White Scar Tissue After Wisdom Tooth Extraction: What to Know - Dentistry

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Fifteen years ago, I had surgery to remove my wisdom teeth, and now there is a faint white substance present?


Dr.
Huang, 15 years ago, I had my lower left wisdom tooth extracted at a dental clinic, and the wound was large and deep with three stitches.
Bone grafting was not performed.
Shortly after, I had another tooth extracted in front of the wisdom tooth.
I haven't monitored the changes in the area where the wisdom tooth was removed, and during my dental cleanings, the dentist never mentioned anything.
Last year, I noticed a light white scar-like area on the gums in that location, which feels uneven to the touch.
I am a smoker but have quit for one month.
I consulted an ENT specialist, who said that the wound has healed but will not return to normal, and that the light white area is simply a scar.
They advised me to avoid hard foods.
I would like to ask the doctor if it is indeed possible for a light white scar to exist.

Mavis, 30~39 year old female. Ask Date: 2016/05/30

Dr. Huang Zhicheng reply Dentistry


Hello: Based on the above situation, the transparent white scar you mentioned is likely from the surgical sutures after your tooth extraction.
It is a scar, so please do not worry too much.
Wishing you peace and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/30

More Info


After wisdom tooth extraction, it is common for patients to notice changes in the gum tissue, including the formation of scar tissue. The presence of white scar tissue, particularly in the area where a tooth was removed, can be a source of concern for many individuals. In your case, you mentioned that you have observed a light white scar in the area where your lower left wisdom tooth was extracted 15 years ago, and you are wondering if this is a normal occurrence.

To begin with, it is essential to understand that after any surgical procedure, including tooth extractions, the body goes through a healing process. This process involves the formation of scar tissue as the body repairs itself. Scar tissue is typically less flexible and may not have the same texture or appearance as the surrounding healthy tissue. It can appear white or lighter than the surrounding gum tissue due to the way collagen fibers are laid down during the healing process. This is particularly true in the oral cavity, where the healing environment can differ from other parts of the body.

In your case, the light white scar tissue you are observing is likely a result of the healing process following the extraction of your wisdom tooth. It is not uncommon for patients to have some irregularities in the gum tissue after such procedures, especially if the extraction was complicated or if there was significant tissue manipulation during the surgery. The fact that you have not experienced any pain or discomfort in that area is a positive sign, indicating that the tissue is likely stable.

You mentioned that you have recently quit smoking, which is an excellent decision for your oral health. Smoking can significantly impact the healing process and the appearance of scar tissue. It can lead to delayed healing and increased risk of complications, including infections. By quitting smoking, you are allowing your body to heal more effectively, which can improve the overall appearance of your gums over time.

Regarding your inquiry about whether it is normal for white scar tissue to exist, the answer is yes. It is entirely possible for scar tissue to remain visible long after the initial healing has occurred. Factors such as the depth of the extraction, the individual’s healing response, and even genetic predisposition can influence the appearance of scar tissue. Some individuals may develop more pronounced scarring than others.

If you are concerned about the appearance of the scar tissue or if you notice any changes, such as increased redness, swelling, or pain, it would be advisable to consult with your dentist or oral surgeon. They can assess the area and determine if any further treatment is necessary. In some cases, if the scar tissue is particularly bothersome or if it affects your oral function, options such as laser therapy or surgical revision may be considered.

In summary, the presence of light white scar tissue after wisdom tooth extraction is a common occurrence and can be attributed to the body’s natural healing process. It is essential to maintain good oral hygiene and regular dental check-ups to monitor the area. If you have any concerns or notice changes, do not hesitate to reach out to your dental care provider for further evaluation and guidance.

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