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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Wisdom Teeth Removed, Lump In Area Of Stitches. Normal?

I got my wisdom teeth removed 10 days ago. One of the stitches in my gum came out today, the spot where the stitch was has had a lump all along. The stitch is gone but the lump is still there. It doesn t hurt at all and it s not discolored. Is it normal for there to be some swelling just from the stitch being there or do I need to have the lump looked at?
Sat, 20 Oct 2012
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Dentist 's  Response
Hello & welcome,

Sutures are generally removed 7 - 10 days after removal of wisdom tooth without any problem. You already have completed 10 days after extraction so sutures should be looked for removal now.

Yes, having a lump or swelling all along the extraction wound is quiet normal but only for a week after extraction & not more than that.

Swelling in your case might be due to sutures are still there or wound have got infected secondarily.
Remember one important thing, sutures though necessary for proper approximation of wound flaps, if not removed on correct time, increases the chances of wound getting infected several times.

This can also happen if oral hygiene is not maintained properly by the patient. So, look for proper cleaning with soft brush to avoid damage to your wound.
Use of Local Antiseptic mouth wash is preferred here to rinse oral cavity thereby removing any accumulated food debris which may infect the wound.

Visit you dentist to get the wound clinically examined. Antibiotics may be given if the infection is slightly on higher side. But that too, depends on your dentist's perception.

Avoid forceful gargling after brushing or even after eating food. Take soft food until swelling subsides. Even blowing air forcefully may hurt your wound so should be avoided.

Take care.
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Dentist Dr. Neha Sumra's  Response
Hello
Welcome to HCM
I would like to tell you that wisdom teeth extraction is not a simple extraction.Its somewhat complicated surgical procedure & there are many post extraction effects that are seen like:-
-prolonged numbness due to local anaesthesia effect
-pain
-swelling
-difficulty in opening mouth
-fever
-malaise
You don't need to worry for any of these symptoms.
Take some rest & start with amoxiclav-625 twice a day along with zerodol-SP twice a day.Also take some multivitamin & antacid like rabeprazole 20 mg if acidity persists.Take all this for 5 days because ibuprofen is very mild analgesic. Don't worry about the stitches.

Along with that start warm saline rinses 24 hrs after extraction.This will help in healing.
Consult your dentist if problem persist.

Take Care
Regards
Dr.Neha
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Wisdom Teeth Removed, Lump In Area Of Stitches. Normal?

Hello & welcome, Sutures are generally removed 7 - 10 days after removal of wisdom tooth without any problem. You already have completed 10 days after extraction so sutures should be looked for removal now. Yes, having a lump or swelling all along the extraction wound is quiet normal but only for a week after extraction & not more than that. Swelling in your case might be due to sutures are still there or wound have got infected secondarily. Remember one important thing, sutures though necessary for proper approximation of wound flaps, if not removed on correct time, increases the chances of wound getting infected several times. This can also happen if oral hygiene is not maintained properly by the patient. So, look for proper cleaning with soft brush to avoid damage to your wound. Use of Local Antiseptic mouth wash is preferred here to rinse oral cavity thereby removing any accumulated food debris which may infect the wound. Visit you dentist to get the wound clinically examined. Antibiotics may be given if the infection is slightly on higher side. But that too, depends on your dentist s perception. Avoid forceful gargling after brushing or even after eating food. Take soft food until swelling subsides. Even blowing air forcefully may hurt your wound so should be avoided. Take care.