Dental
Removing Wisdom Teeth Treatment
Removing Wisdom Teeth
Wisdom tooth removal is the surgical process for removing one or more wisdom teeth. If a wisdom tooth doesn't have enough space to grow, which causes an infection, pain, or any other dental problems, the patients are more likely to undergo wisdom teeth removal.
What is the Removal of Wisdom teeth?
Wisdom tooth removal is the surgical process for removing one or more wisdom teeth (the four permanent adult teeth located at the back corners of the people’s mouth on the top and bottom). If a wisdom tooth doesn't have enough space to grow (this condition is also called an impacted wisdom tooth), which causes an infection, pain, or any other dental problems, the patients are more likely to undergo wisdom teeth removal. Wisdom tooth removal can be performed either by an oral surgeon or by a dentist. For preventing any potential future risks and problems, some of the oral surgeons and dentists and suggest the wisdom tooth removal even if the impacted teeth are not currently resulting in the problems. Wisdom tooth removal can be carried out either by a specialist surgeon or by a dentist working in the hospital. If the dentist advised the patients for the wisdom teeth removal, the dentist will take out an X-ray of the patient’s mouth for helping them to determine who should carry out the wisdom teeth removal procedure.
Why are the Wisdom teeth removed?
The patient’s wisdom teeth do not generally require to be removed even if they are impacted but are not causing any problems. This is because there's no proven benefit of performing wisdom teeth removal and the wisdom teeth removal carries the risk of complications.
Occasionally, wisdom teeth that have become impacted or have not fully broken through the surface of the gum can result in dental problems. Bacteria and food can get trapped around the edge of the wisdom teeth, resulting in a build-up of plaque, which can lead to:
- Decay of tooth
- Gum disease
- Pericoronitis: When plaque results in an infection of the soft tissue that is surrounding the tooth
- Cellulitis: A bacterial infection in the throat, cheek, or tongue
- Abscess: A collection of pus in the patient’s wisdom teeth or the surrounding tissue due to the bacterial infection
- Cysts and benign growths: It is very rare, a wisdom tooth that has not been cut through the gum develops a cyst
- Many of these problems can be treated with the help of the antiseptic mouthwash and antibiotics.
- Wisdom teeth removal is generally advised when other treatments do not work.
Before the surgery:
The patients will meet with the oral surgeon to talk about the process. At this appointment,
- The patients should talk about any of the health problems they have.
- The patients should list the drugs they take on a regular basis.
- The patients should ask any questions they have regarding the surgery.
- The patients must discuss what type of anesthesia they will have. The patients can either be asleep or numb during the surgery.
During the surgery:
Before the surgery, the operation is generally explained to the patients. The patients are generally given a local anesthetic injection to numb the surgical site around the tooth. The patients may experience some pressure just before the tooth is being removed, as the patient’s oral surgeon or the dentist needs to widen the tooth socket by rocking the tooth front and back. A small incision in the gum is sometimes necessary, and the tooth may be required to be cut into the smaller pieces before the tooth is being removed. The removing the wisdom tooth usually takes from a few minutes to 20 minutes, or sometimes even longer. After the wisdom teeth have been removed, the patients may have discomfort and swelling, both outside and inside the mouth. Sometimes, some mild bruising may also be visible. This generally gets worse for the first 3 days after the surgery, but it can last up to 2 weeks.
Risks of undergoing the removal of the wisdom of the teeth:
Most of the wisdom tooth removals do not cause any long-term complications. However, the extraction of the impacted wisdom teeth sometimes needs a surgical approach that involves making a cut in the gum tissue and thus removing the bone. It is very rare, but the complications can include the following:
- Painful dry socket, or exposure of bone when the post-surgical blood clot is lost from the area of the surgical wound
- Infection in the socket due to trapped food particles or bacteria
- Damage caused to the nearby sinuses, teeth, nerves, or jawbone
After Surgery
Every patient responds differently to the anesthesia. If the patient had a local anesthetic and feel alert, they might be able to drive home for beginning their recovery. The patients might even be able to go to their work or perform their day to day activities. If the patients had general anesthesia or they still feel drowsy, the patients will require someone to drive them home.
Most people experience no pain after the procedure. The patients are likely to have mild discomfort and swelling for at least 3 days or so. The patient’s mouth may require a few weeks to completely heal.
The patients must follow the doctor’s instructions for a quicker recovery.
Do's:
- The patients must use an ice pack on their face to curb swelling on the face or skin color changes.
- The patients must use moist heat for a sore jaw.
- The patients must gently close and open their mouth to exercise their jaw.
- The patients must eat soft foods like soup, pasta, or rice.
- The patients must drink plenty of fluids.
- The patients must brush their teeth starting the second day. They must not brush against any blood clots.
- The patients must take the drugs as prescribes by the doctor to ease swelling or pain.
Don’ts:
- The patients must not drink through a straw. Sucking may loosen blood clots that are helping the mouth to heal.
- The patients must not rinse their mouth too harshly. The doctor may recommend rinsing gently with the help of saltwater.
- The patients must not eat hard, crunchy, or sticky foods that may cause scratches on their wounds.
- The patients must not smoke. Smoking can result in slow healing.
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