Questions after wisdom tooth operculectomy?
I recently underwent gingival flap surgery a few days ago.
Since my wisdom tooth has not erupted yet, the wound in that area appears as a hole.
There is some white necrotic gum tissue near the hole.
Should I see a dentist to address this necrotic tissue, or will it resolve on its own over time?
AAAAA, 20~29 year old female. Ask Date: 2021/03/08
Dr. Lin Jiayong reply Dentistry
Hello: Based on what you described, it appears to be a normal condition.
However, it is still recommended to have follow-up visits once a week after the surgery to monitor the healing of the wound.
Best regards from Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare!
Reply Date: 2021/03/08
More Info
After undergoing gum flap surgery for wisdom teeth, it's not uncommon to have concerns about the healing process and the appearance of the surgical site. The presence of a "hole" or cavity where the wisdom tooth was located, along with white or necrotic (dead) gum tissue, can understandably cause anxiety.
Firstly, it's important to recognize that the healing process after such a procedure can vary significantly from person to person. Typically, after gum flap surgery, the area may appear irregular as the body begins to heal. The "hole" you are observing is likely a natural part of the healing process, especially if the wisdom tooth has not fully erupted. The body will gradually fill in this area with new tissue over time.
Regarding the white, necrotic tissue, this can sometimes occur as a result of the surgical procedure. It may be a sign of tissue that is not healing properly or could be a normal part of the healing process, where dead tissue is being sloughed off. In many cases, this necrotic tissue will eventually resolve on its own as the area heals. However, if you notice that the tissue is not improving, or if you experience increased pain, swelling, or any signs of infection (such as pus or a foul odor), it would be prudent to consult your dentist or oral surgeon.
In terms of whether you should seek dental treatment for the necrotic tissue, it largely depends on your symptoms. If the area is painful, swollen, or showing signs of infection, you should definitely reach out to your dental professional. They may need to debride (clean out) the area to promote proper healing. On the other hand, if the area is not causing you significant discomfort and you are not noticing any signs of infection, you might choose to monitor the situation for a few days to see if it improves on its own.
It's also essential to maintain good oral hygiene during your recovery. Gently rinsing with warm salt water can help keep the area clean and may promote healing. Avoiding smoking, which can impede healing, and sticking to a soft diet can also be beneficial during this time.
In summary, while some necrotic tissue may resolve on its own, it's crucial to keep an eye on the healing process. If you have any doubts or if your symptoms worsen, do not hesitate to contact your dentist or oral surgeon for further evaluation and management. They can provide you with the best advice tailored to your specific situation and ensure that your recovery proceeds smoothly.
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