Tooth extraction is a very unpleasant, but in some cases necessary operation. If the tooth can not be saved, and while he hell hurts, you need to solve this problem as soon as possible. When the patient in the dental surgeon’s office finally gets rid of the source of the trouble, the question begins to concern him – how long does the gum heal after the removal of a tooth?
What is a tooth extraction?
Tooth extraction, otherwise called extraction, is a complete surgical intervention, has all the signs of this manipulation, the normal consequences and the likely risks. According to the behavior of the tissues after the intervention, as well as the volume and degree of complexity of the latter, the extraction of the tooth is comparable to the operation to remove erosion on the mucous membrane or a small benign tumor (for example, fibromas).
With the surgical intervention of this kind, the integrity of the mucous membranes is disturbed, soft tissues that fix the roots of the tooth in the jaw are injured, and nerves and blood vessels rupture. As a result, inflammation begins in the damaged tissues, without which complete wound healing is impossible. The normal symptoms of this process are as follows:
- Bleeding that can last from half an hour to three hours after removal. If after this time the blood from the hole continues to flow, you need to turn to a dentist – perhaps you need stitches on the wound.
- Sensation of heat, swelling and redness of the mucous membranes in the place of the extracted tooth and surrounding tissues – these symptoms are caused by the fact that nerve and blood vessels, broken ligaments and muscles that previously held the tooth are inside the hole. Edema and redness will accompany the patient until the tissues heal.
- Pain at the site of the operation, extending to nearby tissues and organs (cheeks, ear, adjacent teeth, etc.).
- Slight fever.
- Temporary malfunction of the jaw – painful sensations with a wide opening of the mouth, the inability to chew food on the side of the extracted tooth. These phenomena are particularly pronounced in the extraction of wisdom teeth.
How much of the above symptoms will be observed depends on many factors, but usually they last 4 to 7 days, decreasing as they heal. However, in some cases, the discomfort lasts much longer, while not weakening, but, on the contrary, growing stronger. Such a phenomenon is a sign that a complication of an infectious nature has joined a local inflammation, which requires appropriate therapy.
How many gums heal after tooth extraction
As a rule, soft tissues are restored 7–10 days after tooth extraction. When removing a wisdom tooth, primary healing can take up to two weeks. Usually after this time, the wound edges come closer, and it finally stops bothering the patient. At the same time, complete healing (that is, filling the hole with bone tissue, which will replace the root of a torn out tooth and ensure the integrity of the jaw) ends much later – after about 4–8 months. However, this process is asymptomatic, and does not cause a person any unpleasant sensations.
Possible complications after extraction
In some cases, the primary healing of the tissues is abnormal, very long and painful, and may be accompanied by severe pain, bleeding and infection. This can happen in several cases:
- Non-professional actions of a dental surgeon. If the doctor committed blunders, the gum is injured many times more than it should be during a normal removal procedure. Accordingly, the healing will also be long and difficult.
- Difficult removal process. This often happens during the extraction of wisdom teeth. The remains of the diseased tooth can fall deep into the wound, thereby provoking inflammation and suppuration.
- Failure by the patient of the recommendations of the attending physician. As already mentioned, the removal of a tooth is a complete surgical operation, and after it is performed, the gum must be properly treated. The oral cavity is the dirtiest place of the human body, replete with a huge number of pathogenic and conditionally pathogenic microorganisms. Under normal conditions, bacteria do not harm a person, however, if there is an open wound in the mouth, they are quite capable of causing a serious inflammatory process. If food constantly gets into the hole and accumulates there for a long time along with bacteria, infectious complications begin, which significantly slow down the healing process.
- The patient has certain diseases (for example, diabetes), blood-thinning drugs. Poor blood clotting provokes prolonged (sometimes more than a day) bleeding, which prevents the clot from forming. And since the latter plays an important protective role and stimulates the recovery process, healing may be delayed. In order to avoid such situations, be sure to warn the dentist about which diseases you suffer from and which medications you take.
If infectious inflammation begins at the tooth extraction site., It is necessary to consult a specialist – he will prescribe appropriate antibiotics and will help to ensure the outflow of pus from the wound. In no case, it is impossible to engage in self-treatment – an infection in the oral cavity is fraught with the most serious consequences, up to a fatal outcome.
How dangerous prolonged healing of the gums
The result of infection at the site of removal may be Alveolitis – inflammatory process, which usually develops on days 1-3 after extraction. The first symptoms of pathology appear on day 2–3:
- During the meal there is a weak aching pain. Gradually, it grows, acquires a shooting character, begins to give to the temple and ear.
