Oral health issues
After having my wisdom teeth removed and the stitches taken out, I noticed that my mouth feels swollen when I bite down, and I later discovered small black spots.
Is there something wrong?
Zhang Xiaohui, 20~29 year old female. Ask Date: 2020/09/20
Dr. Zeng Guanghui reply Dentistry
Hello, Zhang Xiaohui: After having your wisdom teeth removed and the stitches taken out, you noticed that your mouth feels swollen and there are small black spots.
This may indicate an infection at the extraction site.
It is recommended that you return to the dentist for an examination.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2020/09/20
More Info
After wisdom tooth extraction, it is not uncommon to experience some swelling and discomfort in the oral cavity. The swelling is a normal part of the healing process as your body responds to the surgical trauma. However, the appearance of small black spots in the mouth can be concerning and may indicate a few different issues.
Firstly, the black spots could be a result of bruising or hematoma formation. When the wisdom teeth are extracted, the surrounding tissues can become damaged, leading to bleeding under the skin or mucosa. This can manifest as dark spots that may appear black or blue. Typically, these bruises will resolve on their own as the healing progresses.
Another possibility is that the black spots could be related to the healing process of the extraction site. As the tissue heals, it may undergo changes in color, and some areas may appear darker. This is usually a temporary condition and should improve as the tissue continues to heal.
However, if the black spots are accompanied by other symptoms such as persistent pain, swelling that worsens over time, or any signs of infection (such as pus or a foul odor), it is essential to seek medical attention. An infection can occur after tooth extraction, leading to complications that may require further treatment. Signs of infection may include increased redness, swelling, and pain at the extraction site, as well as fever or general malaise.
Additionally, if the black spots are located on the gums or other areas of the mouth, they could be indicative of other oral health issues, such as oral melanotic macules or even a more serious condition. It is crucial to have any unusual changes in your mouth evaluated by a dental professional.
In summary, while some swelling and discoloration after wisdom tooth extraction can be normal, the appearance of black spots warrants attention. If you are experiencing any concerning symptoms or if the spots do not improve over time, it is advisable to return to your dentist or oral surgeon for a thorough examination. They can assess the situation, provide appropriate treatment if necessary, and ensure that your healing process is on track. Remember, maintaining good oral hygiene and following post-operative care instructions can significantly aid in your recovery and minimize complications.
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