White Oral Lesions After Wisdom Tooth Extraction

Oral leukoplakia, but not resembling vitiligo?

I had my wisdom teeth removed, and they didn't stitch it up, allowing it to heal naturally.
There is some white tissue on the inside of my cheeks on both sides, but the right side is whiter.
It feels smooth to the touch, with no hard lumps or roughness, as if it's growing from inside.
The healing gum tissue also appears a bit white.
What could this be, and do I need to get it checked?

Niming, 10~19 year old female. Ask Date: 2015/12/03

Dr. Zeng Guanghui reply Dentistry

The above situation refers to the soft tissue growth during the healing process.
As long as there is no wound infection or inflammation, it is considered normal.
If there are any concerns, it is advisable to consult a dentist for further evaluation and treatment.

Reply Date: 2015/12/03

More Info

After wisdom tooth extraction, it is common to observe various changes in the oral cavity, particularly in the area where the tooth was removed. The presence of white lesions or patches in the gums can be concerning, but understanding their nature is crucial for determining whether further examination is necessary.

The white areas you are describing could be attributed to several factors. One possibility is the formation of scar tissue. After a surgical procedure like wisdom tooth extraction, the body initiates a healing process that often results in the formation of scar tissue. This tissue can appear white or pale due to the lack of blood supply compared to the surrounding healthy tissue. Scar tissue is typically smooth and may not be painful, which aligns with your description of the area being soft and not rough.

Another potential cause for the white lesions could be the presence of keratinized tissue. In some cases, the gum tissue may undergo changes that lead to a thicker, keratinized layer forming over the healing area, which can also appear white. This is a normal part of the healing process and may resolve over time as the tissue continues to heal.

Additionally, if you have a history of smoking or chewing betel nuts, these habits can contribute to changes in the oral mucosa, leading to white patches or lesions. It is essential to maintain good oral hygiene and have regular dental check-ups to monitor any changes in your oral health, especially if you have these habits.

If the white areas are not accompanied by pain, discomfort, or other symptoms such as swelling or persistent bleeding, they are likely part of the normal healing process. However, if you notice any changes, such as increased pain, the development of hard lumps, or if the white areas do not improve over time, it would be wise to consult a dentist or an oral surgeon for a thorough examination. They may perform diagnostic tests, including X-rays, to assess the underlying bone and soft tissue.

In summary, the white lesions you are experiencing after wisdom tooth extraction may be a normal part of the healing process, likely related to scar tissue or keratinization of the gum tissue. However, it is always best to err on the side of caution and consult with a healthcare professional if you have any concerns or if the condition changes. Regular follow-ups with your dentist can help ensure that your healing process is progressing as expected and that any potential complications are addressed promptly.

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