Dos And Don’ts After Wisdom Tooth Extraction

A. Wisdom Teeth Extractions “Do’s and Don’ts”

Extraction of wisdom teeth is an important oral operation. Despite the pain that wisdom teeth cause upon entry, residents of Bel Air, MD, are terrified of any type of surgery. Rest assured when visiting the Maryland Center in Bel Air, MD, your safety and comfort are our top priority. Our surgeons are experts in the surgical removal of wisdom teeth and use the least invasive techniques to minimize discomfort after surgery. To ensure that you get the best possible recovery from your wisdom tooth extraction, we have compiled this list of pros and cons for wisdom tooth extraction.

1. After the wisdom teeth are extracted, do the following

  1. Lift your head This will help reduce the swelling you are experiencing.
  2. Ice your face for the first 24 to 48 hours. Ice will help relieve pain and minimize swelling.
  3. Bite the gauze to stop the bleeding. Once the bleeding has stopped, there is no need to bite the gauze.
  4. For now, stick to a soft, liquid diet. Slowly switch to harder foods as you start to heal.
  5. Perform jaw exercises by gently opening and closing your mouth.
  6. Drink plenty – but not from a straw!
  7. Take your pain medication as directed. Don’t skip a dose or it will be harder to “catch up” and relieve pain later on.
  8. From the second day after the operation, brush your teeth, but do not brush the wisdom teeth extraction sites.
  9. Call the Bel Air, MD Maryland Center right away if you have a fever (which could be a sign of an infection) or if you have pain or swelling that just doesn’t go away after following the instructions above.

2. After wisdom teeth extraction

  1. Use straws, suck, spit or smoke. Avoiding these activities will help preserve the blood clot that forms at the site of wisdom teeth extraction. If the clot breaks out, there may be more bleeding, more pain, and a possible side effect called a dry eye socket.
  2. Avoid pretzels, popcorn, potato chips and other hard or spicy foods for at least 1 week.
  3. Stop using ice packs after the first 48 hours after your wisdom teeth are extracted. Instead, switch to heat, on the outside of your face or directly into your mouth on sores. Hot water at the wisdom teeth extraction site can be soothing and promote healing.
  4. Do not rinse your mouth too forcefully, although rinsing with salt water may be recommended.

3. What else should I know about wisdom teeth extraction?

With so many wisdom tooth extraction patients in Bel Air, MD choosing some form of sedation to be more comfortable during their wisdom tooth extraction, it is important to remember that everyone reacts differently to these types of medications. If you choose a dental sedation option other than laughing gas (also known as laughing gas), you will not be able to drive home after the procedure. Instead, you need to have a friend or family member drive you home. You should not be left alone for the first few hours after the procedure to ensure that if you have any problems with your sedation medication, you will have help when you need it.

 

B. Wisdom Tooth Extraction

Wisdom tooth extraction is a surgical procedure to remove one or more wisdom teeth – the four adult permanent teeth that are located at the top and bottom of the back corners of the mouth. If a wisdom tooth has no room to grow (compromised wisdom tooth), causing pain, infection, or other dental problems, you will likely need to let it go. Wisdom tooth extraction can be performed by a dentist or oral surgeon. To avoid possible future problems, some dentists and oral surgeons recommend extracting wisdom teeth, even if the impacted teeth are not causing problems at the moment.

1. Why is it done

Wisdom teeth or third molars are the last permanent teeth to appear (erupt) in the mouth. These teeth usually appear between the ages of 17 and 25. Some people never develop wisdom teeth. In others, wisdom teeth erupt normally – just like your other molars – and cause no problems.

Many people develop impacted wisdom teeth – teeth that don’t have enough space to break through in the mouth or develop normally. Impacted wisdom teeth may only partially or not erupt.

An affected wisdom tooth can:

  1. Grow at an angle to the next tooth (second molar)
  2. Grow obliquely towards the back of the mouth
  3. Grow at right angles to the other teeth as if the wisdom tooth is “laying” in the jaw
  4. Like other teeth, they grow up or down but get stuck in the jaw

a. Problems with impacted wisdom teeth

You will likely need to extract your impacted wisdom tooth if it causes problems like:

  1. Pains
  2. Trapping of food and debris behind the wisdom tooth
  3. Infection or gum disease (periodontal disease)
  4. Tooth decay in a partially erupted wisdom tooth
  5. Damage to a nearby tooth or bone
  6. Development of a fluid-filled sac (cyst) around the wisdom tooth
  7. Complications of orthodontic treatments to straighten other teeth

b. Preventing future dental problems

Dentists disagree on the value of extracting impacted wisdom teeth that do not cause problems (asymptomatic). It is difficult to predict future problems with impacted wisdom teeth. However, here is the rationale for preemptive extraction:

  1. Asymptomatic wisdom teeth can still harbor disease.
  2. When there is not enough space for the tooth to erupt, it is often difficult to get there and clean it properly.
  3. Serious complications with wisdom teeth are less common in younger adults.
  4. Older adults may have difficulty having the surgery and complications after surgery.

