What happens to gum after tooth extraction

There are a number of reasons that your dentist might recommend a tooth extraction. Some dental patients suffer from tooth decay; others need to remove teeth hindering orthodontic treatment, whereas various patients simply need wisdom teeth removal. While a tooth extraction can be a serious dental procedure, aftercare is just as critical as the procedure itself. As the dental patient, it is important to understand that pain and the risk of infection can be lessened with proper care.

Care immediately following surgery:

  • Keep pressure on the gauze pad that your doctor placed over the surgical area by gently biting down. Dampen the gauze sponge with water if it begins to dry out. Try to maintain constant pressure in intervals of 45-60 minutes, repeating as often as needed, or until bleeding lessens.  Change the gauze as needed. 
  • Keep your head elevated and try to lower your activity level as much as possible.
  • 48 hours after surgery, rinse mouth with warm salt water every 1-2 hours. Avoid using any mouthwash containing alcohol as it can irritate the wound.
  • Keep your mouth clean by brushing areas around the surgical site, but be sure to avoid sutures. Touching the wounded area in any fashion should be prevented.
  • Use ice packs to control swelling by placing them on facial areas near extraction.
  • Take all prescribed medications accordingly. If any itching or swelling occurs, contact the practice immediately, or go to the nearest emergency room.
  • Try to eat softer foods, preferably high in protein.
  • Keep your body hydrated by drinking plenty of fluids, but do not drink through a straw for the next 5-7 days.
  • If you are a regular tobacco user refrain from smoking for the next 3-4 days as smoking increases your chances of getting a dry socket as well as an infection.

After your tooth has been extracted, healing will take some time. Within 3 to 14 days, your sutures should fall out or dissolve. For sutures that are non-resorbable, your doctor will schedule a follow-up appointment to remove the stitches for you. Your tooth’s empty socket will gradually fill in with bone over time and smooth over with adjacent tissues.

Possible complications after a tooth extraction

Bleeding – Bleeding after a tooth extraction is entirely normal. A pinkish tinted saliva and subtle oozing is fairly common during the first 36 hours. If bleeding gets excessive, control it by using dampened gauze pads and biting down to keep pressure on the area. As an alternative to gauze pads, a moistened tea bag can be used, as the tannic acid helps blood vessels contract. Apply pressure to the gauze or tea bag by gently biting down for 30 minutes. Please remember that raised tempers, sitting upright, and exercise can all increase blood flow to the head, which can cause excess bleeding. Try to avoid these as much as possible. If your bleeding does not reduce after 48 hours, please call the practice.

Bone sequestra (dead tooth fragments) – Some patients have small sharp tooth fragments that were unable to be completely removed during surgery. During the recovery period, these dead bone fragments, or bone sequestra, slowly work themselves through the gums as a natural healing process. This can be a little painful until the sequestra are removed so please call our practice immediately if you notice any sharp fragments poking through the surgery site.

Dry socket – In the days that follow your tooth extraction, pain should gradually subside. Rarely, patients report that pain increases to a throbbing unbearable pain that shoots up towards the ear. Often this is a case of dry socket. Dry socket occurs when the blood clot becomes irritated and ousted before healing is complete. Food and debris can then get into the socket causing irritation. Tobacco users and women taking oral contraceptives are at a higher risk of getting dry socket. Dry socket is not an infection but does require a visit to our office. If you think you may be suffering from dry socket, please contact the practice immediately.

Lightheadedness - Because you may have been fasting prior to surgery, your blood sugar levels may be lower than normal. Until your body has had the chance to catch up and process some sugars, you should remember to stand up slowly when getting up from a relaxed position. For somewhat immediate relief, try eating something soft and sugary, stay in a relaxed position, and reduce the elevation of your head.

Numbness – Many patients report still feeling numb hours after their tooth extraction procedure. An extended lack of feeling around the mouth is normal and can last 10-12 hours after surgery.

Swelling – Swelling should subside almost entirely within 10 days after surgery. Immediately following your tooth extraction, apply an ice pack to the facial areas near the extraction. Continue using the ice in 15 minute intervals for the first 36 hours. After 36 hours, ice will no longer be beneficial in reducing swelling and moist heat should be used instead. To decrease swelling, apply a warm damp cloth to the sides of your face.

Trismus (difficulty opening and closing mouth) – If you experience a sore jaw and difficulty chewing or swallowing, do not be alarmed. Occasionally patients’ chewing muscles and jaw joints remain sore 3-5 days after surgery. This soreness can also make it difficult to open and close your mouth. Soreness should eventually subside.

