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Wisdom Tooth Extraction

What is Wisdom Tooth Extraction?

Wisdom Tooth Extraction

What is Wisdom Tooth Extraction?

Wisdom teeth are the last set of permanent teeth that erupt at the back of the mouth – two each on the upper and lower jaw. They are the third molars that fall as eight teeth when counted from the front central tooth. They usually appear between 17-25 years of age. Some people might never develop wisdom teeth or even if it develops it stays as submerged teeth. In case they erupt normally or stay totally submerged, extractions are not required unless specific conditions like orthodontic treatment, pathologies etc. For some people, wisdom teeth encounter space deficit during the eruption process leading to partly erupted or irregularly positioned teeth. This is particularly common when the size of the teeth and jaw are not matching. Genetics can play a role here. Also, the time lag when the growth of the jaw ceases and the time of eruption of wisdom teeth can contribute to this. Such a crooked tooth can create problems like dental caries which are difficult to diagnose and treat, food lodgment, painful gums, infections, bad breath, repeated infections etc.

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Reasons to consider Wisdom Tooth Extraction in Dubai:
  • Difficulty opening your mouth – this is usually a clear indication.
  • Pain and swelling happen in a repetitive manner
  • Food and debris get stuck around the wisdom tooth
  • Infected, inflamed gums or gum disease
  • Repeated infection of soft tissue behind the lower teeth
  • Damage to nearby teeth or surrounding bone
  • A cyst or fluid-filled sac forming around the wisdom tooth
  • Sinus issues
  • Tooth decay in a wisdom tooth that has only partially erupted
  • Complications that occur with orthodontic treatments needed to straighten other teeth

At Dr. Paul’s Dental Clinic, Dubai, Wisdom Tooth Extraction is done by our specialist oral surgeon in Dubai in a manner that makes the entire process as pain-free as possible. Wisdom tooth removal can be more complex than a standard tooth extraction. Our specialist dentists use the latest dental systems to diagnose problems and remove impacted wisdom teeth. Our dentists sometimes ask you to go in for wisdom tooth extraction even if your impacted teeth are not giving you any trouble.

The rationale for preventive wisdom tooth extraction
  • Wisdom teeth that show no symptoms still might harbour diseases like caries /gum problems
  • If the space needed for the tooth to erupt does not suffice,
  • Those teeth are hard to maintain using brushing and flossing because of poor access
  • For ease of extraction as newly formed wisdom teeth will have partly formed roots and softer surrounding structures making it easier for extraction.
  • Planning a wisdom tooth extraction at a young age is better than older age because of faster healing

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Impacted Wisdom teeth

Wisdom Tooth Extraction

Impacted Wisdom teeth

Wisdom teeth are wide and are of great use if grown out completely and perfectly aligned. Sometimes due to lack of space, they erupt misaligned, or gets impacted and do not reach the occlusal table. The condition is commonly referred to as ‘Third molar impaction’ / ‘Wisdom tooth impaction’. Interestingly the third molars are the most commonly impacted teeth.

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Types of wisdom tooth impaction

1. Based on the overlying tissue

  • Soft tissue impaction- the crown of the tooth has erupted through the jawbone but is submerged under the gums.
  • Partial bony impaction- tooth has not fully erupted and partially covered by bone
  • Complete Bony impaction- tooth is embedded in the jawbone.

2. Based on the angulation of impaction

  • Vertical impaction- The tooth is erupting straight, but is not able to come out of the jawbone.
  • Horizontal impaction- tooth is embedded horizontally in the jaw bone.
  • Mesio-angular impaction- the impacted tooth is tilted towards the second molar.
  • Disto-angular impaction- the impacted tooth is tilted distally away from the second molar.
Points to remember before Wisdom Tooth Removal Surgery

Before doing such a procedure, you can talk to our resident expert who will talk you through the process and gather information from you such as:

  • Underlying health conditions that can hamper the process
  • Current medications that you are on
  • Any fears or misconceptions you may have about the procedure
  •  Type of anaesthetic you are comfortable with (usually a choice between local, general or sedation); and
  • Providing you with an estimate with regards to the time you will need to recover from the operation.
After Wisdom Tooth Removal Surgery

Your dentist or oral surgeon will probably prescribe you painkillers to relieve the pain as you may have swelling and mild discomfort for 3 or so days. Overall, you may need up to a week to completely recover from the procedure.

Here are some tips to assist in your recovery:

What you should do:

  • Reduce the pain around the affected area by consuming cold foods and fluids on the day of the extraction.
  • Try to gently open and close your mouth to exercise your jaw
  • Drink plenty of fluids
  • Gently rinse your mouth with warm salt water from the second day onwards
    Rest the area and do not bite anything hard in that area

A few things to look out for:

  • Don’t drink through a straw as sucking may loosen the blood clots that are helping your socket heal
  • Avoid smoking as it can slow the healing process
    Avoid frequent spitting and vigorous rinsing.
  • Do not brush too hard around the involved area
  • Taking painkillers containing acetylsalicylic acid (ASA) such as aspirin are not recommended since they can affect healing.

Wisdom Tooth Extraction

The planning of extraction is based on a detailed clinical and radiographic evaluation. Usually, a 2D X-ray is only needed. But in the case of proximity to vital structures, a 3D x-ray might be required.

Depending on the surgery procedure that will be needed, the oral surgeons will decide the type of anaesthesia to be administered. We will also ascertain your comfort levels before selecting the anaesthetic to be employed.

