition and surrounding structures. Inflammatory mediators released from the area cause inflammation producing swelling, redness, warmth, and pain. Topical ice pack application to the area leads to Coolness, then Burning, follow by Aching, finally Numbness (CBAN), interrupts inflammatory cascade, reduces swelling.

Ice pack & meds: 1) Ice Pack first 24 hours 2) Motrin/Ibuprofen 600mg every 6 hours for 3 days (will help to reduce inflammation) 3) Chlorohexidine rinse (prescription) to prevent secondary infection caused from not being able to maintain proper oral hygiene after extractions 4) If swelling is about the same or getting worse after 3 days, I recommend antibiotics.

Combo: Ice, fluids, ibuprofen,rest. If indicated, many Oral Surgeons will inject or deliver IV a steroid to reduce swelling. Usually not given as oral medication, unless there is a failure to heal in a timely fashion. Then a Medrol (methylprednisolone) dose pack is typically prescribed. Also, keep food out of socket area, and follow all post-op instructions. Swelling is normal. Ice and fluids and anti-inflammatories (advil).

48 hours after: wisdom teeth extraction: apply moist heat and use dexamethasone to control post-surgical edema. Ask your oral surgeon or dentist if in your individual case dexamethasone is a good choice to reduce swelling. Take care.