Oral Ulcers and Scarring After Wisdom Tooth Extraction

Q: Oral Ulcers and Scarring After Wisdom Tooth Extraction

Hello： If it feels smooth to the touch and there are no obvious ulcers on the surface, it may be scar tissue. <br>If there is no significant pain, you can observe it yourself. <br>However, if you are concerned, you can visit an otolaryngologist or a dentist for further evaluation

Oral ulcers and scars?

Hello, doctor.
I have had oral ulcers for a long time.
After having one side of my wisdom teeth extracted last year, I started experiencing oral ulcers on my tonsils, lingual arches, and palatoglossal arches, which take about 1 to 2 months to heal.
I have visited an otolaryngologist several times, and the diagnosis has been oral ulcers.
Currently, the ulcers have healed, but there is a white indentation on the lingual arch that looks a bit wrinkled, along with transparent small blisters.
Is this a scar? This year, I had the other side of my wisdom teeth extracted, and an ulcer appeared in the same area of the lingual arch (it seems to be where the anesthesia was administered).
It has persisted for 2 months, feels smooth, and is completely painless.
It appears as a gray oval indentation that is distinguishable from the normal mucosa.
I have been taking extra vitamins and eating fruits and vegetables, but there hasn't been much change.
Should I go for another examination? Thank you.

Niming, 20~29 year old female. Ask Date: 2019/03/12

Dr. Zheng Jueyi reply Otolaryngology

Hello: If it feels smooth to the touch and there are no obvious ulcers on the surface, it may be scar tissue.
If there is no significant pain, you can observe it yourself.
However, if you are concerned, you can visit an otolaryngologist or a dentist for further evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/03/12

More Info

After wisdom tooth extraction, it is not uncommon for patients to experience oral ulcers and scarring, particularly if they have a history of oral ulcers. The healing process can vary significantly from person to person, influenced by factors such as individual healing capacity, the complexity of the extraction, and pre-existing conditions.

In your case, the white, wrinkled indentation on the sublingual area (the area under the tongue) that you described after your first wisdom tooth extraction could indeed be a form of scar tissue. Scar tissue can develop as a natural part of the healing process, especially if there was significant trauma to the area during the extraction. The presence of transparent blisters may indicate that the area is still sensitive or healing, but if they are not painful, this is generally a good sign.

Regarding the second extraction, the gray oval-shaped indentation you mentioned could also be a scar or a healing area where the tissue has not fully returned to its original state. It is essential to monitor these areas for any changes, such as increased pain, swelling, or discharge, which could indicate an infection or other complications.

While you have been taking vitamins and consuming fruits to aid healing, it is crucial to maintain good oral hygiene, especially after dental procedures. Gentle brushing and the use of a soft toothbrush can help prevent irritation to the healing tissues. Additionally, using a non-alcoholic mouthwash can help keep the area clean without causing further irritation.

If the areas of concern remain unchanged or if you experience any new symptoms, it would be wise to consult with your dentist or an oral surgeon. They can perform a thorough examination to determine whether the changes you are observing are typical post-operative healing or if they require further intervention.

In summary, while scarring and oral ulcers can be common after wisdom tooth extraction, especially for individuals with a history of oral ulcers, it is essential to keep an eye on the healing process. Regular follow-ups with your dental care provider can ensure that any potential issues are addressed promptly, allowing for a smoother recovery. If you have any doubts or concerns about your healing process, do not hesitate to seek professional advice.

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