Friday, October 23, 2009

Could you explain what they do when they pull your wisdom teeth out?

I have to get my Wisdom teeth pulled and I was wondering what the procedures are, do they use that numbing shot, does it hurt, tips for after it happens.

Could you explain what they do when they pull your wisdom teeth out?
I had my wisdom teeth out last October. They removed all four, upper and lower.





I was placed under sedation, so I wasn't awake for the procedure. When I woke up, I had a lot of gauze in my mouth to stop the bleeding, and was given extra gauze to pack the area later.





You will be groggy for the rest of the day and more than likely won't feel your lips or jaw for a while. My wisdom teeth were pretty impacted (meaning they hadn't come in straight) so there was a lot of chiseling and removing of bone and tooth to prevent damaging the nerves that run through my lower jaw.





The next couple of days are the most uncomfortable. I ate soup and other soft foods because eating was difficult. I used icepacks for the swelling in my cheeks, but it took a week or two for the swelling to go down completely.





Rinsing your mouth after eating with warm salty water helps to dislodge anything that might have gotten into the empty sockets after they remove the internal packing (usually in a couple of days) but don't do it too often or too hard or you can wash away the blood clots that help to protect the nerves that are now exposed.





Your oral surgeon will give you plenty of advice as to what to do after your teeth come out... but it's over before you know it and you're back to your old routine pretty quickly.





Eventually the sockets where your teeth were will fill with tissue and bone, until you can't even feel the difference (aside from being short 4 teeth! :).





Good luck!
Reply:Most people do not feel the pain while it's beeing done because of novacaine shots. Typically it is a pretty primative procedure. They numb the area and literally yank them out with dental pliers.
Reply:Upper teeth or lower or both?





The upper teeth are relatively easy to extract and involves novocaine and usually no other anesthetic is necessary. The lower teeth are another story. In addition to novocaine, you would likely also be given a sedative intravenously, such as Versed. You would not remember the procedure. The procedures for removing upper teeth are generally confined to what you would call pulling with pliers. With regard to lower teeth, other techniques will likely be necessary, such as sectioning the tooth, drilling out the bone around the tooth and the like.
Reply:You need wisdom, they don't grow back. Difficult question.
Reply:They will put you on an IV which will keep you awake, but not fully aware of whats going on. Then they will use Novocain on your mouth.





As far as the procedure goes, it is easy and painless... much more so than a root canal or even a cavity filling. The difference is that you will have a few days of soreness and swelling after the extraction, but it really is nothing to worry about.





Good luck!
Reply:I recently had my wisdom teeth out. I went to an oral surgeon. He put me completely out, so I was asleep during the process. It was worth the extra money for that.


When I woke up, I was groggy and had a mouth full of cotton. After about two days, I was feeling better.


I had "dry socket" in two of the extraction sites. (I had all four pulled at once.) I could finally eat normally about a month later.


It was the best diet ever though! But an expensive and fairly painful one at that.
Reply:After adequate anesthesia (novacaine) and/or sedation. If the wisdom teeth are erupted the dentist will first detach the gingiva from the tooth by inserting a sharp instrument to cut through the periodontal ligaments. He will then insert a larger instrument betweent the tooth and and the tooth socket and apply a controlled leverage to lift the tooth out of the socket. once the tooth is elevated or loosed he will then take a forcep to grap onto the tooth and remove it. If the teeth are not erupted . the dentist will make a incision in the gingiva to expose the bone that the tooth is underneath. he will then take a handpiece and remove the bone above and to the side of the tooth to expose it. after it is sufficiently exposed, he will apply the previous described technique. After the tooth is removed the gingiva is placed back and secured with sutures to control bleeding and to promote proper healing.
Reply:I am sure you've visited the oral surgeon already and been given instructions etc. since an examination is necessary prior to the removal of your wisdom teeth due to different ways the wisdom teeth have "grown in". When you go to the oral surgeon to have these teeth removed, hopefully the teeth are not what is called, "impacted" but even if they are, you'll be absolutely fine AS LONG AS YOU FOLLOW THE WRITTEN INSTRUCTIONS GIVEN TO YOU AFTER YOU HAVE THE TEETH REMOVED. Following the instructions will just about guarantee that you won't develop any of the common complications associated with this "surgery". What the oral surgeon will generally do is give you an IV sedation which will put you to sleep. This is the best way to go and you'll never know that you're having anything done. When they awaken you, be sure you have someone to help you to your car and of course, someone to drive you home and see after you for awhile. Be sure, if you smoke, that you don't smoke ANY while healing and do NOT drink from a straw. Also, you need to be aware that you could possibly develop "dry socket" which is quite painful but treatable. You will know if you have this after a couple of days. The dentist will inform you of this possibility but if you follow the instructions the dentist/oral surgeon gives you, most likely you won't develop any problems. GOOD LUCK!!!!!



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