Complex Extractions And Wisdom Teeth Surgery

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Wisdom Teeth

These are our third molars. They typically erupt around the age of eighteen (18) years. Usually there is insufficient space in our jaws to accommodate them so they get stuck in an awkward position and erupt partially. As a result this can lead to pressure in the jaws and/or infection around the gum of the mouth.

What Causes The Infection?

When the tooth has erupted partially through the gum, bacteria can enter through the opening or the pocket around the tooth and can cause the gum to become infected. This can be very painful and typically radiates over the whole of the face where the tooth or teeth are. Painkillers and antibiotics are a temporary solution to this recurring problem. The only long term solution is extraction.

Decay

Crowding

Other Problems

Partially- erupted wisdom teeth are difficult to clean, plaque containing bacteria may form on the surface causing cavities in the wisdom tooth and the adjacent tooth.

Pressure from wisdom teeth might cause crowding and teeth might loose their proper position in the mouth. Then cleaning becomes more difficult and teeth may wear unevenly or may cause structural damage as a result.

Impacted wisdom teeth might form a cyst that is capable of damaging adjacent teeth, the jawbone and nerves. Wisdom teeth could be cause of unknown headaches.

Why Remove My Wisdom Teeth?

When Is The Best Time To Remove?

Problems with wisdom teeth develop gradually and symptoms may not be present. The best way to prevent trouble is to visit your dentist regularly for check-ups, x-rays and consultation.

The best time is before roots have been fully developed and that is between 16 and 20 years of age. Removal of wisdom teeth at that age decreases the risk of damaging the nerve in that area.

Risks Involved In Removing Wisdom Teeth

After your wisdom teeth are removed, a blood clot forms to cover the socket as part of the healing process. If the clot clot dissolves or is washed away, you will probably experience the steady, throbbing pain of a dry socket. If this should occur, call your dentist immediately to get proper treatment. Generally, a dry socket dressing will be placed in the area.

Are The Extractions Painful?

What To Expect After Surgery

The procedure is done under local anesthetic. If the procedure is complex the dentist may recommend sedation.

It is typical and normal to have pain after wisdom teeth or complex extractions. This is controlled by painkillers taken immediately after surgery or extractions. Because of the invasive nature of the procedure antibiotics will be prescribed.

 

It is ESSENTIAL to apply an ice pack to the affected side of the face after surgery for a full day.

Tips To Help Speed Your Recovery

Bite gently on the gauze pad periodically, and change pads as they become soaked with blood. Call your dentist or oral surgeon if you still have bleeding 24 hours after your surgery.

While your mouth is numb, be careful not to bite the inside of your cheek or lip, or your tongue.

Do not lie flat. This may prolong bleeding. Prop up your head with pillows.

Use an ice pack on the outside of your cheek for the first 24 hours. You can use moist heat such as a washcloth soaked in warm water and wrung out for the following 2 or 2 days.

Relax after surgery. Physical activity may increase bleeding.

Eat soft foods, such as gelatin, pudding or a thin soup. Gradually add solid foods to your diet as healing progresses.

Do not use a straw for the first few days.  Sucking on a straw can loosen the blood clot and delay healing.

After the fisrt day, gently rinse your mouth with warm salt water several times a day to reduce swelling and relieve pain.

Do not smoke for at least 24 hours after your surgery. The sucking motion can loosen the clot and delay healing. In addition, smoking decreases the blood supply and can bring germs and contaminants to the surgery area.

Avoid rubbing the area with your tongue or touching with your fingers.

Continue to brush your teeth and tongue carefully.

Your dentist will remove the stiches after a few days, if needed.

On A Lighter Note

One day, a man walks into a dentist’s office and asks how much it will cost to extract wisdom teeth. “Eighty dollars,” the dentist says.

“that’s a ridiculous amount,” the man says. “isn’t there a cheaper way?”

“Well,” the dentist says, “if you don’t use an anesthetic, I can knock the price down to $60.”

“That’s still too expensive,” the man says.

“Okay,” says the dentist. “if I save on anesthetic and simply rip the teeth out with a pair of pliers, I can knock the price down to $20.”

“Nope,” moans the man, “it’s still too much.”

“Well,” says the dentist, scratching his head, “if I let one of my students do it, I suppose I can knock the price down to $10.”

“Marvelous,” says the man, “book my wife for next Tuesday!”

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American Dental Association

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American Society for the Advancement of Anesthesia in Dentistry

The International Congress of Oral Implantologists

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