Post-Wisdom Tooth Extraction: Healing and Expectations - Dentistry

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It's been over a week since I had my wisdom teeth extracted?


Hello, doctor.
I had both my upper and lower wisdom teeth extracted at once.
Currently, I only feel a dull ache, but the upper teeth feel like they are pressing against my cheek.
Is it normal to see white around the wound? How long does this white appearance last after wisdom tooth extraction?

Xiao Bai, 20~29 year old female. Ask Date: 2019/04/05

Dr. Lin Jiayong reply Dentistry


Hello: The epithelial growth typically takes 7 days, and the initial healing process requires about a month.
The white area should be new tissue.
If there are no significant signs of redness, swelling, heat, pain, or bleeding, there is no need to worry.
You should return to the original clinic for suture removal and regular check-ups.
Thank you!

Reply Date: 2019/04/05

More Info


After having your wisdom teeth extracted, it's common to experience a range of sensations and symptoms as your body begins the healing process. The "white" appearance you see around the extraction site is likely a part of the healing process. This can be attributed to several factors, including the formation of a fibrin clot, which is a natural part of wound healing, or the presence of granulation tissue, which is a sign that your body is working to repair the area.

Typically, the white tissue can persist for several days to a couple of weeks post-surgery. As the healing progresses, this tissue will gradually be replaced by healthy gum tissue. However, if you notice any unusual symptoms such as increased pain, swelling, or a foul odor coming from the extraction site, it’s important to consult with your dentist or oral surgeon, as these could be signs of infection or complications such as dry socket.

Regarding the sensation of your upper teeth feeling like they are "pushing" against your cheek, this can be a normal sensation as your mouth adjusts after the removal of the wisdom teeth. The absence of the wisdom teeth can change the way your other teeth align and interact, leading to temporary discomfort. This sensation should diminish as your mouth heals and adjusts over the coming weeks.

In terms of healing expectations, the timeline can vary from person to person. Generally, the initial healing phase takes about 3 to 7 days, during which you may experience swelling, discomfort, and some bleeding. After this period, most people find that their symptoms begin to improve significantly. Complete healing of the gum tissue can take several weeks to a few months, depending on various factors such as your overall health, the complexity of the extraction, and how well you follow post-operative care instructions.

To aid in your recovery, consider the following tips:
1. Follow Post-Operative Instructions: Adhere to the care instructions provided by your dentist or oral surgeon. This typically includes avoiding certain foods, maintaining oral hygiene, and possibly using prescribed medications.

2. Pain Management: If you experience discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen can be effective. Always consult your healthcare provider before taking any medication.

3. Diet: Stick to soft foods and avoid anything that could irritate the extraction site. Foods like yogurt, applesauce, and smoothies are good options.

4. Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. Avoid vigorous rinsing or spitting for the first few days to prevent dislodging the clot.

5. Hydration: Stay hydrated, but avoid using straws for at least a week, as the suction can dislodge the clot and lead to dry socket.

6. Avoid Smoking: If you smoke, try to refrain from it during the healing process, as it can impede healing and increase the risk of complications.

7. Follow-Up Appointments: Attend any scheduled follow-up appointments with your dentist to ensure proper healing and address any concerns.

In summary, while the white tissue and sensations you are experiencing are generally normal, it’s crucial to monitor your healing process and communicate with your dental care provider if you have any concerns. Healing after wisdom tooth extraction is a gradual process, and with proper care, you should expect to feel better in the coming weeks.

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