Tooth Loss: Is Gum Tissue Filling the Gap Normal? - Dentistry

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Tooth loss issues?


Hello, doctor.
Recently, I had my upper second molar extracted due to a cavity.
My dentist mentioned that I should wait for my wisdom tooth to erupt to fill that gap.
I’ve recently noticed that the space where my tooth was extracted seems to be filled with something resembling gum tissue.
I would like to know if this is a normal occurrence or if it is a sign that my wisdom tooth is about to come in.
Thank you for your response.

Sun, 10~19 year old female. Ask Date: 2020/11/28

Dr. Zeng Guanghui reply Dentistry


Hello, Sun: After the extraction of the second molar, the wound will gradually be filled by soft tissue and the underlying hard tissue (alveolar bone), which is normal.
However, whether the third molar (wisdom tooth) can erupt into the position of the extracted tooth should be monitored and observed.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2020/11/28

More Info


When a tooth is lost, particularly a molar, it is not uncommon for the surrounding gum tissue to change in response to the gap left by the missing tooth. The phenomenon you are observing, where the area where your second molar was extracted appears to be filled with what seems like gum tissue, can be considered a normal part of the healing process. After a tooth extraction, the body initiates a healing response, which includes the growth of gum tissue to fill the void left by the missing tooth.

The gum tissue, or gingiva, is designed to adapt to changes in the oral environment. When a tooth is removed, the body works to close the gap to protect the underlying bone and to maintain the integrity of the oral cavity. This process can involve the proliferation of gum tissue, which may initially appear to fill the space where the tooth once was. However, it is important to note that this tissue is not a replacement for the tooth itself; rather, it is part of the body's natural healing mechanism.

As for your concern about whether this gum tissue growth is a sign that your wisdom tooth (third molar) is coming in, it is unlikely that the presence of gum tissue in the extraction site is directly related to the eruption of your wisdom tooth. Wisdom teeth typically emerge in late adolescence or early adulthood, and their eruption is influenced by various factors, including genetics and the available space in the jaw. If your wisdom tooth is indeed coming in, it may cause some discomfort or pressure in the area, but it would not necessarily cause gum tissue to fill the gap left by the extracted tooth.

If you are experiencing any unusual symptoms, such as pain, swelling, or persistent bleeding from the extraction site, it is advisable to consult your dentist. They can evaluate the area to ensure that the healing process is proceeding normally and that there are no complications, such as infection or dry socket, which can occur after tooth extractions.

In summary, the growth of gum tissue in the area of your missing second molar is a normal part of the healing process. It is the body's way of protecting the underlying structures and maintaining the health of the oral cavity. If you have concerns about the status of your wisdom teeth or the healing of your extraction site, a follow-up appointment with your dentist would be beneficial. They can provide you with personalized advice and treatment options based on your specific situation.

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