Post-Wisdom Tooth Extraction: Gum Growth and Treatment Options - Dentistry

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After wisdom tooth extraction, the gums may develop a polyp?


Hello, I had my lower left wisdom tooth extracted six months ago.
After the extraction site healed, a raised tissue appeared at the junction of the outer gum near the second molar and the buccal mucosa.
It is not painful, but there is a slight sensation of a foreign body, and it still exists to this day without any noticeable increase in size.
I would like to know if this is a normal phenomenon or if any treatment is necessary.
Thank you for taking the time to respond.

Jing, 20~29 year old female. Ask Date: 2024/01/13

Dr. Lin Jiayong reply Dentistry


Hello: If there are concerns about malignant changes, it is recommended to perform a biopsy to remove the hyperplastic gingival tissue and send it for histopathological examination.

Reply Date: 2024/01/13

More Info


After wisdom tooth extraction, it is not uncommon for patients to experience changes in the gum tissue surrounding the extraction site. The presence of a raised area of gum tissue, particularly in the area near the second molar, can be a normal part of the healing process. This tissue is often referred to as "granulation tissue," which is a type of connective tissue that forms during the healing process. It is typically pink or red and may feel slightly raised compared to the surrounding gum tissue.
In your case, since you mentioned that the raised area does not cause pain and has not significantly changed in size over the past six months, it is likely a benign condition. However, it is essential to monitor the area for any changes, such as increased size, pain, or signs of infection (such as swelling, redness, or discharge). If any of these symptoms occur, it would be advisable to consult your dentist or oral surgeon for further evaluation.

Regarding the feeling of an "foreign body," this sensation can sometimes occur as the nerves and tissues around the extraction site continue to heal and adapt. The body is constantly remodeling bone and soft tissue, and this process can lead to temporary sensations that may feel unusual.
In terms of treatment options, if the raised area remains stable and asymptomatic, no immediate action may be necessary. However, if you find the sensation bothersome or if it begins to change, your dentist may recommend a few options:
1. Observation: If the tissue is stable and not causing any problems, your dentist may suggest simply monitoring it over time.

2. Surgical Intervention: If the tissue becomes problematic or if there is a concern about the nature of the growth, your dentist may consider a minor surgical procedure to remove the excess tissue.

3. Soft Tissue Management: In some cases, if the tissue is causing discomfort or affecting your bite, your dentist might suggest a soft tissue management plan, which could include gentle contouring of the gum tissue.

4. Follow-Up Visits: Regular dental check-ups are essential to ensure that the healing process is proceeding normally. Your dentist can assess the area and provide reassurance or treatment as needed.

In conclusion, while the raised gum tissue you are experiencing is likely a normal part of the healing process following wisdom tooth extraction, it is essential to remain vigilant for any changes. Regular communication with your dental care provider is crucial for addressing any concerns and ensuring optimal oral health. If you have any doubts or if the situation changes, do not hesitate to reach out to your dentist for a professional evaluation.

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