Ryde Dental Care
17 Ryedale Rd, West Ryde NSW 2114
Dr Chad Hazouri
Cosmetic and General Dentistry

Wisdom Teeth Removal

Your dentist will have to make an incision to open your gums to remove the wisdom tooth. A small portion of the bone may have to be removed so your dentist can get to the tooth.

The tooth may have to be divided into segments so it can be removed easily and safely.
The incision in your gums may have to be closed with stitches.
Some stitches dissolve after a few days. Other stitches will be removed by your dentist.

After the surgery

After the tooth has been removed, you will have to rest for a while before you go home. Your dentist will check on you as you recover.
When your dentist is satisfied with your recovery, you can go home.
If you have been staying in hospital, you will return to your room when you recover from the anaesthetic.

Taking care of yourself after surgery

  • Rest at home after the surgery
  • Do not drive, engage in active exercise, or operate machinery.
  • Take several days off from work, school or other duties.
  • Do not drink beer, wine, spirits or other alcoholic drinks while you are taking pain killers or antibiotics.
  • Eat soft foods such as soups, blended (pureed) vegetables and meats, and gelatine for the first two days.
  • Drink lots of fluids.
  • Ice packs may reduce swelling and pain.

Pain relief after surgery

Pain may be minor in some people and greater in others. Your dentist will prescribe a pain reliever for you.
If you are uncertain about the best pain relief medicine for you, ask you dentist. Pain usually starts to decrease after the second day. However, some people may still need pain relief after one week.
If your pain does not seem to get less as the days go by, tell your dentist.

Control of Bleeding

You can apply pressure over the area of bleeding by biting gently but firmly on a piece of cotton gauze. The pressure helps stop bleeding, and a blood clot forms. It is important not to disturb the area or bleeding may start again. The gums may ooze blood slightly for a day after surgery.
Any bleeding should stop by the second day. If bleeding does not stop, contact your dentist.

Swelling

Swelling almost always occurs after surgery and can vary from a little to sever. Most swelling takes four to five days to go down completely.
Swelling can be reduced by applying ice packs on the cheeks.

Follow-up

A follow-up visit is important. Your dentist will want to check on healing. Stitches may be taken out.

Possible side effects of the surgery

All types of surgery have risks. Removal of a wisdom tooth also has risks.
Complications can occur. The following list is not complete but is intended to inform you about possible problems. They do not happen often but may occur. There may be other uncommon complications. If you have any concerns about possible risks or complications, always ask your dentist.

Numbness or altered sensation: an impacted wisdom tooth may be lose to nerves. Sometimes, the impacted wisdom tooth may be touching a major nerve. When the tooth is removed, the nerve may become bruised. This can cause numbness, tingling and loss of feeling in teeth, gums, checks, lips, thin, tongue and around the upper jaw and lower jaw.

If a nerve is injured, it usually will heal. As it heals, the numbness and tingling go away. Often this takes less than four weeks. In some people, complete healing of the nerve may take six months to 18 months. In rare cases, the nerve may not heal completely, and numbness or altered sensation may be permanent.

Dry socket: After the wisdom tooth is removed, a Blood clot will form over the bone. This clot is important for proper healing and relief of pain.
If the blood clot is washed away or dissolves, the bone will be exposed. This is called a “dry socket”

To help prevent a dry socket:

  • For the first day after surgery, do not rinse out your mouth or spit with force. This can loosen the blood clot and may slow healing.
  • After the first day, you can rinse your mouth very gently with warm salt water. Rinse every four hours or more often. This will help healing, reduce swelling and pain, and reduce the risk of infection
  • Do not smoke after surgery.
  • For the first day after surgery, do not brush your teeth around the area of surgery. After the first day, brush gently.

Infection: An infection in the gum or bone is usually treated with an antibiotic. Tell your dentist if you have every had an allergic reaction to any antibiotic or other drug.

Difficulty in opening the mouth: Pain or discomfort when opening the mouth is common after removal of a wisdom tooth. This usually goes away in a few days after the swelling goes down.

Fever :The body temperature may be slightly higher after surgery. It should go back to normal after 12 to 24 hours. A fever which lasts longer may be an indication of an infection or other problems. You should contact your dentist.

Excessive bleeding (Haemorrhage): Although rare, haemorrhage may occur. It may be caused by too much exertion or by vomiting. It can be stopped by putting gauze over the wound and applying gauze for 15 minutes. If severe bleeding does not stop, tell your dentist at once.

Lip sores: While the tooth is being removed, pressure or stretching of the lip by the surgical instruments may cause bruises or small sores.

They usually heal without any problems. These lip sores are now common.

Damage to a nearby tooth or gilling: When a wisdom tooth is removed, the tooth or filling next to it may be chipped or loosened. This is rare.

Vomiting: Some people may vomit when they are recovering from the effects of the anaesthetic.

Sinus problems: The roots of the upper wisdom teeth are close to the sinuses. In some cases, a sinus may be opened when a wisdom tooth is removed.
The opening will usually heal quickly without infection. However; if an infection sets in or other problems start. More treatment may be necessary.

Weak jaw: Removal of an impacted wisdom tooth can cause the jaw bone to become temporarily weaker. This is rare and usually only occurs in the elderly.

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