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Medical Forum / General / Dentistry / December 2006Tooth extracted - how does the hole heal?
Hi. I had a wisdom tooth removed the other day. Could someone tell me how the hole heals itself? Does it heal from the bottom upwards - i.e. pushing any food that may have got trapped in there out as it heals. Or will the hole close up by healing from the sides of the hole - i.e. potential of food that's trapped in there getting healed over. Thanks for any info, - Dan > Hi. I had a wisdom tooth removed the other day. Could someone tell me > how the hole heals itself? Does it heal from the bottom upwards - i.e. [quoted text clipped - 4 lines] > Thanks for any info, > - Dan Excellent question. First, don't worry about trapped food--it will rinse out. When the gum is cut and the tooth is removed surgically, often the extraction socket is sutured. The intent is primarily to control bleeding, but also if the edges of the cut gum can be put in close approximation, there is the potential for the edges of the gum to heal together. What happens underneath though is that the blood clot is replaced over several days by granulation tissue, and this gradually matures and the bone heals as well. Most of the time and esp. if the extraction is not sutured, the socket heals from the bottom up. The surface mucosa gradually grows together from the sides at the same time. But for a while, the surface of the socket is covered by granulation tissue (young, immature connective tissue) until the gum can grow over it--sometimes a few weeks. Even after this time you may see a divet or crevasse, which will gradually fill in over a few months. Steve > > Hi. I had a wisdom tooth removed the other day. Could someone tell me > > how the hole heals itself? Does it heal from the bottom upwards - i.e. [quoted text clipped - 23 lines] > > Steve Hi Steve. Thanks for your reply. The extractions wasn't sutured. It was just forced out by what looked like a flat-head screwdriver and a pair of pliers! Was rather brutal I must say! It's a week later, and it's starting to close up now. Is it normal that I'm experiencing so much pain? I'm having to be on constant pain killers. Also there seems to be a lot of pain referral too. I quite often feel it on the upper jaw as well as the lower jaw. If it is normal that I'm still experiencing pain, do you have any idea how long it'll go on for? Thanks again, - Dan >>> Hi. I had a wisdom tooth removed the other day. Could someone tell me >>> how the hole heals itself? Does it heal from the bottom upwards - i.e. [quoted text clipped - 37 lines] > Thanks again, > - Dan It's not "normal", but unfortunately far from uncommon--esp. for lower third molars. You doubtless have a dry socket, which isn't dangerous though very unpleasant. At one week, you're probably on the downside and moving toward recovery. Still, dry socket can be relieved by packing if necessary, and you may wish to ask your surgeon about this. Steve > >>> Hi. I had a wisdom tooth removed the other day. Could someone tell me > >>> how the hole heals itself? Does it heal from the bottom upwards - i.e. [quoted text clipped - 45 lines] > > Steve I went back to the dentist, and she removed a lot of food that had built up in the socket, and also put something in it (she said it was a type of hurb). I asked her if it was dry socket, but I couldn't tell whether she said it was or wasn't (as she was foreign). Everytime I eat I end up getting the socket full of food. I've started removing as much as I can with a small pair of tweezers. I presume that as long as I'm very careful, there's no issues with me doing this? I'm also a bit concerned that I can still see bone at the bottom of the socket. Surely this should have healed over by now? It's really worrying being able to see my jaw bone! :-( Am I doing enough to stop infection by just removing the big pieces of food, and rinsing out my mouth with salty water? Is there anything more I can do? Thanks again, - Dan >>>>>Hi. I had a wisdom tooth removed the other day. Could someone tell me >>>>>how the hole heals itself? Does it heal from the bottom upwards - i.e. [quoted text clipped - 63 lines] > Thanks again, > - Dan No, and the pain should gradually subside. You've described a dry socket well--my sympathies. Occasionally a bit of this bone breaks up and is lost through the gum, but eventually the gum should heal over it--not to worry about that. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > >>>>>Hi. I had a wisdom tooth removed the other day. Could someone tell me > >>>>>how the hole heals itself? Does it heal from the bottom upwards - i.e. [quoted text clipped - 70 lines] > > Steve The pain's mostly gone. It's just mild discomfort now. I was just concerned about infection, and the fact that I could see jaw bone. It would also be great if I could find something to plug it up with to stop food getting in. I have no idea what to use as a plug though. Thankyou for all your replies. It's great talking to someone about my concerns. It's greatly appreciated. - Dan >> Hi. I had a wisdom tooth removed the other day. Could someone tell me >> how the hole heals itself? Does it heal from the bottom upwards - i.e. [quoted text clipped - 23 lines] > >Steve As usual I agree with Dr. B ! Hi Steve I wondered if you could help? I had a tooth extracted about 2 weeks ago, and i can see that i have some food stuck in the hole. This won't rinse out and i've already been back to the dentist twice since the extraction and don't really want to hassle him again. I'm not in pain or anything and it's healing nicely (as my dentist says, but i'm concerned that if i don't get this little bit of food out, it might get infected again? Am i worrying about nothing?? HELP!! Rgds Sooz On Nov 6, 8:11 am, Steven Bornfeld <dentaltwinm...