Post-Wisdom Tooth Extraction: Stitch Issues and Pain - Dentistry

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Post-operative concerns regarding sutures after wisdom tooth extraction?


I would like to ask, my wisdom tooth is in a normal position, but the root is closer to the mandibular nerve, which has caused pain in my jaw and right ear.
Therefore, I chose to have it extracted when the wisdom tooth was only partially erupted (about one-quarter visible).
During the extraction, some bone was removed, and I received three stitches.
Currently, it is the fourth day post-operation, and there is a white tissue at the suture site.
The gums near the tonsils are slightly red, but there is no heat in my face, and the swelling is gradually decreasing.
However, I am still experiencing mild pain in the mandibular joint and near the wisdom tooth.
Is this a reaction before inflammation, or is this pain a normal response as the bone and tissue are healing?

Qi Qi, 20~29 year old female. Ask Date: 2023/03/16

Dr. Lin Jiayong reply Dentistry


Hello: "Currently, there is no heat in the face, and the swelling is gradually subsiding," indicating that there should be no signs of infection or inflammation.
It is recommended to continue follow-up visits for monitoring, as normal recovery typically occurs within six months.

Reply Date: 2023/03/16

More Info


After wisdom tooth extraction, it is common to experience various symptoms, including pain, swelling, and changes in the surgical site. Based on your description, it seems that you are currently in the recovery phase, which can involve some discomfort and changes in the area where the tooth was removed.

Firstly, the presence of white tissue at the stitch site could indicate the formation of granulation tissue, which is a normal part of the healing process. Granulation tissue is composed of new connective tissue and blood vessels that form during wound healing. However, if the white tissue appears excessively thick or has an unusual texture, it may warrant further evaluation by your dentist or oral surgeon.

The slight redness in the gums near the tonsils could be a sign of inflammation, which is also common after dental procedures. Inflammation is part of the body's natural healing response, but it should not be excessive. If the redness worsens or if you develop additional symptoms such as increased swelling, fever, or pus discharge, it may indicate an infection that requires medical attention.

Regarding the pain you are experiencing in the jaw joint and near the extraction site, this could be attributed to several factors. After the extraction, the surrounding tissues, including muscles and ligaments, may be strained due to the surgical procedure. Additionally, if the extraction involved bone removal (as you mentioned "磨骨頭"), it is possible that the bone and surrounding tissues are undergoing a healing process, which can also cause discomfort.

It is important to differentiate between normal post-operative pain and pain that may indicate a complication. Normal pain should gradually decrease over time, while pain that worsens or persists beyond the expected recovery period may require further investigation. If you are experiencing significant discomfort or if the pain is affecting your ability to eat, speak, or perform daily activities, it is advisable to consult your dentist or oral surgeon for a follow-up evaluation.

In the meantime, here are some general recommendations to help manage your recovery:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. Follow the dosage instructions on the packaging or those provided by your healthcare provider.

2. Oral Hygiene: Maintain good oral hygiene by gently rinsing your mouth with warm salt water after meals to help reduce the risk of infection. Avoid vigorous rinsing that could dislodge the blood clot.

3. Diet: Stick to a soft diet for the first few days post-surgery. Foods like yogurt, mashed potatoes, and smoothies can be easier to consume without irritating the extraction site.

4. Rest: Allow your body time to heal by getting plenty of rest and avoiding strenuous activities that could strain your jaw.

5. Follow-Up: Keep your scheduled follow-up appointments with your dentist or oral surgeon to monitor your healing progress and address any concerns.

In summary, while some discomfort and changes in the surgical area are expected after wisdom tooth extraction, it is essential to monitor your symptoms closely. If you notice any signs of infection or if your pain worsens, do not hesitate to reach out to your healthcare provider for further evaluation and management. Your recovery is important, and addressing any concerns promptly can help ensure a smooth healing process.

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