After a dental procedure, it is very common to have questions about dental stitches. Many people wonder about the normal healing process and what to expect from these components of oral surgery recovery. Understanding how dental stitches function and what signs to look for can help ease any concerns during this period.
The Purpose of Dental Stitches and Normal Healing
Dental stitches, also known as sutures, serve an important function in the healing process following various oral procedures, such as tooth extractions, dental implant placements, or gum surgeries. Their main purpose is to hold the edges of gum tissue together, which promotes proper healing and helps minimize bleeding at the surgical site. Stitches protect the area from food particles and bacteria, reducing the risk of infection and complications like dry socket.
Dentists use two types of stitches: dissolvable (absorbable) and non-dissolvable (non-absorbable). Dissolvable stitches are made from materials that the body naturally breaks down and absorbs over time, eliminating the need for a separate removal appointment. These materials can include polyglycolic acid, catgut, or polylactic acid. Non-dissolvable stitches are made from materials like nylon or silk and require a dentist to remove them once healing has progressed sufficiently. The initial healing phase typically spans the first few days to a week after the procedure.
When Stitches Fall Out: What’s Normal?
For dissolvable dental stitches, it is normal for them to fall out on their own. These stitches are designed to gradually break down and disappear as the wound heals. This process typically begins within 3 to 10 days after the procedure, depending on the stitch material, the extent of the procedure, and an individual’s healing rate.
When dissolvable stitches fall out normally, you might notice small, thread-like pieces. This usually indicates that the gum tissue has healed enough to no longer require the stitches’ support, a sign that your body’s natural healing mechanisms are progressing as expected. You should not experience significant pain, excessive bleeding, or a large opening at the surgical site when stitches fall out normally. If a stitch comes out early without these symptoms, it is generally not a cause for concern.
Signs of Concern and Next Steps
While it is normal for dissolvable stitches to fall out, certain signs warrant contacting your dentist immediately. These include persistent or worsening pain that is not relieved by medication, significant swelling that increases after the first few days, or continuous bleeding that does not stop with gentle pressure. Other concerning indicators are the presence of pus, a foul taste in your mouth, fever, or if the surgical site appears to have a large, unhealed opening. If multiple stitches come out prematurely and you notice these symptoms, it is important to seek professional advice.
To support healing, maintain good oral hygiene by gently brushing your teeth, avoiding the surgical site for the first 24 hours. After 24 hours, you can gently rinse your mouth with a warm salt water solution, two to three times a day for a week. Avoid strenuous activity, using straws, spitting forcefully, or consuming hard, crunchy, or sticky foods, as these actions can dislodge blood clots or disrupt the healing area. Eating soft, nutritious foods is advisable for several days.