Wisdom Teeth Can I Open My Jaw the Same Again?

Issues with lower wisdom teeth

Wisdom teeth are the last teeth to develop in your jaws, often there is not enough space for them to erupt into the correct position similar the other teeth in your mouth. They can vary in their position. Please see the image below for their unlike positions. Some may not erupt fully because they exist impacted confronting another tooth or may be role covered by the gums (oral mucosa) A combination of this varied position, impaction, existence partially erupted and other causes may create issues. You may non be aware that these are occurring.

I of the most common reasons you take been referred is that y'all've been having problems with your wisdom teeth. This may be due to pain, swelling or infection to the gum covering the wisdom tooth, also known pericoronitis. The wisdom tooth may besides exist decayed. You may also be getting food stuck around your wisdom teeth.

Some wisdom teeth may accept no symptoms but there may exist a problem developing or there is loftier hazard of a problem developing that you may be unaware of. In that location is stiff testify to show that wisdom teeth that are mesially or horizontally positioned that accept not erupted fully have a loftier risk of disuse occurring within the wisdom tooth and likewise to the tooth in front. If left lonely the decay may get to the extent that you lot may develop hurting from both teeth. If the tooth in front is rust-covered information technology will need to be repaired by the Dentist afterwards the wisdom tooth has been extracted.

The decay may get to the extent that the tooth in front end has to be removed as well. The same may occur to the bone support around these teeth (periodontal disease). Sometimes cysts tin can form around the wisdom tooth. A cyst occurs when fluid fills the sack that ordinarily surrounds a developing wisdom tooth and tin can slowly increment in size.

A horizontal wisdom impacted tooth.
In that location is early disuse in the tooth in front.
Your dentist may exist able to repair this molar

A horizontal impacted wisdom molar.
There is all-encompassing decay in the tooth in front.
Both teeth will need to be removed.

If you take a medical issue that requires you to beginning medicines such equally immunosuppressants or medicines that affect the bone it is advisable to take an assessment of your teeth including your wisdom teeth before you lot outset these medicines. If you were to take a molar extracted while on these medicines this may slow down healing of a tooth socket. In rare cases the tooth socket may not heal at all. The assessment may recommend the need to remove teeth that are of a poor prognosis including your wisdom teeth.

If you are intending to travel away for a long length of time and access to a dentist or a specialist is difficult the consideration may exist given about having treatment for your wisdom teeth and other teeth before you lot leave.

Do I demand to be referred?

Some wisdom teeth can be straightforward to remove. Your Dentist might be able to remove them or may refer y'all to see a clinician who removes them routinely. You may need to go another Dental practice or a clinic in the community. They may be able to remove them on the same mean solar day every bit your commencement date.

For wisdom teeth that are difficult to remove or in that location are medical issues or if you wish to see a specialist, you may need to exist referred to the hospital. The specialist will oft exist a Consultant in Oral and Maxillofacial Surgery or an Oral Surgeon. They will have the feel and qualifications to provide you with the information for you to decide nigh you would like to practice about your wisdom teeth. Often the commencement appointment will exist a consultation only and if necessary another appointment will be needed to have your treatment.

What options may be discussed?

At that place are several options about the management of your wisdom teeth.

No handling but kept under review

If the wisdom tooth is in a position where information technology has non been causing problems and in that location is a low adventure of a problem developing and then an choice tin can be for the wisdom molar to be left where it is. Your Dentist tin continue to review your wisdom teeth along with the rest of your teeth when you attend for your routine check up. When necessary your Dentist may need to accept an Ten- ray of the wisdom teeth. Yet, over time circumstances may modify and the adventure of a problem with your wisdom teeth may increase, which handling volition then be needed. The time of when treatment is needed is a decision that can be made with you and the Dentist or the Specialist. It is important to keep your wisdom teeth nether review as problems may develop with out you knowing about them until severe symptoms develop.

Treatment

In most cases where a problem has developed or a loftier risk of developing the wisdom molar could be removed completely or part removed. During your consultation these options will be discussed with y'all in item along with what is involved and the risks of the process. Your upper wisdom teeth may need to be removed besides.

What does the consummate removal of lower wisdom teeth involve?

If the wisdom tooth has non fully erupted into the mouth it is often necessary to make a cut in the mucilage over the molar. Sometimes it is besides necessary to remove some bone surrounding the wisdom tooth. The molar may demand to exist cut into two or 3 pieces to remove it. Once the wisdom molar has been removed the mucilage is put back into place with stitches. In the majority of cases these stitches are dissolvable and take around two weeks to disappear.

What are the main possible risks of removing a wisdom tooth?

Near patients will recover fully with no problems.

