Post-Wisdom Tooth Extraction Complications - Dentistry

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Questions related to wisdom tooth extraction?


About 42 hours after having my wisdom teeth removed, I noticed a white area at the site of the stitches, which I read is a protective covering for the wound.
However, there is a red area on the oral mucosa near the base of my tongue behind the stitches.
Now, swallowing saliva causes pain, and I'm unsure if the pain is due to the wound or the red area.
I would like to know if the red area indicates inflammation.

Bai Bai, 20~29 year old female. Ask Date: 2021/06/27

Dr. Lin Jiayong reply Dentistry


Hello: During the process of wisdom tooth extraction, pressure is applied, and the delicate oral mucosa may be injured and inflamed, which can lead to symptoms such as redness, swelling, and pain when swallowing saliva.
This is quite common.
However, if symptoms persist for more than 48 hours, accompanied by fever and severe swelling, it is advisable to return to the original clinic for a re-evaluation by the dentist to check for any signs of wound infection.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/06/27

More Info


After wisdom tooth extraction, it is not uncommon to experience various complications, and your description suggests that you may be encountering a couple of common post-operative issues. The white area you see around the sutures is likely a normal part of the healing process, often referred to as fibrin, which is a protein that forms a protective layer over the wound. This is a sign that your body is working to heal the extraction site.

However, the red area near the back of your mouth, close to the base of your tongue, could indicate inflammation or irritation. It is essential to differentiate between normal healing and potential complications. Inflammation can occur for several reasons, including:
1. Infection: If the area is red, swollen, and painful, it could be a sign of infection. Infections can develop after dental procedures, particularly if bacteria enter the wound. Symptoms of infection may include increased pain, swelling, pus discharge, or fever.

2. Dry Socket: This condition occurs when the blood clot at the extraction site becomes dislodged or dissolves before the wound has healed. Symptoms include severe pain that may radiate to the ear or jaw, and the exposed bone may be visible in the socket.

3. Irritation from Sutures: Sometimes, the sutures themselves can cause irritation to the surrounding tissues, leading to localized redness and discomfort.

4. Normal Healing Response: It is also possible that the redness is part of the normal inflammatory response as your body heals. This can happen as the tissues around the extraction site adjust and repair themselves.

Given that you are experiencing pain when swallowing, it is crucial to monitor your symptoms closely. Here are some steps you can take:
- Maintain Oral Hygiene: Gently rinse your mouth with warm salt water to help keep the area clean. Avoid vigorous rinsing, as this can dislodge the blood clot.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. Follow the dosage instructions on the package or those provided by your dentist.

- Avoid Irritants: Stay away from smoking, alcohol, and spicy foods, as these can irritate the extraction site and delay healing.

- Follow-Up with Your Dentist: If the redness persists, worsens, or if you develop additional symptoms such as fever, increased swelling, or pus, it is essential to contact your dentist or oral surgeon. They may need to evaluate the area for signs of infection or other complications.

In summary, while some redness and discomfort can be part of the healing process after wisdom tooth extraction, it is vital to be vigilant for signs of infection or other complications. If you have any concerns, do not hesitate to reach out to your dental care provider for a thorough evaluation and appropriate management.

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