Why does the gum not heal after the incision?
On forums like “question-answer”, people often ask what to do if dentists cut the gum a wisdom tooth how much will hurt and how can this pain be alleviated? How long the gum heals depends on many factors: on following the doctor’s recommendations for the recovery period and on complications.
What is the problem with wisdom teeth?
Wisdom teeth begin to grow in people from 10 to 25 years old, and at once permanent, unlike other teeth, which begin to change to permanent ones at 6 years old. When the wisdom tooth starts to erupt, it turns out that all the places in the mouth are already occupied. As a result, he begins to win his “place in the sun” pushing his comrades, causing damage to the gums and even his cheek.
- The upper wisdom teeth often begin to press and cut the cheek during growth.
- With the growth of lower teeth, only the gums are injured.
The wisdom tooth penetrates through the soft tissue, which in the process becomes inflamed and sore. This fabric is called gingival hood. At unfavorable, but frequent development of events, rot forms under the hood, due to which human well-being becomes worse off: high fever, headache, and bad breath. Rot appears for various reasons, among them the main one is pollution. The wisdom tooth grows in an inaccessible place and cleaning it is a problem.
Possible wisdom tooth growth positions
Why cut the gum?
The pain in the gums continues for a long time – this is the natural growth accompaniment for the tooth. Call your doctor if you notice one of the following symptoms:
- Intense pain when chewing food or arising spontaneously, for no reason.
- If there is an unpleasant smell from the mouth, it is a sign of pus under the hood.
- If the gum was not only sore, it also reddened and swollen.
- The temperature has risen, strong weakness, headaches are felt.
Dentists will offer to cut the gums, be strong – this is not such a terrible procedure as it seems. The rot after the incision will come out, the gums will heal, the pain will subside, and the tooth will no longer be a concern. In different patients, the gum healed at different times: it usually takes from two days to two weeks.
How to perform the operation
Cutting can be done in several ways, depending on the individual characteristics of the growth of a wisdom tooth. The whole operation is divided into stages:
- The introduction of anesthesia.
- The doctor with the help of tools makes an accurate incision of the mucus.
- From the incision, blood flows to be stopped, and then the wound is washed, and the dentist applies medicine to heal.
- 10 minutes after the end of the operation, a blood clot forms, and within 3–4 hours – granulation tissue.
- After 2–3 weeks, the patient will find that the incision is overgrown, but complete healing may take longer.
After the incision, the dentist will issue a recommendation to the patient and record it on a second appointment to check how the wound heals.
After the operation, it is worth a little rest, lie down on the bed. For the next 3 hours it is advisable not to eat or drink anything, and for at least 3 days not to eat hard, hot or spicy foods.
You should not drink alcohol during the week, and it is desirable to reduce the number of cigarettes smoked per day. The dentist will advise you to rinse your mouth with water-salt solutions for several days.
Something went wrong
What if the gum, which in theory is supposed to heal after the operation, still hurts terribly? The problem may be with the adjacent tooth. The wisdom tooth grows crooked, touches while the neighbor grows and can damage its enamel so that the neighbor starts caries.
In this case, the only right decision is to remove the “eight,” but this is a difficult operation that will require a strong painkiller.
After the operation, the following complications occur:
- When the gum is cut, it often swells up. In other cases, the tumor becomes so large that it swells the cheek. This is a symptom of alveolitis of the hole – a common disease that occurs due to infection in the wound. Gum healing stops. Alveolitis is a simple disease but brings its share of discomfort and pain. If you notice her symptoms, do not hesitate for long, consult a doctor.
- Occasionally, after surgery, a lot of bleeding begins: due to blood pressure or vessel damage. Did the bleeding start at home? Fold the tampon and attach it to the wound or put some ice on the cheek. Over time, the bleeding does not pass? Call an ambulance, then on their own cannot cope.
- High temperature indicates inflammatory processes. Take antibiotics as directed by your doctor.
- After surgery, the patient is often plagued by pain. Severe toothache is muffled by painkillers as prescribed by the dentist.
What can not be done and folk methods
The iron rule is connected with wisdom teeth (as with any other teeth): do not use traditional medicine. You can use different herbs, such as chamomile decoction, for pain relief, but you should better put the treatment and the operation on the dentist’s shoulders: “It is better to have a glass in your teeth than teeth in a glass.”
The second rule is not to heat a sore or aching tooth. Some caring, but conservative fathers are wrapping a child’s head with a scarf to make it “easier.”
It becomes vice versa worse; moreover, a purulent process can begin. Instead of scarves and hot-water bottles, apply ice or a towel soaked in cold water to your cheek.
The healing gum will hurt; it is even possible that the pain will be unbearable. Call the dentist, and even better – in advance, have him clarify which anesthetics can and cannot be taken.
And do not exceed the prescribed dose to avoid a situation: “there was a pain – there was no person.” For complications, contact your doctor, do not try to treat yourself.
How long does the gum of the tooth heal after the cut? How much should the blood go?
How long does the gum of the tooth heal after the cut? How much should the blood go?
If you went with a flux and a swollen face, then the gum will be cut, or the tooth may be immediately pulled out and released. Then it will hurt very much after the end of the action of freezing.
But by the second day the tumor begins to subside, antibiotics may be discharged. You can eat in two to four hours, but very light food, broths. And the blood goes as usual after the tooth is pulled out, the main thing is not to touch the wound with the tongue.