- When opening the mouth, the patient feels discomfort.
- Often there is an unpleasant putrid odor from the mouth.
- Severe intoxication of the body can be observed – aching and nagging pains in muscles and joints, headache, fatigue. In the acute phase of the disease, the temperature rises.
- The hole does not heal, there is a blood clot partially or completely absent.
- The gum swells and reddens greatly, and in the advanced stages the affected area becomes bluish. If a person delays a visit to a specialist, it is possible that tissue dies.
Long healing process It can also cause a complication called limited osteomyelitis of the tooth cavity. This disease is characterized by acute throbbing pain at the removal site, severe headache, high fever and weakness. The hole does not heal, destructive changes begin in the tissues. This condition requires immediate treatment to the clinic, where the dentist removes pus, pathological tissues and foreign bodies from the wound (if any).
Especially dangerous prolonged wound healing after removing wisdom teeth. The tissues surrounding them have abundant blood supply, and the purulent inflammatory process in this place can provoke the spread of infection deep into the tissues, as well as the development of abscesses that are dangerous for the patient’s life. In the absence of timely treatment, even sepsis is possible, which is fraught with the most tragic outcome.
How to speed up the healing process after tooth extraction
To ensure the most rapid and comfortable healing of damaged tissue should be performed A number of simple rules:
- After the procedure, the doctor will put a gauze pad on the well, which should be held tightly on the wound for 20-30 minutes.
- During the first three hours after removal, do not drink liquids and do not eat food, so as not to disrupt the formation of a blood clot and do not carry the infection.
- Do not smoke on the first day after tooth extraction. First, the smoke induces a vacuum effect in the oral cavity and can provoke a newly formed clot out of the wound. If this happens, you will not avoid a new bleeding from the hole and a long healing process. And secondly, the smoke dries the mucous membrane and annoys it, repeatedly increasing the risk of complications. Ideally, it is better to refrain from smoking for the entire first week after the procedure, but if you cannot afford it, you are allowed to smoke on the second day, but very carefully and little by little.
- During the first day after the extraction of the tooth, do not rinse or try in any other way to remove a blood clot from the wound. In general, try once again not to touch the hole – not with your tongue, or with a spoon, or with a toothpick, or with any other objects.
- Avoid hot spices, too salty, hard, cold and hot foods – all of these factors can cause re-bleeding and inflammation. Do not chew food from the extracted tooth.
- Do not drink alcohol for at least three days after the procedure – ethyl alcohol dries out the mucous membrane, increases pain and may cause complications.
- Do not engage in heavy physical labor and sports for 48 hours after tooth extraction. This does not mean that you need to abandon any workloads – on the contrary, it is possible and necessary to do simple household chores, but avoid serious workloads and overwork.
- On the first day after the procedure, do not visit the bath and sauna, do not take a hot shower and do not overheat in the sun.
- Toothbrush can be used at least 8 hours after extraction. Further hygiene procedures as usual, but be careful when brushing your teeth near the hole.
- The first week after the procedure, avoid contact with people with influenza, ARVI or ARI people, and do not supercool. Treat this warning with special attention if you have a wisdom tooth removed – as mentioned above, the inflammatory process in this area of the gum is fraught with the most serious consequences.
- If pieces of food are stuck in the wound, in no case try to remove them with your fingers or other objects (brush, toothpick) – it is better to gently rinse your mouth.
- To relieve discomfort and speed up healing, it is recommended to rinse your mouth with herb solutions (sage, chamomile) or with chemist’s drugs (Chlorhexidine, Furacilin). However, it is allowed to begin such procedures no earlier than a day after the tooth is removed, and then very carefully, so as not to provoke damage to the clot.
- If the pain worries too much, take an analgesic drug – Ibuprofen, Ketorol, Nimesulide, etc. In some cases, the dentist may prescribe drugs that accelerate the healing of the gums – for example, Solcoseryl or Metrogil Dent.
- With a strong and prolonged (more than 3 hours) bleeding, as well as the appearance of any pathological symptoms (fever, chills, severe swelling and redness of the gums, etc.), immediately contact a specialist – he will carry out all the necessary manipulations to correct the problem.
Patients with a weakened immune system, when extracting a tooth due to serious purulent processes or with complex removal of a wisdom tooth, are prescribed additional therapy – often with antibiotics. They help prevent wound infection and inflammation, and as a result, the gum heals faster.