Post-Wisdom Tooth Extraction: Is Gum Tissue Dropping Normal?

After wisdom tooth extraction

Three days after having two wisdom teeth removed from the left side, I noticed that there is gum tissue hanging down from the socket where the upper left wisdom tooth used to be.
Should this require gum trimming, or is this a normal occurrence?

Jerry, 20~29 year old female. Ask Date: 2020/04/10

Dr. Huang Tingfang reply Dentistry

Dear Mr.
Jerry,
Hello! Please return to the medical institution for your examination.
Take care! Wishing you peace and smoothness in everything!
Sincerely,
Director Huang Ting-Fang, Dentistry

Reply Date: 2020/04/10

More Info

After having your wisdom teeth extracted, it's not uncommon to experience various changes in the healing process, including the appearance of gum tissue that may seem to be drooping or hanging down from the extraction site. This can understandably cause concern, but let's break down what might be happening and whether it requires intervention.

Firstly, the presence of gum tissue that appears to be dropping or hanging down after wisdom tooth extraction can be a normal part of the healing process. When a tooth is removed, the surrounding gum tissue undergoes changes as it heals. The extraction site may initially appear to have a significant gap or "hole," and as the tissue begins to heal, it can sometimes retract or change shape, leading to the appearance of excess gum tissue. This is particularly common if there was a significant amount of gum tissue that needed to be manipulated or removed during the extraction.

However, there are a few important considerations to keep in mind:
1. Healing Timeline: The healing process after wisdom tooth extraction can vary from person to person. Generally, the initial healing phase takes about one to two weeks, but complete healing of the gum tissue and bone can take several months. During this time, it is normal for the gum tissue to change in appearance.

2. Signs of Complications: While some changes in the gum tissue are normal, you should be vigilant for signs of complications. If you notice increased swelling, persistent pain, or any signs of infection (such as pus or a foul odor), it is essential to contact your dentist or oral surgeon. These could indicate issues such as dry socket or infection, which may require further treatment.

3. Consultation with Your Dentist: If the drooping gum tissue is concerning you, or if it seems to be worsening, it is advisable to consult your dentist or oral surgeon. They can assess the site and determine whether any intervention is necessary. In some cases, if the tissue is excessive or not healing properly, a minor surgical procedure may be required to trim the gum tissue.

4. Gum Tissue and Bone Healing: It's also important to remember that the gum tissue will continue to heal and remodel over time. The appearance of the extraction site may change as the underlying bone heals and the gum tissue adapts to the new contours.
5. Post-Operative Care: To support healing, ensure that you are following post-operative care instructions provided by your dentist. This typically includes maintaining good oral hygiene, avoiding hard or crunchy foods, and possibly using a saltwater rinse to keep the area clean.

In summary, while the appearance of drooping gum tissue after wisdom tooth extraction can be normal, it is essential to monitor the situation closely. If you have any doubts or if the condition seems to worsen, do not hesitate to reach out to your dental care provider for a professional evaluation. They can provide reassurance and guidance tailored to your specific situation, ensuring that your healing process proceeds smoothly.

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