Gum Flap Surgery: Healing and Care Tips - Dentistry

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Gingival flap surgery


Hello, doctor! My friend visited the dentist two days ago due to inflammation of his wisdom tooth.
The dentist performed a gingival flap surgery that same day.
Today, he noticed that the wound appears white, soft, and somewhat necrotic.
Is this normal? Additionally, could you please advise on the proper care for the wound?

Ya, 20~29 year old female. Ask Date: 2014/07/30

Dr. Zhang Xiangyuan reply Dentistry


Dear users,
In response to your questions regarding wisdom tooth inflammation, aside from receiving treatment from a dentist, medication may sometimes be used to alleviate the inflammation.
During this period, it is also important to maintain good oral hygiene.
In addition to brushing and flossing, if there are extraction or surgical wounds, the use of mouthwash can be temporarily incorporated.
If there are any concerns about ongoing inflammation or swelling at the wound site, it is advisable to consult your dentist for further examination and confirmation.
Thank you for your inquiry.

Reply Date: 2014/07/30

More Info


Gum flap surgery, often performed to address issues such as impacted wisdom teeth or severe gum disease, involves the removal of a portion of the gum tissue to access the underlying bone and teeth. Post-operative care is crucial for ensuring proper healing and minimizing complications.
Firstly, it is not uncommon for the surgical site to appear white and soft a couple of days after the procedure. This is typically a sign of the healing process, where the body forms a fibrin clot and granulation tissue as part of the natural healing response. However, if the area appears excessively swollen, has a foul odor, or is accompanied by severe pain, it could indicate an infection, and your friend should consult their dentist or oral surgeon immediately.

Here are some essential care tips for your friend following gum flap surgery:
1. Follow Post-Operative Instructions: It is vital to adhere to the specific instructions provided by the dentist or oral surgeon. This may include guidelines on diet, medication, and oral hygiene.

2. Dietary Adjustments: For the first few days post-surgery, your friend should stick to a soft diet. Foods like yogurt, mashed potatoes, smoothies, and soups can be beneficial. Avoid hard, crunchy, or spicy foods that could irritate the surgical site.

3. Oral Hygiene: Maintaining oral hygiene is crucial, but care must be taken not to disturb the surgical site. Your friend should gently rinse their mouth with warm salt water starting 24 hours after surgery to help keep the area clean. They should avoid vigorous rinsing or spitting, which can dislodge the clot.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. If prescribed pain medication, it should be taken as directed.

5. Avoid Smoking and Alcohol: Smoking can significantly impair healing and increase the risk of complications. Alcohol can also interfere with the healing process and should be avoided during recovery.

6. Monitor for Complications: Your friend should keep an eye out for signs of complications, such as increased swelling, persistent pain, or discharge from the surgical site. If any of these symptoms occur, they should contact their dentist promptly.

7. Follow-Up Appointments: It’s essential for your friend to attend any scheduled follow-up appointments. The dentist will check the healing progress and address any concerns.

8. Rest and Recovery: Encourage your friend to rest adequately and avoid strenuous activities for a few days post-surgery. This will help the body focus on healing.

In summary, while some degree of white, soft tissue at the surgical site can be normal, it is essential for your friend to monitor their recovery closely. Proper care and adherence to post-operative instructions will help ensure a smooth healing process. If there are any concerns about the healing process or the appearance of the surgical site, seeking professional advice is always the best course of action.

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