@earthlink.net> wrote: > > Hi. I had a wisdom tooth removed the other day. Could someone tell me > > how the hole heals itself? Does it heal from the bottom upwards - i.e. [quoted text clipped - 21 lines] > > Steve > Hi Steve > [quoted text clipped - 13 lines] > Rgds > Sooz Almost certainly you are. What you see as food may not even be food, but the gradually epithelializing fibrin clot. If you feel something hard pushing through the gums I'd have it checked, as sometimes a small piece of bone (sequestrum) can break free and can be an irritant if it remains. But if there's no pain it's very unlikely you have anything to worry about. Stve >Hi Steve > [quoted text clipped - 13 lines] >Rgds >Sooz If the dentist has looked at it twice, I doubt that there is any food stuck in the extraction site. What you are likely seeing is the 'fibrin clot' this is normal, leave it alone. > If the dentist has looked at it twice, I doubt that there is any food > stuck in the extraction site. > > What you are likely seeing is the 'fibrin clot' this is normal, leave it > alone. Thank goodness somone else is asking these questions so I don't have to start a new thread with yet another "duh" question... I had #15 extracted 11/7; it was checked about a week later (my teeth have long roots, and there was some concern some sinus problem might arise; it didn't) and it was healing well. It still feels a bit odd, but not sore or painful at all, no bad odor or taste, and food *does* get caught in it - I just removed a fragment of dinner from it; definitely a grain of rice and not a fibrin clot. Should I bother the oral surgeon, or just continue to make sure it's clean? I brush the socket (gently) to make sure no food fragments remain in it. Signature"Did Father shoot him? I will eat Grandfather for dinner." - Helen Keller, on learning of the death of her grandfather email: aripee at inanna . com >>If the dentist has looked at it twice, I doubt that there is any food >>stuck in the extraction site. [quoted text clipped - 13 lines] > or just continue to make sure it's clean? I brush the socket (gently) to > make sure no food fragments remain in it. This sounds not to be a reason for concern. Just keep it clean--gently. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > > grain of rice and not a fibrin clot. Should I bother the oral surgeon, > > or just continue to make sure it's clean? I brush the socket (gently) to > > make sure no food fragments remain in it. > > This sounds not to be a reason for concern. Just keep it clean--gently. Thanks! (And I'm sure the oral surgeon would thank you, too, if he knew you were fielding my dumb-a.s questions.) Signature"Did Father shoot him? I will eat Grandfather for dinner." - Helen Keller, on learning of the death of her grandfather email: aripee at inanna . com > If the dentist has looked at it twice, I doubt that there is any food > stuck in the extraction site. > > What you are likely seeing is the 'fibrin clot' this is normal, leave it alone. What does this "fibrin clot" look like? Is it kinda white? I had my last molar, bottom left, extracted last Wednesday. It still hurts -- not a lot and not all the time. I have Meniere's Syndrome, and the tooth makes the ear hurt -- or the ear makes the tooth hurt. I'm not sure which. It doesn't hurt a lot like a dry socket. It just won't go away. I haven't gone back to the dentist. I took Aleve this morning, and now it's just my ear that hurts. There's no food stuck in there. I carefully rinse it out by swooshing water around there. It's healing up, but it won't stop hurting. Eva >> If the dentist has looked at it twice, I doubt that there is any food >> stuck in the extraction site. >> >> What you are likely seeing is the 'fibrin clot' this is normal, leave it alone. > >What does this "fibrin clot" look like? Is it kinda white? Yes, kinda whitd/cream colored. > I had my last >molar, bottom left, extracted last Wednesday. It still hurts -- not a lot [quoted text clipped - 7 lines] > >Eva You may have a *partial* dry socket, it wouldn't hurt to get it checked. It will take some time to heal completely. >>> If the dentist has looked at it twice, I doubt that there is any food >>> stuck in the extraction site. [quoted text clipped - 19 lines] > You may have a *partial* dry socket, it wouldn't hurt to get it checked. > It will take some time to heal completely. Well, now that I put this question to the group, it stopped hurting today. Figures. But I do appreciate the time you took to answer me. Thanks. Eva >> You may have a *partial* dry socket, it wouldn't hurt to get it checked. >> It will take some time to heal completely. [quoted text clipped - 3 lines] > >Eva You are welcomed. |
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