ORAL SURGERY
Get Rapid Solution for Excruciating Complications with Oral Surgery
Oral surgery is one of the fastest expanding dental treatments in India. However, there is a poor understanding of the scope of this dental procedure.
At Dr. Gupta’s dental clinic, we attempt to create awareness of each oral disease and the best ways to perform oral surgery. We have a dedicated team of surgeons who engaged themselves in managing in treating defects and injuries of your face, jaw, and teeth. They deal with all the hard and soft tissues of your oral region.
We diagnose, treat, and cure a broad range of conditions with your oral region, and our dentists are highly experienced in handling any case of severe oral surgery in Kandivali West. Our team also helps in educating the patients about the benefit of oral hygiene.
What is "Wisdom Tooth"?
“Wisdom tooth” refers to a back molar that typically emerges after other permanent teeth have already erupted. Often, this happens between the ages of 17 to 40 years old (but not always). These teeth are usually located in the four back corners of your mouth.
When does Wisdom Tooth need removal?
While you usually have about 32 teeth in your mouth, sometimes your jaw can be too small to accommodate them all. If there’s not enough space for a wisdom tooth to come through properly, it may erupt at an angle. Before too long, it can start pushing against an adjacent tooth, causing pain and irritating the cheek and gums. The wisdom tooth will have become an impacted tooth.
Impacted teeth can lead to gum infection, tooth decay, damage to other teeth and even jaw cysts. Sometimes lymph glands under the jaw become swollen and sore as a result of recurring infections. Extraction of the wisdom tooth or teeth may be the best solution. Generally, upper wisdom teeth tend to be easier to remove than lower ones, and they are more likely to be impacted.
How does the dentist know if an extraction is needed?
However, if there’s any discomfort or you find it difficult to open your mouth, a wisdom tooth may be impacted under the gums. We take a full mouth x-ray OPG, which is in the house to find out if the impacted wisdom tooth needs to be extracted. Sometimes, all that’s needed is a small cut in the gums to help the wisdom tooth come through. We can explain your options and recommend a full treatment plan based on your needs.
Does removal happen in a dental chair or at a hospital?
However, if it’s a complex case due to the position or shape of the roots, your dentist may refer you to a specialist oral surgeon. The wisdom tooth extraction is done by specialists or Oral Surgeons. Your appointment will be scheduled according to your convenience with the Oral Surgeons. Almost 99 percent of the wisdom tooth removal is done in a routine dental chair under local anesthesia.
What other problems can wisdom teeth cause?
Some wisdom teeth grow through the gum, breaking the surface but not fully erupting. This can cause problems, including something called pericoronitis: swollen, irritated or infected gum tissue that surrounds the partially erupted tooth. Symptoms of pericoronitis can include pain, swelling or a bad taste in your mouth.
Sometimes, wisdom teeth grow into spots that make them extraordinarily difficult to clean, heightening your risk of decay and gum disease. If that’s the case, or if the tooth has already undergone decay, your dentist may recommend extraction.
Recovery Time
We will explain instructions for recovery and what you can expect based on your procedure and circumstances. They’ll advise you on recovery and possible side effects – this should happen before removal.
Wisdom teeth tend to be large, so you may need stitches after they’re removed. Removal may cause swelling or some bleeding for the first few days, but over-the-counter painkillers, such as paracetamol or ibuprofen, can help alleviate the pain. We will provide instructions; don’t hesitate to ask for take-home material like a pamphlet or print-out that explains recovery instructions, or ask for a number you can call if you have questions about your recovery.
FREQUENTLY ASKED QUESTIONS :
Yes, in most instances, the stitches are placed at the time of surgery simply to assist with initial control of bleeding and clot formation. This is especially true with wisdom tooth surgery and other tooth extractions. Thus, loss of a stitch is not considered an emergency, even if it occurs on the day of surgery. If your surgeon has performed a bone-grafting procedure and the stitches are coming out prematurely, please contact our office so that the doctor may determine whether or not you need to be seen on that day.
On the day of the surgery, cool and soft food is recommended, such as applesauce, cottage cheese, or yogurt. Hot foods may disturb initial clot formation in the extraction sites. Following the day of the surgery, it’s best to avoid crunchy foods such as popcorn, nuts, and potato chips which break up into little pieces and can get packed down into the extraction sites. If you had dental implants placed, please avoid chewing hard foods with the implant itself for 6 weeks or the healing of the implant will be compromised.
The best regimen for acute pain control after wisdom tooth removal is non-narcotic pain medication, specifically 600mg of Motrin or Ibuprofen (three over the counter pills) every six hours used in combination with 1000mg of Tylenol (two Extra Strength pills) every six hours. If you put each medication on a separate schedule, you can take the Ibuprofen, then three hours later take the Tylenol, three hours later take the Ibuprofen, etc. Alternating between these medications every three hours allows you to maximize your pain control, minimize unwanted side effects of the medication (nausea), and prevent overdose of either medication. If you have medical problems such as kidney or liver disease, please consult with your surgeon or medical doctor before starting a regimen like this. Also, make sure you are well hydrated if you are taking Ibuprofen or Motrin for longer than 24 hours. Please contact our office if you have been on this pain control regimen for longer than 3 days.
The term “dry socket” refers to a condition called alveolar osteitis, or a premature breakdown of the blood clot present in an extraction site. Smoking, poor oral hygiene, and over-excursion in the post-operative period can contribute to this condition, but sometimes there is no obvious cause. Typically, “dry socket” presents itself 3-5 days after the surgery with increased pain, foul odor and taste, and bad breath. This condition is very easily treatable and requires that we wash out the socket and place a medication dressing, which provides pain relief usually within an hour after placement. These medicated dressings typically are replaced every 2-3 days in our office until the condition subsides in one to two weeks. If you are experiencing symptoms consistent with “dry socket,” the best solution is to call our office when it opens in the morning at 7:30 am so we can arrange to have you seen that day for treatment.
Believe it or not, some bleeding after tooth extractions is beneficial – good blood flow usually means good healing. The purpose of the gauze that you were given is to apply firm, consistent pressure to the extraction sites for 45-60 minutes at a time. If you have gauze in your mouth and you are not biting down firmly, the gauze is doing no good. Likewise, taking the gauze in and out every five minutes to look at it just tends to stir up more bleeding. Often, when patients are removing their gauze after surgery, they are surprised at how wet and red the gauze appears and this is often perceived as excessive bleeding. Most of the time, the gauze is saturated with saliva with a few drops of blood that give it the appearance of a lot of bleeding when it really isn’t. If you run out of gauze, most pharmacies sell it or you can bite on tea bags; the tannic acid in tea helps in clot formation. If your mouth is rapidly filling up with blood and the above measures are not helping to slow down the bleeding, call our office for assistance. Also, it is not unusual to notice small episodes of bleeding for several days after having teeth removed; simply bite on gauze again in the area of bleeding if you experience bleeding in the days after your surgery.
Dr. Rashi and Dr. Sachin performed all difficult surgeries painlessly, swiftly and efficiently.
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