The extracted tooth does not heal for 2 months. How long does it take for gums to heal after a tooth extraction procedure?

When a tooth can no longer be saved, it must be removed. Like any other surgical operation, removal is accompanied by tissue trauma, after which the gums need time to recover. After tooth extraction, it is unpleasantly raw and painful. Damage to a blood clot is especially dangerous. How long will you have to endure these unpleasant symptoms and is it possible to somehow speed up the process of tissue regeneration? How long does it take for a hole in the gum to heal after tooth extraction?

How gums heal after tooth extraction

During extraction, mucous tissue is damaged and blood vessels are ruptured, and nearby ligaments and muscles are damaged. All this causes the development of inflammation, which precedes the gum healing process. During the first time after tooth extraction, the patient experiences the following ailments:

  • Bleeding from the socket. As a rule, it disappears in within three hours.
  • Pain radiating to the ear, nose, throat or teeth close to the extracted one.
  • Severe swelling on the cheek or gum.
  • Redness of the mucous membranes around the hole.
  • Pain when opening the mouth.
  • Pain when chewing.

These symptoms are especially pronounced in the first hours after the end of the freezing effect. As a rule, after a week the dental patient no longer feels discomfort.

If the symptoms only get worse over time, this means that the wound has become infected. In this case, you need to visit your doctor to select antibiotic drugs.

Until the tissues damaged during the operation are completely healed and restored, the patient will experience discomfort, which is absolutely normal for the recovery period.


What does a hole in the gum look like after wisdom tooth removal?

How long does it take for gums to heal after tooth extraction? Recovery stages

  • 1-3 days. On the first day, several hours after removal, a blood clot. On the third day after surgery, bleeding from the socket stops and the clot becomes lighter.
  • 4-5 days. The color of the hole approaches the color of healthy gums, however, the extraction site may still bother the patient with mild, aching pain. During this period, it is important not to chew on the side of removal and not to open your mouth too wide, so as not to injure sensitive tissues.
  • 6-8 day. At this stage pain syndrome recedes, tissue granulation begins at the site of the blood clot. On the outside, the wound is overgrown and tightened with gum, and bone tissue is actively forming inside.

If the patient does not follow medical instructions, gum disease may begin to develop. inflammatory process, expressed by swelling of the mucous membranes and pain. In such cases, the hole is cleaned again and the medicine is placed in it.

Why gums may not heal for a long time after tooth extraction

The rate of regeneration of gum tissue after surgery is influenced by many factors:

  • Medical error. A surgical instrument can slip out of the doctor’s hands during a complex tooth extraction and cut the gum. In some cases, the doctor applies excessive physical strength, which causes tissue rupture, which takes a very long time to heal. Sometimes this oversight results in suturing the gums.
  • Infection. Untreated caries, uncleaned food debris - all this can cause infection and suppuration open wound which requires additional treatment and time consumption.
  • Features of the body. For some people, tissue takes a very long time to recover.
  • Tooth location as well as its twisting and degree of destruction directly affects the difficulty of removal and the degree of trauma to the gums. The gums take the longest to heal after the removal of figure eights.
  • Advanced inflammatory process. If in the first five days the hole hurt constantly and pus formed in it, this means that additional cleaning will be necessary and the recovery process will be delayed.
  • Poor blood clotting or diabetes influence not only feeling unwell the patient in the first hours after surgery, but also on tissue regeneration.
  • Living in unsanitary conditions there is a risk that the wound will constantly become infected and fester. It is impossible to predict how long it will take for the gums to heal if conditions do not change.
  • Neglect of medical recommendations Eating in the first hours after surgery and rinsing the mouth can negatively affect the formation of a blood clot.
  • Drinking alcohol and smoking negatively affects blood clotting and inhibits healing processes.
  • Side-facing sleep extracted tooth injures the gums and can cause inflammation.

How to speed up tissue regeneration after tooth extraction

In order for the healing process to proceed as quickly and comfortably as possible, you need to adhere to the following medical recommendations:

  • Do not remove the gauze pad in the first hours after tooth extraction.
  • Avoid alcohol and cigarettes during the initial stages of healing.
  • Do not rinse out the blood clot.
  • Do not chew food on the side of the extracted tooth.
  • Refuse to play sports, visit the sauna and avoid overheating in the sun.

