Post-Wisdom Tooth Extraction: Healing Concerns and Timeline - Dentistry

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


I recently had my horizontal wisdom tooth extracted last week and had my stitches removed today.
The doctor mentioned that since the tooth was partially erupted (about 2/3 of the crown was exposed), there is a hole next to it.
While eating a rice ball, some sticky rice got lodged in the hole at the tooth root, and no matter how much I rinsed, it wouldn't come out.
I eventually used a dental pick to remove it and noticed that I could see bone at the wound.
Is this normal? How long does it typically take for complete healing?

Ting, 20~29 year old female. Ask Date: 2021/08/25

Dr. Lin Jiayong reply Dentistry


Hello: Based on your age, the gum tissue should ideally cover the wound within about a month, and you should no longer see any bone.
It is recommended that you return to the clinic weekly for the dentist to continuously monitor the healing progress of the wound.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/08/25

More Info


After a wisdom tooth extraction, especially in cases where the tooth was partially erupted, it is common to have some concerns regarding the healing process. The presence of a "hole" or socket where the tooth was removed is expected, and it can take some time for this area to heal completely.
When you mention that you can see bone in the socket, it is important to understand that this can be a normal part of the healing process. After the extraction, the soft tissue will gradually fill in the socket, and the bone will eventually be covered by new gum tissue. However, if the bone is exposed for an extended period, it could lead to complications such as dry socket (alveolar osteitis), which is a painful condition that occurs when the blood clot that forms in the socket is dislodged or dissolves before the wound has healed.

In terms of healing time, the initial healing of the soft tissue typically takes about 1 to 2 weeks, during which time you should notice a reduction in swelling and discomfort. However, complete healing of the bone and soft tissue can take several weeks to a few months. Generally, the socket will continue to fill in and heal over the course of 6 to 8 weeks, but it can vary based on individual factors such as your overall health, age, and adherence to post-operative care instructions.

Here are some important tips for ensuring proper healing after wisdom tooth extraction:
1. Follow Post-Operative Instructions: Make sure to adhere to the care instructions provided by your oral surgeon or dentist. This typically includes guidelines on diet, oral hygiene, and activity restrictions.

2. Diet: Stick to soft foods for the first few days after surgery. Avoid hard, crunchy, or sticky foods that could irritate the extraction site or get lodged in the socket.

3. Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. You can rinse your mouth with warm salt water starting 24 hours after the extraction to help keep the area clean.

4. Avoid Smoking and Alcohol: These can interfere with the healing process and increase the risk of complications.

5. Watch for Signs of Infection: If you notice increased pain, swelling, or discharge from the extraction site, or if you develop a fever, contact your dentist or oral surgeon immediately.

6. Pain Management: Use prescribed pain medications as directed, and consider over-the-counter pain relievers if needed.

If you have any concerns about the healing process, especially if you notice unusual symptoms such as persistent pain, swelling, or signs of infection, it is crucial to reach out to your dentist or oral surgeon for further evaluation. They can assess the healing site and determine if any additional treatment is necessary.

In summary, while seeing bone in the extraction site can be normal, it is essential to monitor the healing process closely. With proper care and attention, you should expect to see significant healing within a few weeks, with complete healing taking a couple of months. Always consult with your healthcare provider if you have any doubts or concerns during your recovery.

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