Wisdom tooth extraction surgery is a common and often necessary practice to protect the teeth and bone from damage. In this article, we will learn about the indications and details of the wisdom tooth extraction process in Turkey.
Wisdom molars (or third molars) are among the most common surgical procedures performed by a dental surgeon. Wisdom molars grow in the back of the gums and are the last teeth to erupt, and most people have 4 wisdom molars, 1 in each corner.
Wisdom teeth usually appear through the gums in the late teens or early twenties, usually the 28 teeth have already taken their place in the jaw and sometimes there is not enough space in the mouth for wisdom teeth to grow properly, so wisdom teeth erupt at the wrong angle or erupt only partially, We call wisdom teeth in these cases impacted molars or buried wisdom teeth.
When does wisdom tooth extraction become necessary?
When it causes problems or x-rays show that it may not emerge, wisdom teeth extraction is indicated, in addition to other reasons:
- When it damages adjacent teeth: Misplaced wisdom teeth can push other teeth around, causing mouth pain and chewing problems.
- Damage to the jaw: If left untreated, cysts can form around the teeth that have not erupted. They can puncture the jawbone and damage nerves.
- Sinus problems: Wisdom teeth problems can lead to pain paranasal sinuses pressure and congestion.
- Gingivitis: The tissues around the area can swell and be difficult to clean.gums are inflamed.
- Caries: Swollen gums can create pockets between the teeth that help bacteria grow and form the grunt.
- Alignment: Impacted wisdom teeth can cause other crowding problems and become a treatment orthodontics is necessary.
Your dentist will examine the shape of your mouth and the position of your teeth to make a decision on wisdom tooth extraction, taking age into account.
If you are not ready to have your wisdom teeth extracted, you can ask your dentist to explain the options available to you. In many cases, you can wait several months to see if things change before making a decision, but if you are experiencing pain or notice swelling or an unpleasant smell Close to your back teeth, it may be time to consider the possibility of tooth extraction.
What you can expect during the surgical procedure
Your dentist or oral surgeon may use one of three types of anesthesia, depending on the expected complexity of your wisdom tooth extraction and your comfort level. Options include:
The dentist or oral surgeon administers local anesthesia with one or more injections near the site of the extraction before you receive the injection. The dentist or surgeon will likely place a substance on your gums to numb them. You are awake during the tooth extraction. You will not feel pain but will only feel some pressure and movement .
Your dentist or oral surgeon will give you sedation through an IV in your arm. The sedative sedation depresses your consciousness during the procedure and you will not feel any pain and will have limited memory of the procedure. You will also receive local anesthesia to numb your gums.
In special cases, you may be given general anesthesia where you inhale the medicine from your nose or through a vein in your arm or both and then lose consciousness. You will not feel any pain and will not remember the operation. Local anesthesia is also given to make you feel comfortable after the surgery.
During surgical removal of wisdom teeth, the dentist or oral surgeon:
- Making an incision in the gum tissue to expose the teeth and bones
- Removes bone that blocks access to the root of the tooth
- Divide the tooth into sections if it is easier to remove it in pieces
- take off the tooth
- Cleans the site of the extracted tooth from any remnants of teeth or bones
- The wound is closed with stitches to promote healing, although this is not always necessary
- Places a gauze over the extraction site to control bleeding and to help form a blood clot
After the operation
If you received sedation or general anesthesia, you will be taken to the recovery room after the operation. If you were given local anesthesia, there may be a short recovery period in the dental chair.
While recovering from surgery, follow your dentist's instructions about:
Bleeding may occur on the first day after a molar extraction, try to avoid excessive spitting so as not to remove the blood clot from the socket and replace gauze over the extraction site as directed exclusively by your dentist or oral surgeon.
You may be able to relieve pain with either over-the-counter pain relievers such as acetaminophen or a prescription from a dentist or oral surgeon. to relieve pain.
Swelling and bruising
Local trauma from wisdom teeth extractions may cause some swelling Use an ice pack as directed by your dentist or surgeon Any swelling in the cheeks usually improves within two or three days while the bruise may take several more days to resolve if the swelling is caused by food impact In the extraction area, rinse the mouth with salt water or mouth rinse 24 hours after wisdom tooth extraction surgery.
After surgery, plan to rest for the rest of the day and resume normal activities the next day, but for at least a week avoid strenuous activities that may lead to loss of the blood clot from the socket where the extraction was.
Drink plenty of water after surgery. Don't drink alcoholic, caffeinated, carbonated, or hot beverages for the first 24 hours. Don't drink a straw for at least a week because sucking can remove a blood clot from the socket.
Eat only soft foods such as yogurt or apple juice for the first 24 hours. Start eating semi-soft foods when you can tolerate them and avoid hard, chewy, hot or spicy foods that might get stuck in the socket or irritate the wound.
Do not brush your teeth, rinse your mouth, spit or use mouthwash during the first 24 hours after surgery, you will usually be asked to resume brushing your teeth after the first 24 hours, be especially gentle near the site of the wound when brushing and rinse your mouth gently With warm water and salt every two hours and after meals for a week.
If you smoke, do not do so for at least 72 hours after surgery, and wait longer if possible. If you chew tobacco, do not use it for at least a week. Using tobacco products after oral surgery can delay healing and increase the risk of complications.
