Is It Normal for Wisdom Tooth Extraction Site to Remain White? - Dentistry

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After wisdom tooth extraction, it is not uncommon for the healing site to appear white. This phenomenon can be attributed to several factors related to the healing process and the nature of oral tissues.

Firstly, the white appearance at the extraction site is often due to the formation of a fibrin clot, which is a natural part of the healing process. When a tooth is extracted, the body initiates a healing response that includes the formation of a blood clot to protect the underlying bone and tissues. This clot is composed of fibrin, a protein that helps in the healing process, and can appear white or pale in color. Over time, as the healing progresses, this clot is replaced by granulation tissue, which is typically pink in color, indicating that the area is healing properly.

In some cases, the white appearance may also be due to keratinization of the oral mucosa. The oral mucosa can undergo changes in response to trauma or surgical procedures, leading to a thicker, keratinized layer that may appear white. This is particularly common in areas that have experienced repeated trauma or irritation, such as from chewing or brushing.
Another possibility is the presence of scar tissue. If the extraction involved surgical intervention (such as cutting into the gum), it is possible that scar tissue has formed, which can also appear white. Scar tissue may not have the same color or texture as the surrounding healthy tissue, and it may take a long time to fully blend in with the surrounding area.

It is important to note that if the white area is not painful, does not bleed, and shows no signs of infection (such as swelling, pus, or increased pain), it is likely a normal part of the healing process. However, if there are any concerns about the appearance of the site or if any new symptoms develop, it is advisable to consult with a dental professional for an evaluation.

In summary, the white appearance at the site of a wisdom tooth extraction three years post-surgery can be considered normal, especially if there are no accompanying symptoms of infection or discomfort. The healing process can vary significantly from person to person, and factors such as individual healing responses, the extent of the surgical procedure, and personal habits (like smoking or oral hygiene practices) can all influence the final appearance of the extraction site. If you have any lingering concerns, it is always best to seek a professional opinion to ensure that everything is healing as expected.