Post-Wisdom Tooth Extraction: What to Do About Discomfort and Healing - Dentistry

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After Wisdom Tooth Extraction


I had my wisdom teeth removed (and stitched up) six days ago, but I've noticed that there is a white, sticky, and foul-smelling substance on the suture ends.
Additionally, I can still see the stitches inside the wound, and the tissue hasn't fully closed up yet.
What could be happening?

Ding Ding, 10~19 year old female. Ask Date: 2016/03/31

Dr. Zeng Guanghui reply Dentistry


In the above situation, the extraction site may be larger, making oral hygiene difficult after the procedure.
It is important to monitor for any food debris or bacterial plaque at the wound site.
It is recommended to return for a follow-up appointment with the dentist for further evaluation.

Reply Date: 2016/03/31

More Info


After wisdom tooth extraction, it's common to experience discomfort and a variety of symptoms as your body begins the healing process. Given that you are on day six post-surgery, it's important to monitor your healing closely. The presence of a white, sticky substance around the stitches, along with an unpleasant odor, could indicate a few potential issues.

Firstly, the white substance you are observing could be a normal part of the healing process, known as granulation tissue. This tissue forms as your body works to heal the extraction site. However, if it is accompanied by a foul smell, it may suggest an infection. Infections can occur if bacteria enter the wound, especially if proper aftercare instructions were not followed. Signs of infection can include increased pain, swelling, redness, and discharge from the site.

The visibility of the stitches and the fact that the tissue has not fully closed over the extraction site may also be a concern. Stitches are typically placed to help the gums heal properly, and they should dissolve or be removed by your dentist or oral surgeon after a certain period. If the stitches are still visible and the tissue has not healed around them, it may be a sign that the healing process is not progressing as expected.

Here are some steps you can take to address your concerns:
1. Maintain Oral Hygiene: Continue to gently rinse your mouth with warm salt water several times a day, especially after meals. This can help keep the area clean and reduce the risk of infection. Avoid vigorous rinsing, as this can dislodge the blood clot that is essential for healing.

2. Avoid Irritants: Stay away from smoking, alcohol, and spicy foods, as these can irritate the extraction site and hinder healing.

3. Pain Management: If you are experiencing discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain. Follow the dosage instructions on the packaging or those provided by your healthcare provider.

4. Monitor Symptoms: Keep an eye on the extraction site for any changes. If the odor worsens, if you notice increased swelling or redness, or if you develop a fever, these could be signs of infection that require prompt medical attention.

5. Consult Your Dentist or Oral Surgeon: Given your symptoms, it is advisable to contact your dentist or oral surgeon as soon as possible. They can evaluate the extraction site, determine if there is an infection, and decide whether further treatment is necessary. They may need to clean the area, adjust the stitches, or prescribe antibiotics if an infection is present.

In summary, while some discomfort and unusual symptoms can be part of the healing process after wisdom tooth extraction, the presence of a foul odor and visible stitches after six days warrants a professional evaluation. Prompt attention to these symptoms can help ensure a smoother recovery and prevent complications. Always trust your instincts; if something feels off, it’s best to seek professional advice.

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