Wisdom tooth Extraction Treatment

Wisdom tooth extraction is a surgical procedure to remove one or more wisdom teeth — the four permanent adult teeth located at the back corners of your mouth on the top and bottom. If a wisdom tooth doesn't have room to grow (impacted wisdom tooth), resulting in pain, infection or other dental problems, you'll likely need to have it pulled. Wisdom tooth extraction may be done by a dentist or an oral surgeon. To prevent potential future problems, some dentists and oral surgeons recommend wisdom tooth extraction even if impacted teeth aren't currently causing problems.

 

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Wisdom Teeth Extraction

Wisdom teeth, or third molars, are the last permanent teeth to appear (erupt) in the mouth. These teeth usually appear between the ages of 17 and 25. Some people never develop wisdom teeth. For others, wisdom teeth erupt normally — just as their other molars did — and cause no problems.

Many people develop impacted wisdom teeth — teeth that don't have enough room to erupt into the mouth or develop normally. Impacted wisdom teeth may erupt only partially or not at all.

An impacted wisdom tooth may:

  • Grow at an angle toward the next tooth (second molar)
  • Grow at an angle toward the back of the mouth
  • Grow at a right angle to the other teeth, as if the wisdom tooth is "lying down" within the jawbone
  • Grow straight up or down like other teeth but stay trapped within the jawbone

Problems with impacted wisdom teeth

You'll likely need your impacted wisdom tooth pulled if it results in problems such as:

  • Pain
  • Trapping food and debris behind the wisdom tooth
  • Infection or gum disease (periodontal disease)
  • Tooth decay in a partially erupted wisdom tooth
  • Damage to a nearby tooth or surrounding bone
  • Development of a fluid-filled sac (cyst) around the wisdom tooth
  • Complications with orthodontic treatments to straighten other teeth

It's difficult to predict future problems with impacted wisdom teeth. However, here's the rationale for preventive extraction:

  • Symptom-free wisdom teeth could still harbor disease.
  • If there isn't enough space for the tooth to erupt, it's often hard to get to it and clean it properly.
  • Serious complications with wisdom teeth happen less often in younger adults.
  • Older adults may experience difficulty with surgery and complications after surgery.

Most wisdom tooth extractions don't result in long-term complications. However, removal of impacted wisdom teeth occasionally requires a surgical approach that involves making an incision in the gum tissue and removing bone. Rarely, complications can include:

  • Painful dry socket, or exposure of bone when the post-surgical blood clot is lost from the site of the surgical wound (socket)
  • Infection in the socket from bacteria or trapped food particles
  • Damage to nearby teeth, nerves, jawbone or sinuses

Most people get their wisdom teeth in their late teens or early twenties, but it is also possible to develop wisdom teeth as a pre-teen or as an older adult.

No, not everyone gets wisdom teeth. While many people get all four of their wisdom teeth, some people may only develop three, two or even just one.

Some symptoms of wisdom teeth are pain in the jaw, tenderness, swelling around the gums, discharge if an abscess or infection is present, or you can see it poking through the gum behind your second molar. Some people, however, don’t have any visible or noticeable symptoms of wisdom teeth pain.

Depending on the complexity of the extraction, there are different anaesthetic options that could be administered during the procedure to minimise the pain and discomfort during the extraction.

We usually estimate 7-10 days for a recovery period, however some people may experience shorter or longer recovery times. Ultimately, it is all dependent on the patient.

Once the tooth is removed, there is a hole in the bone called a socket. A blood clot forms in that area to protect the bone and nerves underneath. If that clot becomes dislodged or aggravated, it will cause the bone and nerve to be exposed to air, fluids and food, causing an infection – or a dry socket.

Dry sockets typically occur three to four days after wisdom teeth removal. Some symptoms include pain that radiates to your ear and is not alleviated after taking pain medication, bad breath or an unpleasant taste/smell in your mouth.

