Wisdom Tooth Removal
Wisdom Tooth RemovalWisdom Teeth are the third and final set of molars that emerge, usually during your late teens to early twenties. For some people the wisdom teeth emerge through the gums and have enough room to grow in naturally. For others, wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted 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. Impacted wisdom teeth can cause structural damage to the jaw and other teeth. They can also provide a place for bacteria to gather since they are hard to reach and clean. 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.
Wisdom teeth extractions are a fairly common procedure. Wisdom teeth often 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.
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. This makes it easy for an infection, called pericoronitis, to develop. It will usually go away on its own, but it causes swelling and pain in the area.
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 are the best option, which will dissolve on their own.
Bone GraftingWhen removing a tooth it is important to consider what will be done with the empty space after that tooth is removed. Wisdom teeth are in the back of the mouth, so that site will heal on its own with no complications. If it is necessary to remove another tooth, plans must be made. If a tooth is removed and nothing is done with the extraction site, the jaw bone will degenerate and change shape during healing and can cause your teeth to shift. This can create problems in your bite and affect your ability to speak and chew.
If you want to fill the space with a dental implant, a sturdy jaw bone is necessary to install the implant. If you opt for a dental bridge, the bridge must be molded and placed before the teeth shift.
Your dentist is always open to a conversation on what you would like to do with your extraction site before removing a tooth. They will be able to make a recommendation and layout a treatment plan. Make sure to schedule follow up appointments to properly care for your extraction site.
Surgical InstructionsTo reduce the chance of infection or other complications After a Wisdom Tooth Extraction follow the guide below
- Surgical Procedures that require some post-operative Care
- Immediately after surgery, a gauze pad will be placed over the extraction site, which should not be removed for at least 45 minutes, and then discarded after that.
- Refrain from drinking from a straw or rinsing the mouth to ensure that you do not dislodge the blood clot that has formed.
- Limit your activities that day. You can resume your regular activities the following day.
- Take the pain medication as prescribed to reduce the amount of discomfort you feel after the local anesthetic wears off.
- As with any oral surgery, refrain from drinking through a straw as doing so creates suction and may disrupt the sutures.
Post-Op InstructionsAfter 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 your dentist. 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. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.
You will be limited to soft foods for a few days after your surgery. Some recommended foods are:
- Mashed Potatoes
- Iced Cream
- Thin Soups
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 your dentist for a follow up.
Tuesdays: 8:00AM - 5:00PM
Wednesdays & Thursdays: 7:00AM - 4:00PM
*Alternating Fridays 7:00AM - 12:00PM
18800 Main Street, Suite 203
Huntington Beach, CA 92648
To request for an appointment, please call
(714) 848 - 2277or email us at:
Ayoub Dental Corporation serves patients in Orange County including: Huntington beach, fountain valley, Laguna Beach, Orange, Irvine, Santa Ana, Anaheim, Cypress, Hawthorne, Culver City, Playa Vista, Playa del Rey, Mar Vista, Westminister, Costa Messa, Newport beach, Southern California.