Wisdom teeth, or third molars, are the last set of molars that typically emerge in late adolescence or early adulthood, usually between the ages of 17 and 25. For many individuals, these teeth can cause problems due to limited space in the jaw, leading to various dental issues.
Importance of Stitches After Extraction
After the extraction of wisdom teeth, stitches (sutures) are often placed to help close the surgical site and promote healing. Stitches play a crucial role in ensuring that the tissues heal properly and that the risk of complications, such as infection, is minimized.
Purpose of This Guide
This guide aims to provide a clear and comprehensive understanding of what happens to wisdom teeth stitches after surgery. By the end of this guide, patients will have a better understanding of the types of stitches used, the healing process, and how to care for their mouths after the procedure.
Types of Stitches Used in Wisdom Teeth Removal
Dissolvable (Absorbable) Stitches
Dissolvable stitches are made from materials that the body can naturally absorb over time. These stitches are designed to dissolve on their own as the tissue heals, eliminating the need for a follow-up visit to remove them.
Characteristics of Dissolvable Stitches
Material: Often made from materials like polyglycolic acid or polyglactin.
Duration: Typically dissolve within 1 to 2 weeks, depending on the type and location of the stitches.
Benefits: Reduces the need for a second dental appointment and minimizes discomfort associated with stitch removal.
Non-Dissolvable (Non-Absorbable) Stitches
Non-dissolvable stitches are made from materials that do not dissolve in the body. These stitches need to be manually removed by a dentist or oral surgeon after a certain period, usually about a week after the surgery.
Characteristics of Non-Dissolvable Stitches
Material: Often made from silk, nylon, or polypropylene.
Duration: Remain in place until a dentist removes them, typically within 5 to 10 days post-surgery.
Considerations: Patients may experience some discomfort or irritation from these stitches, and they require a follow-up visit for removal.
The Healing Process After Wisdom Teeth Removal
Immediate Post-Operative Period
Days 1-3:After the extraction, patients will spend some time in recovery. It’s common to experience swelling, discomfort, and some bleeding during this period.
Patients will receive instructions on how to care for the surgical site, including how to manage pain and maintain oral hygiene.
Early Healing Phase
Days 4-7:By this time, swelling should start to decrease, and discomfort should begin to subside. Patients may notice some bruising around the jaw area.
If dissolvable stitches were used, patients might start to notice them loosening as the healing process continues.
Continued Recovery
Weeks 2-4:Most patients report significant improvement in their symptoms by this time. Any residual tenderness should be minimal.
If non-dissolvable stitches were used, patients will typically return to the dentist for removal during this period.
Full Recovery
1 Month and Beyond: Complete healing of the soft tissue usually occurs within a few weeks, while the bone may take several months to fully heal.
Regular dental check-ups are essential to monitor the healing process and address any issues.
What Happens to Wisdom Teeth Stitches?
Dissolvable Stitches: How They Work
Dissolvable stitches are designed to break down and be absorbed by the body.
Here’s how the process works:
Placement: After the wisdom teeth are removed, the dentist places the stitches in the gum tissue to close the incision.
Healing Process: As the tissue heals, the stitches begin to dissolve. This process can take anywhere from a few days to a couple of weeks, depending on the specific type of material used.
Absorption: The body gradually absorbs the material, and patients will not need to return to the dentist for removal.
What to Expect
Patients may notice small pieces of the stitch material in their mouths as the stitches dissolve. This is normal and should not cause concern.
The surgical site will gradually close as the tissue heals, and any discomfort should lessen over time.
Non-Dissolvable Stitches: Removal Process
Non-dissolvable stitches require manual removal by a dentist.
Here’s what to expect:
Placement: Similar to dissolvable stitches, non-dissolvable stitches are placed in the gum tissue after the extraction.
Healing Process: Patients will typically experience some discomfort as the stitches remain in place.
Removal: After about 5 to 10 days, patients will return to the dentist for the removal of these stitches. This is usually a quick and straightforward process.
What to Expect
The dentist will use a pair of scissors and a tweezer-like instrument to carefully cut and pull out the stitches.
Patients may feel a slight tugging sensation, but the procedure is generally not painful.
