Post-Wisdom Tooth Extraction Concerns: When to See Your Dentist - Dentistry

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Post-operative issues after wisdom tooth extraction?


I had my wisdom teeth removed on Monday, and when I brushed my teeth on Tuesday, I noticed that the sutures were a bit loose.
I found information online stating that the wound would shrink around three days post-surgery, which could cause the sutures to loosen, but mine became loose after just one day.
Should I go back to the original clinic for a check-up?

A Jiu Ma, 10~19 year old female. Ask Date: 2022/11/16

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to return for suture removal at the scheduled time.
However, if you experience persistent fever or unbearable pain and swelling, it is advised to seek immediate medical attention or go to the emergency department.

Reply Date: 2022/11/16

More Info


After having your wisdom tooth extracted, it’s completely normal to have concerns about the healing process and any complications that may arise. In your case, noticing that the sutures (stitches) are loosening or falling out just a day after the procedure can understandably cause some anxiety. Here’s a detailed response to your question, along with some additional information about post-extraction care.


When to See Your Dentist After Wisdom Tooth Extraction
1. Suture Concerns: If the sutures are coming loose or have fallen out, it’s important to assess whether this is a cause for concern. In many cases, especially with absorbable sutures, it’s not uncommon for them to loosen or dissolve within a few days after the procedure. However, if you notice that the wound appears to be reopening or if there is excessive bleeding, you should definitely reach out to your dentist or oral surgeon for an evaluation.

2. Signs of Infection: Keep an eye out for any signs of infection, which can include increased swelling, redness, warmth around the extraction site, or a fever. If you experience any of these symptoms, it’s crucial to contact your dentist as soon as possible.

3. Pain Management: Post-operative pain is expected, but if the pain worsens or becomes unbearable, it may indicate a complication such as dry socket (a condition where the blood clot at the extraction site dislodges or dissolves, exposing the bone). If you suspect this, you should seek immediate dental care.

4. Difficulty in Eating or Drinking: If you find it increasingly difficult to eat or drink due to pain or swelling, this could also warrant a visit to your dentist. They can provide guidance on managing your diet during recovery.

5. Follow-Up Appointments: Most dentists will schedule a follow-up appointment a week or so after the extraction to check on the healing process. If you have concerns before this appointment, don’t hesitate to reach out.


Additional Post-Extraction Care Tips
- Oral Hygiene: Continue to brush your teeth gently, avoiding the extraction site for the first few days. You can rinse your mouth with warm salt water starting 24 hours after the extraction to help keep the area clean and reduce the risk of infection.

- Diet: Stick to soft foods and avoid anything that requires chewing for the first few days. Foods like yogurt, applesauce, and smoothies are good options.

- Avoid Straws: Using a straw can create suction that may dislodge the blood clot, leading to dry socket.

- Rest: Ensure you get plenty of rest and avoid strenuous activities for a few days post-surgery to promote healing.

- Pain Management: Use over-the-counter pain relievers as directed by your dentist. If prescribed medication, take it as instructed.


Conclusion
In summary, if you notice that your sutures are loosening or have fallen out, it’s advisable to contact your dentist for an evaluation, especially if you have any accompanying symptoms like increased pain or swelling. Remember, it’s always better to err on the side of caution when it comes to your health. Your dentist is there to help you navigate through any concerns and ensure a smooth recovery process. Don’t hesitate to reach out to them for peace of mind and proper care.

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