What This Guide Covers
This guide explains everything you need to know about the stitches placed after wisdom teeth removal. It covers the types of sutures used, how long they take to dissolve, and what to do if something seems off.
Wisdom teeth extraction is one of the most common procedures performed by oral surgeons. After removing a wisdom tooth, the surgeon typically places stitches (also called sutures) to close the gum tissue over the extraction site. These stitches hold the tissue together so it can heal properly and help protect the blood clot that forms in the empty socket. [2]
Whether you are preparing for surgery or recovering from it, this guide will help you understand what is normal, what is not, and when to call your surgeon. The information here applies to most adults and older teens who have had one or more wisdom teeth removed.
Types of Stitches Used After Wisdom Teeth Removal
Oral surgeons typically choose between dissolvable and non-dissolvable stitches based on the complexity of the extraction and how the tissue needs to heal.
Dissolvable (Resorbable) Stitches
Dissolvable stitches, also called resorbable sutures, are the most commonly used type after wisdom teeth removal. They are made from materials that the body breaks down naturally through enzymes and moisture in your saliva and tissue.
Common dissolvable suture materials include polyglycolic acid (sold under names like Vicryl) and plain gut sutures. Polyglycolic acid sutures are synthetic and tend to maintain their strength for about two to three weeks before dissolving. Plain gut sutures are made from natural collagen and typically lose their strength faster, within 7 to 10 days.
In most cases, dissolvable stitches begin to loosen within 5 to 7 days and fully dissolve or fall out within 5 to 14 days. The exact timeline depends on the suture material, the location of the extraction, and your body's healing rate. You may notice small pieces of thread in your mouth as they break apart. This is normal.
The main advantage of dissolvable stitches is convenience. You do not need to schedule a separate appointment for removal. This is one reason most oral surgeons prefer them for routine wisdom teeth extractions. [2]
Non-Dissolvable (Non-Resorbable) Stitches
Non-dissolvable stitches are made from materials like nylon or silk. Your body cannot break these down, so they must be removed by your surgeon at a follow-up visit.
Surgeons typically use non-dissolvable stitches when a wound needs longer support during healing. This may happen with more complex extractions, such as when a wisdom tooth is deeply impacted (stuck beneath the bone and gum tissue) or when a larger incision was needed to access the tooth.
Removal usually happens 7 to 10 days after surgery. The removal process is quick and typically causes only mild discomfort. Your surgeon uses small scissors or a blade to cut the suture and then gently pulls it out. No anesthesia is usually needed.
How Your Surgeon Decides Which Type to Use
The choice between dissolvable and non-dissolvable stitches depends on several factors. These include how deeply the tooth was impacted, how much gum tissue or bone was removed, your medical history, and how well the surgeon expects the wound to heal.
In some cases, a surgeon may use both types during the same procedure. For example, deeper tissue layers may be closed with dissolvable sutures, while the outermost gum layer gets non-dissolvable sutures for added strength. Your surgeon should explain the type used and provide clear aftercare instructions. Written post-operative instructions have been shown to help patients remember and follow care guidelines more accurately. [1]
What to Know Before and After Your Surgery
Knowing what to expect with your stitches helps you prepare for surgery and avoid common mistakes during recovery.
When Wisdom Teeth Are Typically Removed
Wisdom teeth, also called third molars, usually come in between ages 17 and 25. According to the American Association of Oral and Maxillofacial Surgeons, early evaluation in the mid-teen years is recommended so that your dentist or surgeon can assess whether removal is needed. [2]
Younger patients often heal faster because the roots of the wisdom teeth are not fully formed and the surrounding bone is less dense. This can mean a smoother extraction and a shorter recovery period. However, wisdom teeth can be removed at any age when they cause problems such as crowding, infection, or damage to neighboring teeth.
Preparing for Surgery
Before your procedure, your surgeon will review your medical history, current medications, and any allergies. You will typically receive written and verbal instructions about how to prepare. Research suggests that written post-operative instructions improve patient understanding and compliance with aftercare. [1]
Arrange for someone to drive you home if you will be receiving sedation or general anesthesia. Stock your kitchen with soft foods like yogurt, applesauce, mashed potatoes, and smoothies. Have ice packs ready, and plan to rest for at least the first 24 to 48 hours.
What Happens If a Stitch Falls Out Early
A stitch falling out a few days early is common and usually not a cause for concern. Dissolvable stitches can loosen faster than expected, especially in areas of the mouth that move a lot during talking or chewing.
The most important thing is that the blood clot in the socket remains intact. This clot is what protects the bone and nerves underneath while the tissue heals. If a stitch falls out and you notice only light bleeding that stops within a few minutes, you are likely fine. Gently bite on a piece of clean gauze if needed.
If a stitch falls out and you experience heavy bleeding that does not stop after 20 to 30 minutes of firm pressure, or if you see exposed bone in the socket, contact your oral surgeon right away.
What to Expect During Recovery: A Step-by-Step Timeline
Healing after wisdom teeth removal follows a predictable pattern, though individual recovery times vary based on the complexity of your extraction and your overall health.
