Tooth Extraction Wisdom Teeth Dentist Informing When is it Necessary?

The extraction of a tooth is a real surgical operation that the wisdom teeth dentists uses when certain conditions arise that do not allow him to otherwise safeguard the patient's oral health.

The extraction, for example, may prove to be necessary when a tooth has been attacked so deeply by a cavity that it becomes irretrievable, following traumas that have led to a fracture that is impossible to reconstruct or when the teeth are so crossed that it is You need to create a space so that there can be scope for proper realignment. Expert wisdom teeth dentist is needed for that.

To make a precise evaluation of the dental structures and the condition of the periodontium the dentist performs a periodontal X-ray examination. The image provided by the X-rays allows him to determine the exact diagnosis and establish the most appropriate procedure to follow. Under certain conditions, the dentist may decide to extract a still healthy tooth, as is often the case with partially included wisdom teeth. In this case, the extraction is necessary to prevent infections or abscesses from developing due to the formation of pockets rich in bacteria between the gum and the tooth.

Another reason why it may be necessary to perform the avulsion of wisdom teeth is that they generally erupt between 18 and 25 years of age when the other teeth have already found their definitive location in the periodontium, the set of structures supportive that surround the teeth and keep them firmly attached to the bone. If there is not enough space for the third molars, the dentist may have to proceed with their extraction, to avoid unpleasant overlapping of the teeth caused by their eruptive thrust.

Preparation and risks of tooth extraction intervention:

Although it is one of the most common procedures performed by wisdom teeth dentist, the avulsion of a tooth is still an unpleasant event for the patient. Furthermore, as we have said, removing a tooth is in effect a surgical intervention and as such always involves some risk, although very limited. It is, in fact, a routine intervention, which is carried out with tried and tested and extremely reliable procedures. However, some pre-existing health conditions may require more attention to avoid the appearance of post-operative complications.

In particular, patients with the immune system weakened by certain pathologies (for example subjects with cardiovascular diseases or those undergoing renal dialysis) or by therapies and pharmacological treatments may be more exposed to the possible onset of a bacterial infection. The dentist can then resort to antibiotic prophylaxis to avert these risks. The patient must take the antibiotics before surgery, combining them with accurate oral hygiene that also includes daily rinses with an antibacterial mouthwash.

It is always the wisdom teeth dentist who has to evaluate case by case the best prophylaxis to follow, taking into account the medical history of the patient (his medical history) and the evolution of the guidelines related to this intervention.

The tooth extraction intervention:

The wisdom teeth dentist can perform a tooth extraction in his private practice or a hospital.

It is usually sufficient to practice local anesthesia, although some patients may require the administration of general anesthesia: uncooperative, dental phobia (suffering from an irrational terror of the dentist) or affected by hyperreflexia (excessive activation of the pharyngeal reflex). When the anesthetic starts acting, the dentist can proceed with the surgery. If the extraction involves an included tooth, the gingiva must first be incised with a scalpel to expose it. The wisdom teeth dentist then uses an extraction forceps. It is necessary to exert a certain force to be able to eradicate the tooth from its seat, in particular when it comes to the wisdom teeth located on the lower jaw.

Sometimes it may be necessary to break up the tooth into several parts to facilitate the extraction and avoid unpleasant sensations to the patient: the anesthetic used by the dentist has a particularly effective action on the nerve fibers that carry the pain, but does not inhibit the appropriate way the pressure sensations. This is why during the procedure you can feel a strong feeling of pressure although the tooth is effectively "asleep" correctly. Once the operation is completed, it may be necessary to apply some points to close the gum and prevent bleeding.

After the surgery

During the postoperative course, it is essential to strictly adhere to the wisdom teeth dentist instructions.

Recovery times can vary substantially depending on the complexity of the intervention (the avulsion of an included wisdom tooth generally requires more healing time than the extraction of a completely erupted tooth) and the patient's health conditions (the presence of previous pathologies such as diabetes, chronic renal failure or autoimmune diseases can have effects on the post-extraction course). Even life habits can affect the duration necessary for complete recovery: smokers and heavy drinkers generally have longer recovery times. In the days following the surgery, hematomas and swelling may appear which usually resolve within a few days.

An effective remedy to contain the swelling is to apply ice to the affected area; furthermore, it may be advisable to follow a liquid diet so as not to irritate the gums. The pain associated with the swelling can be contrasted with the intake of a mild analgesic such as ibuprofen, to be taken always asking for the opinion of the dentist or treating physician. Another common complication is the presence of gingival bleeding which tends to disappear 24 hours after surgery. Any points applied by the dentist must be removed in a subsequent session; if instead reabsorb able points have been applied they will disappear by themselves in ten days.

The extraction of a tooth inexorably involves variations in the alignment of the teeth, which are more serious cases that can go to affect the masticatory capacity or the functionality of the jaw joint. Another possible complication is alveolar osteitis, which affects 3 to 5% of patients. It is more frequent in the case of complex and traumatic extractions, especially when they involve wisdom teeth or lower molars.

This is a complication caused by several factors; among the symptoms, we remember an intense pain that appears after 3-4 days from the intervention and the presence of bad smell and taste in the mouth. Even in this case, however, this is a relatively rare occurrence: to avoid its appearance it is necessary to strictly adhere to the instructions of the dentist, especially about oral hygiene and post-operative indications.

To conclude:

The extraction of a tooth is a widely tested and reliable procedure, which however requires active collaboration from the patient so that the risks of post-operative complications can be minimized. It is always advisable to inform your dentist of any previous pathology, which drugs you are taking or the treatments you are undergoing and if you are suffering from particular allergies, to provide him with all the information necessary for correct execution of 'intervention.

About the Author:

Greenvale Dental Group offer wisdom teeth removal by expert surgeon. This service help the patients get rid from their wisdom teeth with the comfort and without any pain. They offer this services at very reasonable rates.

Greenvale Dental Group is a fully accredited private dental practice situated in Melbourne’s North West.