Wisdom tooth sutures
Hello, Doctor.
I would like to ask you two questions: 1.
After wisdom tooth extraction, the sutures not only went through the tissue but also directly passed through the space between the adjacent tooth.
Is this type of suturing normal? 2.
After the sutures are removed, how should I care for the wound? How long should I wait before brushing the teeth and gums in that area?
PS, 20~29 year old female. Ask Date: 2024/03/18
Dr. Zeng Guanghui reply Dentistry
Hello Mr.
PS: 1.
Sometimes, in order to secure the sutures tightly, the sutures may pass through the gaps between adjacent teeth.
2.
After the sutures are removed, if the gums have already covered the wound, you can use a toothbrush to clean the wound and the surrounding gums.
Director Tseng Guang-Hui, Nantou Hospital Dental Department.
Reply Date: 2024/03/18
More Info
After having your wisdom teeth extracted, it's essential to understand the care and recovery process, especially regarding stitches and oral hygiene. Here are some insights into your questions:
1. Stitching Technique: It is not uncommon for stitches to be placed in a way that they may seem to involve adjacent teeth, especially if the extraction site is close to other teeth. The primary goal of stitching is to ensure that the gum tissue heals properly and to minimize the risk of complications such as infection or dry socket. If the stitches are placed through the gum tissue and near adjacent teeth, it is typically done to secure the area effectively. However, if you have concerns about the stitching technique or if you experience unusual pain or discomfort, it is crucial to follow up with your dentist or oral surgeon for an evaluation.
2. Post-Extraction Care: After the stitches are removed, maintaining proper oral hygiene is vital for healing. Here are some tips for caring for the extraction site:
- Gentle Cleaning: Initially, it is advisable to avoid brushing the extraction site directly for at least 24 to 48 hours after the stitches are removed. This allows the area to begin healing without disruption. After this period, you can gently brush the surrounding teeth and gums, but be cautious around the extraction site to avoid irritation.
- Use of Mouthwash: Rinsing with a warm saltwater solution can help keep the area clean and promote healing. You can start this after the first 24 hours post-extraction. Mix about half a teaspoon of salt in a cup of warm water and gently swish it around your mouth, avoiding vigorous swishing that could disturb the healing tissue.
- Avoid Certain Foods: For the first few days after the stitches are removed, stick to soft foods and avoid anything that could irritate the site, such as spicy or crunchy foods. This will help prevent any trauma to the healing tissue.
- Regular Follow-Up: It is essential to attend any follow-up appointments with your dentist or oral surgeon. They can assess the healing process and address any concerns you may have. If you notice any signs of infection, such as increased swelling, redness, or discharge from the site, contact your healthcare provider immediately.
- Pain Management: If you experience discomfort after the stitches are removed, over-the-counter pain relievers can help manage pain. Always follow the dosage instructions on the medication label or those provided by your healthcare provider.
In summary, while the stitching technique may vary based on the specific circumstances of your extraction, proper care after the removal of stitches is crucial for a smooth recovery. Be gentle with your oral hygiene practices, avoid irritating the area, and maintain regular communication with your dental care provider to ensure optimal healing. If you have any further questions or concerns, don't hesitate to reach out to your dentist for personalized advice.
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