Wisdom TEETH REMOVAL GUIDE

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Wisdom teeth removal: EVERYTHING TO KNOW BEFORE 

By Dr. M dANESHGAR 
Wisdom dental 

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OVERVIEW

Your back molars, also known as wisdom teeth, are the last adult teeth to emerge in your mouth. They come in on the top and bottom of both sides, usually between the ages of 17 and 21. Many people don’t have enough room in their jaws to accommodate wisdom teeth without their other teeth shifting. This can lead to a variety of problems.

If this happens to you, your dentist will likely recommend surgery to remove them. Wisdom teeth removal is very common, and recovery can take up to a week, depending on your specific case. Recovery may take longer if your wisdom teeth are impacted. This means that they haven’t emerged from below the gums yet and aren’t visible.

 WHY TAKE THEM OUT?



They’re impacted. Because they're so far back in your mouth, wisdom teeth may not come in normally. They can be trapped in your jawbone or gums, which can be painful.

They come in at the wrong angle.
They may press against your other teeth.

Your mouth isn’t big enough. Your jaw has no room for an extra set of molars.

You have cavities or gum disease. You may not be able to reach your wisdom teeth with your toothbrush or dental floss.

bEFORE SURGERY

You’ll meet with the oral surgeon to talk about the process. At this appointment, make sure you:

Talk about any health problems you have.

List any drugs you take on a regular basis.

Ask any questions you have about the surgery.

Discuss what type of anesthesia you’ll have. You can either be numb or asleep during your surgery.

Plan time off from work or school to have your surgery and rest afterward at home. Set up child care, pet care, or a ride home if needed.

the day of your surgery

Your surgery should take 45 minutes or less.

You’ll get one of these types of anesthesia so you don’t feel pain during the removal:


Local: Your doctor will numb your mouth with a shot of local anesthetic such as novocaine, lidocaine or mepivicaine. You may also breathe nitrous oxide, or laughing gas, to relax or even doze during surgery. You should feel alert again shortly afterward.

IV sedation: The surgeon will numb your mouth and also give you drugs through a vein in your arm to make you drowsy. You might sleep during the whole procedure.

General: You’ll either get drugs through a vein or breathe gas in through a mask. You’ll be asleep the whole time and might not wake up for an hour or so after the surgery.

You’ll slowly regain feeling in your mouth as you wake up from surgery. Some pain and swelling is normal. The first day of recovery will also include some blood in your mouth. You can start using an ice pack on your face as soon as you’d like. You’ll also be given instructions on when and how to take medications, either prescription painkillers or something over-the-counter.

You’ll be sent home once you wake up and feel ready. It’s a really good idea, if not mandatory, to have someone else drive you home. Your dentist might insist on it, especially if you undergo general anesthesia as you won’t be able to drive for an extended period of time.

You can eat very soft foods after surgery, but avoid alcohol, caffeine, and smoking. You should also avoid using a straw. This can lead to complications.

LONG TERM RECOVERY

Most people fully recover from wisdom teeth surgery in three to four days. If your teeth were impacted or came in at an awkward angle, it could take a full week to recover.

The wound left behind after surgery won’t be completely healed for months, so you can still develop an infection weeks after surgery. Take care of yourself and pay attention to any signs of trouble.

You can resume normal, daily activities the day after surgery, but avoid any activity that could dislodge stitches or the blood clot over your wound. This includes, but isn’t limited to:

Strenuous exercise
Smoking
Spitting
Drinking from a straw
Some swelling, pain, and bleeding is normal after wisdom teeth removal. Call your dentist immediately if the pain or bleeding is excessive and unbearable.

Your symptoms should be greatly improved by the third day after surgery. All pain and bleeding should be gone within a week of surgery.

Some complications could be a sign of infection or nerve damage. Seek help if you experience any of these symptoms:

Trouble swallowing or breathing
Fever
Medication not effective at dulling the pain
Swelling that gets worse over time
Numbness
Blood or pus coming out of your nose
Bleeding that doesn’t stop when you hold gauze to it and apply pressure

Home Care

It’s very important that you do a good job of caring for your mouth when you get home to avoid infections and complications. Your dentist or oral surgeon will give you exact instructions on how to clean and protect your mouth after surgery. This might be the only time your dentist tells you not to brush, rinse, or floss for a whole day.

Common cleaning instructions include:

Rinsing with salt water to keep the wound clean. Don’t spit the water out when you rinse. Instead, tip your mouth over the sink and let the water fall out.
Gently dab the wound with gauze to absorb excess blood.
You should be able to go back to daily life a day or two after surgery. You’ll want to be very careful not to dislodge your blood clot or stitches for a week. Like any scab, the blood over your wisdom tooth hole protects and heals the wound. If the blot clot is disrupted, you’ll be in increased pain and at an increased risk of infection. When this happens, it’s called a dry socket. You can get a dry socket in just one or all of the wound holes.

Activities you should avoid during recovery include:

Anything that would dislodge your stitches or blood clot
Smoking
Spitting
Drinking from a straw

PAIN MANAGEMENT

The main ways you can manage pain and reduce swelling are by using ice and taking pain medication. Ask your dentist for instructions on how often to use an ice pack on your face. Don’t put ice directly to your face, as this may lead to ice burn. They’ll also recommend whether to take prescription or over-the-counter medications.

You might also be instructed to take antibiotics while you recover. This is to prevent any infections while your mouth is vulnerable to germs. Be sure to take the full course of antibiotics as instructed by your dentist.

food to eat & avoid

Staying hydrated and eating well is important for recovery, though you might not have a very good appetite directly after surgery. Ask your doctor for specific instructions on what you can eat the first few days of recovery. Think of food that will be easy to eat without much chewing, and food that won’t disrupt your blood clot or stitches.

Start with very soft food at first, such as:
Cottage cheese
Apple sauce
Budding
Soup
Mashed potatoes
Smoothies


Extremely hot food that can burn the site of the surgery
Nuts or seeds that could get stuck in the hole where your wisdom teeth used to be
Drinking from a straw, or slurping too vigorously from a spoon, which can dislodge your blood clot or ruin stitches
Slowly begin eating heartier food when you feel ready.

SUMMARY

Wisdom teeth extraction is a very common procedure to fix or prevent problems with your last set of molars. You can eat soft food and return to regular, daily activities the day after surgery.

Recovery from wisdom teeth surgery takes about three days, but can take up to a week or more. It’s important that you follow the at-home care instructions that your dentist gives you in order to aid healing and prevent infection.

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