WISDOM TEETH REMOVAL MANDURAH
Third molars are commonly referred to as wisdom teeth. They are usually the last teeth to develop and are located in the back of your mouth, behind your second molars. Their development is usually completed between the middle teenage years and early twenties, a time traditionally associated with the onset of maturity and the attainment of wisdom.
Symptoms of Impacted Wisdom Teeth:
The lack of eruption or partial eruption can cause these molars to produce various symptoms and issues that may require surgical attention. These include:
- Surrounding bone and soft tissue
- Pain and headaches
- Caries (tooth decay or cavities)
- Wisdom teeth
- Second molars
- Erosion into the second molars
- Shifting of adjacent teeth
- Bleeding of the gums
- Cyst formation surrounding the wisdom tooth
- Invading bone
- Encompassing adjacent teeth
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WHY SHOULD I REMOVE MY WISDOM TEETH?
Wisdom teeth are the last teeth to erupt within the mouth, at approximately 18 years of age. Some adults get their wisdom teeth earlier or later. If they align properly and gum tissue is healthy, wisdom teeth do not have to be removed.
Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are unable to properly erupt within the mouth.
Often times the wisdom teeth may grow sideways, or only partially emerge from the gum. It is very common that they remain trapped beneath the gum and bone.
Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to erupt successfully. Poorly positioned impacted teeth can cause many problems, especially if they are left untreated for many years.
Partially erupted wisdom teeth create an opening around the tooth which can allow bacteria to grow. This bacteria growth will ultimately cause infection. This result will manifest itself into swelling, stiffness, pain and illness.
MOST COMMON PROBLEMS
The most frequent clinical problem we see is pericoronitis, (a localized gum infection). Without enough room for total eruption, the gum tissue around the wisdom tooth can become irritated and infected, resulting in recurrent pain, swelling, and problems with chewing and/or swallowing.
Non-infectious diseases may also arise in association with an impacted wisdom tooth. Cysts are fluid-filled “balloons” inside the jaw bone that develop as a result of impacted teeth and slowly expand destroying adjacent jaw bone and occasionally teeth. They can be very difficult to treat if your wisdom teeth are not removed in your teenage years. Although rare, tumors can be associated with the delayed removal of wisdom teeth.
Impacted wisdom teeth may contribute to crowding of your teeth. This is most noticeable with the front teeth, primarily the lower front teeth and is most commonly seen after a patient has had braces. There are a number of factors that cause teeth to crowd after braces or in early adulthood. Retained, impacted wisdom teeth may be a contributing factor. Unless you have an active problem when you see the oral surgeon, the reason for removal is primarily to prevent long-term damage to your teeth, gums and jaw bone.
Damage to Adjacent Teeth:
If there is inadequate room to clean around the wisdom tooth, the tooth directly in front, the second molar, can be adversely affected resulting in gum disease, bone loss around the tooth, and/or decay.
PROCEDURE AND WHAT TO EXPECT
There are many different types of techniques for wisdom teeth removal. During your consultation, We will determine the best method for your condition. We will also speak to you regarding whether local or general anesthesia will be used during the extraction.
AFTER THE EXTRACTION:
After you have had your wisdom teeth removed, you will need to follow specific instructions to ensure an efficient healing process. Do not eat any solid foods or grains that can get caught in the surgical sites.
Do not drink through a straw. Suction can remove clots that aid in the healing process. Wait at least one week to eat any crunchy, chewy, or spicy foods.
Avoid acidic foods during the healing process.
The recovery process can take anywhere from a few days to a couple of weeks, but it is common for patients to begin to feel better after three days. Plan your diet for the next few weeks around soft foods that should not cause any problem to the extraction wounds:
- Ice cream
- Mashed potatoes
- Instant Oatmeal
COST OF WISDOM TEETH EXTRACTION
There are several factors that affect wisdom teeth removal costs including:
The type of procedure. Impacted teeth generally cost more to remove than simple extractions. This is because they require surgery and cannot be completed “in the chair” by your regular dentist.
The dentist. The pricing structure your dentist uses can also have a big influence. There are no limits on how much a dentist can charge for wisdom teeth removal, only guidelines issued by the Australian Dental Association.
The specialist. If your case requires you to be referred to an oral surgery specialist, be prepared to pay higher fees.
