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Oral surgery (wisdom tooth removal)

Wisdom tooth removal or wisdom tooth extraction is a common oral surgery procedure. Dentists may recommend this surgery to preserve your oral health and protect your teeth from possible issues in the future.
Oral Surgery (wisdom teeth) also called third molars — are in the behind of your mouth. Typically, they erupt (grow in) sometime between the ages of 17 and 25.
Scientists believe wisdom teeth are vestigial structures means parts of the human body that are no longer required. Our ancestors required these teeth to crush and chew raw leaves, nuts, roots and meat. Today, we eat more cooked so, we don’t really need wisdom teeth anymore.
Some people have all four wisdom teeth one in each quadrant the top left, bottom left, top right and bottom right. Others may have one, two, three or none at all. No matter how many wisdom teeth a person do (or don’t) have, it doesn’t mean there’s something wrong. It’s just a variation of normal and a symbol of the ever-changing evolutionary procedure.
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Why is this done?

You might need wisdom teeth removed if you:

  • Have one or more impacted wisdom teeth, which are half or full trapped in your gums or jawbone.
  • Have wisdom teeth that spread in crooked or sideways.
  • Develop pain at the back of your mouth.
  • Trap food and debris settled in your wisdom teeth.
  • Develop gum disease, particularly around the molars.
  • Have tooth decay in a half erupted wisdom tooth.
  • Develop a cyst (fluid-filled sac) around one or more wisdom teeth.
  • Have damage to closer teeth or surrounding bone.

In many cases, dentists preferred wisdom teeth extraction as a preventive measure. As a result, your dentist may recommend removing your wisdom teeth even if you don’t have any signs. This can help reducing your risk for future problems, including infection and tooth decay.

What are the benefits of removing wisdom teeth?

Wisdom tooth removal can limit your risk for future oral health problems, like:

  • Gum disease.
  • Tooth decay.
  • Damage to neighboring teeth.
  • Bone loss.
  • Jaw damage.

If you’ve already feel pain because of your wisdom teeth, then extraction can often reduce discomfort almost immediately and get your teeth on track to better oral health.

How should I prepare for wisdom teeth removal?

During a consultation with an oral dentist, they will check the health of your wisdom teeth and take dental X-rays to analyse or find their exact location. This is a good time to tell your surgeon about any medications, vitamins or supplements if you are using currently .

Your Dentist will also discuss sedation dentistry options with you during this appointment. Depending on your requirements and preferences, they may preferred local anesthesia, nitrous oxide laughing gas, IV intravenous, or via your vein sedation or general anesthesia.

If you choose IV sedation or general anesthesia, your dentist will give you complete instructions on how to prepare for your appointment. This may involve fasting after midnight the night before your surgery and no to take any certain medications a few days prior. Don’t stop consuming medication before discussing it with your surgeon.

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Frequently asked questions

01. Why do wisdom teeth need to be removed?
Wisdom teeth, also known as third molars, often need to be removed due to various reasons. They may not have enough space to erupt properly, leading to impaction (when the tooth is trapped beneath the gum line or jawbone). Impacted wisdom teeth can cause pain, infection, damage to adjacent teeth, and other dental problems. Additionally, even if they partially erupt, they can be difficult to clean, making them more susceptible to decay and gum disease.
02. When should wisdom teeth be removed?
The timing for wisdom tooth removal varies for each individual. In some cases, early removal during the teenage years is recommended to prevent potential problems. However, for others, if the wisdom teeth are not causing any issues and are in a good position, they may not need to be removed. Dentists typically evaluate the need for wisdom tooth extraction through dental exams, X-rays, and considering factors such as the patient's age, tooth positioning, and potential future complications.
03. Is wisdom tooth removal painful?
The procedure itself is usually not painful, as it is performed under local anesthesia or sedation to ensure the patient's comfort. However, some discomfort and swelling may be experienced during the healing process. Dentists often prescribe pain medications or recommend over-the-counter pain relievers to manage any post-operative discomfort. Following the dentist's instructions for post-operative care can help minimize pain and promote faster healing.
04. What can I expect during the wisdom tooth removal procedure?
During the procedure, the dentist or oral surgeon will make an incision in the gum tissue if necessary, remove any bone that blocks access to the tooth, and extract the wisdom tooth. Stitches may be used to close the incision. The length and complexity of the procedure depend on the position and condition of the wisdom teeth. The dentist will provide instructions on pre-operative and post-operative care, including dietary restrictions, oral hygiene practices, and medication usage.
05. Are there any risks or complications associated with wisdom tooth removal?
As with any surgical procedure, there are potential risks and complications associated with wisdom tooth removal, although they are relatively rare. These can include bleeding, infection, dry socket (a painful condition where the blood clot dislodges or dissolves prematurely), nerve damage, and sinus problems (for upper wisdom teeth). Following the dentist's instructions, attending follow-up appointments, and promptly reporting any concerns or complications can help mitigate risks and ensure proper healing.

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