Should You Use Collagen After Wisdom Tooth Extraction? - Dentistry

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Wisdom Tooth Extraction and Collagen


Hello, I am scheduled to have my upper wisdom teeth extracted this week.
Due to work commitments, I am concerned about post-operative pain and the healing time, and I am hesitant about whether I should pay out of pocket for collagen placement.
Would you recommend using collagen if I am having my upper wisdom teeth (vertically erupted teeth) extracted? I have read that non-horizontal wisdom teeth usually do not require sutures; if collagen is placed, is there a risk that it might fall out easily? Thank you.

Shirley, 20~29 year old female. Ask Date: 2023/11/27

Dr. Lin Jiayong reply Dentistry


Hello: Literature has confirmed and clinical observations show that wounds treated with collagen tend to heal better.
If financially feasible, spending a few extra thousand dollars to enhance the healing of the wound is likely beneficial and should not be a concern.
Additionally, if collagen is applied, the physician will perform suturing, so there is no need to worry.
It is still advisable to discuss this further with the treating physician.

Reply Date: 2023/11/27

More Info


After wisdom tooth extraction, particularly for vertically erupted teeth, the healing process can vary significantly from person to person. The use of collagen, whether in the form of collagen membranes or gels, has been a topic of interest in dental surgery due to its potential benefits in promoting healing and tissue regeneration.

Collagen is a natural protein that plays a crucial role in the structure and function of various tissues in the body, including skin, cartilage, and bone. In the context of dental procedures, collagen can help facilitate healing by providing a scaffold for new tissue growth, reducing inflammation, and potentially minimizing scarring.

When considering the use of collagen after wisdom tooth extraction, there are several factors to take into account:
1. Type of Extraction: Since you mentioned that your wisdom tooth is vertically erupted, the extraction is likely to be less complicated than that of impacted teeth. In such cases, the need for additional materials like collagen may not be as critical. However, if the extraction site is large or if there is significant bone loss, collagen could be beneficial.

2. Healing Time: The healing process after wisdom tooth extraction typically takes about one to two weeks for the soft tissue to heal, while complete bone healing can take several months. Collagen may help speed up the initial healing phase, potentially reducing discomfort and promoting faster recovery.

3. Risk of Displacement: One concern you raised is whether collagen might dislodge after placement. This can depend on the method of application and the specific product used. If the collagen is applied correctly and the extraction site is managed properly, the risk of displacement can be minimized. However, it is essential to follow your dentist's or oral surgeon's post-operative care instructions closely to ensure optimal healing.

4. Cost vs. Benefit: You mentioned the concern about self-funding the collagen treatment. It's essential to weigh the potential benefits against the costs. If your dentist believes that collagen could significantly enhance your healing process, it might be worth the investment. However, if your extraction is straightforward and your dentist does not see a strong need for it, you may opt to forgo it.

5. Post-Operative Care: Regardless of whether you choose to use collagen or not, proper post-operative care is crucial. This includes following your dentist's instructions regarding pain management, oral hygiene, and dietary restrictions. Avoiding hard, crunchy, or spicy foods can help minimize irritation to the extraction site.

In conclusion, while the use of collagen after wisdom tooth extraction can offer potential benefits in terms of healing and tissue regeneration, its necessity largely depends on the specifics of your case. If your extraction is uncomplicated and your dentist does not recommend it, you may not need to use collagen. However, if you have concerns about healing or if your dentist suggests it, it could be a worthwhile addition to your post-operative care plan. Always consult with your oral surgeon or dentist to make the best decision for your individual situation.

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