Thursday, April 16, 2009

Does a wisdom-teeth pulling surgery go relatively smooth?

Like, you don%26#039;t know anyone who died or anything, do you?





lol





I just want it to go over well

Does a wisdom-teeth pulling surgery go relatively smooth?
YOu remain in that office until the bleeding has fully stopped
Reply:The only problem you will typically have is soreness in your mouth. On rare ocassions the surgeon can hit a nerve and cause some facial paralysis. For the soreness apply ice or frozen vevetables in the bag. the vegetables are good for the ability the package has to mold to your face. I%26#039;d throw them out afterward.
Reply:I had my wisdom teeth removed ages ago and I am the biggest chicken when it comes to seeing the dentist mine went fine I had all four removed about the third day after I was feeling ok not great but ok you will be fine hang in there
Reply:When you are given the novocaine you won%26#039;t feel a thing but some tugging. Bruising on your face afterwards. No one I know died of having their wisdom teeth pulled. Ask for some Nitrous Oxide (laughing gas) if you are anxious. Or take your IPOD with you and listen to music during the procedure.
Reply:Wisdom teeth, those third molars at the very back of our mouths, are so named because they generally erupt during late adolescence and early adulthood. When properly positioned they can be a valuable asset to us. When the jaw is not large enough to accommodate these wisdom teeth, they can cause dental problems, such as infection, requiring wisdom tooth removal.


Wisdom Teeth in Teens





Wisdom teeth usually appear in young adults between the ages of 15 and 25. Some wisdom teeth will grow in normally; others are %26quot;impacted.%26quot; An impacted wisdom tooth allows no room for the rest of your teeth to grow. Dentists use X-rays to evaluate whether your wisdom teeth have any chance of coming in properly and can advise you on the best time to have wisdom tooth removal.


Why Are Wisdom Teeth Removed?





When there is no room for wisdom teeth to come in properly or when the teeth haven%26#039;t reached their permanent location by age 25, then they%26#039;re considered to be impacted wisdom teeth. Dentists recommend removing the tooth early, before wisdom tooth and other dental complications can develop.





Partially visible wisdom teeth are susceptible to bacteria that can cause wisdom tooth infection. Cysts and tumors can grow on a trapped wisdom tooth, causing irritation and some pain as well as diseases of the gums. Another problem occurs when the second molar, the last tooth before the wisdom tooth, is damaged as the wisdom tooth grows in without enough room.





The younger the patient, the easier the healing will be, which is another reason not to wait before removing impacted wisdom teeth. This oral surgery will be performed in the office of either a dentist or an oral surgeon, under anesthesia, providing patients with maximum comfort while keeping the procedure efficient and cost-effective. Local anesthetic (such as novocaine) is always used, but you may opt for additional comfort with nitrous oxide (%26quot;laughing gas%26quot;), IV sedation (twilight sleep) or deep sedation (general anesthesia.)


Wisdom Tooth Removal





An oral surgeon or your dentist can provide guidance whether you%26#039;re a candidate for wisdom teeth removal (extraction). The bottom line is that wisdom teeth most often don%26#039;t fit well in our mouths and they can cause other teeth to move or lead to gum disease or bone problems. Ask the dentist to make an evaluation and suggest the best course of action!








Also ..





Post-Op Instructions for Wisdom Tooth Removal





The removal of impacted teeth is a serious surgical procedure. Post-operative care is very important. Unnecessary pain and the complications of infection and swelling can be minimized if the instructions are followed carefully.


Immediately Following 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 medications 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.





Bleeding





A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by first rinsing or wiping any old clots from your mouth, then placing a gauze pad over the area and biting firmly for thirty minutes. Repeat if necessary. If bleeding continues, bite on a moistened tea bag for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels. To minimize further bleeding, do not become excited, sit upright, and avoid exercise. If bleeding does not subside, call for further instructions.


Swelling





The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake. After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Thirty-six hours following surgery the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling


Pain





For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every three to four hours or Ibuprofen, (Motrin or Advil) two-four 200 mg tablets may be taken every 3-4 hours.





For severe pain take the tablets prescribed for pain as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office.


