Post-Wisdom Tooth Extraction: Is Gum Swelling Around Molars Normal?

Q: Post-Wisdom Tooth Extraction: Is Gum Swelling Around Molars Normal?

Hello： The buccal and distal gingiva of the second molar is indeed quite swollen, possibly due to the wound not yet healing. <br>It is recommended to continue taking antibiotics and to use a mouthwash containing chlorhexidine (CHX). <br>Please continue to follow up with your appo

After having my wisdom teeth removed, my gums are swollen to the point that I can't brush the outer side of my second molar?

Hello Doctor, I had my lower left wisdom tooth extracted on May 6, 2022.
The oral surgeon mentioned that my wisdom tooth was horizontally impacted and very deep, and that he would need to make an incision from the side, resulting in a large and swollen wound post-surgery.
The day after the extraction, I noticed a piece of tissue on the outer side of my second molar, which made it difficult to brush that area.
Initially, I thought it was related to the sutures, but when I went to have the stitches removed yesterday, the doctor (not the one who performed the extraction) said, "That is just the gum tissue swelling up, which is very normal." I would like to ask Dr.
Lin if it is normal for the gum around the second molar to swell like this after wisdom tooth extraction.
I have searched extensively and have not found anyone with a similar situation.
Additionally, I am unclear about how many stitches were placed by the extraction surgeon (I remember several insertions), but the doctor who removed the stitches only took out one.
I asked him to check again, and he confirmed that he did not see any remaining suture ends, and he repeatedly assured me that the tissue was just the gum around the second molar swelling.
I have attached photos from now and in the past for reference.
Thank you.
Past photo before extraction: https://i.imgur.com/1GxdXLK.jpg Current photo after extraction: https://i.imgur.com/uUgKUgu.jpg

Mr. Chen, 30~39 year old female. Ask Date: 2022/05/18

Dr. Lin Jiayong reply Dentistry

Hello: The buccal and distal gingiva of the second molar is indeed quite swollen, possibly due to the wound not yet healing.
It is recommended to continue taking antibiotics and to use a mouthwash containing chlorhexidine (CHX).
Please continue to follow up with your appointments! If you are using a steroid-containing oral paste, make sure not to use it more than three times a day, as it may affect wound healing! Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/05/18

More Info

After wisdom tooth extraction, particularly in cases involving impacted teeth like horizontal wisdom teeth, it is not uncommon to experience some degree of swelling in the surrounding gum tissue. The swelling you are observing around your second molar is likely a result of the surgical trauma associated with the extraction. When a tooth is removed, especially one that is deeply embedded or requires surgical intervention, the surrounding tissues can become inflamed as part of the body's natural healing response.

1. Swelling After Extraction: It is normal for the gum tissue to swell after a tooth extraction, particularly if the procedure was complex. The swelling is typically at its peak within the first 48 to 72 hours post-surgery and should gradually subside thereafter. However, if the swelling persists or worsens after this initial period, it may indicate a complication such as an infection or dry socket.

2. Gum Tissue Appearance: The "meat" you are seeing around your second molar could be swollen gum tissue that has become inflamed due to the surgical procedure. It is not uncommon for the gum to appear puffy or enlarged, especially if the extraction site is adjacent to it. The fact that the dentist who removed your stitches confirmed that there were no remaining suture ends is reassuring. This suggests that the swelling is likely not due to any retained material but rather a normal part of the healing process.

3. Oral Hygiene Considerations: It is crucial to maintain good oral hygiene during your recovery, but it can be challenging to clean around swollen or tender areas. You may want to use a soft-bristled toothbrush and be gentle around the extraction site. Rinsing with warm salt water can also help reduce inflammation and promote healing.

4. Monitoring for Complications: While some swelling is normal, keep an eye out for signs of complications. If you experience increased pain, fever, or if the swelling does not begin to decrease after a few days, it would be wise to consult your dentist or oral surgeon. They may want to evaluate you for potential issues such as infection or dry socket, which can occur after tooth extractions.

5. Follow-Up Care: If you have concerns about the swelling or the healing process, do not hesitate to reach out to your dental care provider. They can provide guidance tailored to your specific situation and may recommend additional treatments or interventions if necessary.

In summary, while the swelling around your second molar after wisdom tooth extraction can be concerning, it is often a normal part of the healing process, especially following a complex extraction. However, maintaining good oral hygiene and monitoring for any signs of complications is essential for a smooth recovery. If you have any doubts or if your symptoms worsen, seeking further evaluation from your dentist is always a prudent choice.

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