Post-Extraction Wisdom Tooth Issues: When to Seek Medical Attention?

Post-operative issues after wisdom tooth extraction?

Hello Doctor, on September 3rd, I had my lower right horizontal wisdom tooth extracted.
The doctor mentioned that the tooth was quite large and deep, so the wound would also be significant.
After the extraction, I was advised to practice opening my mouth wide to prevent the limitation of mouth opening after the wound heals.
However, on the fourth day, I noticed that two of the stitches were missing, and one was loose and seemed to be tangled in the wound.
When I open my mouth, the wound also seems to open up.
Now, five days later, the wound is still slightly painful even when I'm not talking, and it hurts more when I eat or drink.
The pain isn't too severe, but seeing the wound open is quite alarming.
Should I return to the clinic immediately to have the wound stitched up, or can I let it heal naturally and wait until my scheduled appointment on September 17th for the doctor to check it? Thank you for taking the time to respond amidst your busy schedule.
:D

Amy, 20~29 year old female. Ask Date: 2019/09/08

Dr. Huang Tingfang reply Dentistry

Dear Ms.
Amy,
Hello! I apologize for the larger wound from the wisdom tooth extraction; the stitches may also come loose.
However, it's not a problem as long as you maintain good oral hygiene! Take care! Wishing you all the best and a smooth recovery!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2019/09/08

More Info

After undergoing wisdom tooth extraction, especially for a complex case like yours involving a large and deeply positioned tooth, it is not uncommon to experience a range of post-operative issues. The concerns you've raised about the stitches (sutures) and the pain you're experiencing are valid and warrant careful consideration.

Firstly, it's important to understand that the healing process after wisdom tooth extraction can vary significantly from person to person. Factors such as the complexity of the extraction, individual pain tolerance, and overall health can all influence recovery. In your case, since you mentioned that two of the sutures are missing and one appears to be loose, this could potentially lead to complications such as delayed healing or even infection.

The fact that you are experiencing pain when eating and drinking, along with the visible opening of the wound, suggests that your body may not be healing as expected. While some discomfort is normal after such a procedure, persistent or increasing pain, especially if it is affecting your ability to eat or drink, is a sign that you should seek medical attention sooner rather than later.

Here are some considerations for your situation:
1. Infection Risk: An open wound in the mouth can be susceptible to infection. If food particles or bacteria enter the site, it can lead to complications such as dry socket or an abscess. Signs of infection may include increased swelling, redness, or discharge from the wound, as well as fever.

2. Suture Concerns: If sutures are missing or loose, it may hinder the healing process. Sutures help to keep the tissue together, allowing it to heal properly. If the wound is opening up, it might be beneficial to have it evaluated by your dentist or oral surgeon. They may decide to re-suture the area to promote better healing.

3. Pain Management: While some pain is expected, if it is significant enough to interfere with eating or drinking, it may require further evaluation. Over-the-counter pain relief may help, but if the pain persists or worsens, it’s crucial to consult with your dentist.

4. Follow-Up Appointment: Although you have a follow-up appointment scheduled for September 17, it may be wise to seek an earlier consultation. If you are feeling anxious about the state of the wound or if the pain is becoming unbearable, don’t hesitate to reach out to your dental provider. They can provide reassurance and determine if any immediate intervention is necessary.

5. Self-Care: In the meantime, ensure you are following post-operative care instructions, including maintaining good oral hygiene without disturbing the extraction site, avoiding hard or crunchy foods, and staying hydrated.

In summary, while some discomfort is normal after wisdom tooth extraction, the combination of missing sutures, visible opening of the wound, and pain during eating and drinking suggests that you should seek medical attention sooner rather than later. It’s better to err on the side of caution when it comes to your health, especially after a surgical procedure. Your dentist will be able to assess the situation and provide the necessary care to ensure proper healing.

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