Sutures may be placed that dissolve within a few weeks or no stitches at all.
When do you contact the dentist or surgeon?
Call your dentist or oral surgeon if you experience any of the following signs or symptoms that may indicate an infection, nerve damage, or other serious complications:
- Difficulty swallowing or breathing
- heavy bleeding
- Severe pain that cannot be relieved by prescription pain medications
- Swelling that gets worse after two or three days
- Bad taste in your mouth that does not go away by rinsing with salt water
- Pus (pus) in or oozing from the cavity
- Persistent numbness or loss of sensation that may be caused by nerve injury
- blood or pus in nasal secretions
How long it takes to extract wisdom teeth depends on the position of the tooth and the difficulty of the surgery.
Recovery after surgery
Recovery from wisdom tooth extraction surgery is gradual. It may take up to two weeks for a person to fully recover, but some improvement should be noticed from day to day. Proper care of the wound can help it heal as quickly as possible.
If stitches are needed to help close the wound, the dental surgeon will usually remove the stitches after about a week.
Sometimes surgery causes bruising, swelling and pain which also requires time to heal. The patient may also experience:
- narrow jaw or narrow mouth opening
- Dizziness or dizziness due to anesthesia
Tips for recovering from a wisdom tooth extraction
The following tips may help a person feel better after wisdom tooth extraction surgery:
- If the person is under anesthesia or under general anesthesia, they may feel nauseous or have vomiting. Taking the medicine with food may help relieve this.
- A person should consume as much food as he can tolerate
- Prescription pain relievers may cause nausea in some cases. Discuss side effects of medications with your doctor.
- Call the dental clinic if nausea or vomiting persists
The recovery period varies from person to person. If the blood clot is removed from the wound or the wound has become infected, recovery may take longer.
- In the first 24 hours, blood clots form
- After 2-3 days, the swelling of the mouth and cheeks subsides
- After 7 days the dentist may remove any remaining stitches
- After 7-10 days, the stiffness and pain in the jaw should be gone
- After two weeks, any minor bruising on the face should have healed
Returning to daily activities after wisdom tooth extraction
Recovery time varies from person to person, but many people are able to return to work two to three days after wisdom teeth extraction and you may need more time if your work is hard.
Any strenuous activity should be avoided for 2 to 3 days after this time a person can gradually begin to resume normal activities.
Accelerate healing after wisdom tooth extraction
Blood clots form at the site of the extracted tooth. Blood clots are an essential part of the healing process because they:
- Helps prevent heavy bleeding
- Protecting the wound from infection
- Allows new tissue to grow
- Protect the exposed bone
It is especially important not to remove these blood clots in the first 24 hours after extraction by avoiding:
- mouth rinse
- Drink hot drinks
- Eating food that requires chewing
- strawberry sucking
- Smoking or drinking alcohol
It is also a good idea to rinse your mouth gently with an oral antiseptic after 24 hours.
What can a person do immediately after surgery?
- Tips may include biting into a bandage in the extraction area for up to 60 minutes.
- Your dentist or surgeon may also suggest using an ice pack for the first few hours after surgery.
- Placing an ice pack on the outside of the face over the extraction area for 15 minutes and removing it for 15 minutes frequently will help reduce discomfort and swelling.
- If the patient is under general anesthesia, avoid driving for 48 hours and take a day or two off work or school after surgery.
- Pain relievers can be taken as directed by your doctor to help relieve pain and discomfort after wisdom tooth extraction surgery.
Possible complications after wisdom tooth extraction
Sometimes a person may get an infection and need antibiotics. Symptoms of infection include:
- Yellow or white pus around the wound
- High temperature
There is a small risk of developing a condition called dry socket after wisdom tooth extraction surgery. This can happen if no blood clot forms or is removed from the wound. A dry socket causes severe, throbbing pain. The patient will need to visit the dentist to cover the wound with a dressing.
When wisdom teeth are extracted with attention to appropriate aftercare, Prospect The occurrence of complications is minimal, if a person suffers from severe pain, heavy bleeding, fever, or any other unexpected symptoms, he should visit the dentist.
Post-surgery home care tips
It is important to keep the wound clean while it heals and to watch while eating and keep food from getting stuck in the area of the extraction.
Here are some tips to help keep the wound clean:
- Use antiseptic mouthwash 24 hours after extraction to prevent infection
- Rinse with warm water and salt to reduce swelling and relieve gingivitis after 24 hours
- Elevate the head when sleeping to feel more comfortable
In addition to pain, some people may feel tired after having their teeth removed and may choose to avoid exercising for a few days after surgery.
What does a person eat after wisdom tooth extraction?
Eating soft or liquid foods can help prevent wound damage, for example:
- soft noodles
- mashed banana
- thin soup
For the first few days after surgery, avoid foods that need to be chewed, such as sticky candy or gum. These can stick to and cause pain and obstruct the healing process. Also, avoid hard and crunchy foods such as chips, pastries, nuts and seeds, as well as hot or spicy foods.
If one or two wisdom molars were removed from the same side of the mouth, it may be possible to chew on the other side of the mouth after 24 hours.