Finding stitches hanging in your mouth can be an unsettling experience after a dental procedure. Oral stitches, also known as sutures, are placed to help close wounds, stabilize gum tissue, and promote healing of the surgical site. While it might seem concerning, a hanging stitch is often a normal part of the healing process and is not usually a cause for alarm.
Understanding Oral Stitches
Dental professionals use two main types of stitches in the mouth: dissolvable and non-dissolvable. Dissolvable (absorbable) stitches are made from materials designed to naturally break down and be absorbed by the body over time. The body’s enzymes and natural processes gradually break down these sutures, eliminating the need for manual removal.
Non-dissolvable (non-resorbable) stitches are made from stronger materials that do not break down on their own. These stitches require a dental professional to remove them, typically within a week or two after the procedure. The choice between dissolvable and non-dissolvable stitches depends on the specific surgical procedure, the location of the wound, and the expected healing time. Dissolvable stitches are often preferred in oral surgeries as they do not require a follow-up visit for removal.
Why Stitches Might Hang
It is common for dissolvable stitches to appear to be hanging as they begin to break down. This indicates the healing process is progressing. As the wound heals, the body’s natural processes, including saliva and enzymes, start to disintegrate the suture material. This can cause the threads to loosen, fray, and visibly hang in the mouth.
Sometimes, the original suture might have been cut longer than necessary, leading to excess length. Normal mouth movements, such as eating, talking, or even gentle brushing, can also cause stitches to shift or loosen. As new tissue grows, the gums may naturally push out the stitches, giving the appearance that they are loosely hanging. If non-dissolvable stitches are hanging, it typically indicates they have loosened and the wound has sufficiently healed, making them ready for removal by a dental professional.
What to Do and When to Seek Help
If you notice stitches hanging in your mouth, do not pull, tug, or attempt to cut them yourself. Doing so can disrupt healing, cause damage, or introduce bacteria, leading to complications like infection. Instead, maintain gentle oral care, such as rinsing your mouth with a warm saltwater solution. This helps keep the area clean and may encourage loose dissolvable stitches to come out naturally.
Contact your dental professional for guidance, especially if you are unsure about the stitch type or if a non-dissolvable stitch is causing irritation. Seek immediate dental attention if you experience any of the following warning signs:
- Increased pain or discomfort at the surgical site.
- Significant bleeding that doesn’t subside.
- Signs of infection, such as pus, a foul taste or odor, spreading redness, swelling, or a fever.
- The wound appears to be reopening or is not healing as expected.
Caring for Your Mouth While Stitches Heal
Maintaining good oral hygiene is important for proper wound healing. Gently brush your teeth, being careful to avoid directly brushing over the surgical site or the stitches initially. Regular, gentle rinsing with warm salt water, typically starting 24 hours after surgery, helps keep the area clean and reduces infection risk.
Dietary adjustments are beneficial during the healing period. It is recommended to stick to soft, easily chewed foods and avoid hard, crunchy, sticky, or very hot items that could dislodge stitches or irritate the wound. Avoid activities like smoking, which can delay healing and increase infection risk. Also avoid using straws or vigorous spitting, as the suction created can dislodge blood clots and interfere with healing. Adhere to any prescribed pain medication or antibiotics as directed by your dental professional for a smooth recovery.