Following wisdom teeth extraction, it is important to maintain cleanliness and good oral hygiene. You can use salt water rinses and gently rinse, but try not to over-stimulate the extraction socket. Four days post extraction, you can brush your teeth but stay away from the extraction site. At this stage, it is better not to use oral rinse, but salt water rinses are recommended and will not dislodge the clots. Avoid touching the area with your fingers and rubbing it with your tongue, however. Do not rinse your mouth, brush your teeth, use a mouthwash, or spit during the first 24 hours following the extraction procedure. Rinse with warm salt water after meals and every 2 hours while awake. Do this for about a week after the surgery, mixing half a teaspoon of table salt and eight ounces of water. Resume brushing after the first 24 hours. To be on the safe side, you may slosh water instead of swishing it. Tilt your head from side to side and to get the water out, tilt it over the sink. is it time for wisdom teeth extraction has some nice tips on this.
You do not have to spit in this way. In any case, it is not recommended to brush your teeth during the first 24 hours because it may open up the wound. This is going to hurt quite bad, and it is better to wait until the next day. These precautions are necessary to avoid complications such as bleeding, infections, dry socket, etc. Once the extraction site heals, you can rinse with a non-alcohol mouthwash which kills bacteria in the mouth and helps prevent infections. It is important to keep the blood clot intact because if it is lost, this may cause swelling, discomfort, and pain, and will delay the healing process. What is more, the nerve endings will be directly exposed, and this may cause immense pain. It is important to keep the wound clean, avoid smoking, and take steps to prevent complications. Your oral surgeon may recommend oral antibiotics, an antiseptic solution to be applied to the wound, or antibacterial gels and mouthwashes which are applied before and following the surgical procedure.