2. Scratchs

Most wisdom teeth extractions do not result in long-term complications. However, removing impacted wisdom teeth occasionally requires a surgical approach that involves making an incision in the gum and removing the bone. Complications can rarely be:

  1. Painful dry eye socket or bone exposure when postoperative blood clot is lost from the surgical wound site (socket)
  2. Infection in the pan from bacteria or stuck food
  3. Damage to neighboring teeth, nerves, jaws, or sinuses

3. This is how you prepare

Your dentist can perform the procedure in the office. However, if your tooth is deeply affected or extraction requires a deep surgical approach, your dentist may suggest that you see an oral surgeon. In addition to numbing the area with local anesthesia, your surgeon may suggest sedation to help you feel more comfortable during the procedure.

a. Questions to ask

Some of the questions you may want to ask your dentist or oral surgeon include:

  1. How many wisdom teeth need to be removed?
  2. What type of anesthesia will I receive?
  3. How complicated do you think the process will be?
  4. How long is the process likely to take?
  5. Did impacted wisdom teeth damage other teeth?
  6. Is there a risk of nerve damage?
  7. What other dental treatments will I need later?
  8. How long does it take to completely heal and return to normal activity?

b. Get ready for the operation

Wisdom tooth extraction is almost always done on an outpatient basis. That means you go home the same day. You will receive instructions from the hospital or dental clinic staff on what to do before the operation and on the day of the scheduled operation. Ask these questions:

  1. Do I have to make sure someone takes me home after the procedure?
  2. When should I go to the dental clinic or hospital?
  3. Do I need to avoid eating or drinking fluids, or both (quickly)? If yes, when do I start?
  4. Can I take my prescription drugs before surgery? If so, how long before the operation can I take a dose?
  5. Should I avoid over-the-counter medications before surgery?

4. What does she expect

a. During the procedure

Your dentist or oral surgeon may use one of three types of anesthesia, depending on the expected complexity of the wisdom tooth extraction and your comfort level. Options include:

  1. Local anesthesia. Your dentist or oral surgeon will perform local anesthesia with one or more injections near the donor site. Before getting an injection, your dentist or surgeon will likely apply a substance to your gums to numb them. You are awake during the tooth extraction. Although you will feel some pressure and movement, you should not feel any pain.
  2. Sedative anesthesia. Your dentist or oral surgeon will give you a sedative anesthetic through an intravenous (IV) line in your arm. Anesthesia with sedation suppresses your consciousness during the procedure. You feel no pain and have only limited memory of the procedure. You will also be given a local anesthetic to numb your gums.
  3. General anesthesia. In special situations, you may be given general anesthesia. You can breathe the medication through your nose or have an IV line in your arm, or both. Then you lose consciousness. Your surgical team will closely monitor your medication, breathing, temperature, fluids and blood pressure. You will not feel any pain and will not remember the procedure. Local anesthesia is also administered in case of post-operative complaints.

During wisdom tooth extraction, your dentist or oral surgeon will:

  1. Make an incision at the gum line to expose the tooth and bone.
  2. Removes bone blocking access to the tooth root.
  3. Divides the tooth into sections when it is easier to remove it in pieces.
  4. Remove the tooth.
  5. Cleans the removed tooth site of any tooth or bone debris.
  6. Sew up the wound to aid healing, although this is not always necessary.
  7. Place gauze over the donor site to control bleeding and help blood clots form.

b. After the procedure

If you receive sedation or general anesthesia, you will be taken to a recovery room after the procedure. If you have a local anesthetic, your short recovery time will likely be in the dental chair.

While your surgery is healing, follow your dentist’s instructions to:

  1. Bleeding. Some blood may appear on the first day after wisdom teeth are removed. Try to avoid spitting too much so as not to loosen the blood clot from the cavity. Replace the gauze over the extraction site as recommended by your dentist or oral surgeon.
  2. Pain management. You can manage pain with an over-the-counter pain reliever, such as acetaminophen (Tylenol, others) or a pain reliever prescribed by your dentist or oral surgeon. Prescription pain relievers can be especially helpful if bones are removed during the procedure. Holding an ice pack against your jaw can also relieve pain.
  3. Swelling and bruising. Use an ice pack as directed by your dentist or surgeon. Any swelling in the cheeks usually gets better within two or three days. Bruises can take several days to disappear.
  4. Activity. After the operation, plan a rest for the rest of the day. Resume normal activities the next day, but avoid vigorous activities for at least a week that could cause the blood clot to be lost from the pan.
  5. Drinks. Drink plenty of water after surgery. Do not drink alcoholic, caffeinated, carbonated or hot beverages for the first 24 hours. Do not drink through a straw for at least a week as the suction process can loosen the blood clot from the cavity.
  6. Snack. Eat only soft foods, such as yogurt or applesauce, for the first 24 hours. Start eating semi-soft foods when you can tolerate them. Avoid hard, hard, hot or spicy foods that get stuck in the wound or irritate the wound.
  7. Clean your mouth. Do not brush, rinse, spit or use mouthwash for the first 24 hours after surgery. Typically, you will be asked to resume brushing after the first 24 hours. Take special care when brushing near the surgical wound and rinse your mouth gently with warm salt water every two hours and after meals for a week.
  8. Tobacco use. If you smoke, you shouldn’t do so for at least 72 hours after surgery – and wait longer if possible. If you chew tobacco, don’t use it for at least a week. Ingestion of tobacco products after oral surgery can delay healing and increase the risk of complications.
  9. Points. You may have stitches that will resolve within a few weeks or no stitches. If your stitches need to be removed, make an appointment to have them removed.

c. When to call your dentist or surgeon

Call your dentist or dental surgeon if you notice any of the following signs or symptoms that could indicate infection, nerve damage, or other serious complications:

  1. Difficulty swallowing or breathing
  2. Heavy bleeding
  3. Fever
  4. Severe pain that is not relieved by prescribed pain medication
  5. Swelling that gets worse after two or three days
  6. A bad taste in the mouth that a salt water rinse will not eliminate
  7. I put in there or dripping from the outlet
  8. Persistent numbness or loss of sensation
  9. Blood or pus in the nasal discharge

5. Results

You probably won’t need a follow-up appointment after a wisdom tooth extraction if:

  1. You don’t need to remove any seams
  2. There were no complications during the procedure
  3. You won’t have lingering problems like pain, swelling, numbness, or bleeding – complications that could indicate infection, nerve damage, or other problems

If complications arise, contact your dentist or oral surgeon to discuss treatment options.