The wound after wisdom tooth extraction?
Hello, doctor.
Last Friday, I had my lower right wisdom tooth extracted at the dentist's office.
The wound was stitched, but the stitches came out that same night.
The next day, I called the office, and they said it was fine as long as I rinse my mouth and brush my teeth after eating.
The current condition of the wound is a deep black color, with some white around the edges, and a bit of yellow inside.
Is this normal? It doesn't hurt when I talk, but it does hurt if I touch it with my tongue.
Can I go to the pharmacy to buy an oral ointment to apply to my wound?
Wu Jie Ting, 10~19 year old female. Ask Date: 2017/02/14
Dr. Huang Tingfang reply Dentistry
Dear Mr.
Wu Jie-Ting,
Hello! It is normal to experience pain one week after wisdom tooth extraction.
Please return for a follow-up appointment and communicate with your doctor frequently.
Thank you! Wishing you well!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2017/02/14
More Info
After wisdom tooth extraction, proper care and understanding of the healing process are crucial for a smooth recovery. It’s common to have concerns about the appearance of the wound and any discomfort you may be experiencing. Let’s break down your situation and provide guidance on how to care for your extraction site effectively.
Understanding the Healing Process
1. Color Changes: It’s normal for the extraction site to change colors during the healing process. Initially, the area may appear dark due to blood clot formation, which is essential for healing. The white tissue you see around the wound could be a sign of granulation tissue, which is part of the healing process. However, any yellowish discharge could indicate the presence of pus, which may suggest an infection.
2. Pain and Sensitivity: Experiencing pain when touching the area with your tongue is also common. The extraction site is sensitive as it heals, and it’s important to avoid irritating it further. If the pain is severe or worsening, or if you notice increased swelling or a foul odor, you should contact your dentist for further evaluation.
Care Recommendations
1. Oral Hygiene: Maintaining good oral hygiene is vital. You should gently rinse your mouth with warm salt water starting 24 hours after the extraction to help keep the area clean. Avoid vigorous rinsing, as this can dislodge the blood clot that is forming.
2. Brushing: You can brush your teeth, but be cautious around the extraction site. Use a soft-bristled toothbrush and avoid direct contact with the wound. Once the area has healed sufficiently (usually after a week or so), you can resume normal brushing.
3. Avoiding Irritants: It’s advisable to avoid using any topical ointments or medications not prescribed by your dentist. Over-the-counter oral gels may not be suitable for open wounds and could potentially irritate the area further. Instead, focus on maintaining cleanliness and following your dentist's advice.
4. Dietary Considerations: Stick to soft foods and avoid anything that could get lodged in the extraction site, such as seeds or hard foods. This will help prevent irritation and promote healing.
5. Monitoring for Infection: Keep an eye on the wound for signs of infection, such as increased redness, swelling, or discharge. If you notice any of these symptoms, or if the pain becomes unmanageable, seek dental care promptly.
6. Follow-Up Care: If you have concerns about the healing process or if the stitches have come out prematurely, it’s essential to follow up with your dentist. They can assess the site and determine if any additional treatment is necessary.
Conclusion
In summary, while some discomfort and color changes in the extraction site are normal, it’s crucial to monitor the healing process closely. Maintain good oral hygiene, avoid irritants, and consult your dentist if you have any concerns about infection or if the pain persists. Remember, healing can take time, and patience is key. If you have any doubts or questions, don’t hesitate to reach out to your dental care provider for personalized advice.
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