Wisdom teeth removal is one of the most common oral surgeries performed today. While the procedure itself is straightforward, it can involve different techniques, one of which includes the use of stitches, or sutures, to aid in healing. If you’ve recently undergone wisdom teeth extraction or are preparing for the surgery, understanding what happens to the stitches after the procedure is an important part of the recovery process.
This article will provide an in-depth look into why stitches are used after wisdom teeth removal, the types of sutures that may be employed, how they aid in healing, and what you can expect as you recover.
Why Stitches Are Used After Wisdom Teeth Removal
Stitches are used in dental surgery to close the wound left behind after a tooth is extracted. The primary purpose of these sutures is to help:
Protect the Surgical Site: Stitches prevent food particles and bacteria from entering the open socket, reducing the risk of infection and promoting a cleaner, healthier healing environment.
Reduce Bleeding: Sutures help minimize post-operative bleeding by holding the tissue together, allowing a clot to form and sealing the blood vessels.
Promote Faster Healing: By closing the wound, stitches can speed up the healing process. The tissue is kept in place, which encourages the body to repair itself more efficiently.
Minimize Swelling and Discomfort: Stitches help to stabilize the surgical site, preventing unnecessary movement of the tissue, which can reduce swelling and make the healing process more comfortable.
Types of Stitches Used in Wisdom Teeth Removal
There are two primary types of stitches used in dental surgeries: dissolvable (resorbable) sutures and non-dissolvable (non-resorbable) sutures. Each type has a specific purpose and behaves differently after wisdom teeth removal.
Dissolvable Stitches (Resorbable Sutures)
Dissolvable stitches are the most commonly used type of sutures in wisdom teeth removal. These stitches are made from materials that your body can break down over time, meaning they do not require removal. The benefits of dissolvable stitches include:
Ease of Use: Since these stitches dissolve on their own, you won’t need to return to the dentist or oral surgeon to have them removed.
Reduced Risk of Infection: The natural breakdown process of dissolvable stitches minimizes the risk of infection associated with removing stitches.
No Follow-Up Visit for Removal: Patients typically appreciate that they don’t need a second visit for suture removal, making the recovery process smoother.
How Long Do Dissolvable Stitches Last?
The time it takes for dissolvable stitches to break down varies depending on the material used and individual healing factors. Generally, dissolvable stitches will begin to dissolve within a few days to a week after the procedure. However, in some cases, it may take up to two weeks or longer for them to completely disappear.
It’s essential to keep in mind that while dissolvable stitches gradually disintegrate, you may still feel or see the sutures for a while as your body works to break them down. As the stitches dissolve, they may loosen and fall out on their own.
Non-Dissolvable Stitches (Non-Resorbable Sutures)
Non-dissolvable stitches are less commonly used for wisdom teeth removal but may be necessary in certain situations. These stitches are made from materials that the body cannot absorb, meaning they will need to be removed manually by your dentist or oral surgeon.
Non-dissolvable stitches may be used if the surgical site requires more stabilization or if the patient’s individual needs dictate their use. Typically, these stitches are removed about 7 to 10 days after the procedure, once the tissue has healed enough for them to no longer be needed.
What to Expect After Wisdom Teeth Removal with Stitches
After your wisdom teeth removal, you’ll be given specific post-operative instructions regarding your care, which may include information about your stitches. Here’s a breakdown of what you can expect after surgery:
1. Immediate Aftercare
Immediately following your wisdom teeth extraction, the stitches will help stabilize the wound and promote clot formation. You may experience some swelling, bleeding, and discomfort, all of which are normal during the initial phase of healing.
Pain Management: Your dentist may recommend over-the-counter pain relievers or prescribe medication to manage discomfort. The stitches will help keep the wound secure and reduce the chances of additional pain caused by the wound reopening.
Bleeding: Stitches help minimize bleeding, but it’s common to experience some light oozing or bleeding during the first 24 hours. Your dentist may recommend biting down on gauze to control bleeding, and the stitches will help keep the clot in place.
