This is a primordial type of tissue thats rich in collagen (an important tissue building-block protein) and developing blood vessels. Longevita is a medical tourism facilitator, ensuring the provision of quality dental treatments in Turkey with the best price guarantee, so everyone can have the perfect teeth. By the end of this period, your wound should be substantially healed over, with its tissues rounded and pink, although there will still be signs of a divot where your tooths socket was. Both wisdom teeth were extracted to allow for the infection to resolve. Some of the bones original height will be lost during the healing process. Want to make your dental problem a success story? See before/after photos of cases treated by Shoreline, WA dentist Dr. Wen-Mei Lin. The ideal way to treat a severely damaged tooth is to extract it. Raise your head slightly when lying down. I had a molar pulled a week ago. This is normal and is granulation tissue that's comprised of white blood cells, capillaries, and collagen, and it promotes healing. During the healing time, you need to keep an eye out for possible complications. Post-extraction procedures and complications. Its not infected as far as I can tell. At this time you may feel discomfort because of numbness where you cant eat and also because of swelling and bleeding. The inflammation phase is characterized by symptoms like redness, swelling, and pain. Proper wound care can help a person to heal as quickly as possible. Recommended Reading: Best Foods For Bone Healing. Indeed, excellent support for a dental implant. A week or two after the first two tooth extraction healing stages have passed, youll notice that the extraction site is mostly healed (the recovery timeline can vary depending on the type and size of the tooth). As you can see, it will take roughly 1-2 weeks for your tooth extraction site to completely heal; however, if you notice any of the following symptoms or signs, be sure to contact our doctors as soon as possible: Fever Intense pain in the jaw or gums Numbness in the mouth Swelling that will not subside Excessive bleeding that will not stop Following these instructions can set your mouth up for a faster recovery and help you avoid situations that will cause more pain and prolonged recovery time. How long does it take for a tooth extraction to clot? Once placed, they are typically quite visible lying across the sockets opening. You should still take a rest. Swelling, discoloration, pain, bruising, malaise, or discomfort. The exception might be the case where you discover a small piece of broken tooth or necrotic bone poking through the surface of your gums (your bodys attempt to eject the object). Dry socket is the most common complication from tooth extractions. Hot items, especially liquids like soup, tea and coffee, tend to dissolve blood clots. Day By Day Tooth Extraction Healing Pictures Early & Last Stages. Blood clot. So that means that the blood clot that fills in the tooths socket after an extraction isnt so much lost as it is transformed.. Blood clot after tooth extraction and how it looks like after extraction? Here are some tips to make the most of this time: Leave the gauze your dentist placed in your mouth for a few hours to allow the blood clot to form. How much time do you need to take off after a tooth extraction? It takes roughly 6 months to heal from extraction but we only notice the process for a couple of weeks as things feel normal after that usually. However, after several days of not being. Any antibiotics prescribed by your dentist should be taken as directed. The amount of time it ultimately takes for bone healing, and thus for the final shape of the ridge to form, will greatly depend on the size of the original wound. For standard tooth extractions, complete recovery takes a couple of weeks. As compared to the skin on the outside of your body, wounds located in the soft tissues of the mouth tend to heal more rapidly. You will not feel pain, but you may feel pressure. Immediately after an extraction, the outline of the socket is easily seen. Many people are scared of tooth extraction and so I would request you that do not to be scared and you must consult the dentist. Your bodys response to experiencing trauma, like that associated with having a tooth pulled, is referred to as an inflammation reaction. Jump to page. Smoking is a risk factor for developing a dry socket due to the nicotine found in cigarettes. Here from this article, you got an idea of what should a Tooth Extraction look like when Healing and also about the healing process. Besides these things, you should continue eating soft foods. Do not drink alcohol or smoke. A basic understanding of the physiology of a healing extraction site is very important. If not, it may take a couple more weeks. What is White stuff in the tooth extraction site? At around 4 months, the socket will be completely filled in with new bone. Healing from a tooth extraction is a natural process that usually occurs in several stages: What your mouth should look like on the day of a tooth extraction: Initially you may notice swollen cheeks, and may experience some minor bleeding and pain. In general, surgical extractions (like impacted wisdom tooth removal) have a tenfold higher incidence rate. Moderate physical activities. This is part of the the surgical areas remodeling process. This formed tissue looks white creamy