After wisdom teeth removal, it is normal to experience swelling and bruising. The swelling usually improves after a few days while the bruising may take a few more to clear up. Use the ice pack as directed by our office.

Avoid brushing your teeth for the first 24 hours. After that, you may begin to brush your teeth, but be sure to be gentle around the extraction sites (try to avoid as much as possible).

Avoid gargling for the first 24 hours. Following that, you are able to SWISH LIGHTLY with warm salt water or mouth wash, but do not vigorously gargle until you are cleared to do so at your follow up appointment.

Immediately following surgery, we recommend starting off with clear liquids like 7-up, apple juice and water. If the patient is able to handle the clear liquids well, then we recommend doing a dairy base (especially before taking any pain medications). This includes ice cream, milkshakes (without a straw), yogurt, pudding and cottage cheese. From there, we recommend sticking with soft, cooler foods . Foods to avoid would include spicy foods, anything with seeds, hard or chewy foods (like chips or crackers), acidic foods and drinks, and anything with small particles .

We recommend waiting three-four days following wisdom teeth removal to exercise or participate in any vigorous activity. Exercising too early could aggravate the blood clot and increase your recovery time as well as discomfort.

We recommend waiting at least a day or two following wisdom teeth removal to travel (as mentioned, third or fourth day is the peak of discomfort). However, it is safe to fly after or travel after surgery (it will not affect your bleeding or healing process).

We recommend waiting 48 hours to smoke. A blood clot needs to develop over the extraction site in order to heal and the act of inhaling will cause it to burst. This could delay the healing process and potentially lead to dry sockets.

If you receive sedation anesthesia or general anesthesia, you're taken to a recovery room after the procedure. If you have local anesthesia, your brief recovery time is likely in the dental chair.

As you heal from your surgery, follow our dentist's instructions on:

  • Bleeding. Some oozing of blood may occur the first day after wisdom tooth removal. Try to avoid excessive spitting so that you don't dislodge the blood clot from the socket. Replace gauze over the extraction site as directed by your dentist or oral surgeon.
  • Pain management. You may be able to manage pain with an over-the-counter pain reliever or a prescription pain medication from our dentist or oral surgeon. Prescription pain medication may be especially helpful if bone has been removed during the procedure. Holding a cold pack against your jaw also may relieve pain.
  • Swelling and bruising. Use an ice pack as directed by your dentist or surgeon. Any swelling of your cheeks usually improves in two or three days. Bruising may take several more days to resolve.
  • Activity. After your surgery, plan to rest for the remainder of the day. Resume normal activities the next day, but for at least a week, avoid strenuous activity that might result in losing the blood clot from the socket.
  • Beverages. Drink lots of water after the surgery. Don't drink alcoholic, caffeinated, carbonated or hot beverages in the first 24 hours. Don't drink with a straw for at least a week because the sucking action can dislodge the blood clot from the socket.
  • Food. Eat only soft foods for the first 24 hours. Start eating semisoft foods when you can tolerate them. Avoid hard, chewy, hot or spicy foods that might get stuck in the socket or irritate the wound.
  • Cleaning your mouth. Don't brush your teeth, rinse your mouth, spit or use mouthwash during the first 24 hours after surgery. Typically you'll be told to resume brushing your teeth after the first 24 hours. Be particularly gentle near the surgical wound when brushing and gently rinse your mouth with warm salt water every two hours and after meals for a week.
  • Tobacco use. If you smoke, don't do so for at least 72 hours after surgery — and wait longer than that if possible. If you chew tobacco, don't use it for at least a week. Using tobacco products after oral surgery can delay healing and increase the risk of complications.
  • Stitches. You may have stitches that dissolve within a few weeks or no stitches at all. If your stitches need to be removed, schedule an appointment to have them taken out.

Wisdom tooth Extraction treatment across Southampton, Hampshire, Sandbanks & Poole. Get in touch with our dental expert for our affordable Wisdom tooth Extraction cost.

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