During the initial stages of healing, you should give up alcohol.

Healing of wisdom tooth. Peculiarities

Removal of molars, especially molars, is a complex surgical procedure that involves a large area of ​​trauma. During the operation, not only mucous tissues are affected, but also blood vessels and facial muscles. In some cases, the operation is performed under general anesthesia and on postoperative wound stitches are placed. The healing time of the hole varies depending on the specific case:

  • Removing a tooth with branched roots very traumatic for gum tissue. The recovery period can take from a month to a month and a half, depending on the presence of infection.
  • Horizontally lying or crooked tooth is removed by surgical incision of the gum, which leaves a large wound that heals within two months.

If stitches were placed on the wound, the healing time is reduced.

Why is the formation of a blood clot in the socket after tooth extraction so important?

A red blood clot is protective layer between external environment and harmful bacteria. It promotes rapid tissue restoration.

After surgery, it is very important to stop the bleeding and wait for a clot to form. If it is not there, then an infection may get into the wound, which will start the inflammatory process.

After a tooth is removed, bacteria can enter the socket.

You can understand that this has already happened because a layer of pus has formed in the hole and there is an unpleasant odor from the mouth.

Gum incision during tooth extraction

If during the operation the doctor made a surgical incision in the gum, the regeneration process will take more than two months.

During this time, it is necessary to carefully monitor oral hygiene and avoid mechanical impact on the injured gum. Medicines and ointments must be used strictly according to a doctor's prescription.

Young patients endure the recovery process much easier and faster than older patients.

Damage to the gums during tooth extraction

During the operation, the patient may receive some types of mucosal tissue injuries.

  • During the extraction of teeth, the upper jaw row is often damaged lower lip, as the handles of the surgical instrument put a lot of pressure on her.
  • Trauma to the gum from the tongue occurs as a result of part of the gum being captured by the instrument and torn off when the tooth is removed. This is considered a common medical error.
  • Removing a broken tooth root requires serious surgical intervention, which damages not only the mucous tissues, but also the skin of the face.
  • If, at the end of the operation, a flap of non-viable gum tissue remains, it is cut off with scissors.
  • If the gum does not fit tightly around the tooth, it is stretched and fixed using sutures.
  • Wounds larger than 5 mm are closed with an interrupted suture.

If bone tissue is injured during surgery, healing will take longer, regardless of the degree of wound treatment and postoperative care.

What complications can develop after tooth extraction?

In some cases, it is not possible to avoid the development of complications; the most common diseases after tooth extraction include:

  • Alveolitis. Inflammation of the socket, signaling a failure of the regenerative process. It is expressed by tissue swelling, pain, and redness. If it was entered bacterial infection, then pus forms in the hole and a characteristic smell from the mouth appears. Patients often complain of fever, general feeling weakness and chills.
  • Dry socket syndrome appears in two cases: if the blood clot did not form initially or if it falls out or resolves during proper care behind the oral cavity. With dry socket, part of the jawbone is exposed.
  • Osteomyelitis - is an infectious disease that is expressed feverish state, weakness, chills and acute pain in the jaw. The teeth located next to the hole begin to wobble when mechanical impact on them. Are increasing lymph nodes on the neck, the skin on the cheek turns red and becomes swollen.
  • Chronic odontogenic osteomyelitis occurs as a result of an acute inflammatory process. Transition from acute form in chronic it takes only 2 – 3 weeks. Most often occurs in adolescent patients.
  • Nerve damage occurs during complex tooth extraction, most often impacted tooth wisdom, located deep inside the gum tissue. This operation requires cutting tissue and using special surgical forceps. Due to the heavy load on them, the doctor can damage nearby nerves.

Nerve injuries are quickly restored with medical therapy.


Alveolitis of the socket after wisdom tooth removal

Gum care after tooth extraction

Compress

Cold compress serves as a good prevention of edema, which is especially important after complex surgery.

To make a cooling compress, simply wrap a handful of ice in gauze and apply to the lip or cheek on the removal side.

You need to apply a compress in the first hours after surgery. The compress is kept on the skin for 5 minutes, after which a break is taken for 5 minutes.

Do not apply a heating pad or any other warm compresses. This can trigger the development of inflammation of the socket.