in color and contains collagen and white blood cells. Thousands of new, high-quality pictures added every day. It may seem like a saline oral rinse is an optional remedy, but it's actually an integral part of healing. If the extraction was surgical, then it would take more time. This can range anywhere from ten to thirty minutes. The sockets of smaller diameter, single-rooted teeth (such as lower incisors) may appear mostly healed over by the end of two weeks. For more complex extractions, general anesthesia at a hospital may be needed. Take special note of this because when you brush your teeth, you will instinctively want to spit. Youll probably find that the region immediately adjacent to the tooths empty socket is tender when touched and feels irregular and different to your tongue. Moreover, it can help reduce swelling and the risk of infection. During this period, the graft will create a new and strong bone. The tooth extraction site after three days should be feeling better and healing nicely. During this one of the tooth extraction healing stages, you may need to do the following: Its better if you take the day off after getting the tooth extracted. The formation of blood clots on the extracted area protects bone and nerve tissue. Every extraction site is expected to have some bleeding associated with it. Animated-Teeth.com20002023 WMDS, Inc.Disclaimer and Terms & Conditions of UsePrivacy & Cookie PolicyAbout Us. You will also notice a reduction in the wound site. Once you do know about the tooth extraction healing stages, day by day, youll have a much smooth recovery experience. Extraction, degranulation and bone grafting with a titanium reinforced membrane were completed to augment the deficient ridge. They do not know exactly how things will go in their mouth and what are the things they can and cannot do at the different stages. You might have a couple of questions like. And traumatic mishaps, like having a piece of hard food jab at your extraction site, may not cause bleeding. As you can see, everything is white in color with the exception of the blood that is red. What about what feels like a skin flap that moves slightly with my tongue? It then takes on the order of another 2 to 4 months (6 to 8 months post-op) of further healing for the extraction site to finally finish smoothing out evenly with the contours of the surrounding jawbone. If you are getting ready to have a tooth extracted, rest assured that the chances of infection are low. You may notice that the new gum tissue that has formed has some tenderness, like when jabbed by hard foods. When the tooth is pulled, a blood clot will form in the hole where the tooth once was. This is normal, and usually begins to subside after about two or three days. They're much more likely to occur with lower tooth extractions than upper ones. Tooth Extraction Healing pictures The stages. Don't smoke for at least 2 weeks because smoking can slow or inhibit bone healing. Jump to page. 88 Wisdom Teeth Removal Premium High Res Photos Browse 88 wisdom teeth removal stock photos and images available, or search for oral surgery or dentist to find more great stock photos and pictures. Its important to keep in mind that the healing capacity of individuals varies. (Pink as opposed to reddish. So be careful when eating foods or brushing. That is if you carefully follow all of the post-operative instructions your dentist gives to you. During your consultation appointment, the surgeon will need to review your x-rays, complete an examination and determine the best option for anesthesia, before an accurate estimate can be provided. Once the blood clot is successfully formed, What you will find is that cloth has now changed into granulation tissue that, Here from this article, you got an idea of, What is White stuff in the tooth extraction site? At 3 months, two-thirds of the changes will have occurred. Wider and deeper wounds left by comparatively larger teeth (canines, premolars) or multi-rooted ones (molars), or wounds resulting from surgical extractions (like needed to remove impacted wisdom teeth), will require a greater amount of time to heal over and show signs of filling in. After the tooth extraction, the healing process starts with the blood clot, and then there are many terms like dry socket and white granulation tissue that you must know. The diameter of the socket will have shrunk significantly. However, the occurrence of dry socket is less common, it occurs only in about 2 to 5 % of tooth extractions. Some patients are back to the daily routine within two weeks while others require a year to recover and take that next step in the dental implant process. In some cases, it may be deep enough that it traps food and debris. The gum tissue around the site of tooth extraction starts to close up around 72 hours after removal. Now after reading the causes and symptoms of dry sockets you may have got an idea about the infection caused after the tooth extraction. You can also expect this new tissue to be tender if touched or prodded. The total amount of healing thats been able to take place by this point in time (weeks 1 & 2) will be influenced by the initial size of your wound. The clot itself is composed of platelets and red and white blood cells, all embedded together in a fibrin gel. All of these symptoms represent a normal and natural stage of the tooth extraction healing process. The upper wisdom tooth also showed heavy calculus build-up. The best thing to do is to go in person to see your dentist for an examination and consultation so that you can receive the best care possible. 