Wisdom Teeth Extraction – Procedure and Expectations

Dec 01, 2020

Wisdom teeth, also called the back molars are the last set of teeth to grow. They are usually four in number and erupt amid ages 17 – 25. Some people may fail to develop wisdom teeth, while other grow wisdom teeth normally.

However, several people develop impacted wisdom teeth. This means that the newly erupting teeth don’t have enough room to develop normally in the mouth. Since impacted teeth may at times not grow above the jawline, the phenomenon can be painful as it stresses the tissues below your gumline.

It therefore necessitates the dentist in Ajax, ON to perform an impacted wisdom tooth extraction procedure. Below are a few things to note about an impacted wisdom tooth. It may:

  • Grow as a second molar, at an angle facing the next tooth
  • Grow at an angle inclined towards the back of the mouth
  • Grow perpendicular towards other teeth; as if it’s lying flat on the jaw bone
  • Grow straight like other normal teeth, but remains trapped below the gumline.

How Do You Prepare for A Tooth Extraction?

An extraction procedure is likely to be performed from the dental office. If the tooth is extremely impacted, a serious surgical approach might be necessary. This will be performed by an oral surgeon. To make the procedure smooth, the oral surgeon uses a local anesthesia to numb the area, or suggest a sedation medication.

Preparation for Surgery

Generally, a molar removal is an outpatient procedure. It means you go home on the same day of treatment.

Smiles at Dr. Patel’s staff will give instructions on what to do before, during, and after the day of surgery. You can ask the following questions for clarity.

  • Do I need someone to drive me home post-surgery?
  • What time should I arrive at the hospital or dental clinic?
  • Will I need a break from drinking and eating food? If so, what types of food and when will I begin?
  • Can I take my prescription dosage before the surgery? How soon before the surgery should I take them?
  • What non-prescription drugs do I need to avoid before the surgery?

What to Expect

During the Procedure

Your oral surgeon uses any of these three types of anesthesia for wisdom teeth extraction in Ajax, ON depending on the complexity of the molar extraction and the patient’s comfort level.

Options comprise:

  • Local Anesthesia: Using one or more injections, your dentist will administer a local anesthesia next to the extraction site. Before receiving the injection, your dentist will apply a numbing agent to numb your gums so you feel more relaxed. Mostly, you will be awake during the extraction. No pain is experienced, though you might feel some pressure and activity.
  • Sedation Anesthesia: You will receive a local anesthesia first to numb your gums. Then using the Intravenous (IV) line in your arm, a dosage of sedation anesthesia is injected. The purpose of the sedation aesthesia is to overturn your consciousness during the procedure. No pain is expected and you will also have vague memories of the procedure.
  • General Anesthesia: This is administered in specific occasions. It can be through inhalation or through the IV line on your arm. Next, you lose consciousness. Your temperature, breathing, blood pressure and body fluids are closely monitored. You feel no pain, and will have no memory of the procedure.

After the Procedure

As the extraction site heals, follow the surgeon’s instructions on:

  • Bleeding: Bleeding is normal a day after the surgery. Don’t spit to avoid dislodging blood the clot from the site. Replace a gauze over the molar extraction site.
  • Pain Management: Over-the-counter medication prescribed by your dentist will be useful. Holding an ice pack against the ailing area can relieve the pain.
  • Swelling and bruising: Use an ice pack as per your dentist’s instructions. Swelling can subside within a week or two.
  • Activity: Relax for the rest of the day after the procedure. For the next week, avoid strenuous activity that can dislodge the blood clot.
  • Beverages: Avoid carbonated, caffeinated, alcoholic and hot beverages. Don’t use a straw for at least a week. Drink lots of water.
  • Food: Only eat extra soft food until you can tolerate semi-soft foods. Avoid chewy and hard food substances.
  • Cleaning the mouth: You will brush 24 hours after the surgery. Be extra-gentle around the surgical site. Use warm salty water to rinse the mouth.
  • Tobacco: If you smoke, don’t do so for at least 72 hours after the surgery.

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