Wisdom Teeth Extraction
Wisdom teeth can cause a lot of problems for a patient. In some cases, an extraction occurs before the wisdom tooth becomes a problem just to prevent any issues arising from having them later in life. Prior to having wisdom teeth extracted, we at Cornerstone Dental ensure that our trained dental-team will take the time to answer any questions that you may have and take you through each step of the procedure.
What Is Wisdom Teeth Extraction?
Wisdom teeth extraction is a procedure for the removal of your wisdom teeth. Wisdom teeth, also known as third molars, usually begin developing in patients who are between 17 and 25 years of age. Wisdom teeth are vestigial, which means that they serve little purpose for humans today. Extracting them can protect your other teeth from shifting out of place and preserve your smile.
When is Wisdom Teeth Extraction Necessary?
Wisdom teeth extraction is generally necessary if we observe that a patient’s wisdom teeth are not coming in correctly. If this is the case, wisdom teeth extraction will be recommended. If the wisdom teeth are allowed to come in, the following issues could arise:
- The wisdom teeth can become impacted due to there not being enough room in your jaw.
- The wisdom teeth can create a flap of gum tissue that allows germs and food to get trapped underneath, which can lead to infection.
- Bone and tooth damage can occur from impacted wisdom teeth.
- The pressure from the erupting wisdom teeth may move other teeth and disrupt the orthodontic or natural alignment of teeth.
- The most serious problem occurs when tumors or cysts form around the impacted wisdom teeth, resulting in the destruction of the jawbone and healthy teeth
What Does the Procedure Require?
A local anesthetic is used prior to the extraction in order to numb the tooth and the surrounding area for the patient. If multiple wisdom teeth are being removed, a Nitrous oxide sedation along with oral sedative might be used instead. Once the procedure begins, the dentist opens up the patient’s gum tissue near the tooth. Once the tissue is separated from the tooth and the bone, the wisdom tooth can then be removed. In some cases, a dentist may cut the tooth into several pieces in order to make the removal easier. Once the tooth is removed, the dentist will stitch up the nearby area if necessary.
After Extraction Home Care
Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.
Blood clots that form in the empty socket.
This is an important part of the healing process and you must be careful not to dislodge the clot.
- Avoid rinsing or spitting for 24 hours after the extraction.
- Avoid use of a straw, smoking or hot liquids.
If swelling occurs you can place ice on your face for 10 minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.
Pain and Medications
If you experience pain you may use non-prescription pain relief medications such as acetaminophen or ibuprofen.
For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.
Brushing and Cleaning
After the extraction avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site. Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.
Dry socket occurs when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged, and the healing is significantly delayed.
Following the post extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain, which doesn’t appear until three or four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry.
Cornerstone Dental Centre will apply a medicated dressing to the dry socket to soothe the pain.
After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However, after 1-2 weeks you should no longer notice any inconvenience.