What Are Wisdom Teeth?
Wisdom teeth are the last molars to grow out, and sometimes they can cause discomfort having to resort to their extraction. They are located after the second molar in the last position of the denture. Usually, they appear during adolescence, having a period of the eruption in the case of women between 19 and 21 years and in men between 21 and 23, so they are considered retained molars if they have not yet come out in this period of time.
What Is An Impacted Tooth?
An impacted tooth is called a tooth that is blocked midway to its eruption. There are types of impact, and it can be that the piece is completely inside the gum or that a part of it has already managed to break the gingival tissue. Wisdom teeth are usually the most prevalent teeth in terms of this alteration.
Types Of Impactions
Given those wisdom teeth are the last long-term teeth to come out or grow, there is generally not sufficient space in the mouth to accommodate them. An Impacted tooth stays stuck in the gum tissue or bone for different factors. Some specialists think that an affected tooth presses the nearby tooth, which in turn presses the next.
Soft Tissue Impaction: Soft tissue wisdom tooth impaction suggests that a wisdom tooth has come through a few of the bone; on the other hand, it suggests that the wisdom tooth is stuck in the jawbone.
Partial Bony Impaction: The tooth has partly emerged, but a part of the crown stays immersed below the gum and surrounding jawbone. Once again, since it is challenging to keep the place clean, the infection will frequently take place.
Complete Bony Impaction: Tooth stays ingrained in the jaw bone or, if even partly noticeable, needs complex surgical strategies for removal. When the other facial structures make the elimination of this tooth substantially more complicated, this circumstance can also occur.
Why Should I Have My Wisdom Teeth Removed?
The removal of wisdom teeth involves removing the molars that are in the back of the mouth, called wisdom teeth or strings, which are causing pain or other problems. You will meet us before the procedure starts to discuss your treatment. It may be different from the one described in this document because it will be designed to suit your needs. Some of the potential difficulties associated with not removing your wisdom teeth involve:
Pericoronitis is an inflammation of the gum, accompanied by an infection, which usually occurs with the eruption of a molar. In adults, it usually occurs when a wisdom tooth or a third molar begins to emerge, while in children, it often occurs when the first molar is erupting.
When a wisdom tooth is affected, usually, at least one such cyst will form near it. They develop in the dental follicle and often go unnoticed because they do not cause any pain, although they can force the third molars to leave their natural position. This cyst occurs around non-erupted teeth such as wisdom teeth that have not yet come out and cause bone loss around them.
Crowding is valued throughout the dental arch, differentiating between crowding in the anterior sector (incisors and canines) and the posterior (bicuspids and molars). In mixed dentition, the incisive crowding and the lack of space for the eruption of canines and premolars in negative millimeters are measured. Strictly speaking, the prevention of secondary crowding can only be carried out because it is a consequence of environmental factors on which we can have the capacity to act.
Damage to Adjacent Teeth:
If there is insufficient space to clean up around the wisdom tooth, the tooth straight in front, the 2nd molar, can be negatively impacted, leading to gum illness, bone damage throughout the tooth, and decay.
What If I Don’t Have My Wisdom Teeth Removed As A Teenager Or Young Adult?
Most people have their permanent teeth at age 13. The teeth of the trial usually appear in the mouth between the ages of 17 and 21. Sometimes they do not have enough space to leave normally or are in an incorrect position to exit straight. Not everyone gets their teeth at the same time. That is why it is important to see the dentist like us regularly so that he can monitor the progress of the teeth of the trial. Each patient is unique, but in general, it may be necessary to remove the teeth of the trial when there is evidence of changes in the mouth. We also recommend extracting the teeth of the trial to avoid problems or for other reasons, such as when you have to remove them to place brackets, treat gums, or other dental procedures.
What Happens On The Day They Are Removed?
After removal of the wisdom tooth (or wisdom teeth), it is normal to feel discomfort in the area during the first 24 hours. And during those 24 hours, it is convenient not to spit, do not rinse your mouth or brush your teeth, since these actions cause the wound to bleed longer and take longer to heal. We must be careful, especially in the first moments after the extraction since anesthesia may continue to take effect, and we can harm ourselves by biting. In the first minutes (20-30 minutes), we must also keep gauze over the wound to control bleeding. If we saw that we were still bleeding, we would put on another gauze, about 30 more minutes, and so on until the wound didn’t bleed.