If you have any worries, or are experiencing any complications not mentioned, please contact our practice immediately so that we may address your concerns.


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I took my 3yr old for the first time and I was blown away with the excellent service the whole staff provided for her. She came in for her cleaning and had two cavities filled. She felt so comfortable that she never cried out or moved through the whole process. The technician was super friendly and made my daughter feel special and cared for. Dr. Kanuga is very knowledgeable and personable. You can tell she enjoys working with children. The front desk ladies were efficient and very tech friendly. This place really stands out with the small details they provide. I was reminded by txt, email, and phone call of her appointment which was super helpful. I was also able to fill out her paperwork online which made the check-in process super fast and easy. I also used their online appointment request over the weekend and was called back early Monday morning to confirm an appointment. These ladies are truly special and we are very excited to be new patients! My daughter loves the dentist.

It was my 2 year old daughters first ever visit to the dentist. They made her feel so comfortable she didn’t cry and wasn’t scared. They absolutely know what they are doing. I am so pleased at the positive visit highly recommend them. Everyone on their staff is so nice. I am so glad I found them for my daughter.

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Kimi M

We have been here twice now, and both times have been painless and even fun for my 3 year old. The office staff and Dr. Hirano are professional, friendly and very good with small children! My son just loves that he gets a goody bag with dental supplies and a toy at the end. Definitely a great office to go to, especially when trying to establish good Dental habits with young kids.

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Jeanette Beaulieu

I took my 3 year old here for her first trip to the dentist which obviously as a mom I was scared to do since we don’t know how they will react. The staff was so friendly and the dentist and dental assistant were so gentle and Rilee did so good and wasn’t scared what so ever! I definitely recommend this location.

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Ashley Solon

Exceptional customer service. Staff was friendly, professional, fast, and welcomed us with a smile. Extremely well organized. I like the fact that all paperwork is done electronically and your not bombarded with paperwork when you walk in for new patients. Extremely impressive atmosphere, well maintained, clean , and kid friendly. The arcade games made our visit much more convenient. Most importantly the dentist who exam my children was funny, he had a good sense of humor, and was very efficient and knowledgeable which made our visit comfortable and pleasant. Totally recommended, five star ⭐⭐⭐⭐⭐ 2 thumbs up👍👍.

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Maryhelen Torres

We have been seeing Dr. Kanuga for many years. She is outstanding! Her new office is very welcoming and the staff is really nice.

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Lily Penate

My oldest had a great experience getting his first filling. My youngest is still traumatized by a previous procedure at a different clinic and Kidz Dental did a great job at helping my child feel comfortable.

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Fabiola Lizaola

Loved the service. The 3 stars was an accident. Corrected now. thanks!

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Sparkles Queen

It was my son 1st Dental appointment and they were so great with him and supportive. He was happy to get a goodie bag, sticker and prize after his cleaning. No cavities and they give you a raffle ticket! My son felt comfortable as soon as he walked in the office! Great set up, kid friendly and awesome view!

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msdeon101

I have always taken my son to my adult dentist, every 6 months, never missing an appointment. Well, he ended up with an abscessed tooth that needed to be extracted, along with numerous cavities. We visited two different pediatric dental offices, to make sure the treatment suggestions were the same at each, and to get a feel for the dentist. Kidz Dental Care, was absolutely wonderful. They were patient, kind and very efficient in helping my son. They called a few hours after we were home, to check in on him. The day after extraction, I had a question and the Dentist called me back within 10 minutes. I would recommend them to anyone, and have been very happy with treatment. For being an absolutely awful situation, I could not imagine it being taken care of any better than it was. Thank you so much!

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Bambi Ballesteros

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Does your gum shrink after tooth extraction?

In addition, when teeth are extracted, the surrounding bone and gums can shrink and recede very quickly after the extraction resulting in unsightly defects and collapse of the lips, and cheeks.

What happens to the gap after tooth extraction?

Your tooth hole will be fully or almost fully closed about 6 weeks after surgery. The indentation will usually fill in and heal completely after several more months.

Do gums grow back after extraction?

While your gums won't grow back on their own, surgical treatment can be used to replace the missing tissue, and restore both your appearance and your oral health. Gum grafting involves taking soft tissue from another part of the mouth and grafting it onto your gums.

How should a healing gum look after extraction?

Within 24 hours of your tooth extraction, a blood clot will form in your socket to stop the bleeding. Once the clot forms, your body will start building granulation tissue to cover the wound. This tissue often appears a creamy white color and consists of collagen, white blood cells, and blood vessels.