Wisdom tooth extraction is a surgical treatment that involves the removal of one or more wisdom teeth, which are the four permanent adult teeth positioned at the top and bottom corners of your mouth.
You'll probably need to have a wisdom tooth extracted if it doesn't have enough room to develop (impacted wisdom tooth), causing discomfort, infection, or other dental issues. The extraction of wisdom teeth can be done by a dentist or an oral surgeon.
Even if impacted teeth aren't creating difficulties now, some dentists and oral surgeons advocate wisdom tooth extraction to avoid future complications.
Why is it done this way?
Wisdom teeth, also known as third molars, are the last permanent teeth that emerge from the gums. Between the ages of 17 and 25, these teeth normally develop. Some people don't get wisdom teeth at all. Others have wisdom teeth that emerge naturally, exactly like their other molars and create no issues.
● Many people have impacted wisdom teeth, which are teeth that don't have enough space to erupt or grow correctly in the mouth. Wisdom teeth that are impacted may only emerge partially or not at all.
● A wisdom tooth that has been impacted might cause:
● Grow at a 45-degree angle to the following tooth (second molar)
● Grow at a 45-degree angle to the rear of the mouth.
● Wisdom teeth grow at a right angle to the other teeth, as though "lying down" within the jawbone.
● Like other teeth, they can grow straight up or down, but they are locked within the jawbone.
● Wisdom teeth that have become impacted might cause a variety of issues.
If your impacted wisdom teeth cause difficulties like these, you'll probably need it removed in cases of;
● Pain
● Food and debris are trapped behind the wisdom teeth.
● Gum disease or infection (periodontal disease)
● Tooth rot is a wisdom tooth that hasn't fully erupted
● An adjacent tooth or surrounding bone has been damaged.
● The formation of a fluid-filled sac (cyst) surrounding the uterus.
● Keeping your teeth healthy in the future
The benefit of removing impacted wisdom teeth that aren't creating difficulties is a point of contention among dentists (asymptomatic).
With impacted wisdom teeth, it's impossible to forecast future issues. The reasoning for prophylactic extraction, on the other hand, is as follows:
Even if you don't have any symptoms, your wisdom teeth might still be infected.
It's frequently difficult to get to the tooth and clean it properly if there isn't enough room for it to emerge.
In younger individuals, serious issues with wisdom teeth are less common.
Surgery can be challenging for older persons, and problems might occur following surgery.
RisksThe majority of wisdom teeth extractions do not cause long-term problems. Surgical removal of impacted wisdom teeth, on the other hand, often necessitates creating an incision in the gum tissue and extracting bone. Complications can occur in rare cases and include:
● When the post-surgical blood clot is lost from the surgical incision site, a painful dry socket or exposure of bone occurs (socket)
● Bacterial infection or stuck food particles in the socket
● Damage to the teeth, nerves, jawbone, or sinuses in the area
How do you get ready?
The operation may be done in your dentist's office. The dentist may refer you to an oral surgeon if your tooth is badly affected or if the extraction necessitates a more extensive surgical procedure. In addition to numbing the region with local anesthesia, your surgeon may recommend sedation to make the surgery more comfortable for you.
The following are some questions you might want to ask your dentist or oral surgeon:
● How many wisdom teeth do you need to remove?
● What kind of anesthetic am I going to have?
● How difficult do you anticipate the operation to be?
● What is the expected duration of the procedure?
● Have your wisdom teeth been impacted and caused harm to your other teeth?
● Is there a chance I'll have nerve damage?
● What additional dental procedures could I require in the future?
● How long does it take to fully recover and resume normal activities?
● Getting ready for surgery
● The extraction of wisdom teeth is typically done as an outpatient operation. This indicates that you will return home the same day.
● The personnel at the hospital or dental clinic will give you instructions on what to do before and on the day of your operation. Consider the following inquiries:
● Will I have to make plans for someone?
● What you may anticipate
Throughout the treatment,
Depending on the predicted difficulty of the wisdom teeth extraction and your degree of comfort, your dentist or oral surgeon may employ one of three forms of anesthetic. Among the possibilities are:
● Anesthesia is administered locally. Local anesthetic is given by one or more injections around the extraction site by your dentist or oral surgeon. Your dentist or surgeon will most likely apply a numbing agent to your gums before administering the injection. During the tooth extraction, you are awake. Although there will be some pressure and movement, there should be no discomfort.
● Anesthesia and sedation. An intravenous (IV) line in your arm is used by your dentist or oral surgeon to administer sedation anesthetic. During the surgery, a sedation anesthetic keeps you unconscious. You won't be in any discomfort, and your recall of the process will be minimal. Your gums will also be numbed with a local anesthetic.
● Anesthesia is administered to the entire body. You might be able to get away with it in some circumstances.
During a wisdom tooth extraction, your dentist or oral surgeon:
● Makes an incision in the gum tissue to expose the tooth and bone
● Removes bone that blocks access to the tooth root
● Divides the tooth into sections if it's easier to remove in pieces
● Removes the tooth
● Cleans the site of the removed tooth of any debris from the tooth or bone
● Stitches the wound closed to promote healing, though this isn't always necessary
● Places gauze over the extraction site to control bleeding and to help a blood clot form
● Following the surgery,
● After the procedure, you'll be brought to a recovery room if you've had sedation or a general anesthetic. If you receive a local anesthetic, you will most likely spend your recuperation time in the dentist's chair.
As you recover from your operation, make sure you follow your dentist's recommendations for:
● Bleeding. On the first day following wisdom teeth removal, there may be some blood seeping. To avoid dislodging the blood clot from the socket, avoid spitting excessively. As advised by your dentist or oral surgeon, replace gauze over the extraction site.
● Management of pain. An over-the-counter pain reliever, such as acetaminophen (Tylenol, others), or a prescription pain reliever from your dentist or oral surgeon may be able to help you manage your discomfort. If bone has been removed during the treatment, prescription pain medication may be extremely beneficial. A cold pack across your jaw may also help to ease discomfort.
● Swelling and bruising are common side effects.
● Activity. Plan to rest for the rest of the day after your procedure. The next day, resume regular activities, but for at least a week, avoid intense exercise that might cause the blood clot to fall out of the socket.
● Beverages. After the procedure, drink plenty of water. In the first 24 hours, avoid alcoholic, caffeinated, carbonated, or hot beverages. For at least a week, avoid drinking with a straw since the sucking action may dislodge the blood clot from the socket.
● Food. For the first 24 hours, eat only soft foods like yogurt or applesauce. When you are able to handle semi-soft meals, begin eating them. Hard, chewy, hot, or spicy foods should be avoided since they might become lodged in the socket and aggravate the incision.
● Make sure your mouth is clean. During the first 24 hours following surgery, do not brush your teeth, rinse your mouth, spit, or use mouthwash.
When should you contact your dentist or surgeon?
If you see any of the following signs or symptoms, which might signal an infection, nerve damage, or other significant problem, contact your dentist or oral surgeon right away:
● Swallowing or breathing problems
● a lot of blood
● Fever
● Pain that is not alleviated by prescription pain relievers
● Swelling that becomes worse after a few days
● A nasty taste in your mouth that won't go away after washing with saltwater
● Pus in the socket or leaking from it
● Numbness or a lack of sensation that persists
● Nasal discharge with blood or pus
Results
If you don't need sutures removed, you won't require a follow-up visit following wisdom teeth extraction.
During the surgery, there were no problems.
You don't have any chronic symptoms like pain, swelling, numbness, or bleeding, which might suggest infection, nerve damage, or other issues.
Contact your dentist or oral surgeon if difficulties arise to explore treatment options.
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