Wisdom tooth extraction in Gurgaon is a surgical process to remove one or more wisdom teeth i.e. the four permanent adult teeth located at the back corners of your mouth on the top and bottom. If a wisdom tooth doesn’t have room to grow (impacted wisdom tooth), occasioning in pain, septicity or other dental problems, you will likely need to have it towed. Wisdom tooth extraction might be done by a dentist or an oral surgeon. Some dentists and oral surgeons recommend wisdom tooth extraction even if impacted teeth aren’t instigating problems, as a defensive measure against potential future glitches.
Problems with impacted wisdom teeth
Wisdom teeth, or third molars, are the last permanent teeth to appear (erupt) in the mouth. These teeth generally appear between the ages of 17 and 25. Some individuals never develop wisdom teeth. For others, wisdom teeth erupt routinely i.e. just as their other molars did and cause no difficulties. Many people, however, develop impacted wisdom teeth, teeth that don’t have sufficient room to erupt into the mouth or grow routinely. Impacted wisdom teeth may erupt only partly or not at all. An impacted wisdom tooth might:
- Grow at an angle toward the next tooth (second molar)
- Grow at an angle toward the back of the mouth
- Grow at a right angle to the other teeth, as if the wisdom tooth is lying back within the jawbone
- Grow straight up or down like other teeth but stay imprisoned within the jawbone
You will likely need your impacted wisdom tooth pulled if it leads to complications such as:
- Damage to an adjacent tooth
- Development of a fluid-filled sac (cyst) around the wisdom tooth
- Damage to neighboring bone
- Difficulties with orthodontic treatments to straighten other teeth
Preventing future dental problems
Dental specialists disagree about the value of extracting impacted wisdom teeth that aren’t initiating problems (asymptomatic). Here is the justification for preventive treatment:
- It is problematic to forecast future problems with impacted wisdom teeth.
- Symptom-free wisdom teeth could still harbor disease.
- Having your wisdom teeth makes you susceptible to gum disease and tooth cavities.
- Confiscating impacted teeth lowers the risk of potential problems.
- Serious complications seldom happen in younger adults.
- Older adults might experience difficulty with surgery and impediments after surgery.
Other specialists argue that there isn’t sufficient evidence to recommend that impacted wisdom teeth not causing problems in young adults will later cause problems. Therefore, they recommend that the expense and risks of the procedure don’t validate the expected benefit.
Questions to ask your dentist or surgeon
Your dentist might perform the procedure in the office. However, if your tooth is profoundly impacted or if the extraction is expected to be challenging, your dentist might suggest you see an oral surgeon. Queries you may want to ask your dentist or oral surgeon include:
- How many wisdom teeth need to be removed?
- Will I need local anesthesia (which numbs your mouth and jaw) or sedation anesthesia (which makes you uninformed of the procedure)?
- How complex do you expect the procedure to be?
- How long is the process likely to last?
- Have the impacted wisdom teeth caused impairment to other teeth?
- Is there a risk that I might have nerve damage?
- What other dental treatments can I need at a later date?
- How long does it take to entirely heal and return to normal activity?
Preparing for the surgery
A wisdom tooth extraction is almost always implemented as an outpatient procedure. This means that you go home the same day. You will receive instructions from the hospital or dental clinic staff on what to do before the surgery and the day of your programmed surgery. Ask these questions:
- Will I need to make preparations for somebody to drive me home after the procedure?
- When do I need to arrive at the dental clinic or hospital?
- Do I need to avoid eating food, drinking fluids or both (fast)? If so, when do I start?
- Can I take my prescription medicines before the surgery? If so, how soon before the surgery can I take a dose?
- Should I evade any nonprescription drugs before the surgery?
During the procedure
Your doctor or oral surgeon may use one of three categories of anesthesia. The apt anesthesia for you depends on the anticipated complexity of the wisdom tooth extraction and your own comfort level. Your options include:
- Local anesthesia. Your doctor or oral surgeon administers local anesthesia with one or more vaccinations near the site of each extraction. Before you receive a vaccination, your dentist or surgeon will likely apply a substance to the gums that anaesthetizes the site. You are awake during the tooth extraction. Although you will feel some heaviness and movement, you shouldn’t experience pain.