• Bleeding
  • There may be a little haemorrhage at the time of the extraction this usually stops very speedily and is unlikely to be a problem. If you are at home and the area bleeds again this tin can usually be stopped past applying pressure over the area for at least x minutes with a rolled upward handkerchief or swab. If the haemorrhage does non end, please contact the department where yous had your operation.
• Altered Awareness to the mentum, lower lip or tongue
  • Two nerves lie quite close to the lower wisdom teeth. The nerves can vary in their proximity to wisdom teeth. See the paradigm below. The lingual nerve provides sensation in your tongue whilst the inferior dental nerve gives sensation to the lower lip and skin overlying the chin. Occasionally these nerves may be bruised during tooth removal. If this happens and then you may have either numbness or pins and needles in either the tongue, lower lip, skin over the chin or any combination of these. If the wisdom molar is away from the nerve the risk to the junior dental nerve is less than 1%, yet if the nerve is in very close contact the risk may be every bit high as ix%. The gamble to the lingual nerve is less than 0.5%. It may take up to 18 months for this to recover. Rarely the nerve may non recover fully and you may be left with small patches of numbness to your lip or chin. Taste is rarely afflicted.

• Infection
  • An infection in the in the socket can occur or the blood clot from extraction socket has dissolved away which may result in a dry out socket. The incidence of this happening is low being in the order of ii%. It can be minimised past keeping the surface area make clean with rinsing with water or a mouthwash starting this the twenty-four hours after your process. It is appropriate not to fume for a few days later having the wisdom tooth removed. Smoking tin increase the take a chance of an infection or a dry socket. It may also be necessary for you to have a class of antibiotics after the extraction.
• Weakening of the Jaw
  • In exceptional cases wisdom tooth removal tin can cause significant weakening of the jaw with the resultant possibility of jaw fracture. The incidence of this happening is extremely low and is less than one% (less than 1 in 100).

A coronectomy

A coronectomy may be a treatment option. It may be offered if the inferior dental nerve in close contact to the wisdom molar. In this technique only the upper portion of the wisdom tooth is removed leaving some of the tooth roots behind. This to minimise the hazard of to the nervus. However, there is less than a 3% adventure that you lot may need to have the remaining roots out at a after engagement or there may be delayed healing. At the consultation an assessment volition be fabricated to see to if this option is advisable for you.

How long does it accept to remove a wisdom tooth?

This is a variable. Some wisdom teeth may take just a few minutes to remove. More than hard wisdom teeth that demand to exist cut into pieces to remove can take around 20 minutes to extract.

Is there much pain or swelling later the removal of wisdom teeth?

It is likely that there volition be some discomfort and swelling both on the inside and outside of your mouth after surgery. This is usually worse for the starting time three days but information technology may take up to two weeks before all the soreness goes. You may also find that your jaw is stiff and may non exist able to open fully. You lot will need to consume a soft diet for a week or and then. There may be some bruising of the peel of your face that can take up to a fortnight to fade away. The application of an ice pack during the first 24 hours post-operatively may help. Exercise not apply the ice pack directly to your skin - wrap the ice pack in a towel get-go. The older you are having a wisdom tooth removed the longer it volition take to recover.

What type of anaesthetic is used?

A number of options are available and depend on how difficult the wisdom tooth is to remove

Local anaesthetic - this is an injection into glue surrounding the wisdom tooth, rather similar to that you may have had at your dentist for a filling. The injection takes a couple of minutes to numb the area and means that you will experience no hurting while the wisdom tooth is removed.

Local anaesthetic and intravenous sedation – in addition to a local anaesthetic injection you can be given an injection into your arm. This makes you feel relaxed and less enlightened of the procedure. You are awake but patients frequently have little or no retention of the operation.

General anaesthetic – it is normally possible to remove wisdom teeth under a "day example" general anaesthetic, ie although you are put to sleep completely you lot will be able to go habitation on the same day as surgery.

Is there anything else I need to practise after the extractions?

Information technology is important to keep the extraction sites as make clean as possible for the first few weeks after surgery. It may be difficult to clean your teeth effectually the sites of the extraction because it is sore and if this is the instance it is best to keep the area free from nutrient droppings by gently rinsing with a mouthwash or warm common salt water (dissolve a apartment teaspoon of kitchen salt in a cup of warm water) commencing on the day after surgery.

Do I need to take any time off work?

Usually it will be necessary to take a few days off work and avoid strenuous do for this time. Depending on the blazon of anaesthetic used you lot may well non exist able to drive (24 hours later on intravenous sedation and for 48 hours after a general anaesthetic).

Further information

If you do want to know more near your operation delight speak to your Dentist or the Specialist.

Here is a list of trusted websites that offer safe, sensible, useful information:

Royal College of Surgeons of England

British Clan of Oral and Maxillofacial Surgeons

British Clan of Oral Surgeons

NHS Stop Smoking Service.

NHS Choices

GOV.United kingdom

DVLA - Driver and Vehicle Licensing Bureau

Call 111 for non-emergency medical communication

dietrichhimps1952.blogspot.com

Source: https://www.baoms.org.uk/patients/procedures/23/removal_of_impacted_wisdom_teeth

Share this post