Wisdom Tooth Extraction Scars: What to Expect - Dentistry

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Wisdom tooth extraction suturing?


Hello Doctor, I would like to ask you a question.
Twenty years ago, I had my lower left wisdom tooth extracted at a clinic, and the procedure involved stitches due to the size of the incision.
I know there were three stitches, but I didn't closely observe the surgical site at that time.
About 5-6 years ago, I noticed a white scar at the extraction site.
I consulted an ENT specialist who mentioned that it was a scar from the sutures and that the wound would not heal to look exactly like normal tissue.
I would like to ask if it is common for wisdom tooth extraction to leave a white scar.
Thank you, Doctor.

Mavis, 40~49 year old female. Ask Date: 2021/11/14

Dr. Lin Jiayong reply Dentistry


Hello: The healing status of wounds can vary from person to person.
Some individuals may have a predisposition to keloids, and the oral mucosa is constantly exposed to thermal stimuli from food.
Additionally, factors such as medication side effects, tobacco, alcohol, betel nut, and ultraviolet sunlight may also play a role.
It is recommended to take X-rays to confirm that there is no osteomyelitis of the jaw or any remaining roots that have not been extracted.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/11/14

More Info


When it comes to wisdom tooth extraction, it is common for patients to have concerns about scarring, especially if they have undergone surgical procedures that involved incisions and sutures. The presence of a white scar, as you described, is not unusual and can be attributed to the body's natural healing process.


Understanding Scarring After Wisdom Tooth Extraction
1. Nature of Scars: Scars form as part of the healing process after any surgical procedure. When the skin is cut, the body responds by forming new collagen fibers to repair the damaged tissue. This process can result in a scar, which may appear different in color and texture compared to the surrounding skin. Initially, scars may be red or dark, but over time, they often fade to a lighter color, sometimes appearing white or silvery.

2. Factors Influencing Scarring: Several factors can influence the appearance of scars after wisdom tooth extraction:
- Surgical Technique: The method used by the dentist or oral surgeon can affect scarring. For instance, a more meticulous technique may result in less noticeable scars.

- Healing Process: Individual healing responses vary. Some people may develop more pronounced scars due to genetics, skin type, or underlying health conditions.

- Post-Operative Care: Proper care of the surgical site can minimize scarring. This includes keeping the area clean, avoiding irritation, and following the dentist's post-operative instructions.

3. Types of Scars: The type of scar can also vary:
- Hypertrophic Scars: These are raised scars that may appear red or dark and can be itchy or uncomfortable.

- Keloid Scars: Some individuals may develop keloids, which are thick, raised scars that extend beyond the original wound site.

- Atrophic Scars: These are depressed scars that may appear as indentations in the skin.


White Scars and Their Implications
The white scar you observed is likely a result of the healing process. White scars, also known as atrophic scars, can occur when the body produces less collagen than needed during the healing phase. This can lead to a scar that is less pigmented than the surrounding skin. While they may not be aesthetically pleasing, they typically do not indicate any underlying health issues.


What to Expect After Wisdom Tooth Extraction
1. Healing Timeline: After wisdom tooth extraction, the initial healing phase usually takes about one to two weeks, during which swelling and discomfort may occur. The scar will continue to mature over several months, potentially changing in appearance.

2. Long-Term Care: To promote optimal healing and minimize scarring, consider the following:
- Moisturization: Keeping the scar moisturized can help improve its appearance. Over-the-counter creams or silicone gel sheets may be beneficial.

- Sun Protection: Protecting the scar from sun exposure can prevent it from becoming darker than the surrounding skin. Use sunscreen or cover the area when outdoors.

- Consultation: If you have concerns about the appearance of your scar, consult with a dermatologist or plastic surgeon. They can provide options for scar treatment, such as laser therapy or chemical peels.


Conclusion
In summary, it is normal for wisdom tooth extraction to leave a scar, and the appearance of a white scar is a common outcome. While scars may not completely disappear, they often fade over time and become less noticeable. If you have further concerns about your scar or its appearance, it is advisable to seek professional advice for personalized recommendations. Remember, the healing process is unique to each individual, and with proper care, the scar can become a less prominent part of your overall appearance.

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