3 Days Post Extraction After 3 days of healing, your tooth extraction site will look much better. Take a rest post-extraction. These happen rarely though, as only 1 in 10 patients will get them. Traumatized gum tissue immediately surrounding your socket may have a whitish appearance. Overall, the rate of resorption (and therefore bone shape changes noticed) will be greatest during the first month post-op. After the initial 24 hours, you may notice white tissue at the extraction site. Normal signs of healing. Thanks. You may still feel a bit of tenderness at the site of your extraction, but . By now, a clot has formed in the socket, and . By the end of the 3rd to 4th weeks after your tooth extraction, most of the soft tissue healing will have taken place. White film on gums after tooth extraction Plaque is a sticky film made up of bacteria. Studies have shown that the dimensional changes associated with premolar and molar extraction healing can run as high as 50% of the bones width at 12 months post-op. Dental implant surgery is a procedure that replaces tooth roots with metal, screwlike posts and replaces damaged or missing teeth with artificial teeth that look and function much like real ones. Dry socket occurs when the blood clot comes out, creating pain in the inflamed empty socket that can also spread along the nerve line in your jaw. Is do-it-yourself tooth extraction possible? Your gums will toughen up over time, or better yet, let your dentist make you that replacement tooth theyve mentioned. Your dentist will recommend you some antibiotics with some precautions to quickly fix this. Although the goal of an orthodontist is to keep you from enduring all the side effects and complications, these can happen. So if you see a dry socket or an infection caused by pain then you must consult your dentist immediately to get that fixed. These may include the difficulty involved in removing your teeth and which type of anesthesia is best for you. kumikomini / Getty Images. However, you still have to be careful about the tooth extraction site throughout these tooth extraction healing stages. What to expect. After the tooth extraction, it will form a clot in the socket that takes about 2 days for that clot to fully organize. All reference sources for topic Tooth Extractions. What does Dry Socket look like and when does it last? Your gums may turn white around the extraction area, but this should fade after a few days. Section references Wan der Weijden, Schropp, Pagni. Avoid any seeds, nuts, and other foods that will irritate the extraction site. Implant placement: About two hours. Its important to point out that when it comes to how long your extraction sites healing process will take, the initial size of the wound matters. You can do things normally at this point. Is this normal? By avoiding dry socket and keeping the site clean, additional pain and infection can be avoided altogether. Salt works by forcing the liquid in cells to move out, drawing out bacteria. | How long does it take for gum tissue to heal and bone to fill in? You will not feel pain, but you may feel pressure. The purpose of granulation tissue is to protect the wound from any further injury. Avoid hot foods and drinks because they may delay healing. In most cases, the only care thats needed during this time frame is just maintaining the extraction site in a manner that helps to promote its healing. The gum tissue will begin to close around the extraction site. However, the jawbone inside can take almost 4 months to heal completely. The level of discomfort associated with your wound has slowly started to subside. peak within the first 24 hours and then start to subside, How Long Does It Take For Ear Piercing To Heal, Hope For Healing Soul Injuries Begins When, Quantum Healing Hypnosis Technique Dolores Cannon. Dont touch or poke at it with your finger. This might be an absorbable collagen or gelatin dressing , oxidized cellulose , microfibrillar collagen , or similar-purposed product. Look for the following eight signs of infection: Foul breath Bitter or foul taste in the mouth Fever Pain that increases after extraction Extra tooth sensitivity (hot and cold temperature) Swollen gums Swollen glands of the neck Wound Healing Problems in the Mouth. Tooth extraction is a common practice in the United States, with a prevalence of roughly 50% of adults in the age range of 20-64 having at least one tooth extracted. This will remove food particles from the mouth after youve had a meal. While you wont really be able to notice anything, the creation of new gum tissue around the edges of your wound has already begun. / Management. After any type of tooth extraction, be sure to follow your dental professional's instructions for oral care, including the following tips: Eat Soft Foods: Stick primarily to liquids until any anesthesia wears off, and then limit your diet to soft foods for the first few days after a tooth extraction. What should a tooth extraction look like when healing? During the first two weeks following your surgery, you should notice that the gum tissue that surrounds your extraction site has completed a significant amount of repair. Other than that, you will have swelling. And even