the White Membrane After Wisdom Tooth Extraction: Causes and Care - Dentistry

Share to:

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.

Similar Q&A

Understanding Gum Healing: Tips for Faster Recovery After Tooth Extraction

Hello doctor, three weeks after my tooth extraction, the wound appeared white. I returned to the dentist, who said it was a normal healing membrane, but they still used a rinse to clean the wound. After that, the white membrane stopped appearing. Yesterday, during my follow-up, t...


Dr. Lin Jiayong reply Dentistry
Hello: Please ensure that there is no food debris accumulating around the wound. Be careful not to irritate the wound while brushing your teeth. You can gently rinse the wound area with mouthwash (twice a day is sufficient). It is also advisable to increase your intake of vitamin...

[Read More] Understanding Gum Healing: Tips for Faster Recovery After Tooth Extraction


Persistent White Discharge from Gum After Wisdom Tooth Extraction: Causes and Solutions

Hello, Doctor: After having my wisdom teeth removed at the end of last year, I developed gum inflammation, and soon after, a small hole appeared in my gums. When pressed, it releases pus. I have been prescribed antibiotics several times at the clinic. Although there was slight he...


Dr. Lin Jiayong reply Dentistry
Hello: First, please confirm whether you are taking any medications for osteoporosis, and if you have undergone any cancer-related radiation therapy or immunotherapy. If so, these factors may affect wound healing. Additionally, long-term use of immunosuppressive medications (such...

[Read More] Persistent White Discharge from Gum After Wisdom Tooth Extraction: Causes and Solutions


Understanding Wisdom Tooth Extraction Healing: What to Expect

Hello, doctor. I would like to ask about the healing process of the wisdom tooth extraction site. I had a horizontal wisdom tooth removed 5 days ago, and there is a white layer forming over the blood clot. Will that white layer gradually come off? After rinsing my mouth, I notice...


Dr. Lin Jiayong reply Dentistry
Hello: It is advised not to intentionally break or tear the newly formed white tissue. If it falls off, there is no need to worry excessively; just maintain oral hygiene to prevent bacterial infection. If you are still concerned, you may return to your original clinic for the doc...

[Read More] Understanding Wisdom Tooth Extraction Healing: What to Expect


Understanding Post-Wisdom Tooth Extraction Healing and Care

After having my wisdom teeth removed nearly a month ago, I've noticed that the socket has been filled with a white substance. It doesn't have an odor. When I clean it with a syringe, sometimes I wash away the white substance, but it reappears the next day. Is this heali...


Dr. Huang Tingfang reply Dentistry
Dear Mr. King James, As mentioned, it should be vascular epithelium. Please do not rinse it away, but maintain good oral hygiene. Take care and wishing you all the best! Sincerely, Dr. Huang Ting-Fang, Dentistry

[Read More] Understanding Post-Wisdom Tooth Extraction Healing and Care


Related FAQ

Post-Wisdom Tooth Surgery

(Dentistry)

Post-Extraction

(Dentistry)

Wisdom Tooth Extraction

(Dentistry)

Gum Abscess

(Dentistry)

Oral Mucosa

(Otolaryngology)

Lips

(Dentistry)

Local Anesthesia

(Dentistry)

Oral Ulcer

(Dentistry)

Gum Swelling

(Dentistry)

Infection

(Dentistry)