Our surgeon, always depending on each patient, can prescribe analgesics, anti-inflammatories, or, if necessary, antibiotics or rinses for the days following the intervention. During the first days and after 24h of the extraction, it is recommended to perform mouthwashes with water and salt to prevent infections and facilitate wound healing, follow a soft diet, and extreme cleanliness of the area where the piece has been removed. Even if you have some stitches on, you should brush the area and those stitches so that they do not become infected, without fear of detachment. In addition, we should not perform intense physical exercise, smoking, or drinking very hot liquids during recovery.
After the intervention, we may suffer some complications, although all of them are mild. Due to anesthesia, we can suffer nausea, vomiting, and passing numbness of the mouth. Quite more usual, although without consequences, is the appearance of a bruise on the cheek, in the same area where we have been operated.
The first thing to do immediately after having a tooth extraction surgery is to keep the gauze that we place in the area and squeeze hard for 15-20 minutes. This will help prevent bleeding. In young and healthy patients, gauze is often not necessary. And beyond 20 minutes, if bleeding continues, we must change it for a new one.
It is also important that, in the hours after the operation, you remain seated and try not to speak. You can also apply cold on the face, as this will help to avoid swelling. Of course, it is important to rest and avoid carrying out activities that require physical exertion, such as sports or work. Those first hours must remain at rest until we are better. You should not eat until we have woken up from anesthesia, so as not to bite. And on the first day, the diet should be soft and cold since the heat favors bleeding.
In short, the uprooting of the wisdom tooth is an operation that requires a prudential time of recovery and healing. Keep in mind that it is a large molar, so the process is more complicated. So, patience!
What Happens Afterwards – What Will I Feel Like?
After the tooth has been removed, you may need stitches. Some points dissolve over time, and others have to be removed after a few days. We will instruct you if it is necessary to remove the stitches. A folded cotton gauze will be placed over the wound to help stop bleeding. Recovery after extraction of wisdom teeth takes several months. First, a blood clot grows in the outlet that housed the extracted tooth. In one or two days, the socket begins to fill with a repair tissue that forms the basis for the development of new bone tissue. Recovery ends when the socket has been filled with new bone. For one or two days after the operation, bite the gauze dressing to compress the extraction site; apply constant pressure. Bleeding should stop within two hours. The surgeon may prescribe pain relievers (pain relievers) or suggest that you take over-the-counter medications. They may also prescribe antibiotics to prevent infections. Apply an ice pack on the cheek for 10 minutes; allow at least five minutes between one application and the next. Do not take hot fluids because heat can increase swelling and bleeding. Do not drink hot liquids. Heat can increase swelling or bleeding. Take it to light for at least 24 hours after the operation and go to bed early. To prevent the blood clot from coming off, avoid brushing your teeth or rinsing your mouth the first day. Do not smoke or drink with a straw (straw), because aspiration can remove the clot from its site.
Are There Any Problems?
Wisdom teeth removal (extraction) is the most typically carried out surgery performed by oral cosmetic surgeons. Similar to any surgical treatment, it does bring some threats; however, thankfully, these are rather small.
If you haven’t done it already, you’ll likely have a discussion with your dental practitioner about your wisdom teeth at some time. When these four brand-new teeth emerge, they’re not just harder to clean up due to their place at the back of the mouth, but they also might not fit conveniently in the mouth. This suggests removing them is frequently the very best alternative for your oral health.
Being ready for these possibilities is crucial to deal with or perhaps to avoid them properly. Some problems that patients are going through Wisdom teeth removal might experience damage to the sensory nerve, Sinus Communication, Dry Sockets, and infection inside the jaw. All of which are elaborately mentioned below.
Damage to Sensory Nerve:
In our body, there are 12 sets of cranial nerves that innervate the skull, facial muscles, lacrimal and salivary glands, teeth, and jaws. As the name suggests, the maxillary nerve innervates the upper jaw, and the mandibular – the lower jaw. With the surgical removal of a wisdom tooth, a dental surgeon may accidentally damage small branches of the maxillary or mandibular nerve. This causes paresthesia in those areas of the face that innervated these branches. Also, paresthesia may appear due to postoperative gum edema, inflammation of the teeth. In this case, the tissue swells and compresses the nerve branches, which causes characteristic symptoms. Freezing usually disappears 2-6 hours after drug administration, and then sensitivity is restored. The duration of action of the anesthetic depends on the susceptibility of the patient’s body and on the type of pain medication. The stronger the remedy, the longer the effect lasts.
