Wisdom Tooth Stitches: Healing and Aftercare Tips - Dentistry

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Wisdom tooth suture removal?


Hello, Dr.
Tseng.
I would like to ask you about something.
I had my lower right wisdom tooth extracted recently, and after the stitches were removed, there was a hole left.
A few days later, it seems that there is a dark blood clot on top of it.
Should I be concerned about it? Will the presence of this "blood clot" affect the healing of the wound in the future? Also, when you say "removing stitches," does that mean just cutting the ends and the surface of the stitches, or is there a pulling action involved? Because after the stitches were removed, I still see a little bit of thread on the skin.
Thank you.

Bling Wu, 30~39 year old female. Ask Date: 2016/01/27

Dr. Zeng Guanghui reply Dentistry


1.
The above situation indicates that the extraction socket has not fully healed and still contains blood clots.
It is recommended to maintain good oral hygiene and avoid chewing hard foods, which will allow the wound to heal gradually.
2.
Removing stitches means completely taking out the sutures; if you can see even a small piece of suture, you should return to the dentist for further examination.

Reply Date: 2016/01/27

More Info


After having a wisdom tooth extracted, it's common to have questions about the healing process and aftercare, especially concerning stitches and any residual blood clots. Here’s a comprehensive overview of what to expect and how to care for your mouth post-extraction.


Understanding Wisdom Tooth Stitches and Healing
1. Stitches and Their Purpose: After a wisdom tooth extraction, stitches (or sutures) may be placed to help close the wound and promote healing. These stitches can be either absorbable or non-absorbable. Absorbable stitches dissolve on their own over time, while non-absorbable stitches need to be removed by a dentist.

2. What to Expect After Stitches Are Removed: Once your stitches are removed, it’s normal to see a small hole or indentation where the tooth was extracted. This is part of the healing process. The body will gradually fill in this space with new tissue.

3. Black Blood Clots: It’s not uncommon to notice dark blood clots at the extraction site after the stitches are removed. These clots are part of the natural healing process and serve as a protective barrier for the underlying tissue. They should not be disturbed, as they play a crucial role in healing. However, if you notice excessive bleeding or if the clot becomes dislodged, it’s important to contact your dentist.

4. Impact of Blood Clots on Healing: Blood clots are essential for healing. They help to protect the wound and provide a matrix for new tissue growth. If a clot is dislodged prematurely, it can lead to a condition known as dry socket, which is painful and can delay healing. Therefore, it’s best to avoid vigorous rinsing or sucking motions that could disturb the clot.


Aftercare Tips
1. Oral Hygiene: Maintaining good oral hygiene is crucial after an extraction. However, you should avoid brushing the extraction site directly for the first few days. Instead, you can gently rinse your mouth with warm salt water starting 24 hours after the extraction to help keep the area clean.

2. Dietary Considerations: Stick to soft foods for the first few days post-extraction. Avoid hot, spicy, or crunchy foods that could irritate the extraction site. Gradually reintroduce solid foods as you feel comfortable.

3. Pain Management: It’s normal to experience some discomfort after the procedure. Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. If the pain persists or worsens, consult your dentist.

4. Follow-Up Care: Attend any scheduled follow-up appointments with your dentist to ensure proper healing. If you have concerns about the appearance of the extraction site or if you notice signs of infection (such as increased swelling, redness, or pus), seek professional advice promptly.

5. Avoiding Complications: To minimize the risk of complications, avoid smoking, using straws, or engaging in strenuous activities for at least a week after the extraction. These actions can dislodge the blood clot and lead to dry socket.


Conclusion
In summary, after having a wisdom tooth extracted, it’s essential to follow proper aftercare to ensure a smooth healing process. Blood clots are a normal part of healing and should not be disturbed. If you have any concerns about your stitches or the healing process, don’t hesitate to reach out to your dentist for guidance. They can provide personalized advice based on your specific situation and help address any lingering questions you may have. Remember, taking care of your oral health post-extraction is crucial for a successful recovery.

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