Wisdom Tooth Extraction: Signs of Infection and Care Tips - Dentistry

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Wisdom tooth extraction site?


Hello, doctor.
I had a wisdom tooth extraction on Monday, and today I looked in the mirror and noticed that the inside of the wound is green.
The stitches haven't been removed, and I don't know where they went.
I've been smelling a foul odor, and I brush my teeth and use mouthwash after every meal.
Is it possible that I have an infection? I don't feel any significant pain.

Xiao Zhu, 20~29 year old female. Ask Date: 2015/09/25

Dr. Zeng Guanghui reply Dentistry


The above situation may indicate suture dehiscence.
If there is swelling and pain, it suggests that the wound may be infected.
A foul odor could be due to bacteria or food debris trapped in the wound.
It is advisable to return for a follow-up appointment for a thorough examination by a physician.

Reply Date: 2015/09/25

More Info


After having a wisdom tooth extracted, it's crucial to monitor the healing process closely, as complications can arise, including infection. Based on your description, the presence of a greenish color in the wound and a foul odor are concerning signs that may indicate an infection, even if you are not experiencing significant pain.


Signs of Infection
1. Discoloration: A greenish hue in the extraction site can suggest the presence of pus, which is a common indicator of infection. Healthy healing tissue should appear pink and clean.


2. Odor: A foul smell emanating from the extraction site is another red flag. This can be due to necrotic tissue or bacterial overgrowth, both of which are associated with infection.

3. Pain: While you mentioned not feeling significant pain, it's important to note that infections can sometimes be present without severe discomfort, especially in the early stages.

4. Swelling and Fever: Other signs of infection can include swelling around the extraction site, fever, or general malaise. If you experience any of these symptoms, it is essential to seek medical attention.


Post-Extraction Care Tips
1. Oral Hygiene: It's good that you are brushing your teeth and using mouthwash. However, be cautious around the extraction site. Avoid vigorous rinsing or brushing directly on the wound for the first few days to prevent dislodging any blood clots that are essential for healing.

2. Rinsing: After the first 24 hours, you can start rinsing gently with warm salt water (1/2 teaspoon of salt in 8 ounces of water) to help keep the area clean and reduce the risk of infection. Avoid commercial mouthwashes that contain alcohol, as they can irritate the wound.

3. Diet: Stick to soft foods and avoid anything that could irritate the extraction site, such as spicy or crunchy foods. Staying hydrated is also important, but be careful with straws, as the suction can dislodge the clot.

4. Follow-Up: Since you have concerns about the wound's appearance and odor, it is advisable to contact your dentist or oral surgeon as soon as possible. They may need to evaluate the site, possibly clean it, and prescribe antibiotics if an infection is confirmed.

5. Pain Management: If you do start to experience pain, over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort. However, consult your dentist before taking any medication, especially if you have other health conditions or are taking other medications.


Conclusion
In summary, while the absence of pain is a positive sign, the green color and foul odor from the extraction site are concerning and warrant further evaluation. It’s essential to maintain good oral hygiene while being gentle around the extraction site and to follow up with your dentist for a thorough examination. Early intervention can prevent complications and promote a smoother recovery. Always trust your instincts; if something feels off, it’s best to seek professional advice.

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