Wisdom teeth, or third molars, are located at the back of the mouth. They are the last adult teeth to erupt, or enter the mouth. Most people have four wisdom teeth, two on the top, two on the bottom. Third molars are considered to be “impacted” when they don't have enough room to emerge or grow normally.
When Should You Get Your Impacted Tooth Removed?
“Asymptomatic” does not mean “Disease Free”
Even third molars that have erupted into the mouth in a normal, upright position may not be problem-free. Their location in the back of the mouth makes them extremely difficult to keep clean. Bacteria that cause periodontal disease may exist in and around asymptomatic third molars, leading to damage before symptoms appear.
Pathology is always present before symptoms appear. Once damage has occurred, it is not always.
Bacteria may contribute to systemic health problems, including: Diabetes,heart disease, kidney disease, and other health problems.
Studies have found that periodontal disease in expectant mothers may be associated with a greater likelihood of preterm and low birth weight babies.
Evaluating third molars for surgery
When should you not get your wisdom tooth removed?
Are there any risks with removing wisdom teeth?
With any treatment there are risks.
If, after 15 minutes, bleeding has not stopped please contact us.
While there may be risks in wisdom teeth removal we will endeavour to give you the best advise for your mouth and this may be removal of your wisdom teeth although arent aware of any problems with them.
Post operative instructions following removal of wisdom tooth
Immediately Following Surgery
The gauze pad placed over the surgical area should be kept in place for one hour. After this time, the gauze pad should be removed and discarded.
A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by first rinsing or wiping any old clots from your mouth, then placing a gauze pad over the area and biting firmly for one hour. Repeat if necessary. If bleeding continues, bite on a moistened tea bag for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels. To minimize further bleeding, do not become excited, sit upright, and avoid exercise. If bleeding does not subside, call for further instructions.
The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will not usually become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Plastic bags filled with ice, or ice packs should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake. After 48 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Three days following surgery, the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling.
For severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office.
After general anesthetic or I.V. sedation, foods such as yogurt and applesauce can be eaten. Do not chew or drink thin liquids before the local anesthetic wears off. When drinking liquids. Do not use straws. Drink from a glass. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft by chewing away form the surgical sites. High calorie, high protein intake is very important. Refer to the section on suggested diet instructions at the end of the brochure. Nourishment should be taken regularly. You should prevent dehydration by taking fluids regularly. Your food intake will be limited for the first few days. You should compensate for this by increasing your fluid intake. At least 5-6 glasses of liquid should be taken daily. Try not to miss a single meal. You will feel better, have more strength, less discomfort and heal faster if you continue to eat. Caution: If you suddenly sit up or stand from a lying position you may become dizzy. If you are lying down following surgery, make sure you sit for one minute before standing.
Keep the mouth clean
No rinsing of any kind should be performed until the day following surgery. You can brush your teeth the night of surgery but rinse gently. The day after surgery you should begin rinsing at least 5-6 times a day with salt water, especially after eating.
In some cases, discoloration of the skin follows swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.
If you have been placed on antibiotics, take the tablets or liquid as directed. Antibiotics will be given to help prevent infection. Call the office if you have any abnormal reactions to medications.
Nausea and Vomiting
In the event of nausea and/or vomiting following surgery, do not take anything by mouth for at least an hour including the prescribed medicine. You should then sip on coke, tea or ginger ale. You should sip slowly over a fifteen-minute period. When the nausea subsides you can begin taking solid foods and the prescribed medicine.