Wisdom Teeth Removal
Potential issues when wisdom teeth erupt
Problems usually start when wisdom teeth become impacted. Infection and inflammation can develop in and around the tissue covering the impacted tooth. You may notice swollen red gums, pain, jaw stiffness, and a general feeling of being unwell. The teeth near the wisdom teeth can also be affected by the inflammation of the gums and surrounding bone or even decay if food is trapped between the wisdom teeth and surrounding teeth. In some cases a cyst (sac of fluid) can form around the impacted wisdom tooth, which can destroy surrounding bone, or damage the surrounding teeth and gums. Antibiotics can be prescribed to help with any infections, but in most cases removal of the impacted teeth is the only permanent solution.
General and Local Anaesthetic
Your dentist or oral surgeon will explain the process of wisdom teeth removal. It is important to tell your doctor your entire medical history, including medicines you are currently taking, any known surgery/anaesthesia related problems, or if you are prone to heavy bleeding. Your dentist may choose to take some X-ray images of your mouth prior to surgery. Usually the operation is done under local anaesthetic, which completely blocks pain from your teeth and gums while you stay awake, however if the teeth are difficult to remove or you feel anxious about the procedure, general anaesthetic may be your preferred option. This allows you to sleep through your surgery. Your surgeon will advise when to eat and drink before and after surgery. You are usually required to fast between 6 and 12 hours before your surgery, if done under general anaesthetic. You should have a light meal and some fluids an hour before your surgery, if done under local anaesthetic.
How are Wisdom Teeth removed?
In some cases wisdom teeth extractions are no different to extractions of any other teeth. The dentist will widen the tooth socket by using a straight instrument and a pair of dental forceps, the tooth will be moved from side-to-side until loose enough to be removed completely. In deeply impacted cases, the surgeon may make an incision in the gums or may remove some bone as well. The incision is closed with stitches, which may be dissolvable after ten days. The whole procedure can take between 30 and 60 minutes.
After Care Post Surgery
After a wisdom tooth removal, you will need to rest for a while. Do not drive if you have had any sedation or general anaesthesia, and arrange for some help at home for the next day or so. Painkillers will be recommended for up to a week after surgery. Bleeding after surgery is common, but your dentist will inform you on how to best manage this. Swelling of the jaw is also common, and will subside after four to five days (ice can be applied immediately after surgery to manage this). Your dentist will advise of any possible complications, risks or side effects associated with wisdom teeth removal. If you have any concerns about your treatment, please ask your friendly National Dental Care staff and dentist.
