Tooth extraction is when a tooth is carefully taken out from its spot in the jawbone and gum. While we usually try to keep natural teeth whenever we can, sometimes taking a tooth out is necessary because of different dental problems. Our oral surgeon often does this procedure, including removing wisdom teeth.
There are two types of tooth extraction:
- Simple Extraction: Simple extraction is conducted on teeth visible above the gum line and can be readily accessed by dental instruments.
- Surgical Extraction: Surgical extraction is a more intricate procedure usually required for teeth that have broken off at the gum line or haven’t fully erupted, such as impacted teeth.
The decision to perform a tooth extraction is taken seriously and is typically based on several factors. We will always explore alternative treatments whenever possible before considering extraction.
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What Are Wisdom Teeth?
Wisdom teeth are the final set of molars located at the back of the mouth. We typically develop four wisdom teeth, one in each quadrant of the mouth. They usually come in during your late teens or early twenties, a time often associated with newfound wisdom, hence the name.
Signs and Symptoms Indicating Removal
Recognizing the signs and symptoms that indicate the need for wisdom teeth removal is crucial for maintaining oral health. Common symptoms include:
- Pain at the back of the mouth.
- Swelling of the gums.
- Difficulty opening the mouth.
- Bad breath.
In some cases, individuals may experience headaches or jaw pain. We often recommend removal if the they cause recurrent infections, cysts, tumors, damage to neighboring teeth, or periodontal disease.
Common Reasons for Tooth Extraction
- Severe Tooth Decay: When a tooth is damaged by decay and cannot be restored with a filling or crown, extraction may be necessary.
- Gum Disease: Periodontal disease can lead to loose teeth that may require removal.
- Impacted Wisdom Teeth: They often don’t have enough space to emerge properly and may cause pain or dental issues.
- Orthodontic Treatment: Orthodontists sometimes recommend tooth extraction to make space for braces or other orthodontic procedures.
- Infection: A severe dental infection, known as an abscess, may necessitate removal to prevent the infection from spreading.
When Is Wisdom Teeth Removal Necessary?
Not everyone needs theirs removed. However, removal is recommended in the following situations:
- Impaction: When teeth don’t have enough room to emerge properly, they can become impacted, leading to pain and other issues.
- Crowding: Can cause mouth overcrowding, impacting overall dental health.
- Infection: In some cases, it can lead to infections, causing pain and discomfort.
- Gum Problems: Create gum problems, including inflammation and infection.
Preparing for Removal
Preparation for wisdom teeth removal begins with a thorough dental examination, including X-rays to determine the position and condition of the teeth. The dentist or oral surgeon will discuss the procedure, potential risks, and aftercare with the patient. It is essential to follow pre-surgery instructions, which may include fasting, arranging for transportation, and stopping certain medications. Having a clear understanding of the procedure and aftercare can help reduce anxiety and ensure a smooth recovery.
With an oral examination and x-rays of the mouth, Dr. Rabinovich can evaluate the position of them and predict if there are present or future problems.
The Procedure
Removing wisdom teeth usually involves local anesthesia, sedation, or general anesthesia, depending on the difficulty of the extraction and the patient’s comfort. The dentist makes a cut in the gum to see the tooth and bone. Sometimes, the tooth has to be broken into smaller pieces to make it easier to remove. After the tooth is removed, the area is cleaned, and stitches might be used to help it heal. The whole process usually takes about 45 minutes to an hour.
What to Expect After
After the surgery, you’ll be closely monitored until the anesthesia wears off. It’s common to experience some bleeding and discomfort. Your oral surgeon will provide post-operative instructions, including dietary restrictions and medication.
Recovery from wisdom teeth removal is different for everyone, but it usually takes a few days to a week. Patients should rest, avoid hard activities, and eat soft foods to keep the extraction site from getting irritated. Common care tips include using ice packs to reduce swelling, taking prescribed pain medicine, and rinsing the mouth with salt water to prevent infection. It’s important to avoid smoking, using straws, and eating hard or spicy foods during recovery. Regular follow-up visits with the dentist or oral surgeon are necessary to check healing and address any concerns.
Can Adults Get Their Wisdom Teeth Removed?
Yes, adults can get their wisdom teeth removed, and in many cases, it is highly recommended. However, not everyone gets theirs removed during their teenage years or early twenties. There are various reasons why anyone might need to undergo extraction.
