Why Does the Hole Left After Wisdom Tooth Extraction Become Black?

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Reasons for Dark Hole after Wisdom Tooth Extraction

A dark hole after wisdom tooth extraction is frequently attributed to blood clot remnants, food residue, or pigmentation present on the occlusal surface of the wisdom tooth. In the event of such a dark hole, it is advisable to observe the situation for a period, allowing the wound to heal naturally. Subsequently, consult a medical professional for a definitive diagnosis. Typically, this condition does not pose significant concerns. During the recovery phase, maintaining a balanced diet, refraining from licking the wound, and preventing factors that might hinder healing are paramount.

Causes of Dark Hole after Wisdom Tooth Extraction

The occurrence of a dark hole post-wisdom tooth extraction can stem from blood clot remnants or food residue that has undergone discoloration over time. Furthermore, it may also be indicative of caries or pigmentation present on the occlusal surface of the wisdom tooth.

What to Consider after Wisdom Tooth Extraction

  1. Immediately following wisdom tooth extraction, firmly bite down on a sterile gauze pad or cotton ball positioned over the wound. This action compresses the area and aids in hemostasis. Maintain this position for at least 30 minutes to facilitate blood clotting. Removing the gauze prematurely may result in bleeding.
  2. Avoid rinsing or brushing your teeth for 24 hours post-extraction. During this period, local fibroblasts commence extending from the alveolar bone wall towards the blood clot, gradually stabilizing and reinforcing it. Premature rinsing or brushing can dislodge the blood clot, potentially leading to rebleeding or the development of "dry socket," a painful condition that may prolong the healing process. Additionally, refrain from licking or sucking on the wound.
  3. You may eat after two hours of wisdom tooth extraction, but it is recommended to opt for soft foods and liquids. Avoid consuming hot water or hot, hard foods as they can induce vasodilation and bleeding. Hard foods can also mechanically irritate the wound, causing bleeding and further injury.