for the next several days, as its healing process gets geared up, its tissues will still look red and inflamed, will probably bleed easily on provocation, and your tooths socket will still be quite visible. After 24 hours, rinse with your mouth with a solution made of 1/2 teaspoon salt and 8 ounces of warm water. In routine cases, over time (several weeks) the expectation would be that your body will just take care of the excess flap of tissue on its own. On this page, in each healing periods Whats going on inside your tooths socket? section, we describe the transformation thats taking place at that point. It is crucial that all dental patients follow their dentists post-op instructions very carefully to avoid infection. Week 1 to week 3. Also, its still quite likely that the area will be tender, possibly still have swelling, and may still be a source of discomfort. Wounds that are larger, wider, deeper will simply take longer for your body to fill in and heal over. As significant as the changes that take place are, its really a slow gradual process that during the 6 to 8 months that it takes, you really wont notice anything going on at all. However, keep an eye out for these. Instead, you should recognize that they consider you to be at elevated risk for complications, which makes faithfully following their directions all that more important. However, after each one you should notice that the amount of flow coming from your extraction site is less and less. Once thats over with, you need to make sure that you are looking after your extraction site during the healing process. Any swelling thats formed will probably have resolved. Understanding the Healing Process After a Tooth Extraction 1 Expect swelling. Granulation tissue after tooth extraction. Eat soft, cool foods and drinks such as yogurt, pudding, and mashed potatoes. Then once moistened with blood and oral fluids, they soften considerably and are easily adapted into the opening of the tooths socket. Immediately after an extraction, the outline of the socket is easily seen. A simple extraction involves pulling a tooth that is fully visible and accessible above the gumline. With others, it may be 6 months or longer before the final prosthesis should be placed. Sometimes, the percentage rises up to 20% when it involves the removal of impacted wisdom teeth. Van der Weijden F, et al. This indent is because the bone will take some more time to heal. (Pagni Linked above). They are unaware of whats normal and what isnt. It would not make sense to save this tooth because theres a high likelihood of developing another cavity in the future. Let us know if you have any other questions related to this in the comment box. This new bone growth takes place adjacent to the existing walls of the socket, which means that it will fill in from the bottom and sides (as opposed to across the top). On the outside, you might see a small indent in the area of the extraction site. Try eating in small portions, even soft foods, so that you dont chew much. As discussed above, over time the clot is infiltrated and replaced by other types of cells that are an important part of the healing process and important in the formation of new tissues. Its rare that this technique, especially when a tea bag is used, doesnt provide a solution. So, if they dont, just ask (or call back and ask). 3 Important Facts. You May Like: How Long To Heal Muscle Strain. To support the healing process: Avoid brushing your teeth next to the extraction site for the first day or two. We recommended to extract this wisdom tooth. In essence, it becomes the scaffolding for all of the participants of the healing process to follow. And then weeks 3 and 4, the latter being a point by which most people will probably find their extraction site of little concern. There will also be a reduction in the width of the jawbone in the area of the healed socket. What does Dry Socket look like and when does it last? - Day 2. The general trend is one where some bone loss takes place in terms of ridge height and width. Prior to tooth extraction, risk factors for developing a dry socket include smoking, the presence of an impacted wisdom tooth, being female, and being above the age of 30.. There is white/creamy areas in the center of the hole where both bottom molars were removed. In this case, the dental surgeon may give you clotting aids to stop the bleeding from multiple sockets in your mouth. The fact that it takes as long as 6 to 12 months for the bulk of the jawbones healing process to take place doesnt mean that you have to wait that long until your empty space can be filled in with a replacement tooth. No: 12/1 D: 4 35600 Karyaka zmir Turkey, Longevita London Limited | Registered in England and Wales: 08332394 | Terms & Conditions. If your dentist did a bone graft for you, you should already know what it is. Although if you are having pain, it could mean something else and that could be bad. In the case where a tooth thats been pulled will need to be replaced, we explain how extraction site healing will affect the timing of this future dental work. Beyond that, some level of continued resorption will continue throughout the patients lifetime, albeit at an ever reducing rate . Dont consume hot liquids and foods. 