After wisdom teeth removal, stitches are common. While their falling out often causes concern, it is usually a normal part of the healing process. Understanding their function and what to expect during recovery can help alleviate worries.
The Role of Wisdom Teeth Stitches
Following wisdom tooth extraction, stitches serve several important purposes. They help close the surgical wound, aiding in bleeding control by bringing tissue edges together. Stitches also protect the blood clot that forms in the extraction site, important for preventing dry socket. They stabilize gum tissue, promoting proper healing and reducing infection risk. Most oral surgeons use dissolvable stitches, designed to break down on their own.
Normal Stitch Dissolution and What to Expect
Dissolvable stitches typically fall out as healing progresses. They are made from materials the body naturally absorbs over time. The timeframe varies, but stitches commonly fall out within a few days to one or two weeks after surgery. You might notice small pieces or feel them come loose, indicating the wound is healing and stitches are no longer needed. Factors like stitch material, size, extraction extent, and saliva exposure influence dissolution speed.
When to Contact Your Dentist
While stitches falling out is often normal, certain signs indicate a potential complication that requires professional attention. Contact your dentist if you experience persistent or worsening pain, especially if it increases after initially improving. Swelling that worsens or spreads beyond the surgical site is also a concern. Other warning signs include continuous bleeding beyond 24 hours, pus or unusual discharge, a foul taste or odor, fever (especially over 101°F), or flu-like symptoms, all warranting immediate consultation. If stitches come out very early, such as within the first day, and are accompanied by significant bleeding or the wound appears to reopen, contact your oral surgeon promptly.
Supporting Post-Extraction Healing
Supporting healing after wisdom teeth extraction is important, and gentle oral hygiene is recommended; start rinsing with warm salt water (half a teaspoon of salt in 8 ounces of warm water) 24 hours after surgery. This helps keep the area clean and can be done several times a day. Eat soft foods for the first few days, gradually reintroducing firmer items as comfort allows. Avoid strenuous physical activity for at least three to four days, as this can increase blood pressure and dislodge blood clots. Refrain from smoking and using straws, as the suction created can also dislodge the protective blood clot, leading to dry socket.