Is It Normal to See White Tissue After Wisdom Tooth Extraction?

Post-operative inquiry after wisdom tooth extraction?

Hello Doctor: I had my wisdom teeth removed and the stitches taken out about a month ago.
Now, the holes where the stitches were removed are growing some white tissue.
Is this normal? Thank you!

Liu, 20~29 year old female. Ask Date: 2016/02/18

Dr. Zhang Xiangyuan reply Dentistry

Dear user, based on your description, it has been a month since your wisdom tooth extraction, and you have noticed white material at the wound site.
It is advisable to return for a follow-up appointment.
Please have your dentist examine the wound for any abnormalities and determine if further treatment is necessary.
Thank you for your inquiry.

Reply Date: 2016/02/18

More Info

After wisdom tooth extraction, it is quite common to observe changes in the healing area, including the appearance of white tissue. This white tissue is typically a part of the healing process and can be attributed to several factors.

Firstly, the white tissue you are seeing is likely granulation tissue, which is a normal part of the healing process. Granulation tissue is composed of new connective tissue and tiny blood vessels that form on the surface of a wound during the healing process. It is usually pink or red but can appear white or pale as it matures. This tissue helps to protect the wound and is essential for the healing process. Over time, this tissue will gradually be replaced by more mature tissue, and the area will continue to heal.

In addition to granulation tissue, the white appearance could also be due to the presence of fibrin, a protein that helps in clot formation. After a tooth extraction, a blood clot forms in the socket, and as healing progresses, fibrin can accumulate, giving the area a whitish appearance. This is also a normal part of the healing process.

However, it is important to differentiate between normal healing and potential complications. If the white tissue is accompanied by symptoms such as increased pain, swelling, or a foul odor, it could indicate an infection or other complications like dry socket (alveolar osteitis). Dry socket occurs when the blood clot dislodges or dissolves before the wound has fully healed, exposing the underlying bone and nerves, which can be quite painful.

If you are concerned about the appearance of the white tissue or if you experience any unusual symptoms, it is advisable to consult your dentist or oral surgeon. They can perform a clinical examination to ensure that the healing process is proceeding normally and to rule out any complications.

In summary, seeing white tissue after wisdom tooth extraction is generally a normal part of the healing process, often related to granulation tissue or fibrin formation. However, monitoring the area for any signs of infection or complications is crucial. If you have any doubts or concerns, don't hesitate to seek professional advice to ensure proper healing and recovery.

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