SERVICES

WISDOM TOOTH

Wisdom tooth removal

Wisdom teeth are the last teeth to break through the gums. They grow at the very back of a person’s mouth. There are normally four wisdom teeth in total, with one in each of the furthest corners of the top and bottom gums.

In some cases, home remedies may not alleviate the pain of an impacted wisdom tooth.

A wisdom tooth may be removed in a dental surgery by a dentist or in a hospital by a dental surgeon. Local anesthetic will be injected into the affected area to numb the pain of surgery. The practitioner will apply pressure to the tooth to loosen it from its socket.

Small cuts are made around the tooth, and the wisdom tooth may be cut into smaller pieces before removal. The procedure is a short one that normally takes only a few minutes but can last up to 20 minutes and sometimes more.

The gum is normally only sore from the time until the anesthetic wears off until around three days later, but the pain sometimes lasts for two weeks.

Prevention

When a person’s wisdom teeth are coming through, there are practical things they can do to make it less likely that their gums become infected. These actions include:

  • Practicing good oral hygiene: Brushing teeth twice a day, flossing, and using mouthwash can help reduce the bacteria in the mouth that cause infections.
  • Drinking plenty of water: This helps to flush food and bacteria away from the teeth and gums.

Immediately Following Wisdom Tooth Surgery

  • The gauze pad placed over the surgical area should be kept in place for a half hour. After this time, the gauze pad should be removed and discarded.
  • Vigorous mouth rinsing or touching the wound area following surgery should be avoided. This may initiate bleeding by causing the blood clot that has formed to become dislodged.
  • Take the prescribed pain medication as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming diminished.
  • Restrict your activities the day of surgery and resume normal activity when you feel comfortable.
  • Place ice packs to the sides of your face where surgery was performed. Refer to the section on swelling for explanation.
  • Keep the mouth clean
  • No rinsing of any kind should be performed until the day following surgery. You can brush your teeth the night of surgery but rinse gently. The day after surgery you should begin rinsing at least 5-6 times a day especially after eating with a cup of warm water mixed with a teaspoon of salt.
  • Discoloration
  • In some cases, discoloration of the skin follows swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.
  • Antibiotics
  • If you have been placed on antibiotics, take the tablets or liquid as directed. Antibiotics will be given to help prevent infection. Discontinue antibiotic use in the event of a rash or other unfavorable reaction. Call the office if you have any questions: The Ivory Dental Clinic +66 02 275 3599
  • Nausea and Vomiting
  • In the event of nausea and/or vomiting following surgery, do not take anything by mouth for at least an hour including the prescribed medicine. You should then sip on coke, tea or ginger ale. You should sip slowly over a fifteen-minute period. When the nausea subsides you can begin taking solid foods and the prescribed medicine.
  • Avoid sugary foods: Sweet foods can get stuck inside the broken gums, encouraging bacteria to grow.

FAQ

How long should wisdom teeth pain last?

2 to 3 days: Swelling of the mouth and cheeks should improve. 7 days: A dentist can remove any stitches that remain. 7 to 10 days: Jaw stiffness and soreness should go away. 2 weeks: Any mild bruising on the face should heal.

People often decide to have their wisdom teeth removed, as they can cause painful, aching gums. How can wisdom teeth pain be relieved at home before their removal?

FAQ

    A:Although having a tooth pulled is usually very safe, the procedure can allow harmful bacteria into the bloodstream. Gum tissue is also at risk of infection. If you have a condition that puts you at high risk for developing a severe infection, you may need to take antibiotics before and after the extraction.
    A:Rest and Recovery. Rest for at least two days after oral surgery. Physical activity is not recommended for 2 to 3 days after your surgery. Typically, you should be able to resume normal daily activities within 48 hours after surgery.
    A:Elevate the head for three days. After a surgery to remove wisdom teeth, keep the head and upper body elevated at a 45-degree angle for three days. This way, the blood vessel tone and blood volume near the tooth extraction flows downward instead of pooling in the surgical area
    A: Such like other dental surgery treatment. Doctor will premedication with pain-killer and antibiotics to reduce and also anesthesia. Patient might feel a bit uncomfortable after bone graft for 1-2 days
    A:The bone graft dental procedure takes between 45-90 minutes and is performed in your dentist’s clinic. The initial recovery period lasts about two weeks. Following the bone graft procedure, the waiting time until a solid bone mass is received is between 3-6 months, in most clinical cases.
    Patients who are well prepared for their surgery usually end up having a smoother recovery. We advise our patients to plan ahead and by some soft food items prior to surgery. Soft foods may be recommended by your oral surgeon after these procedures : Dental Implants , Bone Grafting for Implants, Ridge Augmentation, Sinus Lift, Wisdom Teeth, Teeth-in-an-Hour, Impacted Canines, Orthognathic (Jaw) Surgery The following are some examples of soft food items to be consumed following surgery such as Wisdom Teeth Removal or Dental Implant Placement, for example:
  • Hearty soups ( cream of asparagus, lentil, minestrone, split pea )
  • Juices ( cranberry, apple, grape ), avoid citrus juices for a few days
  • Herbal Tea
  • Jell-O
  • Yogurt ( soft or frozen )
  • Pudding/Custard
  • Soft fruits ( banana, papaya, berries, canned peaches or pears )
  • Applesauce
  • Popsicles
  • Ice cream and milkshakes
  • Fresh cooked vegetables
  • Fruit smoothies/protein shakes
  • Oatmeal/cream of wheat
  • Eggs ( scrambled, soft boiled, egg salad )
  • Mashed Potatoes
  • Rice, Risotto
  • Tofu
  • Pasta ( plain or with sauce )
  • Fish ( soft white fish, sole, trout )
  • Please AVOID the following foods for the first week following surgery:
  • Spicy Foods
  • Foods that are difficult to chew ( steak, poultry, deli meats)
  • Popcorn, pretzels, potato chips
  • Crusty breads, bagels, cookies
  • Alcoholic beverages

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