Wisdom teeth can cause an issue when there is not enough room for them in your mouth or when they are coming in at a weird angle. Sometimes they may come in completely without any issues but are too far back in the mouth to keep cleaning, creating a breeding ground for bacteria.
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Why is it important and how do they remove an impacted wisdom tooth?
Impacted wisdom teeth can pose a significant risk to the dental health of a patient.
Those partially covered by gum tissue can make patients especially vulnerable to decay, periodontal disease, and potentially serious infections.
Food particles and bacterial plaque become trapped under the gum line, where they are completely out of reach for the patient to remove.
Because the wisdom tooth was not removed in time, the second molar developed a large cavity and eventually an abscess that required endodontic treatment and a crown to save it.
Removal of wisdom teeth is usually not complicated, although care must be taken not to injure nerves in the area.
To minimize trauma to the jaw, the tooth is divided into pieces that are removed in a logical order according to a carefully developed plan.
The soft tissues close up over a few weeks. Bone usually completely fills the socket within months.
When pulling a tooth how is it considered surgical?
Surgical extractions require a surgical incision and/or splitting of the tooth for less traumatic removal.
This tooth has a curved root, which may make it more difficult to remove the tooth in one piece.
By dividing the tooth into pieces, the back half can be extracted first. This allows the front half to have a rotational path for extraction.
This preserves the delicate bone between the roots.
How do I care for the area once I go home after having a tooth pulled?
For the first 20 to 30 minutes after the procedure, if a surgical compress or dressing has been placed over the extraction site, follow the doctor’s advice on how long to leave it in place. Keep pressure on the compress, talking if necessary with your teeth together to avoid movement of the gauze.
Do not exert yourself any more than you have to (running, lifting, and that sort of thing).
Do not rinse your mouth vigorously until your doctor or health care professional tells you to. Doing so may cause bleeding from the extraction site.
Do not smoke unless absolutely necessary. If necessary, take short puffs. These will not build up suction. Suction can dislodge blood clots. This can cause bleeding. Smoking can also interfere with the healing process and has been shown to increase the incidence of a dry socket following the removal of a tooth.
Do not drink through a straw, and avoid carbonated beverages of any kind. The bubbles can dislodge blood clots in the first 24 to 48 hours after surgery.
Do not spit forcefully. This can also cause bleeding.
Do not dab the wound with gauze, tissues, or other absorbent materials to try to soak up bleeding.
If the wound is bleeding, place gauze, which has been moistened and then dabbed dry, directly on the wound and apply pressure for 20 to 30 minutes.
Exercise increases your blood pressure. This can cause bleeding.
If the soft tissues are still numb, do not eat and do not drink hot beverages until the numbness has worn off.
Do not exert yourself any more than necessary.
It’s possible to bite or burn yourself badly without knowing it.
To avoid dehydration, be sure and drink plenty of fluids.
An electrolyte supplement may be recommended by your dentist.
It’s a good idea to rest as much as possible for the first day or two after surgery.
Avoid chewing on the surgical site or otherwise irritating the surgical site.
If your dentist recommends using an antiseptic rinse such as chlorhexidine, rinse the area as directed by your dentist.
Icepacks should be applied indirectly to the area of surgery (such as the cheek on the affected side). Apply the pack for approximately 15 minutes each hour. Do not apply the cold directly to the skin. During the first day, cold may help reduce swelling. After 24 hours this will not help much. As a matter of fact, moist heat can reduce any muscle soreness that you may be experiencing.
Be sure to take any pain relievers, antibiotics, or other medications your doctor has prescribed.
It’s important to eat well after oral surgery. Soft foods, clear broths, soft boiled, fried, or scrambled eggs, protein powders, steamed rice, tender meats such as fish, nutritional shakes, and foods pureed in a blender are among the recommended postoperative foods.
While the soft tissue is healing, avoid seeds – especially small berry seeds and husks; acidic foods such as citrus fruits and vinegar; and spicy foods and sauces.
Practice opening your mouth passively through its full range of motion to avoid muscle trismus (or reduced opening). If trismus does occur, it is usually temporary and is not a sign of a serious problem.
Call your dentist if you are unsure or concerned for any reason.
It’s a good idea to sleep with your head slightly elevated, if possible. This will reduce the chance of throbbing at the surgical site.
Keep your mouth as clean as possible. Avoid vigorous brushing, especially around the surgical site.
If sutures (or stitches) have been placed, follow your doctor’s advice on when to have them removed.
IF YOU EXPERIENCE DIFFICULTY SWALLOWING OR BREATHING AT ANY TIME AFTER TOOTH REMOVAL, SEEK EMERGENCY MEDICAL ATTENTION IMMEDIATELY
AND NOTIFY YOUR DENTIST.
Here are some things to expect in the days ahead.
Dental extractions usually don’t cause major complications. However, some discomfort can be expected.
There may also be some bruising.
If you experience any swelling within the first few days, it’s usually due to your body’s natural repair process and will usually go away on its own.
If the swelling starts on the third day or later, it may be a sign of infection. Call your dentist for an appropriate antibiotic prescription and/or surgical drainage.
It’s normal for some oozing to occur for a day or two after being operated on. A small amount of blood that is mixed with saliva can make it look like a lot of blood. If you are not sure, dry the wound by applying gentle pressure for a few seconds with a clean gauze pad and watch the wound for any significant bleeding. Do not dab at the wound. Do not try to absorb any bleeding.
If you think it’s bleeding too much, apply direct pressure for 20-30 minutes and call your dentist.
If you experience prolonged numbness for more than a few hours or severe pain after tooth extraction, contact your dentist immediately.
Both of these are unusual.
Depending on which teeth were removed, your dentist may recommend additional procedures after the extractions – such as bone grafting and dental implants.
and dental implants.
If you have any questions or concerns that are not addressed in this article, please Call us at 833-ZAK-TEAM.