Post-Wisdom Tooth Extraction Cheek Swelling and Concerns

Q: Post-Wisdom Tooth Extraction Cheek Swelling and Concerns

Hello： If the oral surgeon believes there are no issues, it is recommended to simply observe. <br>Due to the intraoral or extraoral incision and drainage, there will inevitably be some degree of injury or scarring in the corresponding skin tissue. <br>If you are very concerned ab

Swelling of the cheek after wisdom tooth extraction?

Hello, Director Lin.
I had my lower right wisdom tooth extracted about 4.5 months ago.
After the extraction, my right cheek was significantly swollen.
One month later, I was referred to a medical center for drainage, and the swelling noticeably decreased (though there was still a distinct lump that felt spherical when pinched).
After another 1.5 months (the lump had further reduced in size), I returned for a follow-up, but the doctor said it was fine and that I didn't need to come back.
However, I have a concern that worries me: although the spherical lump has almost completely disappeared and my cheek is no longer swollen, there is still a flat, slightly hard, non-elastic area about 1.2 cm in diameter at the original lump site.
This area feels like a flat disc (rather than spherical).
The skin over this area is the same color as the surrounding skin (with only a faint light brown discoloration from the initial bruise) and has the same roughness (smoothness).
However, the tissue around this area appears to be slightly depressed.
I would like to ask you, Director: 1) Should I just wait for this flat disc-shaped skin to disappear like the previous spherical lump, or should I return for a follow-up (if needed, which department should I see?) for more proactive treatment? 2) Based on the description above, could you give me an idea of what this flat disc-shaped skin might be? (Knowing what it is might help alleviate my concerns.) Thank you, Director Lin.

Zheng, 20~29 year old female. Ask Date: 2024/07/05

Dr. Lin Jiayong reply Dentistry

Hello: If the oral surgeon believes there are no issues, it is recommended to simply observe.
Due to the intraoral or extraoral incision and drainage, there will inevitably be some degree of injury or scarring in the corresponding skin tissue.
If you are very concerned about the appearance, you may consider consulting a dermatologist or a cosmetic surgery specialist for skin condition adjustments.

Reply Date: 2024/07/05

More Info

After wisdom tooth extraction, it is common for patients to experience swelling in the cheeks, which can be a source of concern, especially if the swelling persists or changes in appearance over time. In your case, it seems that you initially experienced significant swelling after the extraction of your lower right wisdom tooth, which later required drainage. While the swelling has decreased, you are now left with a flat, hard area of skin where the swelling used to be, which is causing you anxiety.

1) Regarding the flat, hard area of skin, it is essential to monitor its progression. In many cases, post-operative swelling can lead to the formation of scar tissue or fibrosis, which may feel different from the surrounding skin. This area may continue to soften and become more elastic over time, but it is crucial to keep an eye on it. If the area does not improve or if you notice any changes such as increased hardness, redness, or pain, it would be wise to return to your dentist or oral surgeon for a follow-up examination. They can assess whether this is a normal healing process or if further intervention is necessary. If you are unsure which specialist to see, starting with your oral surgeon or the dentist who performed the extraction would be appropriate.

2) The flat, hard area you described could be a result of several factors. It may represent scar tissue that has formed as part of the healing process after the extraction and drainage. Scar tissue can sometimes feel firmer and less elastic than the surrounding skin. Another possibility is that it could be a residual area of inflammation or a localized hematoma (a collection of blood outside of blood vessels) that has organized into a fibrous tissue. In some cases, if the swelling was significant, it could lead to changes in the underlying tissue structure, resulting in a flat area that feels different from the surrounding skin.

In conclusion, while it is common to have some residual changes in the skin and tissue after a surgical procedure like wisdom tooth extraction, it is essential to monitor the area for any signs of complications. If you have concerns about the appearance or feel of the area, do not hesitate to seek a professional evaluation. Early intervention can help address any issues and provide peace of mind. Remember that healing can take time, and each person's recovery process is unique.

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