Post-Wisdom Tooth Extraction Healing and Care - Dentistry

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Post-operative issues after wisdom tooth extraction?


After having my wisdom teeth removed nearly a month ago, I've noticed that the socket has been filled with a white substance.
It doesn't have an odor.
When I clean it with a syringe, sometimes I wash away the white substance, but it reappears the next day.
Is this healing tissue? Should I avoid rinsing it out and let it heal naturally?

Jin Jiemu, 20~29 year old female. Ask Date: 2020/07/11

Dr. Huang Tingfang reply Dentistry


Dear Mr.
King James,
As mentioned, it should be vascular epithelium.
Please do not rinse it away, but maintain good oral hygiene.
Take care and wishing you all the best!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/07/11

More Info


After a wisdom tooth extraction, it's common to experience a variety of healing processes and changes in the extraction site. The white material you are observing in the socket is likely granulation tissue, which is a normal part of the healing process. Granulation tissue is composed of new connective tissue and tiny blood vessels that form on the surface of a wound during the healing process. It is typically pink or red but can appear white or yellowish due to the presence of fibrin, a protein involved in blood clotting.

In your case, since you mentioned that the white material does not have an odor, it is a good sign that there is no infection present. However, it is essential to be cautious about how you manage the healing site. Here are some key points to consider regarding your post-extraction care:
1. Avoid Aggressive Cleaning: While it may be tempting to use a syringe to flush out the socket, doing so can disrupt the healing tissue. If you are removing granulation tissue, you may be delaying the healing process. It is generally advisable to let the body heal naturally without excessive manipulation of the site.

2. Natural Healing: Allowing the granulation tissue to remain undisturbed is usually the best approach. This tissue plays a crucial role in healing and serves as a protective barrier for the underlying bone and nerves. If the tissue is not causing pain or discomfort, it is best to leave it alone.

3. Oral Hygiene: Maintaining good oral hygiene is essential, but you should be gentle around the extraction site. You can continue to brush your teeth, but avoid the area directly over the extraction site until it has healed sufficiently. Rinsing your mouth with warm salt water can help keep the area clean without being too aggressive.

4. Signs of Complications: Keep an eye out for any signs of complications, such as increased pain, swelling, or a foul odor coming from the extraction site. If you notice any of these symptoms, it would be wise to consult your dentist or oral surgeon for further evaluation.

5. Follow-Up Care: If you have concerns about the healing process or the appearance of the extraction site, it is always a good idea to follow up with your dentist. They can assess the site and provide guidance tailored to your specific situation.

6. Timeframe for Healing: Healing after wisdom tooth extraction can take several weeks to months, depending on various factors, including the complexity of the extraction and your overall health. Patience is key during this time.

In summary, the white material you are observing is likely a normal part of the healing process. It is best to avoid aggressive cleaning and allow the body to heal naturally. If you have any concerns or if the situation changes, do not hesitate to reach out to your dental care provider for advice and reassurance. Your oral health is important, and professional guidance can help ensure a smooth recovery.

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