Understanding Post-Extraction Gums: What to Expect & When to Worry

After a tooth extraction, swelling and inflammation are normal parts of healing. A blood clot forms in the socket, protecting bone and nerves. Over days, granulation tissue (pink, bumpy, vascular tissue) fills the socket, eventually replaced by bone and gum.

Normal Healing Timeline

• Days 1–3: Clot forms; swelling peaks at 48h.
• Days 3–7: Granulation tissue appears—may look like a white/yellowish bump.
• Weeks 2–4: Socket closes; gum smooths.

When to See a Dentist

• Bump persists >1 week without improvement.
• Increasing pain, swelling, or pus (signs of infection/dry socket).
• Bleeding that won't stop with pressure.
• Fever or foul taste/odor.
• Bone fragments (sequestra) protruding.

Granulation tissue is a good sign—it means healing is progressing. Do not disturb it. Follow post-op instructions: no straws, no smoking, gentle rinsing after 24h.