Concerns About Wisdom Tooth Pain and Oral Health Before Extraction

Oral issues

Recently, I have noticed two white spots on the tissue covering my lower left wisdom tooth, which feel slightly painful and have a burning sensation, along with some swelling.
It seems somewhat similar to a typical ulcer.
Today, September 10th, marks exactly one week since I first noticed this, but the two white spots have not shown any signs of shrinking.
The pain has improved a bit compared to the first two or three days after the ulcer appeared, but now it feels a bit itchy, and I still experience the previously mentioned sensations.
Additionally, my mouth often feels very dry.
Is this normal? I feel concerned because it's been a week and the spots have not disappeared, and I am scheduled to have my wisdom tooth extracted next week! However, I am worried that the presence of these spots on the tissue over my wisdom tooth might affect the healing of the extraction site and increase the risk of infection.
Should I be concerned about having the wisdom tooth removed under these circumstances?

Guo Xiansheng, 10~19 year old female. Ask Date: 2022/09/10

Dr. Zeng Guanghui reply Dentistry

It is likely that the wisdom tooth has not fully erupted or is positioned at an angle, causing the surrounding gum tissue to easily accumulate plaque and become inflamed.
It is recommended to consult a dentist for the extraction of the wisdom tooth.
As long as there is no severe inflammation, it should not affect the healing of the extraction site.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/09/10

More Info

It sounds like you're experiencing some discomfort and concerns regarding your wisdom tooth, particularly with the presence of white spots and a burning sensation. Let's address your questions and provide some insights into your situation.

Firstly, the white spots you are noticing on the tissue surrounding your wisdom tooth could be indicative of several conditions. They might be related to an infection, such as pericoronitis, which is an inflammation of the gum tissue surrounding a partially erupted tooth. This condition can cause pain, swelling, and sometimes a bad taste in the mouth due to food particles getting trapped under the gum flap. The fact that you are experiencing a burning sensation and a feeling of dryness in your mouth could further suggest irritation or inflammation in the area.

Regarding your concern about whether this condition could affect the extraction of your wisdom tooth, it’s essential to communicate openly with your dentist or oral surgeon. They will evaluate the condition of your gum tissue and the surrounding area before proceeding with the extraction. If there is an active infection, they may recommend treating it first, possibly with antibiotics, to reduce the risk of complications during and after the extraction.

As for the healing process post-extraction, having an infection or inflammation in the area of the wisdom tooth can indeed increase the risk of complications, such as delayed healing or further infection. However, if your dentist determines that the extraction is necessary and safe to proceed, they will take the necessary precautions to minimize these risks. This may include prescribing antibiotics before and after the procedure.

In terms of your oral hygiene leading up to the extraction, it’s crucial to maintain good oral hygiene practices. Gently brushing your teeth, including the area around the wisdom tooth, can help reduce the bacterial load and minimize the risk of infection. However, be careful not to irritate the area too much, especially if it is painful.

After the extraction, you will need to follow specific care instructions to promote healing. This typically includes avoiding vigorous rinsing or spitting, not using straws, and sticking to soft foods for a few days. You may also be advised to use a saltwater rinse to help keep the extraction site clean and promote healing.

In summary, while the presence of white spots and discomfort around your wisdom tooth is concerning, it does not necessarily mean that you cannot proceed with the extraction. It is vital to consult with your dentist, who can assess the situation and determine the best course of action. They will consider your overall oral health, the condition of the tooth and surrounding tissue, and any potential risks before making a recommendation. Remember, open communication with your dental care provider is key to ensuring a safe and successful extraction and recovery process.

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