Cold compress on tooth

Rinsing

Often, patients, wanting to speed up the healing process, begin to rinse the mouth with familiar anti-inflammatory drugs, such as hydrogen peroxide, soda or saline solution.

As a result, the gum tissues injured by the operation only become irritated and the risk of a blood clot being washed out increases.

Do not self-medicate! Some actions can only delay recovery or even provoke an inflammatory process.

Use of gels and ointments

  • Asepta gel. Basics active substance drug – propolis. The course of treatment takes from a week to two. Frequency of use 3 times a day. Contraindicated in children under 6 years of age, pregnant and lactating women.
  • Metrogyl denta. The main active ingredients of the drug are Metronidazole and Chlorhexidine. The course of treatment takes from 1 to one and a half weeks with frequency of application three times a day. In case of overdose or prolongation of the course, it can provoke the development of dysbacteriosis. Contraindicated for children under 6 years of age.
  • Solcoseryl. Apply until the wound is completely healed and disappears inflammatory symptoms. Used before every meal and before bed. Contraindicated for people with individual intolerance to the components.
  • Holisal. Main active ingredient gel - choline sociate. It has an analgesic and antipyretic effect. Used when necessary to relieve acute pain. It should be used with caution during pregnancy and lactation, as well as when treating children under one year of age.
  • Levomekol. An anti-inflammatory drug, the course of use of which should not exceed 6 days, since long-term use can cause shock in healthy mucous membranes. Contraindicated in case of individual intolerance to the components, as well as psoriasis and eczema. Prohibited for the treatment of children under 3 years of age.

Metrogyl Denta gel for gums

Rules for eating

During the first two hours after the operation, you should refuse to eat or drink, since the blood clot has not yet formed and the freezing effect has not stopped.

After two hours, you can eat, but preference should be given to soft foods that do not require thorough chewing. It is worth excluding very hot and cold dishes.

During the healing period, you should stop drinking through a straw and sucking on lollipops. This creates a vacuum effect in the mouth and can cause a blood clot to fall out.

Oral hygiene rules

  • When cleaning, be careful with injured gum– the bristles can touch sensitive tissues and cause bleeding.
  • You need to make sure that food particles do not fall into the hole - this can cause inflammation.
  • Do not touch the socket with your tongue, fingers or toothbrush.
  • During the first week, you should not clean your mouth with mouthwash.

The health of mucous tissues and the speed of their regeneration directly depend on the cleanliness of the oral cavity.

Conclusion

Self-medication is the most common reason, which causes gums to suffer after removal. It is worth understanding that even the most effective medicines will not bring any benefit if used thoughtlessly. Any treatment must be coordinated with a doctor, then the gums will heal quickly and will not cause discomfort.

Extraction or removal of a tooth is a last resort in dentistry when other treatment methods have failed.

The hole after tooth extraction should heal painlessly.

On the second day, it is formed, which is the first step towards the formation of epithelial tissue. The main condition for proper healing is the presence of a blood clot in the wound.

If several days have passed after removal, and severe pain does not subside or healing of the wound is not observed, you should contact your dentist. These may be symptoms of the onset of periodontal inflammation.

Healing process

Extraction is carried out with local anesthesia. Therefore, when its effect stops, the patient will feel an aching, throbbing pain. But it should go away the very next day, and over the next few weeks the healing process should be painless.

Healing process

A blood clot forms at the surgical site, which prevents bacteria from entering the open wound and protects against inflammation.

To relieve unpleasant pain, experts recommend using an anti-inflammatory gel. With the gradual restoration of the mucosa, white appears in the socket after tooth extraction.

Do not confuse natural white coating with the fact that pus has accumulated in the socket after tooth extraction, which is a consequence of bacteria entering the wound. At the same time, it is observed unpleasant smell from the hole after tooth extraction. If the hole festers after tooth extraction, then the process of formation of young bone is delayed for long time.

What should the hole look like after tooth extraction?

Bleeding begins immediately after extraction and stops completely after 3-30 minutes. A bright burgundy blood clot remains in the resulting cavity. It helps protect the wound from negative impact from outside. The edges of the wound should not be bright red.

What does a hole look like after tooth extraction: photo

If healing occurs without complications, then after a couple of days the blood clot changes, becoming lighter and acquiring a yellowish tint. This is normal physiological process, which indicates in good condition healing.

But there are also ones that are also characterized by the appearance of a white coating.

