White Spots on Gums After Wisdom Tooth Extraction

White spots on the oral mucosa after wisdom tooth extraction?

Hello Doctor: I had my wisdom teeth removed four months ago.
The area where my lower wisdom tooth was extracted has mostly healed, but there is a small white spot on the gum that won't go away.
Could this possibly be leukoplakia?

Yang, 20~29 year old female. Ask Date: 2022/03/21

Dr. Zeng Guanghui reply Dentistry

Generally, it is scar tissue from wound healing.
If you have any concerns, you can return for a check-up with your dentist.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/03/21

More Info

After wisdom tooth extraction, it is not uncommon to observe changes in the gum tissue, including the appearance of white spots or patches. These white spots can arise from various causes, and understanding their nature is crucial for determining whether any further action is necessary.

Firstly, it is important to differentiate between normal healing processes and potential complications. After a tooth extraction, especially a wisdom tooth, the gum tissue undergoes a healing process that can involve the formation of scar tissue. This scar tissue may appear white or pale, which is typically a normal part of healing. The white appearance can also be due to the presence of keratinized tissue, which is a protective layer that forms over the healing area.

However, if the white spot persists for an extended period, such as four months post-extraction, it may warrant further investigation. One possibility is that the white spot could be a form of leukoplakia, which is a condition characterized by white patches in the mouth that can be caused by irritation, trauma, or other factors. While leukoplakia itself is not always serious, it can sometimes be associated with more significant conditions, including precancerous changes, so it is essential to monitor any changes in the appearance or texture of the spot.

Another potential cause for a white spot on the gums could be a residual piece of tooth or bone that was not fully removed during the extraction. This can lead to localized irritation and inflammation, which may manifest as a white area. In some cases, food particles or plaque accumulation can also contribute to the appearance of white spots, particularly if proper oral hygiene is not maintained.

If you are experiencing discomfort, pain, or any other symptoms in conjunction with the white spot, it is advisable to consult with your dentist or oral surgeon. They can perform a clinical examination and, if necessary, take radiographs to assess the area for any underlying issues. If the white spot is determined to be a benign condition, your dentist may recommend monitoring it over time. However, if there are concerns about infection, residual tissue, or other complications, they may suggest appropriate treatment options.

In summary, while a white spot on the gums after wisdom tooth extraction can be a normal part of the healing process, it is essential to remain vigilant and consult with a dental professional if it persists or is accompanied by other symptoms. Regular follow-up appointments and maintaining good oral hygiene are crucial for ensuring proper healing and preventing complications.

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