Two days after wisdom tooth extraction, there is a white membrane at the site of the sutured wound?
I had a tooth extraction yesterday (my wisdom tooth was horizontally impacted and had to be removed) around 4:30 PM.
After the anesthesia wore off, it hurt a lot.
I ate porridge and took medication around 9 PM, but the pain was so intense that I felt like hitting the wall.
I kept applying ice packs.
Today, I feel much better, just a little bit of pain.
I’m chewing on one side; as long as I don’t touch the extraction site, it doesn’t hurt.
Just now, I looked in the mirror and noticed a white membrane around the stitches.
I can gently wipe some off with a cotton swab.
Is this because I’ve only brushed one side of my teeth after the extraction (I didn’t use toothpaste)? I’m quite scared to touch the wound, so I’ve been eating on the other side.
For my meals yesterday and today, I’ve only had porridge or pudding (I still feel hungry).
What is that white stuff? Is it inflammation? After eating, I rinse my mouth with water, but is that not enough to protect the wound?
Xiao Zhu, 20~29 year old female. Ask Date: 2016/04/15
Dr. Zeng Guanghui reply Dentistry
After having wisdom teeth extracted, a white membrane may form at the sutured area.
This is likely due to plaque accumulation caused by difficulty in maintaining oral hygiene.
It is recommended to consume soft or liquid foods, but it is still important to gently brush the teeth around the wound and use a mouthwash to prevent plaque from adhering to the wound.
Reply Date: 2016/04/15
More Info
After having a wisdom tooth extracted, it's common to notice a white membrane or white tissue around the surgical site. This phenomenon can be concerning for many patients, especially if they are unsure about what it signifies. Let's delve into the causes of this white membrane, its implications, and how to care for your mouth during the healing process.
Understanding the White Membrane
1. Normal Healing Process: The white membrane you observed is often a part of the normal healing process. After tooth extraction, the body initiates a healing response, which includes the formation of a fibrin clot at the extraction site. This clot is crucial as it protects the underlying bone and nerves while new tissue forms. As the healing progresses, this clot may appear white or yellowish due to the accumulation of white blood cells, which are part of the immune response.
2. Necrotic Tissue: In some cases, the white material could be necrotic tissue, which is dead tissue that can occur if the healing process is disrupted. This can happen due to infection or inadequate blood supply to the area. If the white tissue is accompanied by pain, swelling, or a foul odor, it may indicate an infection, and you should consult your dentist or oral surgeon.
3. Food Debris or Residue: Sometimes, what appears to be a white membrane could also be food debris or remnants from your diet. This is especially possible if you have been eating soft foods like porridge or pudding, which can stick to the extraction site.
Care and Management
1. Oral Hygiene: Maintaining good oral hygiene is crucial after a tooth extraction. While it’s understandable to be cautious about brushing near the extraction site, it’s important to keep the area clean to prevent infection. You can gently rinse your mouth with warm salt water starting 24 hours after the extraction. This helps to reduce swelling and cleanse the area without disturbing the healing tissue.
2. Avoiding Irritation: It’s wise to avoid using toothpaste directly on the extraction site until it has healed more significantly. Instead, you can brush the rest of your teeth carefully and rinse your mouth gently. Avoid using straws, smoking, or any activity that could dislodge the clot.
3. Diet: Continue to eat soft foods, but try to include a variety of nutrients to aid in healing. Foods rich in vitamins C and D, as well as calcium, can support tissue repair. If you find it difficult to eat enough, consider smoothies or soups that are nutritious and easy to consume.
4. Monitoring Symptoms: Keep an eye on the extraction site. If the white membrane persists beyond a few days, or if you experience increased pain, swelling, or any signs of infection (such as fever or pus), it’s essential to reach out to your dentist. They may need to evaluate the site and possibly clean it or prescribe antibiotics if an infection is present.
5. Follow-Up Appointments: Attend any scheduled follow-up appointments with your dentist. They can assess the healing process and provide guidance tailored to your specific situation.
Conclusion
In summary, the white membrane you see after wisdom tooth extraction is likely a normal part of the healing process, but it’s essential to monitor the area for any signs of complications. Maintaining good oral hygiene, eating a balanced diet, and being vigilant about your symptoms will help ensure a smooth recovery. If you have any concerns, don’t hesitate to consult your dentist for personalized advice and care.
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