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Wisdom Teeth Removal
Wisdom Teeth Removal
The
removal of wisdom teeth, or third molars, is one of the most common procedures
carried out in the UK.
The wisdom
teeth grow at the back of your gums and are the last teeth to come through.
Most people have four wisdom teeth, one in each corner.
Wisdom
teeth usually grow through the gums during the late teens or early twenties. By
this time, the other 28 adult teeth are usually in place so there isn't always
enough room in the mouth for the wisdom teeth to grow properly.
Because
of the lack of space, the wisdom teeth can sometimes emerge at an angle or
get stuck and only emerge partially. Wisdom teeth that grow through in this way
are known as impacted.
Why are wisdom
teeth removed?
Wisdom
teeth that have become impacted or haven't fully broken through the surface of
the gum can cause dental problems.
Food
and bacteria can get trapped around the edge of the wisdom teeth, causing a
build-up of plaque, which can lead to tooth decay, gum disease or other problems.
Your
wisdom teeth don't usually need to be removed if they are impacted
but they are not causing any problems. This is because there is no proven
benefit of doing this and it carries the risk of complications.
Impacted Wisdom Teeth |
When to
see a dentist
You
should make an appointment to see your dentist if you're experiencing severe
pain or discomfort from your wisdom teeth. Your dentist will check your teeth
and advise you about whether they need to be removed.
As
with any teeth problems, it's important to see your dentist as soon as
possible rather than waiting for your regular dental check-up.
How wisdom
teeth are removed
Your
dentist may remove your wisdom teeth or they may refer you to a specialist
surgeon for treatment in hospital. Your oral health care provider will be able to
give you an idea of what to expect during your pre-extraction exam.
A wisdom tooth that is fully erupted
through the gum can be extracted as easily as any other tooth. However, a
wisdom tooth that is underneath the gums and embedded in the jawbone will
require an incision into the gums and then removal of the portion of bone that
lies over the tooth. Often, for a tooth in this situation, the tooth will be
extracted in small sections rather than removed in one piece to minimize the amount
of bone that needs to be removed to get the tooth out.
The
time it takes to remove the tooth will vary. Some procedures only take a few
minutes, whereas others can take 20 minutes or longer.
After
your wisdom teeth have been removed, you may experience swelling and
discomfort, both on the inside and outside of your mouth. This is usually worse
for the first three days, but it can last for up to two weeks.
Wisdom Tooth Removal |
What Happens
During Wisdom Teeth Removal?
Before
your wisdom teeth are pulled, the teeth and the surrounding tissue will be
numbed with a local anesthetic -- the same type used to numb a tooth prior to
having a cavity filled. You'll feel some pressure just before the tooth is
removed, as your dentist or oral surgeon needs to widen the tooth socket by
rocking the tooth back and forth. In addition to the local anesthetic to numb
the pain, you and your dentist or oral surgeon may decide that a sedative is
desired to control any anxiety. Sedating medications that could be
selected include: nitrous oxide (otherwise known as "laughing gas"),
an oral sedative (for example, Valium),
or an intravenous sedative (administered via an injection into your veins). If
nitrous oxide is given, you will be able to drive yourself home. If any of the
other medications is selected, you will need someone to drive you both to and
from the appointment.
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