Many people are afraid of getting their wisdom teeth out based on horror stories from the internet or scary tales exaggerated by others. The best way to fight these fears is to learn more about the procedure and what you can truly expect.
The first thing to know is that wisdom teeth extractions are the most common oral surgeries. Most oral surgeons perform an average of one a day, so that experience has provided skill and expertise in the procedure. Also, you will be under some degree of anesthesia. Whether it’s general anesthesia or even just nitrous oxide (laughing gas), you won’t feel anything during the surgery and won’t remember what happened afterwards.
One common fear is the bleeding associated with wisdom teeth extractions. While there is some bleeding from the site after surgery, it is usually easily controlled by following the after-care instructions. You will be told to gently bite on gauze in that area of your mouth, and change it frequently. Propping your head up will help limit the bleeding also.
Swelling is another reason some fear this surgery, but it should be gone in just a few days. You can hold ice packs to the outside of your cheek off and on for the first 24 hours to decrease the swelling.
The recovery process should go smoothly if you follow your oral surgeon’s advice. Have someone drive you to and from the appointment, and eat soft foods at first. Do not use a straw for the first few days, and avoid touching the area with your fingers or tongue. Also, do not smoke for at least the first 24 hours following surgery.
While there are risks associated with any surgery, most wisdom teeth extractions are without complications and recovery is complete in just a few days to a week. The benefits of having the surgery outweigh the risk of ignoring your dentist’s advice to have your wisdom teeth removed.
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If you are about to undergo root canal treatment to save a compromised tooth, your oral surgeon or dentist will likely provide you with a list of aftercare instructions. It is vitally important that you follow these recommendations to avoid complications and ensure the success of your endodontic treatment.
There are a few tips you can follow to speed up your recovery time, promote healing, and prevent serious dental problems and infections following root canal treatment:
- Do not chew on the treated side of your mouth until all of the numbness from the anesthetic has worn off completely.
- To manage swelling, apply an ice pack or bag of frozen peas on the treated area for thirty minutes. Repeat once an hour for about fifteen minutes each time until swelling subsides.
- For several nights after treatment, keep your head elevated while sleeping.
- Gently rinse your mouth with warm salt water regularly for the first few days after root canal treatment.
- Refrain from smoking for a minimum of 24 hours and try to curb tobacco usage as much as possible during the healing period.
- Avoid strenuous physical activity or exercise for 48 hours after your root canal procedure.
Contact your dentist immediately if you experience any excessive swelling or pain, the appearance of a rash or hives, or a return of original symptoms. By listening to the recommendations of your dentist, and following these extra tips, you can assure yourself the best chance of a rapid and complication-free recovery from root canal treatment.
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Dentures have improved dramatically over the past several years. Whether it’s your first set of dentures or your fifth set, you probably have questions. Below are some commonly asked questions and answers about dentures:
- Will dentures change how I look? Today’s dentures are personalized to your mouth, making their appearance more natural than ever. Dentures also support your cheeks and lips, making you look years younger.
- Will dentures change how I feel? After a period of adjustment, dentures should make you feel more confident than ever.
- Will dentures alter my speech? While speaking may be difficult initially, with practice, your speech should quickly return to normal. Practicing reading and counting out loud will help to speed up the adjustment.
- Will dentures affect how I eat? Eating may take some practice, and you should start with a soft food diet while you adjust to the differences between eating with your natural teeth and dentures. Take small bites and try to chew on both sides of your mouth at the same time. Avoid hard, crunchy or chewy foods that can damage your dentures.
- How do I care for my dentures? Clean dentures daily, brushing immediately after every meal if possible. Use a soft brush and gentle cleanser, taking care to avoid hard abrasives. Be careful when they are out of your mouth not to drop them or clean them on hard surfaces.
- Once I have dentures, will I still need to see the dentist? Regular dental examinations and professional denture cleanings are vital to maintaining your oral health. Have your dentist periodically check the fit of your dentures to ensure they are comfortable and last for as long as possible.
- When will I need to replace my dentures? With care, dentures typically last 5-10 years. Because your mouth continues to change shape as you age and denture teeth wear down, you should have them checked yearly to avoid any significant problems.
Consult with your dental professional about any additional questions or concerns you may have about your future with dentures and your potential for a bright, new smile.
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Your third molars, or wisdom teeth, are usually the last to make their appearance in your mouth. Some people don’t even have them break through at all. Whether or not they erupt, they can wreak havoc in your mouth if there isn’t enough room for them. If they become impacted, removal becomes even more important.
