Post-Surgery Oral Mucosa Healing: What to Expect

Oral issues

On April 4th, a laser surgery was performed on the oral mucosa for leukoplakia, and the biopsy results were benign.
It has been one month post-surgery, and the wound has healed; however, the healed area appears white and often feels slightly painful.
The healed area is somewhat depressed— is this normal? Additionally, there is a slight white patch on the gingiva.
The ENT specialist advised seeking dental care, but when I consulted the oral surgeon, they mentioned that the ENT could also handle it.
Currently, the oral surgery team recommends monitoring the situation.

jo990115, 30~39 year old female. Ask Date: 2022/05/10

Dr. Ji Zhaoyun reply Otolaryngology

Hello, if the pathology report confirms that it is benign, the "healed wound appears white and often feels slightly painful, with a slight indentation in the area of the healed wound" is mostly a common postoperative phenomenon.
It is recommended to follow the surgeon's advice for regular follow-up visits.

Reply Date: 2022/05/10

More Info

After undergoing oral mucosa laser surgery for leukoplakia, it is common to have concerns about the healing process and the appearance of the surgical site. Based on your description, it seems that you are experiencing some typical post-operative symptoms, but let's break down what you might expect during the healing phase and what could be considered normal or concerning.

Healing Process and Expectations
1. Initial Healing: After any surgical procedure, including laser surgery on the oral mucosa, the body begins a healing process that can take several weeks. Initially, you may experience swelling, discomfort, and changes in the appearance of the tissue. It is not unusual for the area to appear white during the healing process due to the formation of a fibrin clot and the presence of new tissue.

2. White Appearance: The white coloration you observe at the surgical site is often a result of the healing process. This can be due to the presence of necrotic tissue or the fibrin layer that forms over the wound. As healing progresses, this white appearance should gradually diminish. However, if the area remains white and does not show signs of improvement, it may warrant further evaluation.

3. Slight Pain or Discomfort: A mild, intermittent stabbing or sharp pain can be a normal part of the healing process as the nerves in the area recover. However, if the pain becomes severe or persistent, it could indicate an issue such as infection or improper healing.

4. Depressed or Indented Area: It is not uncommon for the healed area to appear slightly depressed or indented. This can happen as the tissue remodels after surgery. Over time, the appearance may improve as the tissue continues to heal and regenerate. However, if the indentation is significant or accompanied by other symptoms, it should be assessed by a healthcare professional.

5. Presence of White Patches on Gums: The thin white patches on your gums could be a continuation of the healing process or could indicate a separate issue, such as oral thrush or another form of mucosal irritation. It is essential to monitor these patches, especially if they change in size, color, or if you experience increased discomfort.

Recommendations for Follow-Up Care
- Regular Monitoring: Since your oral surgeon has advised observation, it is crucial to keep track of any changes in the surgical site. Document any new symptoms, changes in pain levels, or alterations in the appearance of the tissue.

- Consultation with Specialists: If you feel uncertain about the healing process, it may be beneficial to seek a second opinion from a dental specialist, particularly one who focuses on oral pathology or oral medicine. They can provide a more thorough evaluation of the healing tissue and any white patches.

- Oral Hygiene: Maintain good oral hygiene to prevent infection. Use a soft-bristled toothbrush and avoid irritating the surgical site. Rinsing with a saline solution can help keep the area clean without causing trauma.

- Avoid Irritants: If you smoke or consume alcohol, consider reducing or eliminating these habits, as they can impede the healing process and increase the risk of complications.

- Pain Management: If you experience discomfort, over-the-counter pain relievers may help. However, consult your healthcare provider before taking any medication, especially if you have other health conditions or are on other medications.

Conclusion
In summary, while some degree of discomfort, changes in color, and slight indentations at the surgical site can be normal during the healing process, it is essential to remain vigilant. If you have any concerns or if symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation. Healing can vary significantly from person to person, and your comfort and health should always be the priority.

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