Wisdom Teeth Extractions
What are wisdom teeth extractions?
Wisdom teeth extractions are the surgical removal of the third molars, typically located at the back of the mouth. These teeth, commonly referred to as “wisdom teeth,” usually emerge in late teens or early adulthood. Extractions are often necessary if the wisdom teeth become impacted (stuck under the gum), crowd surrounding teeth, or cause pain, infection, or other dental problems. The procedure can be performed by a dentist or oral surgeon, depending on the complexity of the extraction.
Reasons for wisdom teeth extractions:
- Impaction: When there isn’t enough space for the wisdom teeth to emerge properly, they can become impacted, meaning they are trapped under the gum or in the jawbone. This can cause pain, swelling, and infection.
- Crowding: Wisdom teeth can push against other teeth as they try to emerge, leading to crowding and misalignment of the other teeth.
- Partial Eruption: Sometimes, wisdom teeth only partially break through the gums, creating a flap of gum tissue that can trap food and bacteria, leading to gum infections.
- Tooth Decay and Gum Disease: Wisdom teeth are located at the back of the mouth, making them harder to clean. This can increase the risk of cavities and gum disease.
- Preventive Reasons: Even if wisdom teeth aren’t causing problems, some dentists recommend removing them to prevent future issues, especially in younger patients whose roots and bones are not fully formed, making the procedure easier and recovery faster.
Common Questions
Do I really need to have my wisdom teeth removed?
Wisdom teeth, or third molars, are often removed because they can cause problems like crowding, impaction (where the tooth doesn’t fully emerge), infections, or damage to adjacent teeth. If they are causing pain, infections, or potential problems in the future, extraction is often recommended. If your wisdom teeth are fully erupted, healthy, properly aligned, and easy to clean, they may not need to be removed. However, regular monitoring is important, as problems can develop later on.
What are the risks of not removing my wisdom teeth?
If not removed, wisdom teeth can lead to infections, cysts, damage to other teeth, or alignment issues. Impacted wisdom teeth can also cause pain and may increase the risk of cavities or gum disease.
How should I prepare for the surgery?
You should follow your dentist’s instructions, which typically include fasting if you’ll be under sedation, arranging for transportation, and avoiding smoking or drinking alcohol. If you’re receiving general anesthesia or sedation, you’ll likely be asked not to eat or drink anything for 6-8 hours before the procedure. For local anesthesia, this may not be necessary.
What type of anesthesia will be used?
The type of anesthesia can vary. Local anesthesia will numb the area, and you’ll be awake but won’t feel pain. Sedation will make you drowsy and relaxed, and you may not remember much of the procedure.
What is the cost of the procedure?
The cost can vary depending on the complexity of the extraction and the type of anesthesia used. Many insurance plans cover wisdom teeth extraction, but you should check with your provider to understand your coverage. Additional costs might include anesthesia fees, follow-up visits, or medications. It’s good to ask for a detailed estimate beforehand.
How long will the procedure take?
The procedure typically takes about 45 minutes to an hour, but it can vary depending on the complexity of the extraction (e.g., if the teeth are impacted).
What should I expect during the surgery?
With proper anesthesia, you shouldn’t feel pain during the procedure. You may feel pressure or movement, but no sharp pain. After the anesthesia wears off, you may experience discomfort or pain, which can be managed with pain medications.
How long will it take to heal completely?
Initial recovery usually takes about 3 to 7 days, with most people returning to normal activities after 1 week. Complete healing of the extraction site can take a few weeks to a few months. Swelling, bruising, and some bleeding are common after the procedure. Swelling typically peaks around the second day and starts to decrease after that. Bleeding should subside within a few hours, but some oozing is normal for the first 24-48 hours.
What are dry sockets, and how can I prevent them?
A dry socket occurs when the blood clot that forms in the extraction site is dislodged or dissolves, exposing the bone and nerves. It can cause severe pain. To prevent dry sockets, avoid smoking, drinking through a straw, and follow post-operative care instructions carefully. If you develop a dry socket, your dentist may apply a medicated dressing to the site.
This is for educational purposes only and should not be in place of medical advice.