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Keller, TX, Wisdom Teeth Removal

Why do Wisdom Teeth need to be removed?

Wisdom teeth are often extracted either before or after they come in.Wisdom teeth are the third and final set of molars that most people get in their late teens or early twenties. Sometimes these teeth can be a valuable asset to the mouth when healthy and properly aligned, but more often, they are misaligned and require removal.

When wisdom teeth are misaligned, they may position themselves horizontally, be angled toward or away from the second molars, or be angled inward or outward. Poor alignment of wisdom teeth can crowd or damage adjacent teeth, the jawbone, or nerves.

 

Wisdom teeth also can be impacted -- they are enclosed within the soft tissue and/or the jawbone or only partially break through or erupt through the gum. Partial eruption of the wisdom teeth allows an opening for bacteria to enter around the tooth and cause an infection, which results in pain, swelling, jaw stiffness, and general illness. Partially erupted teeth are also more prone to tooth decay and gum disease because their hard-to-reach location and awkward positioning makes brushing and flossing difficult.

 

How Do I Know if I Have Wisdom Teeth?

Our Team of Dentists will evaluate your overall dentition and may take an X-ray periodically to evaluate for the presence and alignment of your wisdom teeth.   If determined necessary, your dentist may recommend that your wisdom teeth be extracted even before problems develop. This is done to avoid a more painful or more complicated extraction that might have to be done a few years later. Removal is easier in young people, when the wisdom teeth roots are not yet fully developed and the bone is less dense. In older people, recovery and healing time tend to be longer.

 

How Are Wisdom Teeth Removed?

The relative ease at which your dentist can extract your wisdom teeth depends on their position and stage of development. Your dentist will be able to give you an idea of what to expect during your pre-extraction exam. A wisdom tooth that is fully erupted through the gum can be extracted as easily as any other tooth. However, a wisdom tooth that is underneath the gums and embedded in the jawbone will require an incision into the gums and then removal of the portion of bone that lies over the tooth. Often, for a tooth in this situation, the tooth will be extracted in small sections rather than removed in one piece to minimize the amount of bone that needs to be removed to get the tooth out.

 

What Happens During Wisdom Teeth Removal?

Before your wisdom teeth are pulled, the teeth and the surrounding tissue will be numbed with a local anesthetic -- the same type used to numb a tooth prior to having a cavity filled. In addition to the local anesthetic to numb the pain, you and your dentist may decide that a sedative is desired to control any anxiety. Sedating medications that could be selected include: nitrous oxide (otherwise known as "laughing gas"), an oral sedative (for example, Valium), or an intravenous sedative (administered via an injection into your veins). If nitrous oxide is given, you will be able to drive yourself home. If any of the other medications is selected, you will need someone to drive you both to and from the appointment.

 


What to expect
Your dentist will first administer anesthetic to numb the area and reduce discomfort. During the extraction, you will feel the pressure of the tooth being removed, but will not feel any pain. Typically, the dentist is able to remove your tooth within a matter of minutes.

Immediately after the tooth extraction, a small amount of bleeding is normal and patch of gauze will be placed in the affected area. The area may bleed minimally for the next 24 hours or so and taper off after that. Follow the post op instructions our office provided to you on how often to change the gauze, and what other post-procedure steps to follow.