- Sedation anesthesia. Your doctor or oral surgeon gives you sedation anesthesia via an intravenous line in your arm. Sedation anesthesia overturns your consciousness during the procedure and you don’t feel any pain. You will also get local anesthesia to numb your gums.
- General anesthesia. In special circumstances, you might be offered general anesthesia. For general anesthesia, you inhale medicine through your nose. This kind of anesthesia makes you lose consciousness, and you don’t feel any pain during the process. Your surgical team meticulously monitors your medication, breathing, temperature, fluids and blood pressure during general anesthesia.
During wisdom tooth extraction, your dentist or oral surgeon:
- Makes a slit in the gum, crafting flaps to expose the tooth and bone
- Confiscates any bone that blocks access to the tooth
- Divides the tooth into sections if it is easier to confiscate in pieces
- Removes the tooth
- Cleans the site of the removed tooth of any debris from the tooth or bone
- Stitches the wound closed to encourage healing, though this isn’t always essential
- Places gauze over the extraction site to control bleeding and to help a blood clot form
After the procedure
If you receive sedation anesthesia or general anesthesia, you are taken to a recovery room after the process. If you have local anesthesia, your brief retrieval time is likely in the dental chair. As you heal from your surgery, follow your doctor’s advices on:
- After your surgery, plan to rest for the rest of the day. Recommence normal activities the next day, but for at least a week, sidestep strenuous activity that might lead to dislodging the blood clot from the socket.
- Drink heaps of water after the surgery. Don’t drink alcoholic, caffeinated, carbonated or hot beverages in the first 24 hours. Don’t drink with a straw for at least a week since the sucking action can extricate the blood clot from the socket.
- Eat only soft foods, such as yogurt or applesauce, for the first 24 hours. Start eating semisoft foods when you can stand them. Avoid hard, chewy, hot or spicy foodstuffs that might get wedged in the socket or irritate the wound.
- Pain management. You might be able to manage pain with a prescription pain medicine given by your doctor or oral surgeon or an over-the-counter pain reliever, such as acetaminophen (Tylenol, others). Holding a cold pack against your jaw also might also relieve pain.
- Some emission of blood might occur the first day after wisdom tooth removal. Try to avoid unwarranted spitting so that you don’t dislodge the blood clot from the socket. Replace gauze over the extraction site as suggested by your dentist or oral surgeon.
- Swelling and bruising. Swelling and bruising of your cheeks generally improves in two or three days. Use an ice pack as directed by your dentist.
- Cleaning your mouth. Don’t brush your teeth, rinse your mouth, spit or use a mouthwash during the first 24 hours after the operation. After that time, mildly rinse your mouth with warm salt water every two hours and after meals for a week after your surgery. Mix 1/2 teaspoon (2.5 milliliters) of table salt in 8 ounces (237 milliliters) of water. After the first 24 hours, recommence brushing your teeth, being predominantly gentle near the surgical wound to avoid disrupting any stitches.
- Tobacco use. If you smoke, don’t do so for at least 24 hours after surgery and wait longer than that if possible. If you chew tobacco, don’t use it for at least a week. Using tobacco products after oral surgery can postpone healing and upsurge the risk of complications.
- You might have stitches that dissolve within a couple of weeks or no stitches at all. If your stitches need to be removed, schedule an appointment to have them taken out.
When to call your dentist or surgeon
Call your dentist or oral surgeon if you experience any of the following signs or symptoms, which could point out an infection, nerve injury or other serious complication:
- Inflammation that worsens after two or three days
- Severe pain not relieved by prescribed pain medicines
- A bad taste in your mouth not removed with saltwater rinsing
- Pus in or exuding from the socket
- Blood in nasal discharge
- Persistent numbness or loss of feeling
You perhaps won’t need a follow-up appointment after a wisdom tooth extraction if:
- You don’t need stitches removed
- No difficulties arose during the procedure
- You don’t experience persistent problems such as pain, inflammation, numbness or bleeding i.e. complications that might specify septicity, nerve impairment or other problems
If complications develop, your dentist or oral surgeon will discuss suitable treatment options with you.