Rarely, removal of the upper tooth may cause communication between the sinus and mouth, and it is called oral sinus communication. The latter will be carefully closed by the surgeon, and you will be informed that the nose does not blow for three weeks, and the use of nasal drops for ten days. Exceptionally new, the impacted upper tooth when it is very high can swing back in the pterygopalatine fossa, and in this case, the surgeon may have to leave the tooth without extracting. Throughout the removal treatment of a wisdom tooth, a specific quantity of bone can be lost around the sinus and form an interaction between the sinus cavity and the mouth. It is thought that the cause of this swelling is the injury of the bone that surrounds the sinus, as well as the circulation of germs from the mouth to the sinus cavity. In case the dental expert has actually not observed sinus interaction, recovery will still take place.
A dry nest after tooth removal takes place after about 5% of tooth extraction. This is a really agonizing condition that establishes when an embolism does not form correctly at the extraction website, or when the embolism is lost too early. Thus, the outlet is “dry.” Thus, the bone is exposed, and this can cause severe pain. Our cosmetic surgeons and personnel have the experience to acknowledge this concern and to help patients solve it successfully.
Dry socket generally accompanies patients who have a lower tooth that was causing pain, discomfort, or other issues before the cosmetic surgeon extracted it. Normally, our cosmetic surgeons will deal with a dry socket with a unique medicated dressing, which they put on the surgical website. You will likely need to use this dressing for a day or more. After this time, you need to talk to our practice to let us understand if the dressing fixed the problem, if the dressing requirements to be altered, or if you are still having discomfort or pain.
While it’s excellent to understand the signs, do not end up being too focussed on a dry socket or other problems. The large bulk of our patients experience healthy and typical healing, and we are here to support any patients who need extra assistance.
Since they’re more difficult to clean up, wisdom teeth might get infected. Food and germs can get caught in between the tooth and the gums. When you’re brushing and flossing, the area in between your wisdom teeth and the back of your mouth can be simple to miss out on. An impacted wisdom tooth might not grow through your gums properly. It might partly emerge, grow in at an angle, or establish totally sideways. A partly impacted wisdom tooth has a greater danger of infection. A tooth infection or cavity takes place when an overgrowth of germs makes holes in the external, difficult enamel layer.
What Does The Procedure Cost And Is It Covered By Insurance?
As you grow older, the wisdom tooth is more difficult to remove for several factors, consisting of more difficult bone, root development, and health issue connected with age. Your oral insurance coverage can cover much of the wisdom teeth extraction cost based upon your advantages, yearly, and deductible optimum. The insurer might provide a 15% repayment or cover half of the overall treatment expenses.
What If I Have Questions Before Surgery?
In the course of your discussion, your particular condition will be explained in more comprehensive detail. We help you to ask any issues you may have. If new issues occur after your interview, please call the doctor’s office to converse to one of the patient care administrators.
Amidst an oral examination and x-rays of the mouth, our doctors can assess the state of the wisdom teeth and foretell if there are existing or anticipated possible predicaments. Researchers have pointed out that initial evaluation and processing result in a better result for the patient. Cases are usually first decided in the mid-teenage times by their dentist, orthodontist, or by an oral and maxillofacial surgeon.
All outpatient operation is done under proper anesthesia to maximize patient satisfaction. Our doctors are qualified, accredited, and highly endured in producing different types of anesthesia for patients.
In most instances, the extraction of wisdom teeth is done under regional anesthesia, laughing gas, or common anesthesia. These choices, as well as the surgical opportunities (i.e., sensory nerve injury, sinus difficulties), will be addressed with you before the operation is finished. Once the teeth are extracted, the gum may be sutured. To recover control bleeding, chomp down on the gauze fixed in your mouth. You will sleep under our direction in the office till you are able to be driven home. Upon release, your postoperative kit will involve postoperative directions, a prescript for pain pills, medicines, and a follow-up meeting in one week.
Our assistance is presented in an atmosphere of optimum security. We employ modern monitoring tools, and our staff is experienced in anesthesia procedures.