Gum Healing: Can Chewing Affect Scar Tissue After Wisdom Tooth Removal? - Dentistry

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Dear Dr.
Lin,
Thank you for your response and suggestions regarding my inquiry in article #204281! I have a question about the semicircular protrusion on the gum where my lower right wisdom tooth was extracted.
If this is indeed a "keratinized scar" resulting from the healing of the extraction site, it is considered normal gum tissue.

I would like to ask Dr.
Lin: Q.
Generally speaking (or based on clinical experience), could this keratinized scar protrusion undergo malignant transformation due to long-term friction from chewing food (not including tobacco, alcohol, or betel nut, just regular food)?
Thank you, Dr.
Lin.

Kris, 40~49 year old female. Ask Date: 2024/01/10

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to follow up with a visit every 3 to 6 months, and please have the physician specifically check for any mucosal changes in that area.

Reply Date: 2024/01/10

More Info


After wisdom tooth extraction, proper care of the surgical site is crucial for optimal healing. The healing process can take several months, and during this time, it is common to experience some discomfort, swelling, and the formation of scar tissue. In your case, it seems that you have developed a raised area of gum tissue where the wisdom tooth was removed, which may be a normal part of the healing process, often referred to as keratinized tissue.

To address your question about whether chewing food can affect this scar tissue, it is important to understand how the healing process works. The gum tissue undergoes several stages of healing, including inflammation, proliferation, and maturation. During the proliferation phase, new tissue forms, and keratinization occurs, which is the process where the surface cells of the gum tissue become more resilient and protective. This is a normal response to the trauma of surgery.

Chewing food, particularly if it involves pressure or friction against the healing area, can potentially irritate the gum tissue. However, it is unlikely to cause malignant changes in the scar tissue. The body typically responds to irritation by increasing blood flow and immune response to the area, which can lead to further inflammation or discomfort but not cancerous changes. That said, if you notice any unusual changes in the appearance of the gum tissue, such as persistent swelling, pain, or changes in color, it is essential to consult your dentist or oral surgeon for an evaluation.

In terms of oral hygiene, maintaining a clean environment around the extraction site is vital. Gentle rinsing with warm salt water can help keep the area clean without causing irritation. Avoiding vigorous rinsing or aggressive brushing near the surgical site is advisable until the tissue has fully healed. If you are using mouthwash, opt for an alcohol-free variety to avoid further irritation.

Regarding your smoking habit, it is well-documented that smoking can impede the healing process. Nicotine constricts blood vessels, reducing blood flow to the healing tissues, which can lead to delayed healing and increased risk of complications such as dry socket or infection. While your dentist mentioned that smoking may not directly affect the wound, it is generally advisable to minimize smoking during the healing phase to promote better recovery.

If you are concerned about the raised area of gum tissue, you might want to discuss with your dentist the possibility of a follow-up examination. They can assess whether the tissue is healing appropriately or if any intervention is necessary. In some cases, if the tissue remains problematic or causes discomfort, a minor surgical procedure may be performed to smooth out the area.

In summary, while chewing food can irritate the healing gum tissue, it is unlikely to cause any severe complications. Maintaining good oral hygiene and monitoring the healing process is essential. If you have any concerns about the healing of your gums or the appearance of the scar tissue, do not hesitate to reach out to your dental professional for advice and reassurance.

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