There is a cavity after wisdom tooth healing?
Hello, doctor.
Three weeks ago, I had my upper and lower right wisdom teeth extracted at a large hospital.
After the stitches were removed two weeks ago, I noticed that the tissue on my cheek was healing faster, and since the suturing might not have been complete, there is a fairly deep cavity on the right side of my cheek where it meets the angled part of my mandible.
Even when I open my mouth wide, it is completely obstructed by the cheek tissue and can only be seen by using a stick-like object to push it aside.
It is very easy for food to get stuck there, making it difficult to brush my teeth and rinse my mouth, and it causes a dull pain.
During the stitch removal, the doctor mentioned that I could only use a long syringe to flush out any debris, and while the wound is not bleeding, I occasionally feel a salty discharge, which might be tissue fluid.
I would like to know if this cavity will fill in on its own and how long that might take, or if any other measures are needed, as it is significantly affecting my daily life.
Jiang Xiaojie, 20~29 year old female. Ask Date: 2024/07/11
Dr. Lin Jiayong reply Dentistry
Hello: You may need to wait about six months.
In the meantime, try to keep the area clean to prevent infection.
Ask your doctor if it’s possible to use a low-dose antibiotic solution for rinsing your mouth.
Plan to return for follow-up appointments every two weeks for cleaning and to check your condition.
Recovery takes time, so be patient.
Reply Date: 2024/07/11
More Info
After wisdom tooth extraction, it is not uncommon to experience complications such as pain, swelling, and the formation of cavities or voids in the gum tissue. In your case, it appears that you are dealing with a significant cavity in the gum area where the wisdom teeth were removed. This can happen for several reasons, including the surgical technique used, the healing process of the surrounding tissues, and the presence of any residual debris or infection.
Understanding the Healing Process
When a tooth is extracted, especially a wisdom tooth, the body initiates a healing process that involves the formation of new tissue and bone. This process can take several weeks to months, depending on various factors such as the complexity of the extraction, your overall health, and how well you follow post-operative care instructions.
The cavity you described may be a result of the surgical site not healing properly or completely. It is essential to understand that the body will work to fill in this cavity over time, but the duration can vary. Typically, soft tissue healing can take anywhere from 2 to 6 weeks, while complete bone healing may take several months. During this time, it is crucial to maintain good oral hygiene to prevent infection and promote healing.
Managing Pain and Discomfort
You mentioned experiencing pain and difficulty cleaning the area. Here are some strategies to help manage your discomfort:
1. Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain. If your doctor prescribed medication, ensure you follow their instructions.
2. Salt Water Rinses: Gently rinsing your mouth with warm salt water can help reduce inflammation and promote healing. Be careful not to swish too vigorously, as this could disrupt the healing tissue.
3. Avoid Irritants: Try to avoid smoking, as it can impede healing and increase the risk of complications. If you must smoke, rinsing your mouth afterward with water can help reduce irritation.
4. Dietary Adjustments: Stick to soft foods that are easy to chew and swallow. Avoid hard, crunchy, or spicy foods that could irritate the extraction site.
5. Oral Hygiene: Continue to brush your teeth, but be gentle around the extraction site. You may want to use a soft-bristled toothbrush and avoid the area until it feels more comfortable.
When to Seek Further Medical Attention
If the cavity does not seem to be healing or if you experience increased pain, swelling, or signs of infection (such as fever or pus), it is essential to contact your dentist or oral surgeon. They may need to evaluate the site and determine if additional treatment is necessary, such as cleaning the area or prescribing antibiotics.
Conclusion
In summary, while the cavity in your gum tissue may eventually fill in as healing progresses, it is crucial to monitor the situation closely. Maintaining good oral hygiene, managing pain effectively, and avoiding irritants will support your recovery. If you have concerns about the healing process or if symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your oral health is vital, and addressing these issues promptly can help ensure a smoother recovery.
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