Expert Wisdom Tooth Removal in KPHB, Hyderabad

Who needs a wisdom tooth removal?

You might need wisdom teeth removal if your wisdom teeth cause pain, grow in crooked or result in other oral health issues. Sometimes dentists recommend removing wisdom teeth preventively, before issues have a chance to develop. This common oral surgery procedure takes about an hour to complete. Full recovery takes about two weeks.

Types of impactions:

Soft Tissue Impaction: There is not enough room to allow the gum tissue to retract for adequate cleaning of the tooth.
Partial Bony Impaction: There is enough space to allow the wisdom tooth to partially erupt.
Complete Bony Impaction: There is NO space for the tooth to erupt.
In dental terms, there are four types of wisdom teeth impactions, including:

Mesial Impactions: Mesial impactions are the most commonly occurring type of wisdom teeth impaction. With a mesial impaction, the tooth is partially erupted and angled towards the front of the mouth. For this reason, mesial impactions are sometimes referred to as “angular impactions”.

Vertical Impactions: Vertical impactions are a type of full impaction where the tooth is in the correct position for eruption, but still lies below the gums. Since wisdom teeth with vertical impactions are in the correct position, extraction is rarely needed unless the erupted tooth is expected to cause overcrowding or if it is exerting too much pressure on the tooth root next to it.

Horizontal Impactions: Horizontal impactions are a type of full impaction where the tooth is lying completely horizontally underneath the gums. Instead of moving up through the gums, the horizontal orientation of the tooth causes it to move sideways into the tooth next to it.

Distal Impactions: Distal impactions are a bit uncommon of all types of wisdom teeth impactions. Like teeth with a mesial impaction, teeth with a distal impaction are angled and can sometimes be called “angular impactions”. However, unlike a mesial impaction, teeth with a distal impaction are angled towards the back of the mouth and may be partially or fully impacted.

Inverted impactions:Inversion of the impacted tooth is a rarest condition where the tooth lies completely upside down.

Procedure Details: During a consultation with an oral surgeon, they’ll check the health of your wisdom teeth and take dental X-rays to determine their exact location. This is a good time to tell your surgeon about any medications, vitamins or supplements you’re currently taking.

What happens during wisdom tooth extraction?

The day of your procedure, your surgeon will:

• Give you anesthesia to numb your teeth and gums and keep you comfortable.
• Make incisions (cuts) in your gums, if necessary, to expose teeth trapped in your gums or jawbone.
• Carefully loosen your wisdom tooth and lift it from its socket. (They may need to divide your tooth into sections for easier removal.)
• Clean the area to make sure there’s no infection.
• Place stitches to close the surgical site, if necessary.
• Place gauze over the sockets to slow bleeding.

How long does this procedure take?
Wisdom tooth extraction usually takes an hour or less. Complex cases may take longer.

What happens after wisdom teeth removal?After wisdom teeth removal, you can expect mild discomfort, slight bleeding and swelling. Your oral surgeon will give you instructions for wisdom teeth management to ease these side effects. Once your sedation wears off enough, a trusted friend or family member will drive you home.

Dos and don’ts after wisdom tooth extraction

Following these instructions will help you manage bleeding, swelling and pain after your procedure.
In the meantime, here are some general “dos and don’ts” after wisdom teeth removal:

DO’S:

• Leave gauze in place for about 30 minutes after your surgery.
• Replace with clean gauze if necessary.
• Your surgeon can tell you when to stop using gauze after wisdom tooth extraction. But in general, you can take it out when the bleeding slows. It’s normal to have some oozing, but you shouldn’t have excessive bleeding.
• Rest as much as you can.
• Use an ice pack to help reduce swelling. Wrap the ice pack in a clean towel and place it on your face. Leave it on for 20 minutes, and then take it off for 20 minutes. Repeat several times a day.
• Keep extraction sites clean.
• Gently soak the surgical areas with alcohol-free antibacterial mouthwash.
• Don’t swish. Swishing can dislodge blood clots and cause dry sockets, a painful condition that exposes the bone at your extraction site. Instead, lean your head to each side and let the mouthwash soak the areas.

Brush and floss the rest of your teeth every day. While you don’t want to brush over the extraction sites, you’ll still need to keep your other teeth clean during recovery. This reduces your risk for infection.

Take all medications as prescribed. Your surgeon will give you medications to keep you comfortable and reduce your risk of infection. Don’t stop taking these medications until your surgeon says it’s OK.

DON’T:

• Drink through a straw. This dislodges blood clots and causes dry sockets.
• Exercise until your surgeon says it’s OK. Getting your heart rate up increases your risk for pain, bleeding and swelling. Most people can resume their fitness routines in about 48 to 72 hours.
• Lift heavy things. Heavy lifting also increases your risk for postoperative complications like pain, bleeding and swelling.
• Eat hard, crunchy or chewy foods. These can damage your healing gums and cause pain.
• Drink carbonated beverages or beverages containing alcohol. These beverages can dislodge blood clots and cause dry sockets. Skip these drinks for at least five days.