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Q. I had my wisdom teeth extracted 1. 5 months ago. How long will it take for the inflammation to go down?

Answered by
Dr. Mohammad Emranul Islam
and medically reviewed by Dr. Chithranjali Ravichandran
This is a premium question & answer published on Apr 05, 2021

Hello doctor,

I had my wisdom tooth extracted (all 4) nearly 1.5 months ago and experiencing inflammation on a specific area on the side of the tongue only on the right. This inflammation causes burning pain. In the first week, when I touched the inflammation spot with the earbud, it bled. Now it is almost six weeks, and no bleeding when I touch it. I can see a white scar in the inflammation area (not sure if this is a wound healing process). My oral surgeon had to cut the bone due to my full bony impacted wisdom tooth, so not sure if this inside injury or inflammation is due to dental instruments. Also, I do not see any sores, ulcers, or abnormalities on the tongue. No sore throat, nothing. Please let me know how long this inflammation will take to go down?

#

Hello,

Welcome to icliniq.com.

I am sorry for the problems you have.

There is a whitish area on the right lateral border of your tongue.

Did you have all four teeth extracted in one surgery? Was it done under general anesthesia? Did you have a similar problem previously before the surgery? It is probably injured during the surgery, as you said that you found it right after the surgery. But any kind of injury would heal within 7 to 10 days. So it is important to find out how did it occur. It may take longer to heal if the cause is a thermal or electrical instrument rather than a sharp cutting instrument. But it should not last more than a month. The shape and site of the lesion indicate that the wound probably got irritated repeatedly by the sharp edges of the teeth and thus turned whitish, which we say hyperkeratosis. Do you feel the sharpness of teeth on that area or elsewhere in your mouth? Do you have any other diseases, or taking any medication? Did you inform the surgeon or your dentist about the lesion? Please do not worry about it because emotional stress can delay the healing process. You can see your dentist and ask to grind the edges a little bit to make it smooth. It is difficult to make a comment without examination. Please reply with the answers to my questions to help you with a proper diagnosis and treatment plan.

Thank you for contacting us.

Hello doctor,

Thank you very much doctor. Yes, I did extract all four wisdom teeth at once under general anesthesia. I have never had this kind of tongue problem before. The tongue pain started on the second day after the extraction. Not sure if they used an electrical or thermal instrument as I was under IV sedation. Sometimes it causes dryness and pulling sensation in that area. I visited my dentist, and he gave me topical steroid gel to apply to the inflammation area. Also, I do not have any underlying diseases. I have attached the picture for your reference. Thanks again.

#

Hi,

Welcome back to icliniq.com.

Thank you for the pictures (attachments removed to protect the patient's identity). There is a small ulcer in the middle of the affected whitish region, which is close to the sharp edges of the molar tooth. So I guess it is repeatedly injured or irritated by the sharp edge. The molar tooth also seems slightly inclined towards the tongue. The ulcer needs a close examination. You said that there is no ulcer or sore throat. There is nothing to worry about if it is not elevated or growing or hard. How long have you been using the steroid gel? Is there any improvement? Still, it has been more than a month. So I would suggest you visit the Maxillofacial surgeon and go for a biopsy for a conclusive diagnosis.

Please let me know if you have any questions.

I hope it will be fine very soon.

Kind regards.


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