The final and third set of molars are the wisdom teeth. If they are properly aligned and healthy they can be an asset, if they are impacted or crooked they will most probably have to be extracted. Wisdom Teeth Extractions-Dental Care can advise you on what is best for your situation.
If your wisdom teeth grown in horizontally or angle toward the other molars they can damage adjacent teeth, the jawbone and surrounding nerves. Plaque can get trapped and decay can ensue. If the teeth are impacted and only partially break through the soft tissue this allows for bacteria to enter the tooth and infection can result with accompanying pain and swelling. Gum disease and tooth decay can occur with these teeth as they are difficult to brush and floss.
The teeth are the hardest substance in the body, they are important for chewing and play an important role in speech. They are comprised of enamel which is the outer white part of the tooth. Dentin is the layer under the enamel made of living cells that secrete a hard mineral substance. Pulp is the soft living inner structure. Blood vessels and nerves run through the pulp.
Your dentist will take x-rays of your teeth periodically to see what is going on, if your wisdom teeth need attention he or she will advise you accordingly. Misaligned or horizontal teeth may need to be extracted before they cause problems. Doing this will prevent more complex and painful extractions at a later time. It is easier to remove wisdom teeth in younger people when the bone is less dense and not fully developed. When it is done on older people they take longer to heal.
Your dentist or oral surgeon will extract your wisdom teeth easily if they are fully erupted, your dentist will let you know what he will be doing in the pre-extraction exam. If the tooth is under the gums and embedded in the jawbone it will require removal of the bone that lies over the tooth. Sometimes when a tooth is in this position it will be removed in sections to minimize the amount of bone lost. You will receive a local anesthetic prior to the tooth being pulled to numb the surrounding gums. You may also be given a sedative to control anxiety, this can include Valium, nitrous oxide or in intravenous sedative. You may need a ride home after the appointment.
Recovery will depend on how difficult the extraction was and during the first 24 hours bleeding can occur. Placing a moist gauze pad over the extraction site and apply pressure for 45 minutes to help with clotting. Another method to try would be to use a teabag as the tannic acid in tea can help the blood to clot. Do not spit, rinse or drink through a straw for the first 24 hours and avoid hot liquids.
Swelling is normal, to minimize this place ice wrapped in a cloth on your face for 10 minutes on and 20 minutes off for the first 24 hours. You can take ibuprofen or acetaminophen for minor discomfort. If you are having a lot of pain your dentist can prescribe something stronger. If you are on antibiotics continue to take them. Eat soft food and liquids and avoid alcohol.
Dry socket and paresthesia can occur after “. Dry socket is common, it occurs when the clot has failed to form or has dislodged. It usually takes 3 to 4 days to happen, you will feel pain and the odor will be foul in your mouth. Your dentist will apply medication in the socket for treatment. When the nerves are bruised or damaged it is called paresthesia and this is not as common. Symptoms are numbness in the lips, tongue or chin and can last a couple of days and sometimes be permanent.
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