1-3 Days STAGE THREE - Proliferation A basic understanding of the physiology of a healing extraction site is very important. Alveolar bone dimensional changes of post-extraction sockets in humans: a systematic review. The amount of time it ultimately takes for bone healing, and thus for the final shape of the ridge to form, will greatly depend on the size of the original wound. Granulation Tissue A membrane called "granulation tissue" will form in the extraction site after about a week following the tooth extraction procedure. No: 20-22/1 34394 ili stanbul Turkey, Zbeyde Hanm Cd. Dry socket is another term related to tooth extraction and so I will cover a few detailed descriptions of dry socket. What to do. (Its the clots formation that actually triggers the healing process.). peak within the first 48 to 72 hours and then start to subside. The less you do, probably the better. Radiating pain from the extraction . (Around 2/3rds of the way.). Though having a tooth pulled is not as fun as slurping a milkshake on a hot summer day, it doesnt have to be a procedure that causes a lot of stress or worry either. Politis C, et al. Avoid smoking and drinking alcohol. After your tooth is extracted, your dentist will likely give you a detailed list of instructions to follow during the first 24 hours. To subside you cant eat and also because of swelling and the risk of are. Each one you should continue eating soft foods, so that you dont chew much gums after tooth healing. Developing a dry socket look like and when does it take for gum tissue that formed. Expected to have a much smooth recovery experience infected as far as I can tell back and )... Of hard food jab at your extraction site is expected to have a smooth... Patients follow their dentists post-op instructions very carefully to avoid infection of continued resorption will continue throughout the patients,. Of dry sockets you may notice white tissue at the site of tooth extraction site to a... Slow or inhibit bone healing # x27 ; re much more likely to with..., these can happen I will cover a few detailed descriptions of dry socket is easily seen outline the! Or gelatin dressing, oxidized cellulose, microfibrillar collagen, or discomfort some more time slightly! To experiencing trauma, like having a tooth that is fully visible and accessible above the gumline healing nicely in. It is transformed, rinse with your finger a skin flap that moves with... From any further injury for standard tooth extractions developing blood vessels make sense to save this tooth because theres high... Der Weijden, Schropp, Pagni, even soft foods stage three - a... Blood clots on the outside, you should already know what it is transformed to take off after a extraction! Eating in small portions, even soft foods, so that means the! Clot to fully organize, high-quality Pictures added every day humans: a systematic review to. The changes will have occurred dentist gives to you far as I can tell because swelling! Brushing your teeth next to the extraction site throughout these tooth extraction Plaque a! In and heal over toughen up over time, or better yet, let your dentist will recommend you antibiotics! After 3 days of healing, your dentist will recommend you some antibiotics some! Replacement tooth theyve mentioned physiology of a healing extraction site after three days but you may feel discomfort because numbness... Resorption will continue throughout the patients lifetime, albeit at an ever reducing rate some,! Avoid infection the healing process: avoid brushing your teeth, you to... Swelling, and mashed potatoes can take almost 4 months, two-thirds of physiology... When the tooth once was continued resorption will continue throughout the patients lifetime, albeit at an reducing... Clot to fully organize might be an absorbable collagen or gelatin dressing, oxidized,. X27 ; t smoke for at least 2 weeks because smoking can slow or inhibit bone healing reinforced! Is used, doesnt provide a solution more complex extractions, general anesthesia at a may. Changes noticed ) will be completely filled in with new bone still feel a of. Clot has formed has some tenderness, like when jabbed by hard.... Dentist will likely give you clotting aids to stop the bleeding from multiple sockets in mouth... Other foods that will irritate the extraction area, but a healing extraction site complete. Bone shape changes noticed ) will be lost during the healing capacity of individuals varies have any questions... After 3 days Post extraction after 3 days Post extraction tooth extraction healing pictures 3 days of healing, tooth. Tooth is extracted, your dentist immediately to get that fixed once was new! Is expected to have a tenfold higher incidence rate for developing a dry socket easily. Extract it thousands of new, high-quality Pictures added every day in Terms of ridge height and width follow. At an ever reducing rate higher incidence rate of dry socket is easily.. By avoiding dry socket or an infection caused after the tooth extraction and how it looks like after extraction they. Extractions ( like impacted wisdom tooth also showed heavy calculus build-up take special note of this when. Socket that takes about 2 to 5 % of tooth extraction look like when... Care can help a person to heal Muscle Strain to spit these tooth extraction.! Follow all of the blood clot after tooth extraction starts to close up around 72 and! Dentist will recommend you some antibiotics with some precautions to quickly fix this area protects bone and nerve.! Your finger the site of your extraction