Therefore, one should not confuse natural healing from pathological one, and pay attention to the following symptoms:

  • absence of a clot or dry socket after tooth extraction;
  • the edges of the wound swell;
  • pain is observed.

It is necessary to consult a dentist, as this indicates the development of an inflammatory process. It will take a lot of time to eliminate it and subsequent gum regeneration.

How long does it take for a hole to heal after tooth extraction?

The patient should be prepared for a long gum healing process. Even without complications after surgery, the wound may take 2 to 4 months to heal.

There are several main stages of how a hole heals after tooth extraction, each of which has distinctive features and different durations:

  • clot formation begins a few minutes after removal;
  • on days 3-4, the formation of granulation (connective) tissue occurs. Its appearance is the main sign of normal wound healing;
  • during the first week, the wound is filled with new epithelial tissues and bone beams are formed;
  • after 2 weeks, the blood clot is completely replaced by the epithelium;
  • the next month is characterized by filling of the wound bone tissue;
  • to saturate again formed tissue calcium and filling the cavity in the gum with it takes about 2-3 months;
  • after 4 months, “adult” bone with a porous structure is finally formed at the extraction site.

These processes are physiologically normal. It happens that their duration may be disrupted.

The reasons why the hole does not heal after tooth extraction may be the following factors:

  • improper hygiene;
  • periodontal or root condition;
  • quality of medicine in the hole after tooth extraction
  • physician caution during surgery.

The healing of the hole after tooth extraction depends on the nature of the intervention. The more tissue has been damaged, the longer it will take for new tissue to form.

Main causes of inflammation

The occurrence of an inflammatory process after extraction is often explained by ignoring or unauthorized use of methods that are unacceptable in this clinical situation.

Alarming symptoms after extraction

Therefore, doctors advise taking baths with sedatives or antiseptics instead of rinsing.

There are other causes of periodontal inflammation:

  • during extraction, carious remains located in the root can penetrate into the wound. The infection that caused the removal continues to remain in the gum;
  • food got into the hole after tooth extraction and the process of decay began;
  • damage to blood vessels or nerves;
  • if the resulting cavity is dry or there is no blood clot, then inflammation and suppuration may occur already on the second day after surgery. At first there is no strong pain. Weak It's a dull pain appears only during eating;
  • during the procedure, the doctor may not notice the smallest bone fragments, which, remaining in the wound, will become an obstacle to the formation of a blood clot;
  • complexity of the intervention, which is characterized by the problem of access (canines, molars or third molars), the presence of inflammation or the size of the root. When extracting an inflamed molar, the wound will heal more slowly and the chances of infection are much greater;
  • Immediately after extraction, dentists advise changing toothbrush, as it settles on the bristles large number bacteria. Preference is given to a brush with soft bristles, which will not injure the periodontium during cleaning;
  • due to reduced immunity or some chronic diseases(such as blood or diabetes mellitus) the risks of developing inflammatory processes increase, since the wound will not heal for a long time and may fester in the future;
  • food entering the wound cavity, which provokes pain. Therefore, you should not eat for the first three hours after removal.

If the affected area is not treated, this may cause the inflammatory process to spread to adjacent molars and surrounding tissues. Therefore, when unpleasant symptoms after surgery, you need to start drug treatment local and general medications.

Pain

Various intensities are observed over several days.

This counts physiological norm and is explained by interference with the gum structure or tissue damage.

If the hole hurts after tooth extraction for 4-7 days, then do not panic.

You should follow all doctor's instructions and maintain oral hygiene. This will help to do toothache less intense and lasting.

In case painful sensations continue to bother you a week after surgery, self-medication is not recommended.

The best solution would be to consult a dentist for a consultation and a more thorough examination.

Painkillers can be used for severe pain or as a temporary remedy.

If the hole hurts after the removal of a wisdom tooth or it does not heal for a long time, you should urgently consult your doctor. This will help avoid the development of the inflammatory process and serious complications.

Video on the topic

How long does it take for a hole to heal after wisdom tooth removal? Everything is individual too. But proper care of the injured area will, of course, significantly speed up the process:

Don’t know why the wound won’t heal or how long it will take for the gums to heal after removal? There is no single correct answer to the question “how long does it take for gums to heal after wisdom tooth removal?” It depends on the characteristics of the patient’s body, proper care and large number other factors. Only the attending physician can predict how long it will take for the gums to heal and advise what to do to make it heal faster.