The First 24 Hours
Immediately after surgery, gauze pads will be placed over the extraction sites. Bite down gently but firmly to help control bleeding. Change the gauze every 30 to 45 minutes or as directed by your surgeon.
Avoid rinsing, spitting, or using a straw during the first 24 hours. The suction created by these actions can dislodge the blood clot and lead to a painful condition called dry socket (alveolar osteitis). Keep your head elevated and apply ice packs to the outside of your cheeks in 20-minute intervals to reduce swelling. [3]
Do not touch or poke your stitches with your tongue or fingers. It can be tempting to feel the surgical site, but disturbing the area can loosen stitches and disrupt clot formation.
Days 2 to 3
Swelling typically peaks around 48 to 72 hours after surgery. This is normal. Continue using ice packs and taking any prescribed pain medication or anti-inflammatory drugs as directed.
Starting 24 hours after surgery, begin gentle saltwater rinses. Mix about half a teaspoon of table salt in eight ounces of warm water. Let the water flow gently over the surgical sites. Do not swish aggressively. These rinses help keep the area clean and reduce bacteria without putting mechanical force on the stitches. [3]
Continue eating soft foods. Avoid anything crunchy, spicy, or very hot, as these can irritate the extraction sites. Also avoid alcohol, tobacco, and carbonated drinks during this time.
Days 5 to 14: Stitches Dissolve or Are Removed
If you have dissolvable stitches, you will likely notice them loosening and falling out between days 5 and 14. You may swallow small pieces without realizing it. This is harmless.
If you have non-dissolvable stitches, your removal appointment will typically be scheduled around day 7 to 10. At this visit, your surgeon will also check how the extraction sites are healing.
By the end of two weeks, the gum tissue over the extraction sites should be mostly closed. Full healing of the bone underneath takes longer, often several months, but you should feel significantly more comfortable by this point. Most people can return to normal eating and activity within 7 to 10 days after surgery.
Ongoing Aftercare Tips
Keep up with saltwater rinses after meals for at least a week. Once your surgeon gives the go-ahead, you can resume gentle brushing near the surgical sites. Use a soft-bristled toothbrush and be careful not to brush directly over the stitches until they have dissolved or been removed.
Avoid strenuous exercise for the first 3 to 5 days. Physical activity raises blood pressure and can restart bleeding at the surgical sites. Light walking is typically fine after the first day or two.
Follow any prescriptions for antibiotics completely, even if you feel better before they run out. If your surgeon prescribed a medicated mouth rinse such as chlorhexidine, use it as directed.
Cost Factors for Wisdom Teeth Removal and Follow-Up
The cost of wisdom teeth removal depends on the complexity of the extraction, the type of anesthesia used, and your geographic location.
A simple wisdom tooth extraction (where the tooth has fully erupted through the gum) may cost between $75 and $250 per tooth. Surgical extraction of an impacted wisdom tooth typically costs between $225 and $600 per tooth. These ranges do not include the cost of the initial consultation, X-rays, sedation, or anesthesia, which can add several hundred dollars to the total. Costs vary by location, provider, and case complexity.
Most dental insurance plans cover a portion of wisdom teeth removal when the procedure is considered medically necessary. Check with your insurance provider before surgery to understand your coverage, including any annual maximums or waiting periods.
If you have dissolvable stitches, there is typically no additional charge for suture removal since none is needed. If you have non-dissolvable stitches, the removal visit is usually included in the original surgical fee. Ask your surgeon's office to confirm this before your procedure.
When to Call Your Oral Surgeon
Most post-surgical discomfort is normal, but certain signs mean you should contact your oral surgeon promptly.
Call your surgeon if you experience any of the following after the first two to three days: pain that is getting worse instead of better, swelling that increases after the third day, bleeding that does not stop with firm gauze pressure after 20 to 30 minutes, pus or a foul-smelling discharge from the extraction site, a persistent bad taste in your mouth, difficulty opening your mouth or swallowing, or fever over 101°F (38.3°C). [3]
These symptoms may indicate infection, dry socket, or another complication that needs professional attention. Dry socket occurs when the blood clot is lost from the extraction site, exposing bone. It typically causes a deep, throbbing pain that starts 2 to 4 days after surgery and may radiate to the ear. Your surgeon can treat dry socket by cleaning the site and placing a medicated dressing to promote healing.
If a stitch comes loose and you are unsure whether the site looks normal, it is reasonable to call your surgeon's office and describe what you see. Many offices have an after-hours line for post-surgical questions. A general dentist can also evaluate healing if your surgeon is unavailable, but complex post-surgical issues are best managed by the oral surgeon who performed the procedure.
- Increasing pain after day 3
- Swelling that worsens instead of improving
- Pus, foul taste, or foul-smelling discharge
- Fever above 101°F (38.3°C)
- Heavy bleeding that does not respond to gauze pressure
- A visible empty socket with no blood clot (possible dry socket)
Find an Oral Surgeon Near You
If you need wisdom teeth removed or have questions about stitches and healing after a recent extraction, an oral and maxillofacial surgeon can help. These specialists complete four to six years of hospital-based surgical training beyond dental school and handle everything from routine extractions to complex impactions. Use our directory to find a qualified oral surgeon in your area and get the care you need.
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