Local Anaesthesia: The oral surgeon or dentist will first numb the involved area with an anaesthetic solution.

General Anaesthesia: For patients who are very apprehensive or who need multiple wisdom teeth extractions with or without other complex dental procedures we can even consider general anaesthesia where the patient goes through the whole process with absolutely no stress.

Steps Involved in the Extraction of teeth

The procedure for wisdom tooth removal consists of the following steps:

  • The area is numbed with local anaesthesia
  • The oral surgeon performs the wisdom tooth extraction
  • The extraction site is then thoroughly cleaned and sanitised
  • If necessary, the wound is stitched to accelerate healing. However, stitches are not always required.
  • In the last step, gauze is placed over the wound to stop the bleeding and also to help in blood clot formation

Why choose Dr. Paul’s?

At Dr. Paul’s Dental Clinic, Dubai, our wisdom teeth specialist dentists in Dubai use the latest technologies and cutting edge systems to rectify your issues and remove impacted wisdom teeth without causing problems for your other teeth. Reach out to learn more about the procedure as well as the wisdom teeth removal cost in Dubai.

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FAQs

  • Can I smoke after getting my wisdom teeth removed?

    Do not smoke for 48 hours after your wisdom teeth have been extracted. Smoking causes the blood clot to break and hinders the healing process. When you smoke, the inhaling action can lead to the formation of dry sockets as well.

  • How soon can I travel after the extraction?

    It is best to wait for at least a day or two following wisdom teeth removal before you travel. However, do keep in mind that the third or fourth day is the peak of discomfort, so plan your travel dates accordingly.

  • When can I start brushing my teeth?

    Be particularly gentle during the first 24 hours. You should stay away from brushing your teeth or rinsing your mouth, using the mouthwash or even spitting. You can brush your teeth after the first 24 hours of your surgery.

  • What can I eat and drink after the wisdom tooth extraction surgery?

    During the first 24 hours from your surgery, make sure that you drink lots of water but stay away from alcoholic, caffeinated, carbonated or hot beverages. Remember, you should not use the straw for the first week. Sucking on the straw can cause the blood clot to get dislodged from the socket. Soft food like yoghurt and smoothies are good for you. You can start eating semi-solid food when you feel up to it. Do not eat spicy, hot, hard or chewy food that can irritate the wound and get stuck in the socket.

  • What should I do after the procedure?

    Do not exert yourself but be at rest for the day. You can resume your regular activities from the next day onwards. However, you should stay away from any activity that might cause you to overexert as it might cause the blood clot to get dislodged from the socket.

  • What medication can I take for pain management?

    If your bone had to be removed for the surgery, then you should take the prescribed pain medication. You can also place an ice pack close to your jaw for pain relief.

  • Will there be bleeding after extraction?

    Yes, there will be some oozing of blood on the first day after the removal. Do not spit unless absolutely necessary as you should not dislodge the blood clot from the socket. As directed, you will need to change gauze over the extraction site and this will be explained to you in detail.

  • What can I do for the swelling and bruising?

    You can hold a cold pack close to your jaw to relieve the pain and swelling. The swelling usually subsides within two to three days but the bruising might take some time to heal.

  • When can I get back to working out after the wisdom removal?

    Wait for three-four days after your wisdom teeth removal to exercise and do any type of intense workout. If you exercise or exert too early, it can aggravate the blood clot and affect your recovery time.

  • How long does the recovery period take after the extraction?

    We usually estimate 7-10 days for recovery. However, it depends on the patient as some people have shorter or longer recovery times.

  • What are impacted wisdom teeth?

    When there is not enough room after the second molar for the other tooth to emerge or develop normally, the wisdom tooth is impacted.

  • Will it be painful to remove my wisdom teeth?

    No, the area will be numbed and therefore you shouldn’t feel any pain during the removal. However, If you sense any pain, you can inform your dentist or oral surgeon and they will adjust the anaesthesia accordingly.

  • Is it necessary to break the jaw to extract my wisdom tooth?

    No, that’s just a common misconception. Even though it can be difficult to remove wisdom teeth, we do not need to “break the jaw”. 

  • Can I delay my wisdom tooth removal process?

    Wisdom tooth removal requires immediate action. If you wait for long, there can be infection, orthodontic problems, or even an abscess.

  • Is it okay to remove them by myself at home?

    No, you should never attempt the removal of wisdom teeth by yourself. It should always be performed by a dentist or oral surgeon. As a part of the removal process, an X-ray of your mouth is first taken to help us understand if there is a need for an oral surgeon for your procedure.

  • Can I get my child’s wisdom tooth removed?

    Wisdom teeth erupt only during adolescent or adult age. The average age of a wisdom tooth to erupt is 17-20 years and it can take a few months to a couple of years for the newly erupted wisdom tooth to start giving pain and discomfort

  • Can I get all four of my wisdom teeth removed at once?

    Yes, we usually remove all four teeth at one go. This procedure can last an hour or less. For this to be done, ideally general anaesthesia is preferred.

  • My wisdom teeth do not hurt. Should they be removed?

    No, you do not have to get them removed if you don’t have any pain or infection and your wisdom teeth are healthy. We recommend that you have them removed if they cause pain, infection, crowding, or become impacted.

  • Does everyone have wisdom teeth?

    No, not everyone gets wisdom teeth. Some of us can get all four of our wisdom teeth, while some others may just develop three, two or even just one wisdom tooth.

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