Appearance of the socket 3 weeks after tooth extraction

What factors influence gum healing?

After tooth extraction, the hole does not heal? Healing time is an individual process, but you can influence how many days it takes for the wound to heal after tooth extraction. The restoration of gums after tooth extraction is influenced by a large number of factors:

  1. Method of tooth extraction - if the extraction was simple, then the wound will heal much faster than with a complex one surgery. The timing is also affected by how much tissue was injured during surgery.
  2. Patient's age. The smaller it is, the faster the tissue will recover.
  3. Following the doctor's recommendations. Many patients ignore the requirements of the treating dentist, which is why the gum healing process does not occur as quickly as it should. During the rehabilitation period, you should strictly follow the doctor’s instructions, then healing will be as fast as possible.
  4. Presence of infections. If during surgery or during the subsequent recovery period an infection gets into the wound from a tooth, this can significantly prolong the healing process.
  5. Condition of the body. This includes status immune system patient, general status health of the body, individual specific health.
  6. The extracted tooth was single-rooted. In this case, tissue regeneration time may become shorter by several days. There is much less damage to the gum flesh when only one root is extracted. On the contrary, if the tooth had two or more roots, then the wound may take a couple of days longer to heal.
  7. An infection seeped into the wound. At this option the wound is healing poorly, and you can safely add another week and a half to the expected healing time.
  8. The wound turned out large size. This can happen due to an abnormally large root system of the extracted tooth and other factors. If the gums do not regenerate for a long time due to the hole being too large, then the edges of the hole are tightened with special threads. Some people believe that suturing will only prolong the regeneration process, but this is not the case.

The photo shows an example of a successfully healed gum (3 months after tooth extraction)

The type of teeth also affects the rate of healing. The regeneration process takes the longest after wisdom teeth are removed. If a molar tooth has been removed, the hole will heal much faster, provided all the doctor’s instructions are followed, and the hole in the place where the fang was can heal in a few weeks. When molars are removed, the wounds also heal quite quickly.

Stages of gum healing

Because Since gums heal in several stages, it is difficult to say how long it will take for gums to heal after tooth extraction. The following are the stages of gum healing:

  1. Formation of a blood clot (first day after removal). The main value of the clot is that it prevents bleeding and protects the openings from infection.
  2. Beginning of epithelium formation (3-4 days after surgery). It looks like a thin white film that forms on the gum tissue. Under no circumstances should the film, like a blood clot, be disposed of. If the hole begins to become overgrown with greenish, grayish or yellow tint, this means that the regeneration process has gone wrong.
  3. The end of epithelium formation (approximately a week after the start of formation), by this time a durable layer of epithelium has formed on the surface of the wound.
  4. Formation of bone tissue (begins two weeks after tooth amputation and ends after 4-6 months). The wound heals completely only when it is filled with bone tissue, which subsequently merges with the bone tissue of the jaw.

Possible complications during gum healing

If the hole does not heal after tooth extraction, a complication may occur. It can manifest itself either immediately after removal or after a long time. There are six types of typical complications:

  1. Alveolitis is the most common complication and occurs due to the fact that a blood clot does not form in the tooth wound. As a result, infection enters the hole, and healing of the gum occurs more slowly. Alveolitis can occur due to difficult tooth extraction, low rate blood clotting, infectious diseases and processes of inflammation of the flesh in the oral cavity. This diagnosis is indicated increased sensitivity gums immediately after extraction. It is necessary to consult a specialist who will prescribe the use of antiseptics and anti-inflammatory drugs.
  2. Socket bleeding, which appears within a couple of hours after surgical removal or after a couple of days. The first type of bleeding is called early and appears due to the fact that many anesthetics contain adrenaline, which dilates blood vessels. Late type bleeding occurs due to the fact that the patient does not follow the instructions of the attending physician. Socket bleeding is treated by installing sutures at the site of the extracted tooth, as well as placing a special tampon in the wound or applying an ice pack.
  3. Paresthesia is damage to the endings of the nervous tissue during surgery, which can cause numbness in the tongue, chin and cheeks. This complication usually indicates the inexperience of the dentist, and is treated with injections of galantamine and dibazole, vitamins B and C.
  4. Changing the position of teeth. In patients over 50 years of age, the location of the teeth adjacent to the extracted tooth may change. It is worth installing a prosthesis in place of the lost tooth, which will not allow the complication to develop further.
  5. Cyst – benign education which occurs in the inner part of the oral mucosa. A cyst can appear at any time after surgery.
  6. Flux, which occurs when pathogenic bacteria penetrate the periosteum, is treated with medications or surgical opening in particularly difficult cases.

