Wisdom Tooth Extraction
Wisdom teeth can be positioned in the backs of upper and lower rows of teeth. They’re normally not necessary, but people rarely put them into their mouth. The result is wisdom teeth extractions. Wisdom teeth that are stuck below the gums are sometimes moved at unusual angles, which can cause severe pressure and discomfort for surrounding teeth. It is the reason that wisdom teeth get affected. A skilled oral doctor can take a patient out of the mouth and then place them in the bed to remove the wisdom teeth if affected.
Simple Tooth Extraction
When a tooth needs to be removed from the gum line, dentists typically do a simple tooth extraction. The doctor needs to ensure that the tooth has fully grown in or is at least partially grown for them to get a good grip on it using their specialized tools.
Prior to the extraction, the patient will be administered local anesthesia in the areas surrounding where the tooth (or teeth) is to be pulled out. This will ensure that they remain comfortable throughout their procedure. Your dentist will numb the tooth, bone, and gums surrounding it before extraction. This anesthetic ensures that no pain is felt during the process.
For the most part, patients felt pressure but not any pain during this process. Anesthetics were used to inactivate specific nerve fibers, resulting in a complete loss of sensation apart from the pressure that was still detected.
The tooth to be removed is typically embedded in the jawbone and held in place by connective tissue. Getting it out of there can require the careful use of specialized tools and techniques. To remove a tooth, a dental professional will use an elevator (dental screwdriver) to create space between the tooth and jawbone. This tool will help in easily separating the two. The elevator is designed to fit snugly – wedged between your gums and tooth – while exerting the right amount of pressure to keep it firmly in place with the jawbone socket and your tooth.
The dentist will use the tool to move back and forth until the tooth loosens from the jawbone. Once they have created enough space, they’ll simply pull the tooth up and out of your mouth. Your dentist might use extractor forceps to easily remove the tooth without having to touch any other teeth in the process. In some cases, your dentist might use an elevator or grip tool to pull the tooth.
After the tooth is removed, your dentist cleans the area of any remaining infection. Afterwards, they clean out the extraction site to remove any loose pieces of teeth and flushed blood. Your dentist will place several stitches to close up an extraction site. These stitches typically dissolve after 2-3 days, when one is standard sutures. To have them removed, you come back for a follow-up appointment with your dentist in about the same number of days you would have otherwise gone to remove the initial stitches yourself.
To control bleeding, your dentist will likely place a wad of gauze over the extraction site and will have you bite down to create pressure and help stop the bleeding. You may be experiencing swelling from the extraction and this is one dental treatment your qualified dentist may recommend. They may also recommend placing an icepack on the jawbone area for a short time to help regulate blood flow to the area.
You can expect your extraction to take about 40 minutes, depending on how many extractions are happening simultaneously. Once you’re all cleaned up and the dentist used no anesthesia, it is likely that you will be able to drive yourself home after your visit. If you have had a procedure under anesthesia like surgery, then having someone else drive is a good idea because your judgment might be impaired.
As with most dental procedures, it’s important not to consume any liquids for about four hours after the procedure. It’s also recommended that you avoid eating extremely hot or cold food and drinks too, to avoid any possible sensitivity. However, most of the time, the patient will feel little to no pain in their teeth after being extracted. If extraction was surgical, healing is usually much quicker than non-surgical extractions.
Surgical Tooth Extraction
If the tooth hasn’t grown up above the gum line or if your tooth that needs removal is situated above the gum line and it was taken out below, a surgical extraction will be needed. Your oral surgeon will start by making a small incision along the gum line. The extraction process mentioned above is nearly the same. In some cases, a light sedation can also be used during this procedure to ensure that you feel no pain or pressure. A local anesthetic can also be used.
Nitrous Oxide or the laughing gas is sometimes used to relieve patients from any pressure or anxiety of the procedure. You’ll likely continue to feel drowsy after this procedure so you’ll want to make sure you have a ride home from the hospital.
Do Not Panic if…..
You feel anxious and pressured: It’s important to know that you will feel pressure in this case and that it’s expected. Many patients mistake pressure for pain when they believe they are in a dentist’s office. In this particular case, laughing gas may be helpful as an anxiety reliever.
You hear odd sounds: From the sounds you’re hearing, it seems like you’re extracting hard tissue. There’s a good chance that there will be some snaps and cracks involved as well. When the dental hygienist is loosening a wisdom tooth, you may hear a crack or two. A light drop of blood will also seep from your mouth – nothing to worry about, it’s just part of the process and a normal reaction.
You’re in pain: This isn’t a bad thing because dentists are efficient at both performing chairside procedures and teaching patients what to expect once in the chair. And, if you’re in pain or experiencing any complications, your dentist is one phone call away!