Post-Wisdom Tooth Stitch Removal: Cleaning Tips and Recovery Guide - Dentistry

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How to clean after wisdom tooth extraction stitches?


Hello Doctor, the day before my wisdom tooth stitches were removed, I accidentally brushed against the area.
At that moment, there was no issue, but by midnight, I noticed bleeding in my mouth.
I managed to stop the bleeding, and in the morning, I returned for the stitch removal.
I would like to ask if, with my condition, I can use a toothbrush on the first day after the stitches are removed or later? I am concerned about food debris that cannot be rinsed away, as I fear bacterial infection.
Can I use a cotton swab instead? Since my wisdom tooth extraction was complex, the wound is quite large.
Is it normal to have a hole after the stitches are removed? How long will it take to fully heal?

Ping An, 10~19 year old female. Ask Date: 2015/06/25

Dr. Cui Chongji reply Dentistry


Wound healing involves histopathology and surgical techniques, as well as the instruments used and disinfection procedures.
Generally, soft tissue healing takes 2-4 weeks, while hard tissue healing takes 6-8 weeks.
Therefore, it is advisable for patients to return to the original clinic for follow-up as soon as possible.

Reply Date: 2015/06/25

More Info


After having your wisdom teeth removed, particularly if the procedure involved stitches, it's crucial to follow specific guidelines for cleaning and recovery to ensure proper healing and to minimize the risk of infection. Here’s a comprehensive guide based on your concerns and general post-operative care practices.


Cleaning After Stitch Removal
1. Gentle Brushing: After your stitches are removed, you can start brushing your teeth again, but it’s essential to be very gentle around the surgical site. Use a soft-bristled toothbrush and avoid applying too much pressure. Focus on the surrounding teeth and the areas that are not directly involved in the surgery. If you feel any discomfort or see bleeding, stop brushing that area and consult your dentist.

2. Avoiding the Surgical Site: For the first few days after stitch removal, it's advisable to avoid direct contact with the area where the wisdom tooth was extracted. This means being cautious while brushing and possibly using a cotton swab or a soft cloth to clean the area gently if needed.

3. Rinsing: You can use a non-alcoholic mouthwash or a saline solution (a mixture of salt and warm water) to rinse your mouth gently. This helps to keep the area clean without the harshness of alcohol-based products, which can irritate the healing tissue. Rinse gently to avoid dislodging any healing tissue.

4. Food Particles: If you are concerned about food particles getting stuck in the extraction site, you can use a syringe or a gentle water flosser to flush out the area. Your dentist may provide you with a special syringe for this purpose. It’s important to do this gently to avoid causing any trauma to the healing tissue.


Understanding the Healing Process
1. Normal Appearance: It is normal to have a small indentation or "hole" where the tooth was removed, especially after the stitches are taken out. This area will gradually fill in as the tissue heals. The healing process can take several weeks, and the gum tissue will continue to remodel over time.

2. Duration of Recovery: Complete healing can take anywhere from a few weeks to several months, depending on various factors such as the complexity of the extraction, your overall health, and how well you follow post-operative care instructions. Generally, the initial healing phase lasts about 1-2 weeks, but the gum tissue may take longer to fully heal.

3. Signs of Infection: Be vigilant for signs of infection, which can include increased swelling, persistent pain, fever, or discharge from the extraction site. If you notice any of these symptoms, contact your dentist immediately.


Additional Tips for Recovery
- Diet: Stick to soft foods for the first few days after stitch removal. Avoid hard, crunchy, or spicy foods that could irritate the surgical site.

- Hydration: Stay hydrated, but avoid using straws for at least a week after surgery, as the suction can dislodge the healing tissue.

- Follow-Up: Keep all follow-up appointments with your dentist to ensure that your healing is progressing as expected.

In summary, while you can resume brushing your teeth after stitch removal, it’s essential to do so gently and with caution around the surgical site. Rinsing with a gentle solution can help maintain cleanliness, and monitoring the healing process will ensure that any potential issues are addressed promptly. Always consult your dentist if you have any concerns about your recovery.

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