The tooth may need to be cut into 2 or 3 pieces to remove it. Once the wisdom tooth has been removed the gum is put back into place with stitches. In the majority of cases these stitches are dissolvable and take around two weeks to disappear. A coronectomy may be a treatment option. It may be offered if the inferior dental nerve in close contact to the wisdom tooth. In this technique only the upper portion of the wisdom tooth is removed leaving some of the tooth roots behind.
This to minimise the risk of to the nerve. At the consultation an assessment will be made to see to if this option is appropriate for you.
This is a variable. Some wisdom teeth may take only a few minutes to remove. More difficult wisdom teeth that need to be cut into pieces to remove can take around 20 minutes to extract. It is likely that there will be some discomfort and swelling both on the inside and outside of your mouth after surgery.
This is usually worse for the first three days but it may take up to two weeks before all the soreness goes. You may also find that your jaw is stiff and may not be able to open fully. You will need to eat a soft diet for a week or so. There may be some bruising of the skin of your face that can take up to a fortnight to fade away. The application of an ice pack during the first 24 hours post-operatively may help.
Do not apply the ice pack directly to your skin - wrap the ice pack in a towel first. The older you are having a wisdom tooth removed the longer it will take to recover. Local anaesthetic - this is an injection into gum surrounding the wisdom tooth, rather similar to that you may have had at your dentist for a filling.
The injection takes a couple of minutes to numb the area and means that you will feel no pain while the wisdom tooth is removed. Local anaesthetic and intravenous sedation — in addition to a local anaesthetic injection you can be given an injection into your arm. This makes you feel relaxed and less aware of the procedure. You are awake but patients frequently have little or no memory of the operation. It is important to keep the extraction sites as clean as possible for the first few weeks after surgery.
It may be difficult to clean your teeth around the sites of the extraction because it is sore and if this is the case it is best to keep the area free from food debris by gently rinsing with a mouthwash or warm salt water dissolve a flat teaspoon of kitchen salt in a cup of warm water commencing on the day after surgery.
Usually it will be necessary to take a few days off work and avoid strenuous exercise for this time. Please try again. Something went wrong on our side, please try again. Show references Wisdom teeth. American Dental Association. Accessed Nov. Wisdom teeth management. American Association of Oral and Maxillofacial Surgeons. The management of impacted third molar teeth. Ghaeminia H, et al. Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth review.
Cochrane Database of Systematic Reviews. Renton T, et al. Problems with erupting wisdom teeth: Signs, symptoms, and management. British Journal of General Practice.
Salinas TJ expert opinion. Mayo Clinic, Rochester, Minn. See also Headache Impacted wisdom teeth OraVerse: Reversing dental numbness Integrative approaches to treating pain Nutrition and pain Pain rehabilitation Self-care approaches to treating pain X-ray Show more related content.
Mayo Clinic Press Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Legal Conditions and Terms Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Avoid rubbing the area with your tongue or touching it with your fingers. Continue to brush your teeth and tongue carefully. Why It Is Done A wisdom tooth is extracted to correct an actual problem or to prevent problems that may come up in the future.
Some of the problems that can occur when wisdom teeth come in are: Your jaw may not be large enough for them, and they may become impacted and unable to break through your gums. Your wisdom teeth may break partway through your gums, causing a flap of gum tissue to grow over them.
Food and germs can get trapped under the flap and cause your gums to become red, swollen, and painful. These are signs of infection. More serious problems can develop from impacted teeth, such as infection, damage to other teeth and bone, or a cyst. One or more of your wisdom teeth may come in at an awkward angle, with the top of the tooth facing forward, backward, or to either side.
How Well It Works Wisdom tooth removal usually is effective in preventing: Crowding of the back teeth. A wisdom tooth becoming stuck in the jaw impacted and never breaking through the gums. Red, swollen, and painful gums caused by a flap of skin around a wisdom tooth that has only partially come in. Gum disease and tooth decay in the wisdom tooth, which may be harder to clean than other teeth, or in the teeth and jaw in the area of the wisdom tooth.
Risks After a wisdom tooth is removed, you may experience: Pain and swelling in your gums and tooth socket where the tooth was removed. Bleeding that won't stop for about 24 hours. Difficulty with or pain from opening your jaw trismus. Slow-healing gums. Damage to existing dental work, such as crowns or bridges, or to roots of a nearby tooth. A painful inflammation called dry socket , which happens if the protective blood clot is lost too soon.
Numbness in your mouth and lips after the local anesthetic wears off, due to injury or inflammation of nerves in the jaw. Rare side effects, including: Numbness in the mouth or lips that does not go away.
A fractured jaw if the tooth was firmly attached to the jawbone. An opening into the sinus cavity when a wisdom tooth is removed from the upper jaw. What To Think About If your wisdom teeth are not causing problems, it may be difficult to decide whether to have these teeth removed to prevent possible dental problems later in life.
Think about the following: You may never have any problems with your wisdom teeth. It is rarely harmful to your health to have your wisdom teeth removed, but there are slight risks involved with any surgery. In younger people late teens and early 20s , the wisdom tooth's roots are not fully developed and the jawbone is not as dense, so it is easier to remove the tooth. The easier it is to remove the tooth, the easier your recovery is likely to be.
Most problems with wisdom teeth develop between the ages of 15 and If you are older than age 30, you have only a small risk of having problems with your wisdom teeth. Few people older than 30 develop problems that require removal of their wisdom teeth. Medical insurance does not always cover this procedure. If you have a medical condition that may get worse over time and your teeth may cause problems, consider having your wisdom teeth removed while you are healthy.
Possible complications include dry socket alveolar osteitis , infection, bleeding, and numbness. Damage to dental work, such as crowns or bridges, or to roots of a nearby tooth. A painful inflammation called dry socket.
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