Wisdom Teeth Removal
Wisdom teeth, also known as third molars, are the last set of permanent teeth to develop. These molars typically erupt between the ages of 17 and 25. They are located at the furthest corners of your upper and lower jaw.
Some people may have all four wisdom teeth, while others may have fewer or none at all. This variation is completely normal and is based on individual differences in development and evolution.
Wisdom teeth removal is necessary when teeth cause pain, infection or crowding due to lack of space in the jaw. These teeth no longer needed as our jaws have become smaller.
Do I Need Healthy Wisdom Teeth Removal?
Teeth removal depends on types of wisdom teeth. Whether your procedure is simple or complex, if your wisdom teeth healthy and need to be removed, you should discuss your concerns with your dentist or surgeon. Our doctor's consultation will help you feel prepared and confident about the extraction process.
With the advent of softer diets and modern appliances, wisdom teeth have become less functional and often atrophied dental structures.
Wisdom teeth no longer serve a practical purpose, but their presence sometimes leads to dental problems. Regular dental examinations and timely interventions prevent complications.
Wisdom teeth cause problems for many people, leading to jaw stenosis, infections and other dental problems. In this case, treatment is needed, which involves wisdom teeth extraction.
Do Wisdom Teeth Have To Be Removed?
The removal of wisdom teeth is a standard dental procedure to avoid potential complications. Impacted wisdom teeth that do not erupt completely, become trapped behind the gum or erupt only partially have the potential to lead to pain, infection or damage to surrounding teeth.
Partially erupted wisdom teeth are also the cause of infection of the gum coverings, called pericoronitis. These teeth are at risk of decay, especially when positioned mesially or horizontally, and will, if not treated, cause decay in nearby teeth.
Food particles tend to get stuck around wisdom teeth, which can cause gum disease and cavities. Cysts sacs filled with fluid can form around impacted wisdom teeth in some people, which can damage the surrounding bone and tissue.
Why Experts Now Say Not To Remove Your Wisdom Teeth
Some expests now say not remove wisdom teeth unless they are causing apparent problems such as pain, infection or damage to other teeth. Avoiding wisdom teeth removal when unnecessary has shown to expose patients to surgical complications such as swelling, nerve injury, and complications without providing real long-term benefits.
Instead of performing extractions, current dental practices have a tendency to recommend monitoring wisdom teeth with regular check-ups and X-rays, allowing them to remain in their sockets if they are healthy, well-positioned, and not causing any issues.
Types of Wisdom Teeth
Wisdom teeth or third molars develop in different positions inside the mouth, and their type must be identified to assess whether or not they can possibly become problematic or require removal. There are some that develop without any problems, while others may be painful, infected or damage the rest of the teeth if not closely monitored.
Fully Erupted wisdom teeth erupt above the gum and usually have sufficient space to align properly among other teeth. They rarely have complications, though one needs to visit a dentist regularly to determine they are healthy.
Teeth that are partially erupted come out only half way through the gum, creating areas where food and bacteria can accumulate. Pain, gum infection or decay of the wisdom tooth and adjacent teeth might ensue.
Horizontally unerupted teeth emerge sideways beneath the gum or jawbone, perpendicular to the other molars. They are more prone to injure adjacent teeth, cause crowding or form cysts, and are usually recommended to be surgically removed.
Unerupted wisdom teeth are fully buried in the jaw and do not erupt in the mouth. Such teeth are usually monitored by dentists through X-rays, as they might develop cysts or exert pressure on surrounding teeth in the future.
Impacted wisdom teeth are trapped under the gum or jawbone and may erupt at an angle toward other teeth or stay horizontally. They typically must be removed with surgery so that they will not hurt, cause swelling or damage neighboring teeth.
Wisdom Teeth Removal Recovery
Recovery from the removal of wisdom teeth is a slow and varied one depending on the number of teeth taken out, their site and the nature of the procedure as surgical or simple.
Recovery in most cases takes a couple of days, normally 3 to 5 days, during which the body swells, there is some bleeding, and the patient feels pain that are natural and easily tolerated with medication, cold compresses, and proper rest.
Recovery Time For Removal of Wisdom Teeth
The majority of patients are sufficiently recovered to resume light daily activities within a few days, but the soft tissue healing is complete within 2 to 3 weeks and bone healing around the site of extraction takes a few months.
By the second week, swelling will be minimal and tenderness will lessen considerably, allowing you to return to normal activities. Practicing good oral hygiene and follow-up visits ensure proper healing and minimizes the chances of complications, allowing you to recover comfortably and promptly.
What To Eat After?
After tooth extraction, your mouth needs time to recover. It is important to choose soft and simple-to-chew food. For the first 24–48 hours, eat smooth foods like yogurt, applesauce, smoothies and mashed potatoes to avoid aggravating the surgical site. Cold or room-temperature foods like ice cream or cold soup can also reduce swelling and pain.
As healing progresses over the next few days, you can introduce slightly thicker foods like scrambled eggs, oatmeal, soft pasta, and steamed vegetables that are well cooked. Avoid crunchy, spicy or sticky foods that can get stuck in the extraction area or dislodge blood clots.
Staying hydrated with water and avoiding the use of straws is also crucial to prevent dry socket. By gradually reintroducing a balanced diet, you’ll support faster recovery and reduce the risk of infection.
Is Removing Upper Wisdom Teeth Dangerous?