Your dentist will monitor your wisdom teeth through examinations and X-rays, and will recommend extraction if it appears they may cause any complications. Some dentists suggest removing them even if they aren’t impacted, as they can be difficult to clean and therefore prone to decay. Wisdom teeth may even get infected, requiring immediate medical attention. Symptoms of infected wisdom teeth can include:
- Pain in the tooth and gums
- Gum bleeding
- Gum inflammation
- Swelling in the face and jaw
- Headaches
- Bad breath
If your dentist says you need to have your wisdom teeth extracted, don’t put it off because it is better to have them removed before further complications occur. Usually, you will be referred to an oral surgeon for extraction. If only one tooth is involved, local anesthesia may be sufficient. The removal of multiple wisdom teeth typically requires general anesthesia, and is a day surgery so that you can return home afterwards.
It is important for you to follow your doctor’s instructions after tooth extraction to avoid problems. Your activities might be restricted for the first day or two, ice or heat can be helpful, and care should be taken if stitches are present. You will also be given a list of foods that are suggested during your recovery. If you follow all of your doctor’s advice, you can be expect to return to your normal activities soon and no longer have to worry about any problems those teeth might cause.
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Evolution has rendered wisdom teeth useless, and a high percentage of these unnecessary molars eventually require removal. When a wisdom tooth, otherwise known as a third molar, cannot erupt into proper alignment, it is called impacted. Oral surgery to extract impacted wisdom teeth may be considered if you have the following problems:
- Mouth pain and bite problems caused by damage to surrounding teeth created from crowding caused by the extra molars.
- Jaw and nerve damage caused by cysts that form around the impacted wisdom teeth.
- Sinus pain, pressure and congestion resulting from problems with wisdom teeth.
- Inflamed and infected gum tissue created because the area around impacted wisdom teeth is difficult to clean properly.
- Cavities which develop due to infected gums that allow pockets to form between gums, allowing bacteria to grow.
- Alignment issues that alter the effects of braces, bridges, crowns and partial dentures due the crowding created by impacted wisdom teeth.
To diagnose impacted wisdom teeth, your dental professional will look for signs of infection or swollen gums. Your dentist will also inquire about your regular oral hygiene habits. The diagnosis of impacted wisdom teeth can be confirmed with dental x-rays, which may also reveal damage to the other teeth or jawbone.
When making a decision with your dentist about wisdom tooth extraction, it’s important to consider your age. Typically third molars erupt between the ages of 16 and 25 years. Younger patients experience considerably fewer complications with oral surgery for wisdom tooth extraction than older adults.
If your dental professional recommends removal due to the diagnosis of an impacted wisdom tooth, ask for a referral to a qualified oral and maxillofacial surgeon to ensure a successful and complication-free oral surgery.
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Sometimes a tooth is so severely damaged that the only way to save it is with root canal treatment. There is no reason to turn and run if your dentist advises this procedure. The treatment has advanced to the point that it’s often compared to getting a filling. There are certain steps that will be performed as part of nearly every root canal procedure.
Preparation
X-rays may be taken as part of the diagnosis process or to determine the extent of damage. Once the dentist is ready to begin treatment, a local anesthetic will be used to numb the area throughout the procedure.
Pulp removal
A rubber dam will be placed around the tooth to separate the area from the rest of the mouth, and to keep it dry from saliva. The tooth will be opened, often using a small dental drill, to gain access to the pulp inside the tooth. The damaged pulp will be removed, and if there is an abscess it will be drained.
Cleaning and filling
After the pulp is eliminated, the dentist will thoroughly clean the area. The root canal will be widened if needed to create an adequate space for the filling. Depending on the extent of the damage, this step of the process can take up to several hours to complete or it can be spread over more than one visit. A temporary filling is sometimes used to seal the area between visits. If infection is present, the dentist may prescribe antibiotics.
Sealing
The temporary filling will be removed and the permanent filling placed to fully seal the tooth and prevent future infection. If the tooth has been filled at the root, the risk of breaking is higher so a crown may be recommended for protection.
Crown placement
Crowns help prevent further damage or fracturing. If needed, the tooth will be reduced somewhat to allow space for the crown. It will be held in place securely with dental cement.
Recovery
After root canal treatment, the tooth should survive for many years. The procedure may be repeated if re-infection occurs.
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