Expert: Joel S. Teig, DMD, Diplomate ABOMS, retired - 8/2/2006

Question
Hello
I had 4 wisdom teeth removed a little over a week ago.  I went back to the doctor he removed stiches from my bottom teeth, but not the top.  I just figured they were disolvable.  He told me everything looked good and i left.  Well today it feels like my upper gum has collapsed.  It doesn't feel like any of the others.  It feels as though i have extra gum that i can move around.At the same time it kind of feels more puffy.  It's also starting to bother me a litte.  Doesn't hurt too bad, but i am concerned.  Is this normal to happen during the healing process or should i consult my doctor? I don't want to be over reacting to something that is normal.  Thank you!

Answer
Megan -  Of course without being able to actually visualize what you are describing I can only give you information about what it could be and how you can resolve it.

Yes, there could be suture there, but that usually will not produce a prolongued area of inflammation producing the type of inflammation and puffiness you are describing. Most likely you have some inflammation in the area from accumulation of plaque or some normal oral bacteria in the area.  This is not dangerous, but as you describe, it can be annoying. My suggestion is to begin rinsing that area of your mouth 4-5 times per day for 5 minutes with warm salt water (teaspooon of salt in glass of warm water).  This will often clean the area and force any retained fluid or bacteria to be released.  Another suggestion is after you brush your teeth, rinse your mouth for 30 seconds with Listerine (1/2 capfull).  The listerine arrests any bacteria growth and assists the normal healing. It may burn slightly but will cause no harm. Do not rinse with salt water for at least 1 hour after the Listerine.

If after 5 days you do not see and feel a significant improvement then see the doctor who extracted the teeth.  If you have any further questions feel free to contact me again.