Gum Swelling After Dental Grafting: Is It Normal? - Dentistry

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Second week after gum surgery, swollen gums?


Hello Doctor: I underwent gum graft surgery two weeks ago, where four areas were augmented with artificial tissue to thicken the gums.
In the past three days, I have noticed significant redness and swelling in two of the areas.
Since I am currently in quarantine and the doctor is on leave, I won't be able to return for a follow-up until next week.
Is the redness and swelling a normal phenomenon? Thank you.

Wang Xiaojie, 20~29 year old female. Ask Date: 2022/09/05

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to observe first.
If the physician has prescribed antibiotics post-surgery, you may continue taking them!

Reply Date: 2022/09/05

More Info


After undergoing a dental grafting procedure, it is not uncommon to experience some degree of gum swelling, redness, and discomfort. These symptoms can be part of the normal healing process, but they can also indicate potential complications, such as infection or improper healing.
In your case, since you have noticed significant redness and swelling in the gums where the grafting was performed, it is essential to monitor these symptoms closely. Typically, after a gum grafting procedure, some swelling is expected, especially in the first few days post-surgery. This is due to the body's inflammatory response as it begins to heal the surgical site. Ice packs are often recommended immediately after the procedure to help reduce swelling, and after a few days, heat may be applied to promote blood flow and healing.

However, if the swelling persists beyond a few days or is accompanied by severe pain, increased redness, or discharge, these could be signs of infection. Infections can occur if bacteria enter the surgical site, which can happen if proper oral hygiene is not maintained or if the graft site is disturbed. Symptoms of infection may include fever, persistent pain, and a foul taste in the mouth.

Regarding the appearance of the grafted area, it is common for the tissue to appear different in color as it heals. The newly grafted tissue may initially look pale or white due to the presence of fibrin, a protein involved in the healing process. As healing progresses, the color should gradually return to a more normal pink hue. The transition between different colors in the gum tissue can be normal, but a clear demarcation line between healthy and unhealthy tissue should be monitored.

Since you are currently in isolation and unable to see your dentist immediately, here are some steps you can take to manage your symptoms:
1. Maintain Oral Hygiene: Continue to brush your teeth gently, avoiding the grafted area as much as possible. Rinsing with a warm saltwater solution can help keep the area clean and reduce inflammation.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. Be sure to follow the recommended dosages.

3. Dietary Adjustments: Stick to soft foods that do not require much chewing, and avoid hot, spicy, or acidic foods that could irritate the surgical site.

4. Monitor Symptoms: Keep an eye on the swelling and any other symptoms. If you notice worsening conditions, such as increased pain or fever, it may be necessary to seek emergency dental care.

5. Follow-Up: Once you are able to see your dentist, make sure to discuss your symptoms in detail. They may want to examine the graft site to ensure that healing is progressing as expected and to rule out any complications.

In conclusion, while some swelling and redness can be normal after gum grafting, it is crucial to remain vigilant for signs of infection or other complications. Your dentist will be able to provide the best guidance once you can return for a follow-up appointment. Until then, take care of your oral hygiene and manage your symptoms as best as you can.

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