The tissue appears white after wisdom tooth extraction?
Two days ago, I had my upper and lower right wisdom teeth and the upper right premolar extracted.
However, a day later, I noticed that the tissue around the lower right wisdom tooth is white.
My wound is not sutured, and when I lightly touch it with my tongue, it feels a bit tender.
After gently brushing my teeth, I can lift that piece of tissue, but it remains white.
Is this normal?
A Meng, 20~29 year old female. Ask Date: 2016/09/25
Dr. Huang Tingfang reply Dentistry
Dear Ms.
Ah-Meng,
Hello! Based on what you described, this wound appears to be normal and may have some abnormal sensations.
However, if there is redness, swelling, or pus, please seek medical attention promptly! Please communicate frequently with your physician.
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2016/09/25
More Info
After wisdom tooth extraction, it is not uncommon to observe white tissue or a white appearance in the area where the tooth was removed. This phenomenon can be attributed to several factors related to the healing process and the body's natural response to surgery.
Firstly, the white tissue you are noticing is likely a combination of fibrin, which is a protein that forms a mesh-like structure to help stop bleeding and promote healing, and necrotic tissue, which is dead tissue that can occur as a result of the surgical procedure. This white appearance is often seen in the initial stages of healing and can be a normal part of the recovery process. In many cases, this tissue will gradually slough off as the area heals, revealing healthy pink gum tissue underneath.
It is also important to consider that the absence of stitches in your case may lead to a different healing process. Without sutures, the gum tissue may take longer to stabilize and can be more prone to irritation, which might explain the sensitivity you feel when you touch the area with your tongue or brush your teeth. The "soreness" you are experiencing could be a result of inflammation, which is a natural response to surgical trauma.
If the white tissue is accompanied by other symptoms such as increased pain, swelling, or a foul odor, it could indicate a potential complication, such as an infection or dry socket (alveolar osteitis). Dry socket occurs when the blood clot that forms in the extraction site becomes dislodged or dissolves before the wound has fully healed, exposing the underlying bone and nerves. This condition can be quite painful and typically requires further treatment from a dental professional.
In your case, since the area is not excessively painful and you are not experiencing any significant discomfort beyond mild soreness, it is likely that the white tissue is part of the normal healing process. However, it is crucial to maintain good oral hygiene during this time. Gently rinsing your mouth with warm salt water can help keep the area clean and promote healing. Avoiding hard, crunchy, or spicy foods can also minimize irritation to the extraction site.
If you have concerns about the appearance of the tissue or if your symptoms change, it is advisable to follow up with your dentist or oral surgeon. They can provide a thorough examination and determine if any additional treatment is necessary. Regular check-ups after the extraction can help ensure that your healing process is on track and that any potential issues are addressed promptly.
In summary, while the presence of white tissue after wisdom tooth extraction can be normal, it is essential to monitor your symptoms and maintain communication with your dental care provider. Healing can vary significantly from person to person, and your dentist can provide personalized advice based on your specific situation.
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