Wisdom teeth, or
third molars, are the final teeth to develop. Most of us have four
wisdom teeth, one in each corner of the mouth. They usually emerge during
our late teens or early twenties.
Oftentimes, wisdom
teeth become trapped, or impacted, in the jawbone and cause crowding,
displacement, decay, infection or gum disease. Impacted wisdom teeth can
grow in many different directions - horizontally, vertically, or at an
angle.
Angular, bony
impaction of the third molar (wisdom tooth).
Soft tissue
impaction of the third molar (wisdom tooth).
In most cases, it is recommended that impacted
wisdom teeth be extracted. Wisdom tooth surgery
is performed, usually under local anesthesia, in your dentist's office,
an out patient surgical facility, or a hospital. Make arrangements for
a responsible adult to drive you home. Plan to rest at home for the remainder
of the day.
Procedure
An incision is made, the soft tissues
reflected and overlying bone is removed, exposing the crown of the impacted
tooth.
The tooth is extracted, usually surgically
sectioned, but sometimes whole. The surgical site is then sutured closed.
To ease any discomfort
and promote healing:
-
Use ice packs on the cheek for swelling, alternating
on and off every thirty minutes.
-
Apply biting pressure with sterile gauze to
stop bleeding for thirty to forty-five minutes.
-
Don't rinse your mouth, drink through a straw
, spit forcefully or smoke the day of the surgery. These actions may restart
the bleeding, impede healing and encourage formation of a dry socket.
-
Eat soft foods and drink extra liquids.
-
Avoid hard or crunchy foods in the tender
area.
-
Begin rinsing, as directed, the day after
the surgery. It is very important to keep food particles from collecting
at the surgical site.
-
Brush carefully the day after surgery.
-
Take prescribed medications and follow all
instructions as directed.
Call your doctor
immediately in case of excessive bleeding or swelling, persistent severe
pain or fever.
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