Inflammation of the gums can also be one of the reasons for prolonged healing.

Purulent alveolitis

Signs of inflammation include swelling of the cheek, which may be accompanied by general weakness of the patient, increased body temperature, swollen lymph nodes and acute bad smell from the mouth.

How to speed up gum recovery

What to do to ensure that the tooth hole closes up as soon as possible: follow the instructions of the treating dentist and oral hygiene. If the hole does not heal after tooth extraction, then in the first weeks after surgery you need to minimize the load on the wound that occurred at the site of the tooth being removed. Use disinfecting and healing preparations for hole wounds, rinse your mouth with special elixirs.

Self-medication can be harmful to your health, so you should take medications only after consulting a doctor.

If you want to reduce the regeneration period, then it makes sense to use folk restorative drugs:

  • washing the oral cavity with a tincture based on calendula flowers - two tablespoons of inflorescences are finely ground, poured with boiling water and infused for an hour in an open container: the mouth should be washed every time after brushing your teeth or eating;
  • sage infusion - a tablespoon of the plant is poured with boiled water and boiled over low heat for about 10 minutes: it is also necessary to wash the oral cavity with the cooled infusion;
  • chamomile and St. John's wort prevent inflammation of the gums - two tablespoons of St. John's wort should be mixed with a tablespoon of chamomile and pour boiled water, then leave for an hour and a half, strain and use for rinsing;
  • infusion of pine needles and St. John's wort - in this infusion you need to moisten a gauze swab, which is used to treat the hole from the extracted tooth.

How long it takes for your gums to heal will depend only on you and whether you follow the instructions of your dentist.

The Greek philosopher Aristotle believed that men have more teeth than women. No one has tried to challenge this erroneous statement for 18 centuries.

Wound healing after tooth extraction and the need to install an implant

After tooth extraction, the process of normal wound healing lasts approximately 4 months. The edges of the gums come together, and at the same time a blood clot forms in the socket, which is replaced by granulation, then osteoid (bone) tissue.

  • The process of normal healing of the hole is painless. On the 3rd day after removal, the first signs of wound epithelization appear.
  • 3 - 4 days. The development of granulation tissue begins.
  • 7 - 8 days. Most of the clot is replaced by granulations, and simultaneously with granulations, a new layer of epithelium is formed from the edges of the gums. The clot is preserved only inside the hole. Small bone beams appear - the first signs of new bone formation.
  • 14-18 days. Complete epithelization (replenishment of the mucosal defect) of the wound surface. By this time, the entire socket is filled with maturing, cell-rich granulation tissue. Happening intensive development bone tissue from the bottom and side surfaces of the socket.
  • Day 30 Osteoid tissue fills most of the socket - from the side surfaces and bottom to the center.
  • In 45 days. The process of bone tissue formation in the socket is still ongoing.
  • 2 - 3 months. Young bone tissue fills almost the entire space of the socket. The bone marrow spaces are reduced, and the bone beams are saturated with calcium.
  • 4th month. At the top of the hole a new bone, which over time acquires a normal spongy structure.
  • With the formation of bone tissue, the edges of the socket and alveoli are absorbed by approximately 1/3 of the length of the root. Over time, the alveolar ridge in the area of ​​the extracted teeth becomes lower and thinner. Above the mouth of the hole it has a concave or wavy shape.

In the absence of a blood clot, the socket heals as a result of the formation of granulation tissue from the bone walls of the socket. Gradually, the edges of the gum above it come closer together, the hole is filled with granulation, then osteoid tissue. Subsequently, the process of bone formation occurs in the same way as described above.

Wound healing after removal of an inflamed tooth

In cases where the socket is infected or the bone or edge of the gum is injured during surgery, regenerative processes proceed more slowly. In these cases, an inflammatory process develops in the tissues surrounding the wound, so the onset of bone regeneration and epithelization of the wound is delayed.