Removal of upper wisdom teeth is generally a quick and safe procedure, especially when compared to removals of lower wisdom teeth, as the upper teeth are easier to reach and remove. Like all surgical procedures, there are complications including swelling, temporary discomfort, sinus complications and infection in cases of carelessness with aftercare.
Most patients recover quickly with barely any complications, particularly in cases where the extraction is carried out by an experienced oral surgeon.
Do They Break Your Jaw to Remove Wisdom Teeth?
No, oral surgeons do not break your jaw in order to have wisdom teeth extracted. This is a common myth. Surgeons extract the tooth and surrounding bone tissue with specialized dental instruments. The tooth is cut into smaller sections in order to remove it, but this does not include breaking the jawbone.
The bone in this area is less dense and easier to access, making fractures to the jaw with an extraction of a wisdom tooth extremely rare, especially for an upper tooth.
Signs and Symptoms of Nerve Damage
Impacted wisdom teeth can cause symptoms of nerve damage, if the tooth is close to major nerves. It can lead to numbness, tingling, pain in the jaw, lips, tongue and chin. Nerve issues are more likely to occur if wisdom teeth are left untreated or if extraction is delayed until later years.
Most permanent teeth come in by age 13, but wisdom teeth are not the same and typically come in between ages 17 and 25, though some never get them. Signs that wisdom teeth are coming in include pain or tenderness, jaw and facial discomfort, swelling or redness of the gum especially at the back of the mouth—and white spots behind the back molars, which are eruptions of teeth.
Swelling and Structural Damage
Impacted wisdom teeth pain and swell the jaw or gum, and this can worsen over time. They can also lead to cysts or structural harm to neighboring teeth and bone, making treatment more difficult. Persistent soreness at the back of the mouth is a common sign of underlying issues, even if other symptoms are not easily noticeable.
Risk of Infection and Tooth Decay
Widom teeth are harder to clean, making them more susceptible to becoming infected, developing gum disease or decaying. Food and debris will also get trapped around partially erupted teeth and result in cavities or gum inflammation. If left untreated, this will result in recurring infections and other more serious oral issues in the future.
How Soon Can You Talk?
You are able to speak shortly after upper wisdom teeth removal, although your speech is somewhat uncomfortable initially from the numbness and swelling. Talking is okay, but it is best to restrict unnecessary movement for the first day so as to avoid irritating the surgery area. Most patients are able to comfortably speak on the second day and resume normal conversation in a couple of days as the swelling starts reducing and healing starts.
Pain After Wisdom Teeth Removal
Pain after wisdom teeth removal is a normal part of the healing process. The body recuperates following oral surgery and the gum tissue, bone and surrounding areas begin to heal. Pain for a few days should be anticipated in the majority of patients, which typically gets better with pain medication as directed, rest and proper oral hygiene.
Intensity, duration and nature vary according to tooth location, surgical complexity and existence of complications like dry socket or infection. Mild pain and swelling are expected, but longstanding or developing pain following the usual time of healing is an indication of problems requiring evaluation by a dentist.
Throbbing Pain 5 Days After Extraction
By the fifth day after wisdom teeth extraction, pain should usually resolve, although mild throbbing or tenderness may still be present from time to time, especially in the case where stitches have been used or the extraction was difficult. Continuous throbbing pain at this stage could be a sign of dry socket, in which the covering blood clot at the extraction site gets knocked off, exposing the bone and nerves.
Good mouth care, following your dentist's at-home care instructions, and not smoking or rinsing hard may help minimize discomfort. In the event of increasing pain or a foul taste along with swelling and restricted mouth opening, it is best to call your dentist urgently.
Pain 10 Days After Extraction
By ten days after surgery, pain should be minimal or absent in most patients, but some pressure at the location or some pain with chewing may still exist. Continued or increasing pain at this time can be a sign of infection, delayed healing or an unhealed dry socket.
Other symptoms such as swelling, redness or fever, must be addressed urgently as these may require professional care. Only in rare cases would pain at this location be the result of nerve irritation or other complication.
Healing After Wisdom Tooth Surgery
You do not need to stay overnight in the hospital after wisdom tooth surgery. If you were administered sedation or general anesthetic, make sure you have someone who can bring you home.
After the procedure, you will be instructed on how to care for the surgical site in an effort to facilitate healing, manage pain, and reduce swelling. These can occur later, excess pain after 3–5 days, bad breath, and a foul mouth taste.
Dry socket is one of the most common complications, which occurs if the blood clot covering the tooth socket does not form or gets lost early, exposing the underlying bone and nerves.
Dry socket happens in about 1 out of 10 patients, and risk is greater with smoking, birth control pills or lower wisdom tooth extraction. Treatment is debridement of the area and application of an antiseptic dressing, which may be carried out in the dental clinic.
Tooth Extraction Cost Compare in Countries
In America, the average cost of wisdom tooth extraction will range from $1,200 to $4,175 without insurance, depending on how complex the surgery is and the type of anesthesia used. A simple extraction may range from $120 to $800 per tooth, while complex surgical extractions range from $180 to $550 per tooth.
In the UK, it varies in cost to have wisdom teeth removed either under NHS or private care. If it is done under NHS, it is free under Band 3, which amounts to £326.70. Private treatment costs between £225 and £500 per tooth depending on how complicated the procedure is and the dental clinic.
For money-conscious individuals, dental schools can provide treatment by supervised students at reduced prices, community health centers can provide dental care on a sliding fee scale based on income, and participation in clinical trials sometimes provides free care, with limited supplies.
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