Post-Wisdom Tooth Extraction Healing and Concerns - Dentistry

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Wisdom tooth extraction wound?


Hello Doctor, I just had my wisdom tooth extracted yesterday.
Although half of it was covered by gum, the extraction took less than 10 minutes, which was quite fast.
After that, it took about two hours for the bleeding to stop.
I didn't open my mouth to check the wound yesterday because I was afraid of moving too much, but today I noticed that the extraction site is filled with a lot of white stuff and a little bit of black stuff.
It's not very painful, just a bit sore, but the stuff that's blocking the site makes me feel anxious and uneasy.
It doesn't seem like a good thing.
What do you think it could be, Doctor?

Qiao, 10~19 year old female. Ask Date: 2016/03/22

Dr. Zeng Guanghui reply Dentistry


In the above situation, the white substance may be food debris, while the black substance could be blood clots.
It is recommended to brush your teeth regularly to maintain oral hygiene, but be careful not to brush the wound.
Additionally, you may consider using mouthwash to aid in oral cleanliness.
Please return to the dentist for a follow-up examination of the wound in a few days.

Reply Date: 2016/03/22

More Info


After wisdom tooth extraction, it's common to have concerns about the healing process and any unusual symptoms that may arise. Based on your description, it sounds like you are experiencing some typical post-operative phenomena, but let's break it down further.

Firstly, the white and black substances you see in the extraction site could be a few different things. The white material is often a combination of fibrin, which is a protein involved in blood clotting, and possibly some food debris or dead tissue. This is a normal part of the healing process as the body works to close the wound. However, if the area is excessively swollen, painful, or if there is a foul odor, it could indicate an infection or dry socket, which is a condition that can occur when the blood clot at the extraction site becomes dislodged or dissolves before the wound has fully healed.

The black material could be dried blood or remnants of the tissue that was removed during the extraction. It's not uncommon for the extraction site to appear somewhat discolored as it heals. If you are not experiencing significant pain and the area is not excessively swollen, this may simply be part of the normal healing process.

Regarding your concern about the healing process, it's essential to follow your dentist's post-operative care instructions closely. Here are some general tips for managing your recovery:
1. Avoid Disturbing the Site: Try not to touch or poke at the extraction site with your tongue or fingers. This can disrupt the healing process and increase the risk of infection.

2. Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. You can rinse your mouth with warm salt water after 24 hours to help keep the area clean and promote healing.

3. Diet: Stick to soft foods and avoid anything too hot, spicy, or crunchy that could irritate the extraction site. Hydration is also crucial, so drink plenty of fluids.

4. Pain Management: If you experience discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen can help. Follow the dosage instructions provided by your dentist or on the medication packaging.

5. Watch for Signs of Infection: Keep an eye out for symptoms such as increased pain, swelling, redness, or pus coming from the extraction site. If you notice any of these signs, contact your dentist immediately.

6. Follow-Up Appointments: Attend any scheduled follow-up appointments with your dentist. They can assess the healing process and address any concerns you may have.

In summary, while some discomfort and unusual appearances at the extraction site can be normal, it's essential to monitor your symptoms closely. If you have any doubts or if your symptoms worsen, don't hesitate to reach out to your dentist for further evaluation. They can provide you with the best guidance tailored to your specific situation. Healing from a wisdom tooth extraction typically takes a few days to a couple of weeks, but full recovery can take longer, especially if there were complications during the extraction. Always prioritize your oral health and seek professional advice when in doubt.

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