Post-Wisdom Tooth Extraction: What is That Bump? - Dentistry

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After wisdom tooth extraction, a new tooth may grow?


I previously had no issues when getting my wisdom teeth extracted, but I recently noticed a pink, swollen lump at the healing site.
It doesn't hurt, but I can feel that there's something there.
What could this be? The healing process has always been quick for me, and I only just noticed this large lump.
Thank you for your help!

Steven, 20~29 year old female. Ask Date: 2018/05/11

Dr. Lin Jiayong reply Dentistry


X-rays and intraoral photographs of the patient are needed to identify the specific adaptive tissue or soft tissue you are referring to.
Additionally, a biopsy is required to determine whether the tissue is benign or malignant.

Reply Date: 2018/05/11

More Info


After having your wisdom teeth extracted, it's not uncommon to notice changes in the healing area, including the appearance of a bump or swelling. This can be concerning, especially if you are used to a smooth recovery process. Let's break down what this bump might be and what you should consider regarding your healing process.


Possible Causes of the Bump
1. Granulation Tissue: One of the most common reasons for a bump at the extraction site is the formation of granulation tissue. This is a normal part of the healing process where new tissue forms to fill in the wound. Granulation tissue is typically pink and may feel slightly raised. It is usually not painful and is a sign that your body is healing.

2. Bone Exposure: If the bump is hard and feels like bone, it could be that some of the underlying bone is exposed. This can happen if the gum tissue has not fully covered the area where the tooth was removed. While this can be alarming, it often resolves on its own as the gum tissue continues to heal and grow over the exposed bone.

3. Infection: Although you mentioned that the bump is not painful, it’s important to keep an eye on it. In some cases, a bump can indicate an infection, especially if it becomes red, swollen, or starts to ooze pus. If you notice any of these symptoms, it’s crucial to contact your dentist or oral surgeon for an evaluation.

4. Cyst Formation: In rare cases, a cyst can form at the extraction site. This is usually a fluid-filled sac that may require further treatment. If the bump persists or changes in size or appearance, it’s advisable to consult your dentist.


What to Do Next
- Observation: If the bump is not painful and does not show signs of infection (such as redness, warmth, or discharge), it may simply be a part of the healing process. Continue to monitor it for any changes.

- Maintain Oral Hygiene: Keeping the area clean is essential. Gently rinse your mouth with warm salt water to help reduce bacteria and promote healing. Avoid vigorous rinsing that could disturb the healing tissue.

- Follow-Up: If you have concerns about the bump or if it does not resolve in a reasonable time frame (usually a few weeks), it’s best to schedule a follow-up appointment with your dentist. They can assess the area and determine if any further treatment is necessary.


Conclusion
In summary, the bump you are experiencing after your wisdom tooth extraction could be a normal part of the healing process, such as granulation tissue or bone exposure. However, it’s important to remain vigilant for any signs of infection or other complications. Maintaining good oral hygiene and keeping in touch with your dental care provider will help ensure a smooth recovery. If you have any doubts or if the bump changes, don’t hesitate to seek professional advice. Your oral health is paramount, and your dentist is the best resource for addressing your concerns.

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