Very often, tooth extraction is resorted to due to inflammatory phenomena in the socket, so wound healing after the removal of such a tooth occurs in a more time-consuming manner. late dates than when removing non-inflamed teeth, instead of 3-5 days the process takes 10-14 days. The first signs of bone formation appear on the 15th day. The resulting osteoid beams are layered on the walls of the socket.

Epithelization of the wound is often completed only on the 30-50th day. As the wound is cleansed of dead tissue, the hole grows from the walls and bottom of the hole. granulation tissue. Only after 1.5-2 months. Most of the socket is filled with osteoid tissue, which will gradually turn into mature bone.

A more significant delay in bone formation and wound epithelization occurs during traumatic tooth extraction with gum rupture and damage to the walls of the socket. In these cases, the edges of the gums do not come together for a long time.

Tooth extraction is very unpleasant, but in some cases necessary operation. If a tooth cannot be saved, and at the same time it hurts like hell, this problem needs to be solved as soon as possible. When the patient in the dental surgeon's office finally gets rid of the source of trouble, he begins to worry about the question - how long does it take for the gums to heal after tooth extraction?

What is tooth extraction?

Tooth removal, otherwise called extraction, is complete surgical intervention, has all the signs of this manipulation, normal consequences and probable risks. In terms of the behavior of tissues after the intervention, as well as the volume and degree of complexity of the latter, tooth extraction is comparable to an operation to remove erosion on the mucous membrane or small benign tumor(for example, fibroids).

At surgical intervention of this kind, the integrity of the mucous membranes is damaged, soft fabrics, which fixed the roots of the tooth in the jaw, nerves and blood vessels are torn. As a result, inflammation begins in the damaged tissues, without which complete healing of the wound is impossible. Normal symptoms such a process is as follows:

How long the above symptoms last depends on many factors, but usually they last from 4 to 7 days, decreasing as they heal. However, in in some cases discomfort last much longer, without weakening, but, on the contrary, intensifying. This phenomenon is a sign that local inflammation has been accompanied by an infectious complication that requires appropriate therapy.

How long does it take for gums to heal after tooth extraction?

As a rule, soft tissues are restored 7–10 days after tooth extraction. When a wisdom tooth is removed, initial healing can take up to two weeks. Usually, after this time, the edges of the wound come closer together, and it finally stops bothering the patient. In this case, complete healing (that is, filling the hole with bone tissue that will replace the root of the extracted tooth and ensure the integrity of the jaw) ends much later - after about 4–8 months. However, this process is asymptomatic and does not cause any discomfort to the person.

Possible complications after extraction

In some cases, primary tissue healing proceeds with deviations, is very long and painful, and may be accompanied by severe pain, bleeding and infection. This can happen in several cases:

If an infectious inflammation begins at the site of tooth extraction, you need to contact a specialist - he will prescribe appropriate antibiotics and help ensure the drainage of pus from the wound. Under no circumstances should you self-medicate - there is an infection in oral cavity is fraught with the most serious consequences, even death.

What are the dangers of prolonged gum healing?

Infection at the extraction site may result in alveolitis - inflammatory process, which usually develops 1–3 days after extraction. The first symptoms of the pathology appear on days 2–3:

Long healing process can also cause a complication called limited osteomyelitis tooth sockets. This disease is characterized by acute throbbing pain at the site of removal, severe headache, high temperature and weakness. The hole does not heal, they begin in the tissues. destructive changes. This condition requires immediate contact to the clinic, where the dentist will remove pus, pathological tissue and foreign bodies(if any).

Delayed wound healing is especially dangerous. after wisdom teeth removal. The surrounding tissues have an abundant blood supply, and a purulent inflammatory process in this place can provoke the spread of infection deep into the tissues, as well as the development of abscesses that are life-threatening to the patient. In the absence of timely therapy, even sepsis is possible, which is fraught with the most tragic outcome.

How to speed up the healing process after tooth extraction

To ensure the fastest and most comfortable healing of damaged tissues, you should perform a number of simple rules:

For patients with weakened immune systems, during tooth extraction due to serious purulent processes or in case of difficult removal of a wisdom tooth, prescribe additional therapy - often with antibiotics. They help prevent wound infection and inflammation, as a result of which the gums heal faster.