Concerns About Oral Cancer After Tooth Extraction: What to Know - Dentistry

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Concerned about oral cancer?


Hello, Dr.
Tseng.
My father had a tooth extraction about a week ago, but the wound and the inside of his cheek are still painful and seem to be a bit ulcerated.
What could be the reason for this? My father is reluctant to seek medical attention, which is causing great concern for our family, as we are worried it might be an early symptom of oral cancer.
If he goes to the hospital for an examination, should he first see a dentist? Thank you for your response, Dr.
Tseng.

lvy, 20~29 year old female. Ask Date: 2010/07/04

Dr. Zeng Guanghui reply Dentistry


Hello, thank you for your inquiry.
I would like to address your question and provide the following advice: After tooth extraction, the wound typically begins to heal within about a week.
However, if there is an infection, symptoms such as pain or wound necrosis may occur.
Individuals with poor blood circulation in the jawbone, such as long-term smokers or those with pre-existing diabetes, are also at a higher risk for wound infections after tooth extraction.
It is advisable to return to the clinic or hospital for a follow-up examination of the wound.
Lastly, I wish you safety and happiness!

Reply Date: 2010/07/04

More Info


After tooth extraction, it is not uncommon for patients to experience some level of discomfort, swelling, or even minor bleeding as the body begins to heal. However, if your father is experiencing persistent pain, ulceration, or any unusual symptoms a week post-extraction, it is important to address these concerns seriously.
The symptoms you describe—ongoing pain and ulceration—could be indicative of several issues. One possibility is that the extraction site is not healing properly, which can occur due to infection or dry socket (alveolar osteitis). Dry socket is a painful condition that occurs when the blood clot at the extraction site either dissolves or dislodges before the wound has fully healed. This can expose the underlying bone and nerves, leading to significant discomfort.
Another concern is the potential for oral cancer, especially if there are additional symptoms such as persistent sores, changes in the color or texture of the oral mucosa, or difficulty swallowing. Oral cancer can sometimes present with vague symptoms that may be mistaken for other conditions, which is why it is crucial to have any concerning symptoms evaluated by a healthcare professional.

If your father is hesitant to seek medical attention, it may be helpful to encourage him by explaining the importance of early detection and treatment. Oral cancer, like many other cancers, is most treatable when caught early. A visit to a dentist or an oral surgeon would be the appropriate first step. They can conduct a thorough examination of the oral cavity, assess the healing of the extraction site, and determine if further diagnostic tests, such as imaging or a biopsy, are necessary.

In the United States, dentists are typically the first point of contact for oral health issues. They can evaluate the extraction site and any associated symptoms. If the dentist suspects something more serious, they may refer your father to an oral pathologist or an oncologist for further evaluation.

In addition to seeking medical advice, it is essential to maintain good oral hygiene during the healing process. This includes gentle brushing of the teeth and avoiding irritants such as tobacco and alcohol, which can impede healing and increase the risk of complications.

In summary, while some discomfort after tooth extraction is normal, persistent pain and ulceration warrant further investigation. Encourage your father to see a dentist as soon as possible to rule out any serious conditions, including oral cancer. Early intervention is key to ensuring the best possible outcome for any health concern.

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