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Wisdom tooth extraction

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Wisdom Tooth Extraction

A wisdom tooth is also known as your third molar is a tooth at the back corners of your mouth and commonly erupt in the early 20s. They are often impacted under your soft tissues and therefore need a surgical extraction. Wisdom tooth extraction is a surgical extraction performed by an experienced oral surgeon to remove one or more of your wisdom teeth.
They can cause a problem in eruption in a few cases, such as;
1. Overcrowding in your mouth doesn’t give them enough space to erupt.
2. They are impacted under soft tissues or underlying bone.
3. They might be damaging the adjacent tooth while erupting in the wrong position.
When a wisdom tooth is impacted or erupting in a wrong position, it may cause the formation of an abscess or a cyst and can damage your tooth root and underlying bone.

When to get wisdom tooth extracted?

Our dentist will examine your mouth and take a full mouth OPG to assess your case.
The wisdom tooth is often extracted when an OPG shows any sign of;
1. Development of cyst or abscess
2. Damage to the adjacent tooth
3. Risk of infection
4. No chance of a proper eruption
In such cases, when a wisdom tooth is removed, it helps to prevent many complicated issues that may arise in the future. Extraction of wisdom tooth is difficult in old age due to bone density, so it is preferred to get it extracted in your early 20s to avoid any inconvenience.

Process of wisdom tooth extraction

Wisdom tooth extraction is a similar process to a normal extraction that requires surgical intervention. Our dentist may administer your local or general anesthesia depending upon the requirement.
Once your tooth and surrounding tissues are numb, he/she will make an incision in your gum and raise a flap to expose your tooth and underlying bone. The severity of the procedure depends upon the depth of impaction of your tooth.
Your underlying bone is removed that is impacting the tooth and your tooth is sectioned into pieces to ease its removal. Once the tooth is removed, any debris is cleaned and your tissues are sutured(stitched) back to their original position. Just like a normal extraction, our dentist puts a gauze over the extraction site to control bleeding and promote clot formation.

What to expect after the wisdom tooth extraction?

Once the anesthesia wears off, you might experience some sort of discomfort and pain which usually subsides with OTC painkillers. Follow the instructions given by your dentist properly to ensure better and quick healing.
Eat soft food for a day or two and rinse your mouth with warm salt water after every meal. Avoid spitting and sucking from straws as they may dislodge the clot and interferes with the healing.
Similarly, avoid smoking for the next 72 hours to avoid any complications.
Our dentist at Zia Dental Care may set up an appointment to remove your sutures. If you experience any pain or swelling that worsens with time, immediately contact your dentist as it may be the sign of an infection.

Frequently Asked Questions

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1. When do I need to get my wisdom teeth out?

Wisdom teeth – the third molar in the very back of your mouth may not need to be removed if they are:
• Healthy
• Grown in completely (fully erupted)
• Positioned correctly and biting properly with their opposing teeth
• Able to be cleaned as part of a daily oral hygiene routine.
However, many times wisdom teeth don’t have room to grow properly and can cause many problems. Erupting wisdom teeth can grow at various angles in the jaw, sometimes even horizontally. Problems which can be encountered if the wisdom tooth is not removed are:
• Jaw damage: Cysts can form around the new teeth. If they aren’t treated, they can hollow out your jaw and damage nerves.
• Sinus Issues: Problems with wisdom teeth can lead to sinus pain, pressure, and congestion.
• Inflamed Gums: Tissue around the area can swell and may be hard to clean.
• Cavities: Swollen gums can create pockets between teeth that help bacteria grow and cavities form.
• Alignment of wisdom tooth: Impacted wisdom teeth can cause problems with crowding of other teeth and even make treatment to straighten other teeth necessary.
Our dentist will look at the shape of your mouth and the position of your teeth to make a decision whether you can keep it or it should be extracted according to the situation of your wisdom tooth. Your age plays a role too.

I had my wisdom teeth removed yesterday and the pain medicine isn’t helping my pain. What should I do?

The best regimen for the pain after extraction is Synflex 550 mg twice a day but if this pain medicine is not helping your pain then you can take deltacortil 5 mg once daily for two days. If your pain is relieved from it on the first day then don’t take it anymore.

What kinds of foods can I eat after having oral surgery?

On the day after the surgery, cool and soft food is recommended, such as ice cream, cottage cheese, pudding, or yogurt. Hot foods may disturb initial clot formation in the extraction sites so you should avoid it and make sure the food you eat is not HOT as you will be numb and your lip and tongue can be burnt and you may not feel it. Following the day of the surgery, it’s best to avoid crunchy foods such as popcorn, nuts, and potato chips which break up into little pieces and can get packed down into the extraction sites. If you had dental implants placed, please avoid chewing hard foods with the implant itself for 6 weeks or the healing of the implant will be compromised.

Can I keep my wisdom tooth?

If the tooth is whole and not broken, you can take your extracted teeth with you. It is important that you let our team know before surgery that you want to keep your teeth so we can wash and clean it first and then dry it. Your tooth will be hand over to you in a pouch to keep it dry and safe.

What If the Wisdom Tooth Needs to Be Removed?

If your wisdom tooth needs to be removed then you should visit our clinic to get your wisdom tooth extracted before it causes any complications. We will get your X-ray done to check the direction of the erupting wisdom tooth and plan our extraction procedure according to it.
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