Why You Should Go to an Oral Surgeon for Wisdom Teeth Removal
When it comes to wisdom teeth removal, choosing the right professional for the job is crucial for a safe and effective procedure. While general dentists can perform extractions, an oral surgeon is often the best choice for tooth extraction. Oral surgeons undergo extensive training. This specialized training equips us with the skills and knowledge necessary to handle complex extractions, including impacted teeth.
Handling Complex Cases
Wisdom teeth can present various complications, such as impaction, proximity to nerves, or unusual positioning. Oral surgeons are specifically trained to manage these complexities. They have the expertise to assess the situation accurately and develop a surgical plan that minimizes risks and ensures the best possible outcome. Their advanced training allows them to handle difficult cases that might be challenging for a general dentist.
Advanced Surgical Techniques and Equipment
Oral surgeons have access to the latest surgical techniques and state-of-the-art equipment. These tools enable precise planning and execution of the surgery, reducing the likelihood of complications and improving recovery times.
Anesthesia and Pain Management
Wisdom teeth removal can be a daunting procedure, especially for those with dental anxiety or fear of pain. Oral surgeons are highly skilled in administering various types of anesthesia, including local anesthesia, sedation, and general anesthesia. They can determine the most appropriate anesthesia option based on the patient’s needs and the complexity of the extraction. This ensures a comfortable and pain-free experience during the procedure.
Reduced Risk of Complications
The removal, particularly impacted ones, carries potential risks such as infection, nerve damage, and dry sockets. Oral surgeons are adept at minimizing these risks through meticulous surgical techniques and comprehensive pre-and post-operative care. Their ability to anticipate and manage complications effectively contributes to safer outcomes and quicker recoveries.
Comprehensive Post-Operative Care
Recovery from wisdom teeth removal requires careful monitoring and management to prevent complications and ensure proper healing. Oral surgeons provide thorough post-operative care instructions and follow-up appointments to monitor progress and address any concerns. They are also well-equipped to handle any issues that may arise during the recovery period, such as persistent pain or infection.
Expertise in Adjunctive Procedures
Sometimes, removing them might require extra procedures like bone grafting or jaw surgery. Oral surgeons are experts who can perform these extra steps if needed. This thorough approach helps care for all parts of the patient’s mouth, leading to better long-term results.
Patient Comfort and Confidence
Undergoing surgery can be stressful, but the experience and professionalism of an oral surgeon can provide significant peace of mind. Knowing that a specialist with extensive training and expertise in handling the procedure can alleviate anxiety and build confidence in the treatment plan. Oral surgeons are accustomed to dealing with nervous patients and are skilled in providing reassurance and support throughout the process.
Schedule Your Consultation Today
Wisdom Teeth Removal is a common dental procedure often necessary to maintain oral health. Tooth extraction can prevent discomfort. Understanding what to expect before, during, and after the surgery can alleviate concerns and ensure a smoother recovery process. If you believe it’s time to address your teeth, consult a dental professional who can guide you. If you’re experiencing tooth pain or have concerns about the alignment of your teeth, consult a qualified oral surgeon to determine the best course of action.
If you have any questions, please do not hesitate to call Oral Surgery San Francisco today at (415) 817-9991, or email us at info@doctorrabinovich.com.
FAQs
Are Wisdom Teeth Removals Painful?
The procedure itself is painless due to anesthesia. However, you may experience discomfort and pain during recovery, which is manageable with pain medication.
How Long Does the Procedure Take?
The duration of the procedure varies depending on the complexity of the extraction. On average, it can take between 45 minutes to an hour.
Can I Drive Home After the Procedure?
Driving immediately after the surgery is unsafe due to the effects of anesthesia or sedation. Arrange for a friend or family member to take you home.
What Are the Risks of Tooth Extraction?
Like any surgery, risks include infection, dry socket, or damage to nearby teeth. Your oral surgeon will discuss these risks with you beforehand.
When Can I Resume Normal Brushing and Flossing?
You should avoid brushing and flossing near the surgical site for a few days. Your surgeon will instruct you when it’s safe to resume your regular oral hygiene routine.
How Long Does it Take to Fully Recover?
Recovery time varies from person to person, but most people can expect to fully recover within a week or two.