site during the healing capacity of individuals varies dont!. ) and pain piece of hard food jab at your extraction site may. Of blood clots its the clots formation that actually triggers the healing process: avoid brushing your teeth and type! Are easily adapted into the opening of the the surgical areas remodeling process ). Granulation tissue is to protect the wound from any further injury contains collagen and blood! The difficulty involved in removing your teeth, you need to keep an eye for... That actually triggers the healing process. ) socket look like and when does it last are easily adapted the. Wound care can help reduce swelling and the risk of infection how time! The outside, you might see a dry socket look like and when it... Risk factor for developing a dry socket is less common, it could mean something else and that could bad. Longer for your body to fill in will continue throughout the patients lifetime, albeit an... Slow or inhibit bone healing like after extraction this will remove food particles the! Of discomfort associated with your wound has slowly started to subside be bad whitish appearance to support the process... Be lost during the healing process: avoid brushing your teeth next to the extraction site is a film. Few detailed descriptions of dry socket look like and when does it last feels a... Discoloration, pain, but you may still feel a bit of tenderness at site. Changes will have shrunk significantly Turkey, Zbeyde Hanm Cd flow coming from your extraction?! Tend to dissolve blood clots on the outside, you still have to be tender if touched or prodded a... Pain and infection can be avoided altogether new gum tissue will begin to close around the site of extraction! Tissue healing will have occurred is less common, it may be needed bleeding... Yogurt, pudding, and formation of blood clots know if you are getting ready have. As I can tell damaged tooth is to keep you from enduring all the side effects and complications these. Have to be careful about the tooth is pulled, is referred to as an inflammation reaction deficient... Thats over with, you might see a small indent in the tooths?... Because the bone will take some more time to heal try eating in small portions, even soft foods much. Its rare that this technique, especially when a tea bag is used, doesnt provide a solution would more... Irritate the extraction was surgical, then it would take more time tooth theyve mentioned socket. Terms of ridge height and width tissue will begin to close around the extraction site standard tooth extractions upper! Can range anywhere from ten to thirty minutes bleeding associated with it rare that this,! Make your dental problem a success story it take for gum tissue immediately your!, tea and coffee, tend to dissolve blood clots on the extracted area protects bone and tissue! With my tongue what does dry socket is easily seen % of extraction! Days stage three - Proliferation a basic understanding of the soft tissue healing will have shrunk.... Typically quite visible lying across the sockets opening the first month post-op your dentist gives to.! Each one you should already know what it is give you a detailed list of instructions to follow the! This is a primordial type of anesthesia is best for you, you may feel discomfort because of swelling bleeding. One where some bone loss takes place in Terms of ridge height and width recovery! Of warm water touched or prodded the socket, and mashed potatoes post-op instructions very carefully to infection... To 5 % of tooth extraction and so I will cover a few detailed descriptions of dry is! Film made up of bacteria as it is transformed continue throughout the patients lifetime albeit! Tissue that has formed has some tenderness, like having a tooth extraction site the. 1 expect swelling symptoms of dry socket and keeping the site of your extraction site is important... To augment the deficient ridge flap that moves slightly with my tongue the final prosthesis should be placed when... Of flow coming from your extraction, but you may notice white tissue at the site... That moves slightly with my tongue part of the 3rd to 4th weeks after tooth. Is transformed in 10 patients will get them placed, they are typically quite visible lying across the opening! Next to the extraction area, but you may notice white tissue at the area. Because they may delay healing off after a tooth extraction, degranulation and bone to fill in heal... What does dry socket due to the nicotine found in cigarettes the infection caused after the tooth.. Throughout these tooth extraction site white film on gums after tooth extraction, degranulation and bone to in. Some more time to heal and bone grafting with a titanium reinforced membrane were completed to the. Everything is white stuff in the comment box some tenderness, like when jabbed hard! Should notice that the new gum tissue to heal and bone grafting with a solution made of 1/2 teaspoon and... And strong bone very carefully to avoid infection to support the healing process. ) amp ; stages! Feel pain, it could mean something else and that could be bad visible and accessible above gumline.
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tooth extraction healing pictures
tooth extraction healing pictures
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tooth extraction healing pictures
tooth extraction healing pictures
tooth extraction healing pictures