Dental stitches, also known as sutures, are commonly used after various oral procedures like tooth extractions or gum surgery. Their purpose is to close incisions, bring tissue edges together for proper healing, and minimize bleeding. Stitches also help reduce infection risk by sealing the surgical site and stabilizing the blood clot that forms. A common concern is whether their removal will cause pain.
The Stitch Removal Process
The process of removing dental stitches is a quick and straightforward procedure. Dentists use specialized instruments, which include small scissors and fine tweezers or forceps. The dentist gently grasps a stitch knot with tweezers and snips the thread close to the gum line. After cutting, the stitch is carefully pulled out.
This entire process is completed in minutes, as each stitch is removed individually. Non-dissolvable stitches require manual removal, typically 7 to 14 days after the initial procedure, once sufficient healing has occurred. In contrast, dissolvable stitches are made from materials the body naturally absorbs, eliminating the need for a separate removal appointment.
How Discomfort is Managed
Patients report feeling only a slight tugging or pressure during stitch removal. Significant pain is uncommon during this procedure. This is because the healing process has progressed by the time stitches are removed, and tissues are no longer sensitive.
Individual pain tolerance, stitch location, and tissue growth over sutures can influence sensation. To minimize discomfort, dentists apply a topical anesthetic to the area before removal. These anesthetics, containing agents like benzocaine or lidocaine, temporarily numb surface tissues. In rare instances, a local anesthetic injection might be considered for anxious patients or unusual sensitivity, though this is not standard practice. Patients should communicate any discomfort to their dental professional.
Post-Removal Care
After dental stitches are removed, care practices ensure continued healing. Maintaining good oral hygiene, including gentle brushing and rinsing with warm salt water several times daily, helps keep the site clean and aids healing. A dentist might also recommend an antibacterial mouthwash.
Patients should adhere to a soft diet for a few days, avoiding hard, crunchy, or sticky foods that could irritate the healing area. Avoid actions that create suction (like using a straw), smoking, and alcohol, as these can disrupt healing. While mild soreness is normal, contact your dentist if you notice unusual bleeding, increased swelling, persistent or worsening pain, pus, a foul taste, or fever, as these could indicate a complication.