WHAT TO KNOW ABOUT WISDOM TEETH
Wisdom teeth are the third and final set of molars that emerge, usually during your late teens to early twenties. For some people wisdom teeth emerge through the gums and have enough room to grow in naturally. For others, wisdom teeth will cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially. This can cause structural damage to the jaw and other teeth.
When a wisdom tooth only emerges partially a flap of skin, called an operculum, may form over the tooth. This can make the tooth hard to clean, and pieces of food may be caught under the skin. Bacteria may gather and infection, called pericoronitis, can develop. It will usually go away on its own, but it causes swelling and pain in the area. These potential problems make it necessary to remove impacted wisdom teeth so that larger problems do not arise. Routine x-rays during a dental exam can reveal if you will need to have your wisdom teeth removed.
Extractions can range from a single tooth, to removing all four wisdom teeth at once. Dr. Say and Dr. Palencar offer a local anesthetic to numb the areas where the teeth will be extracted. They also offer oral sedation (Triazolam), and nitrous oxide (laughing gas) for pain control. In some cases, Brock Dental may feel it necessary to refer you to an Oral Surgeon, where a general anesthetic can be offered to you.
The gum tissue around the wisdom tooth is cut open to reveal the tooth. The tooth is loosened by gripping it tightly and wiggling it back and forth until it can be lifted out of the gums. Sometimes a tooth may be impacted so tightly that it cannot be simply lifted out of the gums. In cases like this the tooth will be broken up into pieces first before being removed. Depending on the incision and extraction site, sutures may be needed to close the area. Soluble sutures can be placed and will dissolve on their own. Alternatively, the site may require silk sutures which do not dissolve on their own. You will need to return in 10-12 days to have them removed.
After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call Brock Dental. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Dr. Say or Dr. Palencar will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. If necessary, Brock Dental may provide you with a cleaning solution to clean the extraction site as well as antibiotics, where required.
You will be limited to soft foods for a few days after your surgery. Some recommended foods are:
- Mashed Potatoes
- Ice Cream
- Thin Soups
- ...and other food you can eat without chewing.
When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don't feel that the extraction site is healing properly call Brock Dental for a follow up.