After removal, patients should continue to monitor the surgical site for any signs of complications.
Care Instructions for Wisdom Teeth Stitches
Proper care after wisdom teeth removal is crucial for ensuring a smooth recovery.
Here are some essential dos and don’ts to follow:
Dos and Don’ts After Surgery
Dos
Rest: Take the first few days to rest and allow your body to heal.
Follow Medication Instructions: Take prescribed pain medications as directed, and use over-the-counter pain relievers as needed.
Use Ice Packs: Apply ice packs to your cheeks for 15-20 minutes to reduce swelling.
Stay Hydrated: Drink plenty of fluids, but avoid using straws to prevent dislodging blood clots.
Don’ts
Don’t Smoke or Use Tobacco: Smoking can hinder healing and increase the risk of complications.
Don’t Rinse Your Mouth Forcefully: Avoid vigorous rinsing for the first 24 hours to protect the surgical site.
Don’t Eat Hard or Crunchy Foods: Stick to soft foods for the first few days to avoid irritating the extraction sites.
Managing Pain and Discomfort
Pain Relief: Use prescribed pain medications as needed. Over-the-counter options like ibuprofen or acetaminophen can also help manage discomfort.
Positioning: Keep your head elevated while resting to reduce swelling.
Oral Hygiene Practices
Gentle Brushing: Brush your teeth carefully, avoiding the surgical sites for the first few days.
Salt Water Rinse: After 24 hours, rinse gently with warm salt water (1 teaspoon of salt in 8 ounces of water) to help keep the area clean.
Dietary Recommendations
Soft Foods: Stick to soft foods like yogurt, applesauce, mashed potatoes, and smoothies for the first few days.
Avoid Hot Foods: Hot foods and drinks can irritate the surgical site, so stick to lukewarm or cool options.
Signs of Complications Related to Stitches
While most patients recover without issues, it’s essential to be aware of potential complications related to stitches.
Here are some signs to watch for:
Infection Symptoms
Symptoms: Fever, increased pain, swelling that doesn’t improve, or pus/discharge from the surgical site may indicate an infection.
Action: Contact your dentist immediately if you experience these symptoms.
Issues with Non-Dissolvable Stitches
Discomfort: If non-dissolvable stitches cause significant discomfort or irritation, consult your dentist.
Stitch Removal: If the stitches do not come out as expected, or if they feel loose or have fallen out prematurely, contact your dentist for advice.
Other Potential Complications
Nerve Damage: Rarely, the extraction may lead to nerve damage, resulting in numbness or tingling in the tongue, lip, or chin.
Bone Fragments: Occasionally, small bone fragments may become loose during healing. If they cause discomfort, consult your dentist.
Long-Term Considerations After Wisdom Teeth Removal
Importance of Follow-Up Appointments
Stitch Removal: If you had non-dissolvable stitches, follow-up appointments are essential for their removal.
Healing Check: Your dentist will check the healing process and address any concerns you may have.
Maintaining Good Oral Hygiene
Regular Brushing and Flossing: After the initial healing period, maintain good oral hygiene to prevent future dental issues.
Avoid Tobacco Products: Smoking can hinder healing and increase the risk of complications.
Lifestyle Adjustments
Dietary Changes: After full recovery, maintain a balanced diet to support overall health and healing.
Hydration: Drink plenty of water to stay hydrated and promote healing.
Conclusion
Recovering from wisdom teeth removal involves understanding what happens to stitches placed during the procedure.
Here are the key points to remember:
Types of Stitches: Dissolvable stitches dissolve on their own, while non-dissolvable stitches need to be removed by a dentist.
Healing Timeline: Expect swelling and discomfort for the first few days, with significant improvement by the end of the first week.
Post-Operative Care: Follow your dentist’s instructions for care, including diet, oral hygiene, and activity restrictions.
Recognize Complications: Be aware of signs of infection and other potential complications related to stitches.
Understanding the recovery process and what to expect can help ease anxiety and promote a smoother healing experience. By following post-operative care instructions and being mindful of your body’s signals, you can ensure a successful recovery from wisdom teeth removal.
Related topics:
How To Heal Dry Socket After Wisdom Teeth?
What To Expect Wisdom Teeth Recovery?