Diet





After general anesthetic or I.V. sedation, liquids should be taken at first. Do not use straws. Drink from a glass. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft by chewing away form the surgical sites. High calorie, high protein intake is very important. Refer to the section on suggested diet instructions at the end of the brochure. Nourishment should be taken regularly. You should prevent dehydration by taking fluids regularly. Your food intake will be limited for the first few days. You should compensate for this by increasing your fluid intake. At least 5-6 glasses of liquid should be taken daily. Try not to miss a single meal. You will feel better, have more strength, less discomfort and heal faster if you continue to eat. Caution: If you suddenly sit up or stand from a lying position you may become dizzy. Therefore, immediately following surgery, if you are laying down, make sure you sit for one minute before standing.


Keep the mouth clean





No rinsing of any kind should be done 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.


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.


Other Complications





* If numbness of the lip, chin, or tongue occurs there is no cause for alarm. As stated before surgery, this is usually temporary in nature. You should be aware that if your lip or tongue is numb you could bite it and not feel it so be careful. Call our office if you have any questions about this.


* Slight elevation of temperature immediately following surgery is not uncommon. If the temperature persists, notify the office. Tylenol or ibuprofen should be taken to reduce the fever.


* You should be careful going from the lying down position to standing. As you were not able to eat or drink prior to surgery, and it is difficult to take fluids, and taking pain medications can make you dizzy. You could get light headed when you stand up suddenly. Before standing up, you should sit for one minute then get up.


* Occasionally, patients may feel hard projections in the mouth with their tongue. They are not roots, they are the bony walls which supported the tooth. These projections usually smooth out spontaneously. If not, they can be removed by Dr. Denney, Dr. Stein or Dr. Engroff.


* If the corners of your mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment such as vaseline.


* Sore throats and pain when swallowing are not uncommon. The muscles get swollen. The normal act of swallowing can then become painful. This will subside in 2-3 days.


* Stiffness (Trimus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is normal post-operative event which will resolve in time.





Finally





Sutures are placed the area of surgery to minimize post-operative bleeding and to help healing. Sometimes they become dislodged, this is no cause for alarm. Just remove the suture form your mouth and discard it. The sutures will be removed approximately one week after surgery. The removal of sutures requires no anesthesia or needles. It takes only a minute or so, and there is no discomfort associated with this procedure. So it’s really nothing to worry about.





* The pain and swelling should subside more and more each day following surgery. If your post-operative pain or swelling worsens or unusual symptoms occur call my office for instructions.


* There will be a cavity where the tooth was removed. The cavity will gradually over the next month fill in with the new tissue. In the mean time, the area should be kept clean especially after meals with salt water rinses or a toothbrush.


* Your case is individual, no two mouths are alike. Do not take seriously well intended advice from friends. Discuss your problem with the persons best able to effectively help you: your family dentist.


* Brushing your teeth is okay just be gentle at the surgical sites.


* A dry socket is when the blood clot gets dislodged prematurely from the tooth socket. Symptoms of pain at the surgical site and even pain to the ear may occur 2-3 days following surgery. Call the office if this occurs.


* If you are involved in regular exercise be aware that your normal nourishment intake is reduced exercise may weaken you. If you get light headed stop exercising.
Reply:I got my four out just under three weeks ago. I was absolutely sh!tting it. They gave me IV sedation because I was also getting about seven filings, four crowns, disking and my front tooth taken out. I%26#039;m sooo pleased that I got the sedation as I don%26#039;t even think I was awake for it - well they said I would be but wouldn%26#039;t remember anything. That night I bleed alot and when I vomitted it was mainly blood. The next day I surprisingly felt pretty good but the following two days I stayed in bed except to get up to get sick. I slept ALOT those two days. The swelling was bad but honestly I expected to feel worse and look worse. It wasn%26#039;t as bad as I feared. They gave me prescription painkillers (endocet) and anti-inflamatories and antibiotics so you should insist on those as they helped alot. I%26#039;m still suffering from the nerve bruising so I have lost all feeling in one side of my chin and lip but it%26#039;s no big deal, I%26#039;m sure it%26#039;ll come back.





You%26#039;ll be fine honestly, if I can go through it (and I%26#039;m a complete pussy when it comes to the dentist) then anyone can :)



Philosophy

No comments:

Post a Comment