All Posts tagged Wisdom teeth extraction

What are Wisdom Teeth and How are they Extracted?

What are Wisdom Teeth and How are they Extracted?

What are Wisdom Teeth?

Wisdom teeth are the last molars on each side of the jaws. They are also the last teeth to emerge, or erupt, usually when a person is between 16 and 20.

Since wisdom teeth are the last permanent teeth to come in, or erupt, there is often not enough room left in your mouth to accommodate them. This can lead to wisdom teeth that are impacted, teeth that are trapped beneath the gum tissue by other teeth or bone. If teeth are impacted, swelling and tenderness may occur.

Wisdom teeth that only partially emerge or come in crooked can also lead to painful crowding and disease. Since teeth removed before age 20 have less developed roots and fewer complications. Dr. Jaleel recommends that people between 16 and 19 have their wisdom teeth evaluated to see if they need to be removed. Wisdom teeth are the last four of your 32 teeth to erupt. These teeth generally appear between the ages of 17 to 25. When one of these teeth doesn’t have enough room to come in normally, it is considered impacted. Teeth may become twisted, tilted, or displaced as they try to emerge.

Impacted wisdom teeth do not always show symptoms, meaning you could have impacted teeth and not even realize it. If symptoms do arise, it is usually the result of the gum on top of the tooth becoming infected or swollen. Symptoms may include pain, swollen and bleeding gums, swelling around the jaw, bad breath, headache or jaw ache, and an unpleasant taste when eating. Some people experience stiffness of the jaw or swollen lymph nodes in the neck.

Annual dental appointments and x-rays can catch impacted teeth early before they start to show symptoms. Dr. Jaleel will most likely recommend surgery to remove the impacted teeth.

How are Wisdom Teeth Removed?

During the procedure
Your doctor or oral surgeon may use one of three types of anesthesia (Local anesthesia, Sedation anesthesia, General anesthesia). The appropriate anesthesia for you depends on the expected complexity of the wisdom tooth extraction and your own comfort level. Your options include:

During wisdom tooth extraction, Dr. Jaleel will:

  • Makes an incision in the gum, creating flaps to expose the tooth and bone
  • Removes any bone that blocks access to the tooth
  • Divides the tooth into sections if it’s easier to remove in pieces
  • Removes the tooth
  • Cleans the site of the removed tooth of any debris from the tooth or bone
  • Stitches the wound closed to promote healing, though this isn’t always necessary
  • Places gauze over the extraction site to control bleeding and to help a blood clot form

After the procedure
If you receive sedation anesthesia or general anesthesia, you’re taken to a recovery room after the procedure. If you have local anesthesia, your brief recovery time is likely in the dental chair.

As you heal from your surgery, follow our instructions on:

  • Activity. After your surgery, plan to rest for the remainder of the day. Resume normal activities the next day, but for at least a week, avoid strenuous activity that might result in dislodging the blood clot from the socket.
  • Beverages. Drink lots of water after the surgery. Don’t drink alcoholic, caffeinated, carbonated or hot beverages in the first 24 hours. Don’t drink with a straw for at least a week because the sucking action can dislodge the blood clot from the socket.
  • Food. Eat only soft foods, such as yogurt or applesauce, for the first 24 hours. Start eating semisoft foods when you can tolerate them. Avoid hard, chewy, hot or spicy foods that might get stuck in the socket or irritate the wound.
  • Pain management. You may be able to manage pain with a prescription pain medication — given by your doctor or oral surgeon — or an over-the-counter pain reliever, such as acetaminophen (Tylenol, others). Holding a cold pack against your jaw also may relieve pain.
  • Bleeding. Some oozing of blood may occur the first day after wisdom tooth removal. Try to avoid excessive spitting so that you don’t dislodge the blood clot from the socket. Replace gauze over the extraction site as directed by your dentist or oral surgeon.
  • Swelling and bruising. Swelling and bruising of your cheeks usually improves in two or three days. Use an ice pack as directed by your dentist or surgeon.
  • Cleaning your mouth. Don’t brush your teeth, rinse your mouth, spit or use a mouthwash during the first 24 hours after the surgery. After that time, gently rinse your mouth with warm salt water every two hours and after meals for a week after your surgery. Mix 1/2 teaspoon (2.5 milliliters) of table salt in 8 ounces (237 milliliters) of water. After the first 24 hours, resume brushing your teeth, being particularly gentle near the surgical wound to avoid disrupting any stitches.
  • Tobacco use. If you smoke, don’t do so for at least 24 hours after surgery — and wait longer than that if possible. If you chew tobacco, don’t use it for at least a week. Using tobacco products after oral surgery can delay healing and increase the risk of complications.
  • Stitches. You may have stitches that dissolve within a few weeks or no stitches at all. If your stitches need to be removed, schedule an appointment to have them taken out.
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