No, it is delayed in a couple of days, and it will heal completely within 7-10 days. The only thing in place of the incision may remain something like a scar, which will be felt for a long time if you spend on it with the tongue.
The blood does not go for a long time, or rather, it almost immediately stops, as with a normal cut, it happens, a clot can be seen, the main thing is not to rinse it out and not to remove it with the tongue. If the blood goes for more than two hours, it is not ichor; then you need to go to the clinic again.
If your blood platelet level is not lowered in connection with any disease, then the bleeding is usually short-lived. After a couple of hours (after removing the cotton, and also if the well is not disturbed with tongue or constant rinses with water), the bruises stop.
It is not necessary to wash the clot formed on its place on the day of tooth extraction. During the night the gum will move away from the anesthesia, and the internal tissues will tighten a little. Over the next day, the blood clot will resolve with the help of saliva.
Although I had a case where the gum healed for as much as two months, removed the upper tooth and had problems with the bones of the nasal sinus. That is also a story.
Everyone has different ways, depending on the properties of the body, so that they can get faster quickly, you can smear dental with solcoseryl, this is a special paste for healing any wounds and cuts on the gums.
As a rule, the doctor closes the incision site with a swab and asks to press it for a while. Blood stops flowing soon enough. Usually, after an hour, the bleeding stops. Of course, the saliva will still be colored, to the extent that blood clots are flushed out by saliva.
The most important rule after such an intervention (as, by the way, and after the extraction of the tooth is not to rinse your mouth with any solutions or infusions. It will only blur the clot. The final healing occurs in about a week, and the discomfort while eating will persist for several days. But just average numbers. Everything is very individual.
Recommendations after the gum incision
If you are planning on implanting or removing a cyst, be prepared for the dentist to cut the gum. When an uncut or incompletely cut wisdom tooth is removed from the gums, the incision is also inevitable.
After surgery, complications are possible in the form of edema, bleeding, aching pain. The reasons are reduced immunity, the presence of infection in the mouth or improper care in the postoperative period. Therefore, the best thing you can do is to remember and follow all the recommendations of the doctor.
Complications after gum incision
As a rule, swelling occurs after the removal of a wisdom tooth with a gum incision. It is a typical reaction of the body to surgery. However, in some cases, the tumor reaches a gigantic size, much swelling cheek or lip. It is a clear sign of alveolitis (inflammation of the hole). In this case, an urgent need to visit the attending physician!
Raising the temperature to 37–37.5 degrees is also considered normal. However, if the thermometer shows more than 38 degrees, then, most likely, the inflammatory process has begun. It is necessary to consult the doctor who operated. You may be prescribed a course of antibiotics.
The pain occurs immediately after the end of the anesthetic (after an hour and a half). Soreness is a reaction to nerve damage with a surgical scalpel. To relieve the condition for a while, it is recommended to take a Ketanov, Pentalgin or Analgin tablet. The pain will gradually subside after 3-4 days.
Excessive bleeding may occur due to damage to the vessel during anesthetic injection, increased capillary fragility, or high blood pressure in a patient.
What is stopping the bleeding? Immediately after the gum is cut, the doctor puts on a hemostatic sponge and, when the bleeding stops, sew up the wound.
But if that doesn’t help, call an ambulance.
Flux is an inflammation of the periosteum (dense tissue covering the jaw bone). Such a complication is a consequence of infection of the gums, after which the infection penetrates deeper, affecting the periosteum. In the area of inflammation, pus accumulates, and a painful bump is formed.
When the flux is done, a relaxing incision of the gums (opening of the abscess) is established, and drainage is established for the outflow of purulent exudate.
How do gums heal?
After surgery, the links between tissues and cells are broken. The healing process is the formation of new physiological and anatomical connections between them.
- The formation of a blood clot – is formed 5–10 minutes after the operation and serves as a protective barrier against infection and harmful microbes.
- The formation of granulation tissue – within 3–4 hours, the production of granulation tissue (young connective tissue) begins.
- Epithelization and the formation of collagen – last up to 7-10 days and sometimes is accompanied by a slight itch.
- Regeneration and ripening – the wound are “delayed” in 2-3 weeks, but the complete healing of the fibers requires several months.
What to do after the procedure
- when you arrive home, you need to lie down and rest;
- do not eat or drink for 3 hours;
- for 3 days after the operation, you should not open your mouth too wide, and also eat hard and hot food;
- limit emotional and physical stress;
- hot baths, use of the sauna, gym classes are prohibited;
- It is desirable to stop smoking and taking alcohol during the week completely.
Remember: in no case cannot apply hot compresses, cauterize the wound with alcohol, iodine or brilliant green. It will only get worse!
The dentist-surgeon can prescribe wound healing and antimicrobial ointments (Holiday, Solcoseryl, Stomatofit, etc.). To strengthen the overall immunity can be taken immunomodulatory agents and multivitamin complexes.
How to rinse the gum after the cut?
Any rinse should be done strictly according to doctor’s prescription. Usually, the doctor recommends rinsing the mouth with saline solution, chamomile decoction, calendula or sage (room temperature), they have a powerful anti-inflammatory effect.
Also, ready-made antiseptic solutions from the pharmacy – Chlorhexidine or Miramistin.
If you feel that inflammation of the gums has started after the operation, or you have noticed a discharge of pus, do not postpone the visit to the dentist! In case of an emergency, you can contact the duty doctor of the public clinic; he takes even at night. You will find the nearest institution on our website.
We also suggest that you familiarize yourself with materials about complications after implantation.