Post-Wisdom Tooth Extraction: When to Seek Dental Care? - Dentistry

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Post-operative issues after wisdom tooth extraction?


After having your wisdom teeth removed, if the area next to the extraction site was sutured with absorbable stitches and you notice that the stitches seem to have broken two days post-surgery, along with pain and some bleeding from the surrounding tissue, it is advisable to return for a follow-up appointment.

Niming, 20~29 year old female. Ask Date: 2023/11/12

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to return for a follow-up visit to check if additional sutures are needed and to apply medication for disinfection.

Reply Date: 2023/11/12

More Info


After a wisdom tooth extraction, it is common to experience some discomfort and swelling in the surrounding area, especially if stitches were placed. If you notice that the stitches appear to have broken or come undone two days post-surgery, and you are experiencing pain and bleeding, it is important to assess the situation carefully.

Firstly, it is essential to understand that while some bleeding and discomfort are normal after an extraction, persistent bleeding or increasing pain may indicate a complication. The fact that you are experiencing pain and bleeding suggests that you should seek dental care. Here are several reasons why returning to your dentist is advisable:
1. Assessment of Healing: Your dentist can evaluate the extraction site to determine if it is healing properly. They will check for signs of infection, excessive swelling, or other complications that may require intervention.

2. Management of Pain: If you are experiencing significant pain, your dentist can provide appropriate pain management options. This may include prescribing medication or recommending over-the-counter pain relievers.

3. Control of Bleeding: If you are experiencing ongoing bleeding, your dentist can take steps to control it. This may involve applying pressure, using hemostatic agents, or even re-suturing the area if necessary.

4. Evaluation of Stitches: If the stitches are indeed broken, your dentist can determine whether they need to be replaced or if the area can heal without further intervention. Absorbable stitches typically dissolve on their own, but if they are causing irritation or if the wound is not closing properly, further action may be needed.

5. Prevention of Complications: Complications such as dry socket (alveolar osteitis) can occur after tooth extractions, particularly if the blood clot that forms in the socket is dislodged. Symptoms of dry socket include severe pain that radiates to the ear, bad breath, and an unpleasant taste in the mouth. If you suspect you may have dry socket, it is crucial to see your dentist promptly.

6. Oral Hygiene Guidance: Your dentist can provide advice on how to maintain oral hygiene in the area of the extraction without disrupting the healing process. Proper care is essential to prevent infection and promote healing.

In summary, if you are experiencing pain and bleeding two days after your wisdom tooth extraction, it is advisable to return to your dentist for an evaluation. They can provide the necessary care and guidance to ensure proper healing and address any complications that may arise. Remember, it is always better to err on the side of caution when it comes to your oral health.

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Hello: If you are concerned about the healing status of the wound, it is recommended to visit the original clinic for a check-up at least once a week after the tooth extraction. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

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