Dental Issues: Post-Extraction Concerns and Oral Health - Dentistry

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Oral gingiva


Dr.
Tseng, thank you for your response to #146166.
I apologize for bothering you again, but I would like to request an analysis of the pre- and post-extraction photos.
Please help me with the following concerns:
1.
The white spot in the image is from a previous ulcer that underwent a biopsy.
Although the wound has healed, the white area remains.
I am unsure if this is a cause for concern.
My gums have been uncomfortable, and I wonder if this is related.
2.
Is the wound next to the extraction site inflamed? Should I consult a doctor again?
3.
I feel a small growth on the mucosa of my left cheek, but my dentist said it is the opening of a salivary gland, which appears slightly enlarged and has a dark spot.
The doctor mentioned it is not a problem, but when I touch it with my tongue, I experience mild burning pain.
4.
The area on the left side of my tongue has an unusual taste, even when not eating, described as sour and salty, which feels strange.
The gum at the extraction site is particularly swollen.
Is it possible that there was pre-existing bone overgrowth in the alveolar bone, or is this normal? Additionally, the gums in that area are red.
I have been experiencing discomfort in this region, feeling a burning pain when the mucosa of my cheek rubs against it.
Initially, I thought it was related to the teeth, but there has been no improvement after the extraction.
I still feel like my gums are rubbing against the oral mucosa.
If the bone is affecting the oral cavity, is it possible to perform bone contouring surgery? I am concerned that this area is swollen and worried about the possibility of something harmful growing inside, especially since there has been no improvement after the extraction.
Regarding the photos of my tongue, the area often has a sour and salty taste.
I have seen an ENT specialist who said everything seems fine, but I am still uncertain if there is an issue.
Additionally, I feel that the area around the extraction site appears redder, which may indicate inflammation.
Should I schedule an earlier follow-up appointment with my doctor?
I have seen many doctors, and I am genuinely afraid of going to the hospital again, as I feel I am bothering them too much.
I greatly appreciate your patience and assistance, Dr.
Tseng.
Thank you for your help.

Ms. Chen, 40~49 year old female. Ask Date: 2019/05/16

Dr. Zeng Guanghui reply Dentistry


If there is no severe inflammation or infection at the extraction site after tooth extraction, but you still notice significant swelling in the gum area where the tooth was removed, it may be due to the original alveolar bone being particularly thick.
Typically, the bone will gradually remodel over the course of several months following the extraction.
If, after a few months, you still feel that the bone is unusually thick, it is advisable to consult an oral surgeon to evaluate whether alveolar bone contouring surgery is necessary.

Reply Date: 2019/05/16

More Info


Thank you for reaching out with your concerns regarding your oral health, particularly in relation to your recent tooth extraction and ongoing discomfort. It’s understandable to feel anxious when experiencing persistent symptoms, especially after a dental procedure. Let’s address your questions and provide some insights based on your situation.

1. White Spot at the Extraction Site: The white spot you mentioned at the site of your previous ulcer, which has been biopsied, could be a remnant of the healing process. It’s not uncommon for areas that have undergone trauma or surgery to appear white as they heal. However, if the area continues to be uncomfortable or shows signs of inflammation (such as increased redness, swelling, or discharge), it would be prudent to have it evaluated by your dentist or oral surgeon. They can determine if further intervention is necessary.

2. Post-Extraction Healing and Inflammation: The discomfort you’re experiencing around the extraction site could indeed be related to inflammation. Signs of infection may include increased pain, swelling, or pus. If you notice any of these symptoms, or if the discomfort persists, it’s advisable to consult your dentist. They may need to assess the area for any potential complications, such as dry socket or infection.

3. Mucosal Growth on the Cheek: The bump you feel on your left cheek, which your dentist identified as a salivary gland outlet, may be benign. However, if it has changed in size, color, or if it causes discomfort, it’s worth a follow-up. The slight burning sensation you experience when touching it could indicate irritation, which might warrant further investigation.

4. Altered Taste Sensation: The unusual taste you’re experiencing on your left side of the tongue could be due to several factors, including irritation from the extraction site, changes in oral flora, or even anxiety. If this sensation persists, it may be beneficial to consult with an ENT specialist or your dentist to rule out any underlying issues.

5. Swelling and Redness: The swelling and redness around the extraction site could be indicative of inflammation. If the swelling is significant or accompanied by pain, it’s essential to seek medical advice. Your dentist may recommend imaging studies to assess the health of the surrounding bone and tissues.

6. Bone Growth Concerns: If you suspect that the alveolar bone (the bone that holds your teeth) is abnormally enlarged or if you have concerns about potential growths, a thorough examination, possibly including imaging, is necessary. Bone surgery is typically reserved for specific conditions, and your dentist or oral surgeon can provide guidance based on their findings.

7. Follow-Up Care: Given your ongoing symptoms and concerns, it’s crucial to maintain open communication with your dental care provider. If you feel that your symptoms are not improving or if new symptoms arise, don’t hesitate to schedule a follow-up appointment. It’s better to address concerns early rather than wait for them to potentially escalate.

In summary, while some discomfort and changes are common after dental procedures, persistent or worsening symptoms should be evaluated by a professional. Your oral health is important, and addressing these issues promptly can help prevent further complications. Don’t hesitate to seek the care you need, and remember that it’s always better to ask questions and clarify concerns with your healthcare provider. Thank you for trusting me with your questions, and I hope you find relief soon.

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