After the stitches are removed from the wisdom tooth extraction site, there are black scabs in the hole?
Hello Doctor, I recently had surgery to remove a wisdom tooth from my lower jaw.
After returning to have the stitches removed, I used a flashlight to look into the socket at home and noticed some black, fragmented objects inside (not a solid piece).
They look very much like scabs.
When I gently touched them with a toothpick, it caused a bit of pain.
Is this normal? Thank you for your help.
MM, 20~29 year old female. Ask Date: 2015/08/22
Dr. Zhang Xiangyuan reply Dentistry
Dear online friend, based on your description, it is likely that the area around the extraction site of your lower wisdom tooth has developed a blood clot, and the surface of the wound will gradually heal over time.
It is recommended to maintain good oral hygiene.
If you have any further concerns or questions about the extraction site, you may also consult your dentist for a check-up.
Thank you for your inquiry.
Reply Date: 2015/08/22
More Info
After wisdom tooth extraction, it is not uncommon to observe changes in the appearance of the surgical site, including the presence of dark or black scabs. These scabs can often be mistaken for something more concerning, but they are typically a normal part of the healing process.
When a tooth is extracted, the body initiates a healing response that includes the formation of a blood clot at the extraction site. This clot is crucial as it protects the underlying bone and nerves, and serves as a foundation for new tissue to grow. Over time, this clot can change in appearance, and as it dries out, it may take on a darker color, leading to the formation of what looks like scabs.
In your case, the black objects you see in the extraction site are likely remnants of the blood clot or dried tissue. It is important to note that while some discomfort when touching the area is normal, if the pain is severe or if you notice other symptoms such as excessive bleeding, swelling, or signs of infection (like pus or fever), you should contact your dentist or oral surgeon immediately.
The healing process can vary significantly from person to person. Generally, the initial healing phase lasts about 1 to 2 weeks, during which the gum tissue begins to close over the extraction site. The black scabs you are observing should gradually resolve as the tissue heals. However, it is essential to maintain good oral hygiene during this period to prevent infection. You should avoid vigorous rinsing, sucking motions (like using straws), or touching the area with your fingers or tools, as these actions can dislodge the clot and delay healing.
If you have had stitches placed, they usually dissolve on their own, but if they are non-dissolvable, your dentist will remove them during a follow-up visit. It’s also advisable to follow any post-operative care instructions provided by your dentist, which may include recommendations for pain management, dietary restrictions, and oral hygiene practices.
In summary, seeing black scabs after wisdom tooth extraction can be a normal part of the healing process, often related to dried blood or tissue. However, if you experience significant pain, prolonged discomfort, or any signs of complications, it is crucial to seek professional advice to ensure proper healing and address any potential issues. Always feel free to communicate with your healthcare provider about any concerns you may have during your recovery.
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