Post-Wisdom Tooth Extraction: Odor and Gum Height Concerns - Dentistry

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One week after wisdom tooth extraction, there is still an odor at the wound site and the gum tissue is elevated?


I had my upper wisdom tooth extracted a week ago, and I have finished taking the anti-inflammatory medication.
Although there is no pain anymore, there is still an unusual odor coming from the extraction site, and the gum tissue is as high as the adjacent molar.
Is this a normal situation? Should I schedule a follow-up appointment, or is there something I should do? Thank you.

Xiao Sang, 20~29 year old female. Ask Date: 2023/02/08

Dr. Lin Jiayong reply Dentistry


Hello: If the smell is unpleasant, or if there is pus or yellow nasal discharge, it is advisable to return for a follow-up appointment to have the physician confirm whether there is a bacterial infection.
You may also need to obtain anti-inflammatory medication.

Reply Date: 2023/02/08

More Info


After having your upper wisdom tooth extracted, it's not uncommon to experience some lingering issues, such as odor and changes in gum height. Let's break down your concerns and provide some guidance.


Odor After Wisdom Tooth Extraction
The presence of an unusual odor from the extraction site can be concerning. This could be due to several factors:
1. Healing Process: After a tooth extraction, the body goes through a healing process where the gum tissue regenerates. During this time, it's possible for food particles or bacteria to become trapped in the extraction site, leading to an unpleasant smell.

2. Dry Socket: This is a condition that can occur when the blood clot that forms in the socket after extraction either dissolves or becomes dislodged. This can expose the underlying bone and nerves, leading to pain and a foul odor. If you experience severe pain or the odor persists, it’s essential to consult your dentist.

3. Infection: If the odor is accompanied by swelling, increased pain, or discharge, it could indicate an infection. Infections can occur post-extraction and may require antibiotics or further treatment.


Gum Height Concerns
Regarding the height of the gum tissue around the extraction site, it’s important to note that the healing process can lead to changes in gum contour. Here are some points to consider:
1. Normal Healing: It’s normal for the gum tissue to appear swollen or uneven immediately after the extraction. Over time, as healing progresses, the gum tissue should begin to level out and conform more closely to the adjacent teeth.

2. Gum Tissue Growth: If the gum tissue appears to be growing taller and is at the same height as the adjacent molars, this could be a normal part of the healing process. However, if it seems excessive or if you have concerns about the appearance or health of the gum tissue, it’s worth discussing with your dentist.

3. Follow-Up Appointment: If the odor persists or if you have any concerns about the healing process, it’s advisable to schedule a follow-up appointment with your dentist. They can assess the extraction site, check for any signs of infection, and provide guidance on whether any additional treatment is necessary.


Recommendations
- Maintain Oral Hygiene: Continue to practice good oral hygiene, but be gentle around the extraction site. Rinse with warm salt water to help keep the area clean and reduce the risk of infection.

- Monitor Symptoms: Keep an eye on any changes in symptoms. If you notice increased pain, swelling, or discharge, seek dental care promptly.

- Consult Your Dentist: Given your concerns about odor and gum height, a follow-up visit to your dentist would be beneficial. They can provide a thorough examination and determine if any treatment is needed.

In summary, while some odor and changes in gum height can be part of the normal healing process after wisdom tooth extraction, it’s essential to monitor your symptoms closely. If you have any doubts or if the situation does not improve, don’t hesitate to reach out to your dental care provider for further evaluation. Your oral health is important, and addressing any concerns early can help ensure a smooth recovery.

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