Post-Wisdom Tooth Extraction: Common Concerns and Care Tips - Dentistry

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Post-operative issues after wisdom tooth extraction and suture removal?


Hello Dr.
Lin, I had my stitches removed on July 30, and it has been about a week since then.
Originally, two-thirds of the molar in front of my wisdom tooth was covered by gum tissue.
After the extraction and stitch removal, the gum tissue now covers about one-third of the molar.
Over the past few days, I have been concerned about food particles getting stuck in the gap, so I occasionally check with a cotton swab.
Each time I do this, I notice that the saliva has a brownish tint and an unusual odor, but there is no bad smell from other areas, and the stitch removal site does not hurt.
I would like to know if this is normal.

Li, 10~19 year old female. Ask Date: 2021/08/07

Dr. Lin Jiayong reply Dentistry


Hello: If there is no swelling, pain, pus formation, or foul odor, it should be considered normal.
It is still recommended to return to the outpatient clinic monthly for the physician to check the condition of the wound (after all, it is an extraction procedure).
Sincerely, Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/08/07

More Info


After a wisdom tooth extraction, it is common to have concerns about the healing process, especially when it comes to the surrounding teeth and gum tissue. Based on your description, it seems that you are experiencing some typical post-operative symptoms, but there are a few important points to consider regarding your situation.

Firstly, the presence of brownish fluid and an unusual odor when using a cotton swab to check the area could indicate the presence of food debris or bacteria in the extraction site. It is not uncommon for food particles to become trapped in the area where the wisdom tooth was removed, especially if the gum tissue is still healing and has not fully closed over the extraction site. This can lead to a condition known as "dry socket," where the blood clot that forms in the socket becomes dislodged or dissolves, exposing the underlying bone and nerves, which can be quite painful.

However, since you mentioned that the area does not hurt and the extraction site itself is not painful, this is a positive sign. It suggests that the healing process is progressing well. The brownish fluid could be a mixture of saliva and blood, which is normal in the healing process, especially in the first few weeks after surgery. The odor you are noticing may also be due to the presence of bacteria or food particles in the area, which can be addressed with proper oral hygiene.

Here are some care tips to help you manage your recovery and ensure proper healing:
1. Maintain Oral Hygiene: It is crucial to keep your mouth clean to prevent infection. Gently rinse your mouth with warm salt water several times a day, especially after meals, to help flush out any food particles and reduce bacteria. Avoid vigorous rinsing, as this can dislodge the blood clot.

2. Avoid Using Cotton Swabs: While it may be tempting to check the area with cotton swabs, this can irritate the healing tissue and potentially disrupt the healing process. Instead, focus on rinsing gently with salt water.

3. Monitor for Signs of Infection: Keep an eye out for any signs of infection, such as increased swelling, persistent pain, or fever. If you notice any of these symptoms, it is important to contact your dentist or oral surgeon for further evaluation.

4. Dietary Considerations: Stick to soft foods that are easy to chew and swallow. Avoid hard, crunchy, or spicy foods that could irritate the extraction site.

5. Follow-Up Appointments: Make sure to attend any scheduled follow-up appointments with your dentist. They can assess the healing process and provide additional care if necessary.

6. Pain Management: If you experience discomfort, over-the-counter pain relievers can help manage pain. However, consult your dentist before taking any new medications, especially if you are on other medications.

In conclusion, while some discharge and odor can be normal during the healing process, it is essential to maintain good oral hygiene and monitor for any signs of complications. If you have any concerns or if the symptoms worsen, do not hesitate to reach out to your dentist for guidance. They can provide personalized advice based on your specific situation and ensure that your recovery continues smoothly.

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