You’ll be surprised to learn that the gum debris or “gunk” where the tooth was pulled isn’t really black—but dark red because it’s blood.

Black or very dark gums are not a pretty sight — to say the least. This may occur after the removal of a tooth.

There is a blood clot “that forms in the extraction socket,” says Robert D. Gehrig, DMD, FAGD, FACD, Academy of General Dentistry.

Black Is an Illusion

Dr. Gehrig explains, “The clot is dark red in color and it may appear black under low light conditions.”

So when inspecting it, you should make sure you are doing so in excellent lighting conditions – which may be difficult depending on where in your mouth the tooth was extracted.

Of course, your dentist can get an excellent view with great lighting to confirm the situation.

“Over the next several days it will seem to change color to a greyish white color as the red blood cells get washed out of the fibrin clot by the saliva,” explains Dr. Gehrig.

“The clot is important for normal healing, as it acts as ‘scaffolding’ for the gingiva to grow over and close off the wound.”

So despite the unsightly appearance, this is a very normal response to the removal of the tooth.

Regardless of the way the area looks, you should never pick at it. Let nature do its job.

The Blood Clot Is Needed

Dr. Gehrig also says, “Premature loss of the clot interrupts the healing process and can lead to what is commonly known as a ‘dry socket.’ This condition can be very painful and delay healing.

“It often requires additional treatment and may require antibiotics to resolve.”

In the 24 hours following the extraction of a tooth, you should NOT smoke, nor should you brush your teeth — even on the opposite side.

It’s crucial to avoid any possibility of agitating the healing area.

Robert D. Gehrig, DMD
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.  

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Top image: Shutterstock/Jaromir Chalabala