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Wisdom teeth or Third molars completely erupt usually between 18 to 24 years of age. However, sometimes there may not be room in your mouth for your wisdom teeth. Thus, when they start to come through, they push against the teeth already there or come through at an angle. This can be quite disconcerting especially if you have undergone orthodontic treatment. When this happens, you might feel some pain or discomfort, so the best thing to do is to visit us at Therapeuo.
We will take an OPG x-ray of your mouth to see how-or if-your wisdom teeth are coming through. From this, we will be able to judge whether or not to extract them, and how easy or difficult it might be. In certain complicated cases an additional scan known as a CBCT Scan will be required.
You may be a candidate for the procedure if your wisdom teeth are decayed so severely that a filling, root canal or other restoration is not a possibility for treatment. This will also be the case for recurring peri-coronitis(swollen and tender gums which bleed easily) or incorrectly erupted third molars.
If we agree to extract one or more teeth, you will be scheduled to return for oral surgery at a later date.
Before starting the dental extraction, our dental surgeon will take an X-ray of your tooth. This imaging will help us evaluate the curvature and angle of the tooth's root.
Once the local anesthetic has numbed the area, the oral surgeon will begin the extraction. We may remove the tooth completely or in several pieces depending on how badly the tooth is impacted.
If the tooth is concealed beneath gum tissue or bone, the oral surgeon may need to cut away the gum or remove the obstructing area of bone.
You will not feel pain (pain free treatment), but you can expect to feel pressure against the tooth. You may also hear grinding and cracking of bone or teeth. Some people find the experience unpleasant and distressing but there is no need to fret as you are in good hands.
If you do feel any pain, please notify our dentist or oral surgeon immediately. The doctor will administer more numbing agent.
After the extraction, stitches or additional procedures to control the bleeding in the missing tooth area may be necessary.
The dentist or oral surgeon will place a thick layer of gauze over the extraction site and have you bite on it to absorb the blood and start the clotting process. You may be prescribed medications to help manage pain in the hours following your extraction.
Aftercare for an extracted tooth can vary slightly depending on a few factors.
These include which tooth our dental surgeon took out, as some teeth have deeper roots than others and take longer to heal. However, most people find that pain decreases after about 3 days.
One of the most important aspects of aftercare is maintaining the blood clot that forms in the socket where the tooth used to be.Caring for this blood clot is key to the healing process, and it helps prevent painful complications, such as dry socket.
Much of the aftercare in the first couple of days following an extraction focuses on allowing a blood clot to form and caring for the mouth in general.
As some experts note, low level bleeding for up to 24 hours after an extraction is perfectly normal. However, active bleeding after this point requires treatment and you should notify us immediately of the same.
The extraction socket in the area of the missing tooth may bleed for a few days. Please come and see us if the bleeding is heavy and doesn't stop.
You will be instructed to avoid certain foods and also keep the surgical site clean at all times.
You should try to eat soft foods while recovering from tooth extraction. After the clot has formed, it is vital to keep it securely in place and to follow some extra steps for oral hygiene to help prevent other issues.
Saline rinses : When the clot is securely in place, gently rinse your mouth with a warm saline solution or a pinch of salt in warm water. This mixture helps kill bacteria in the mouth, which may prevent infections as the mouth heals.
Brush and floss as usual : Brush and floss the teeth as usual, but take care to avoid the extracted tooth (missing tooth area) altogether. The saline solution and any medicated mouthwash that we recommend should be enough to clean this area.
Eat soft foods : Throughout the entire healing process, you should eat soft foods that do not require a lot of chewing and are unlikely to become trapped in the empty socket(missing tooth area). Consider sticking to soups, yogurt, applesauce, and similar foods. Avoid hard toast, chips, and foods containing seeds.
However, the healing time for wisdom teeth extraction may still be much longer than that for a regular tooth, and a person may need to take more time off work or school.
The swelling gets worse, instead of better.
You have fever, chills or redness.
You have trouble swallowing.
You have uncontrolled bleeding in the area.
The area continues to ooze or bleed after the first 24 hours.
Your tongue, chin or lip feels numb more than 3 to 4 hours after the procedure.
The extraction site becomes very painful , This may be a sign that you have developed a dry socket.
Wisdom teeth can be difficult to reach while brushing because of their location in the mouth; as a result, they decay easily. Partially erupted wisdom teeth are particularly difficult to keep clean because they are still partly under the gums.