Does Bone Grow Back After Wisdom Tooth Extraction?

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Wisdom tooth extraction is a common dental procedure. One concern that some people have is whether the jaw bone will grow back after the extraction. In this guide, we will explore the process of bone regeneration following a wisdom tooth extraction.

Wisdom Tooth Extraction

Wisdom teeth, also known as third molars, are the last set of molars that usually emerge in late adolescence or early adulthood. In many cases, there isn’t enough space for them to grow properly, leading to impaction or misalignment. As a result, extraction is often recommended to prevent complications such as pain, infection, and crowding of adjacent teeth.

The Healing Process

• Immediate Aftermath (First 24 hours): After the extraction, a blood clot forms in the socket where the tooth was removed. This blood clot is essential as it protects the bone and nerve endings and aids in the healing process.
• Initial Bone Healing (2 weeks to 3 months): In the weeks following the extraction, new bone cells start to form in the socket. However, this bone is not as strong as the original bone and is part of the body’s natural healing response. During this time, the soft gum tissue also begins to grow and close the extraction site.
• Bone Remodeling (3 months to 12 months): As time progresses, the new bone begins to strengthen and mature. This phase is known as bone remodeling. During this stage, the bone becomes denser and more like the surrounding bone. This process can take several months.

Factors Influencing Bone Regrowth

• Age: Younger individuals generally heal faster and regenerate bone more effectively compared to older adults.
• Overall Health: Good overall health and proper nutrition can contribute to more efficient bone regrowth.
• Tobacco and Alcohol Use: Smoking or excessive alcohol consumption can hinder the healing process.
• Bone Quality: Individuals with higher bone density before extraction may experience more effective bone regrowth.
• Post-Operative Care: Following the dentist’s instructions for care after extraction is crucial for proper healing and bone regeneration.

Does the Bone Fully Grow Back?

While bone cells do regenerate in the extraction site, the contour and volume of the bone may never be exactly the same as before the extraction. There is often a slight indentation in the gum where the tooth was removed.

Preventing Bone Loss

If the extraction site is not being used for a dental implant, some bone loss over time is natural. However, if a dental implant is planned, the dentist might recommend a bone graft at the time of extraction to preserve the bone height and width, making it suitable for an implant later.

Bottom Line

Bone regrowth after wisdom tooth extraction is a natural process, but the bone may not return to its original state. The body is capable of healing the extraction site through bone regeneration and remodeling. Adhering to post-operative instructions and maintaining good oral and overall health are key to promoting efficient healing and bone regrowth. If you have concerns about bone loss after tooth extraction, it’s advisable to discuss them with your dentist or oral surgeon.

This Q&A series article is complete and was published on July 21, 2023, and last updated on July 21, 2023.