2. The First Few Days
During the first few days after surgery, you’ll need to be mindful of your stitches and take steps to protect them. Here’s what to keep in mind:
Avoid Disturbing the Stitches: It’s essential to avoid actions that may dislodge or irritate the stitches. This includes activities like forceful spitting, using a straw, and eating hard or crunchy foods.
Maintain Oral Hygiene: You’ll still need to keep your mouth clean, but take care not to brush or floss directly over the stitches. Instead, use a gentle rinse, such as warm salt water, to cleanse your mouth and keep the surgical site free from food particles and bacteria.
Monitor for Infection: Keep an eye out for signs of infection, such as increased pain, swelling, redness, or discharge from the wound. If you notice any of these symptoms, contact your dentist immediately.
3. Healing and Stitches Dissolving
For those with dissolvable stitches, you may begin to notice the stitches loosening and dissolving over the course of several days. It’s essential to let this process occur naturally and avoid attempting to remove the stitches on your own.
If you’ve received non-dissolvable stitches, you’ll need to return to the dentist for removal. This is typically done 7 to 10 days after the procedure. The removal process is quick and usually painless, as the tissue has healed enough that the stitches can be easily taken out.
Complications with Stitches After Wisdom Teeth Removal
While most patients experience a smooth healing process with their stitches, there are a few potential complications to be aware of:
1. Stitches Coming Loose Prematurely
In some cases, the stitches may come loose or fall out before the wound has fully healed. This can happen if the sutures are accidentally dislodged by brushing, eating, or even coughing or sneezing.
If your stitches come out prematurely, it’s essential to contact your dentist or oral surgeon for further evaluation. In many cases, the wound may continue healing on its own without needing additional stitches, but your dentist will determine the best course of action.
2. Infection at the Stitches Site
Infections can develop around the surgical site and stitches if proper care isn’t taken. Signs of infection include increased pain, swelling, warmth, or pus drainage from the wound. Infection can also lead to the formation of a dry socket, a painful condition where the blood clot is dislodged, exposing the underlying bone.
To avoid infection, follow your dentist’s aftercare instructions, keep the area clean, and avoid any activities that may irritate the wound.
3. Stitches Not Dissolving as Expected
In rare cases, dissolvable stitches may take longer than expected to dissolve, or they may not dissolve properly. If your stitches remain in place for several weeks without breaking down, or if they become bothersome, you may need to return to your dentist to have them removed manually.
How to Care for Your Stitches After Wisdom Teeth Removal
Proper aftercare is critical to ensure your stitches do their job and that your recovery goes smoothly. Here are some tips to help you care for your stitches:
Follow Your Dentist’s Instructions: Your dentist will provide you with personalized post-operative care instructions. Follow these carefully, especially when it comes to rinsing your mouth, taking medications, and managing discomfort.
Stick to Soft Foods: For the first few days after surgery, stick to a soft-food diet to prevent any irritation to the surgical site. Avoid foods that are hard, crunchy, or sticky, as they can dislodge the stitches.
Stay Hydrated: Drink plenty of fluids, but avoid using straws, as the suction can dislodge the blood clot and stitches.
Avoid Smoking and Alcohol: Both smoking and alcohol can delay healing and increase the risk of infection. If you smoke, it’s best to avoid doing so for at least a week after surgery.
Monitor for Complications: Keep an eye out for any signs of infection or other complications, and contact your dentist if you experience any unusual symptoms.
Conclusion
Stitches play a vital role in the healing process after wisdom teeth removal, helping to protect the surgical site, reduce bleeding, and promote faster recovery. Whether you receive dissolvable or non-dissolvable stitches, proper aftercare is crucial to ensuring a smooth recovery and minimizing the risk of complications.
Understanding what happens to the stitches after wisdom teeth removal can help you prepare for the procedure and make informed decisions about your post-operative care. If you have any concerns about your stitches or your recovery, don’t hesitate to reach out to your dentist or oral surgeon for guidance.
