Post-Suture Care: Common Concerns After Wisdom Tooth Removal - Dentistry

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Issues After Wisdom Tooth Extraction Stitches Removal


I would like to ask the doctor, I just had my stitches removed yesterday, and the doctor said my wound is healing quite well.
However, when I got home, I noticed that I still feel tightness in the wound when I open my mouth.
Is this normal? Additionally, I can feel a small hard lump at the site of the wound on my cheek, but it doesn't hurt when I press on it.
Could this be due to a blood clot that hasn't dissolved yet? How should I handle this? Last night, while brushing my teeth, I accidentally bumped into the tissue next to the wound, which caused some bleeding at the time, but it wasn't severe.
After wiping it with a cotton swab, it stopped bleeding, but the tightness in the wound has become more noticeable.
Will this affect the healing process? Thank you!

V, 20~29 year old female. Ask Date: 2018/09/01

Dr. Huang Tingfang reply Dentistry


Dear Ms.
V,
Hello! I apologize for the late reply.
It is normal to feel tightness at the incision site when opening your mouth after the stitches have been removed.
Please apply warm compresses, maintain oral hygiene, and ensure your teeth are clean, as this will help with your recovery.
Don't hesitate to communicate with your physician! Thank you! Wishing you well!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2018/09/01

More Info


After wisdom tooth removal, it's common to have concerns about the healing process, especially after the sutures have been taken out. Based on your description, it seems like you are experiencing some typical post-operative symptoms, which can include tightness around the surgical site and the presence of a small hard area near the extraction site.

Firstly, the tightness you feel when opening your mouth is not unusual. After a surgical procedure, the surrounding tissues can be swollen or inflamed, which may lead to a sensation of tightness. This feeling should gradually diminish as the healing progresses. It's important to follow your dentist's post-operative care instructions, which typically include avoiding hard or crunchy foods, maintaining good oral hygiene, and possibly using saltwater rinses to help with healing.

Regarding the small hard area you feel near the extraction site, this could be a few things. It might be a blood clot that hasn't fully dissolved yet, or it could be granulation tissue, which is a normal part of the healing process. Granulation tissue is a temporary tissue that forms during the healing of wounds and is usually not painful. If the area is not tender to touch and there is no significant swelling or discharge, it is likely a normal part of healing. However, if you notice increased pain, swelling, or any signs of infection (such as pus or fever), you should contact your dentist.

You mentioned that you accidentally bumped the area while brushing your teeth, which caused some bleeding. It's good to hear that the bleeding stopped quickly. Minor trauma to the surgical site can happen, and as long as it doesn't lead to excessive bleeding or pain, it typically won't affect the overall healing process significantly. However, you should be cautious while brushing to avoid irritating the area further. Using a soft-bristled toothbrush and being gentle around the extraction site can help prevent any additional trauma.

In terms of care, continue to maintain good oral hygiene, but be gentle around the extraction site. Rinsing with warm salt water can help keep the area clean and promote healing. Avoid using straws, smoking, or any activities that could dislodge the blood clot, as these can lead to complications like dry socket.

If you experience persistent tightness, pain, or any other concerning symptoms, it would be wise to follow up with your dentist. They can assess the healing process and determine if any additional treatment is necessary. Regular check-ups after wisdom tooth extraction are important to ensure that everything is healing as expected.

In summary, while some discomfort and tightness are normal after wisdom tooth removal, it's crucial to monitor your symptoms. Maintain good oral hygiene, be gentle with the area, and don't hesitate to reach out to your dentist if you have any concerns. Healing can take time, and being proactive about your care will help ensure a smooth recovery.

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