The socket after wisdom tooth extraction?
I had my upper and lower right wisdom teeth extracted on July 30 because the upper one was not aligned properly.
The recovery was quick, and I was pain-free after two days.
However, the socket from the lower wisdom tooth has healed, while the upper one still has an open socket.
Although it doesn't hurt, is this normal? (The upper wisdom tooth was impacted and was accessed from the side without sutures, while the lower one was sutured.)
jack, 20~29 year old female. Ask Date: 2015/10/20
Dr. Zeng Guanghui reply Dentistry
In the above situation, it is recommended to return for a follow-up appointment, where the physician can perform an X-ray examination and provide a detailed diagnosis.
Reply Date: 2015/10/20
More Info
After wisdom tooth extraction, it's common to have varying healing experiences depending on several factors, including the complexity of the extraction, the position of the teeth, and individual healing capabilities. In your case, you mentioned that you had both upper and lower wisdom teeth removed on July 30, with the upper tooth being non-parallel and extracted through a side incision without sutures, while the lower tooth was sutured.
Normal Healing Process
1. Initial Healing: Typically, the initial healing phase after wisdom tooth extraction lasts about 1 to 2 weeks. During this time, you may experience swelling, discomfort, and some bleeding, which usually subsides within a few days. The formation of a blood clot in the extraction site is crucial for healing.
2. Soft Tissue Healing: After the first week, the soft tissue around the extraction site begins to heal. This process can take several weeks. The gum tissue will gradually fill in the socket where the tooth was removed.
3. Bone Healing: The underlying bone may take longer to heal, often several months. The bone will remodel and fill in the socket over time.
Your Situation
In your case, the upper extraction site is still open while the lower site has healed. This can be normal, especially since the upper tooth was extracted without sutures. Here are some points to consider:
- Upper Tooth Healing: Since the upper wisdom tooth was extracted through a side incision and left open, it may take longer for the gum tissue to fully close over the socket. As long as there is no pain, swelling, or signs of infection (such as pus or increased redness), this may be a normal part of your healing process.
- Lower Tooth Healing: The lower wisdom tooth, which was sutured, is likely to heal more quickly due to the closure of the incision. Sutures help to protect the area and promote faster healing.
When to Seek Medical Attention
While it sounds like your healing is progressing normally, you should monitor the extraction sites for any signs of complications, such as:
- Increased Pain: If you start experiencing significant pain or discomfort that worsens over time, it could indicate an issue such as dry socket or infection.
- Swelling or Redness: Persistent swelling or redness around the extraction site may also warrant a visit to your dentist.
- Foul Taste or Odor: If you notice a bad taste in your mouth or an unpleasant odor coming from the extraction site, it could be a sign of infection.
- Delayed Healing: If the upper extraction site remains open for an extended period without signs of healing, it may be worth consulting your dentist for an evaluation.
Recommendations for Care
1. Oral Hygiene: Continue to maintain good oral hygiene, but be gentle around the extraction sites. Avoid vigorous rinsing or using straws, as these can dislodge the blood clot and delay healing.
2. Diet: Stick to soft foods and avoid anything that could irritate the extraction sites, such as spicy or crunchy foods.
3. Follow-Up: If you have any concerns about the healing process or if you notice any unusual symptoms, don’t hesitate to reach out to your dentist for a follow-up appointment.
In summary, while it is not uncommon for the upper extraction site to take longer to heal, keep an eye on it for any signs of complications. If you have any doubts or experience any concerning symptoms, it’s always best to consult with your dentist for personalized advice and care.
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