Concerns About Dissolving Stitches After Wisdom Tooth Extraction

Regarding the issue of sutures?

I recently had my wisdom teeth extracted, and after the stitches were placed, the doctor told me to return in two weeks to have them removed.
However, less than two weeks later, the stitches have turned yellow and seem to have softened.
What should I do? Should I go back to see the doctor now?

Mr. Wu, 10~19 year old female. Ask Date: 2017/06/21

Dr. Huang Tingfang reply Dentistry

Dear Mr.
Wu,
Hello! As mentioned, it may be an absorbable suture.
Please communicate more with your physician.
Thank you! Wishing you safety!
Sincerely,
Director Huang Ting-Fang, Dentistry

Reply Date: 2017/06/21

More Info

After having your wisdom teeth extracted, it is common for patients to have concerns regarding the stitches (sutures) used during the procedure. The stitches are typically placed to help close the incision and promote healing. In your case, you mentioned that the stitches have turned yellow and appear to be softening before the scheduled removal date. This situation can raise a few important considerations.

First, it is essential to understand that there are different types of sutures used in dental procedures. Some sutures are absorbable, meaning they will dissolve on their own over time, while others are non-absorbable and need to be removed by a healthcare professional. Absorbable sutures can sometimes appear discolored as they begin to break down, which may explain the yellowing you are observing. However, if the sutures are non-absorbable, they should remain intact until your follow-up appointment.

The softening of the stitches could indicate that they are beginning to dissolve if they are absorbable. However, if they are non-absorbable and are becoming soft, this could be a sign of an issue, such as infection or improper healing. Signs of infection may include increased swelling, redness, pain, or discharge from the extraction site. If you notice any of these symptoms, it is crucial to seek medical attention promptly.

Given your concerns, it is advisable to contact your dentist or oral surgeon as soon as possible. They can provide guidance based on your specific situation and may recommend an earlier follow-up appointment to assess the condition of the stitches and the healing process. It is always better to err on the side of caution when it comes to post-operative care, especially after a surgical procedure like wisdom tooth extraction.

In the meantime, here are some general tips for caring for your extraction site:
1. Maintain Oral Hygiene: Gently rinse your mouth with warm salt water after meals to keep the area clean. Avoid vigorous rinsing that could dislodge the stitches.

2. Avoid Certain Foods: Stick to soft foods and avoid anything that could irritate the extraction site, such as spicy or crunchy foods.

3. Monitor Symptoms: Keep an eye on any changes in the extraction site. If you experience increased pain, swelling, or any unusual symptoms, contact your dentist.

4. Follow Post-Operative Instructions: Adhere to any specific instructions given by your dentist regarding care after the extraction.

In summary, while some discoloration and softening of stitches can be normal, it is essential to monitor for signs of infection or complications. Contact your dentist for advice and possibly an earlier appointment to ensure everything is healing properly. Your oral health is important, and addressing any concerns promptly can help prevent further issues.

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