Your private health insurance. The level of hospital and/or extras cover you have can have a big impact on how much you pay for treatment. In addition, if your dentist is a specialist provider for your health fund, the fund may set the fees the dentist is allowed to charge for the procedure.
Where you live. Costs vary from one state to the next, while it’s also cheaper to get wisdom teeth removed in major cities than it is in rural areas.
Here are the average pricing for tooth extraction
Comprehensive oral examination
Periodic Oral Examination
Oral examination – limited
Intraoral periapical or bitewing radiograph
Removal of tooth or part(s) thereof
WISDOM TEETH EXTRACTION FAQ'S
As wisdom teeth develop, the roots become longer and the jaw bone more dense.When it is necessary to remove impacted wisdom teeth in your thirties, forties or beyond, the post-operative course can be prolonged and there is a higher complication rate.
Treating these complications is often more difficult and less predictable than with a younger patient. Healing may be slower and the chance of infection can be increased. If your impacted wisdom teeth are not removed in your teenage years or early in your twenties and they are completely impacted in bone, it may be advisable to wait until a localized problem (such as cyst formation or localized gum disease and bone loss) develops.
In general, you will heal faster, more predictably and have fewer complications if treated in your teens or early twenties.
The fee for your treatment is determined by a number of factors. These may include the difficulty involved in removing your teeth and which type of anesthesia is best for you. During your consultation appointment, the surgeon will need to review your x-rays, complete an examination and determine the best option for anesthesia, before an accurate estimate can be provided.
Every insurance company has a different policy regarding the extent of coverage for a given surgical procedure. Here at Peel Dental Studio we will help you obtain maximum insurance coverage for your treatment.
Your surgery should take 45 minutes or less.
You’ll get one of these types of anesthesia so you don’t feel pain during the removal:
- Local: Your doctor will numb your mouth with a shot of local anesthetic such as novocaine, lidocaine or mepivicaine. You may also breathe nitrous oxide, or laughing gas, to relax or even doze during surgery. You should feel alert again shortly afterward.
- IV sedation: The surgeon will numb your mouth and also give you drugs through a vein in your arm to make you drowsy. You might sleep during the whole procedure.
- General: You’ll either get drugs through a vein or breathe gas in through a mask. You’ll be asleep the whole time and might not wake up for an hour or so after the surgery.
Your doctor may have to cut your gums or bone to get the teeth out. If so, he’ll stitch the wounds shut so they heal quickly. These stitches usually dissolve after a few days. He may also stuff gauze pads in your mouth to soak up some of the blood.
- Use an ice pack on your face to curb swelling or skin color changes.
- Use moist heat for a sore jaw.
- Gently open and close your mouth to exercise your jaw.
- Eat soft foods like pasta, rice, or soup.
- Drink plenty of fluids.
- Brush your teeth starting the second day. Don’t brush against any blood clots.
- Take the drugs your doctor prescribes to ease pain or swelling.
- Call your doctor if you have a fever, or if your pain or swelling doesn’t improve.
- Don’t drink through a straw. Sucking may loosen blood clots that help your mouth heal.
- Don’t rinse your mouth too harshly. Your doctor may suggest rinsing gently with saltwater.
- Don’t eat hard, crunchy, or sticky foods that may scratch your wounds.
- Don’t smoke. Smoking can slow your healing.
There are patients that develop wisdom teeth that function just as well as every other tooth in the mouth, and as a result they do not need to have them removed. But no one can predict when third molar complications will occur.
If you do have wisdom teeth that you are thinking of having taken out, Dr. Ross Bailey strongly recommends that patients remove wisdom teeth when they are young adults, in order to “prevent future problems and to ensure optimal healing.”
As your wisdom teeth develop, their roots become longer and your jawbone becomes more and more dense. This can lead to an extended recovery period and a higher chance of complications when the patient is in their 30’s or 40’s. Younger patients will be able to heal faster and at a more predictable rate from wisdom tooth extraction, and by addressing the issue early on, our team can prevent pain and other concerns before they have the chance to develop.
Your specific recovery will depend on many factors, including your age, overall health, and the difficulty of the extraction. Most patients will experience some swelling and mild discomfort after surgery, and you will be limited to a soft diet until the discomfort passes.
Our dentist may prescribe antibiotics or pain medications, if necessary. We will discuss all the details about your surgery and recovery with you before your procedure.