A simple extraction is performed on a tooth that
can be seen in the mouth. General dentists commonly do simple extractions, and most can be done under a local anesthetic.. In a simple extraction, the dentist will grasp the tooth with forceps and move the forceps back and forth to loosen the tooth before
removing it. Sometimes, an instrument called a luxator, which fits between the tooth and the gum, is used to help loosen the tooth. A surgical extraction involves teeth that cannot be seen easily in the mouth, either
because they have broken off at the gum line or because they have not come in yet. Another reason for a surgical extraction is that the tooth to be removed requires a flap be cut in the gum for access to remove bone or section of tooth
When your wisdom teeth emerge, it can be painful. On the other hand, there are plenty of people who do not feel any pain whatsoever! So why does wisdom tooth pain only affect certain people? What
causes the pain? If your dentist says you need your wisdom teeth extracted, what can you expect?
Our wisdom teeth are the last of our adult teeth to emerge and they usually start to come through in our early or mid-twenties. They are large molars that are positioned at the back of the mouth, at both the top and the bottom. Therefore, you could
have up to four wisdom teeth emerging.
When wisdom teeth become impacted, they make the
jaw feel swollen and tender; to ache; and to be painful to the touch. It can be painful to eat and drink, while on occasions the damaged wisdom tooth can also become infected. If you visit your dentist regularly, they will monitor the growth of your wisdom
teeth over a period of time by taking x-rays. Therefore, any corrective treatment can be completed before the pain is noticeable
Wisdom teeth extractions are usually performed under sedation or under local anaesthetic. If the extraction is relatively simple and can be done in your dental practice (rather than in surgery), your dentist may be able to extract the tooth under
a local anaesthetic.
Surgery is required because the impacted wisdom tooth is still
trapped below the gum line. Therefore, the dental surgeon will need to cut through and lift away the gum, and in some cases cut away some of the jaw bone to reach and remove the tooth.
Most wisdom tooth extractions are performed in a single day. If the surgery is performed under sedation, it is important that you have a friend or relative
there with you. They will need to drive you home after the operation and to remain with you for 24 hours, as you will remain tired and disorientated for a period of time afterwards.
Wisdom teeth removals are very common and a routine procedure. After the operation, however, you may still feel some pain in your jaw and there may be some bruising.
Over the counter painkillers from your local chemist are the best way to treat this and the bruising should disappear gradually over the next fortnight.
Having a wisdom tooth removed can also affect your ability to eat certain foods directly after the operation. You must be careful not to damage the stitches in your gum. Therefore, your dentist
will probably recommend that you stick to softer foods and liquids for the first couple of days. You must also minimise the risk of the operation area becoming infected – therefore, smoking and drinking alcohol are also inadvisable.
Maintaining a good standard of oral hygiene is vital to ensuring that the extraction area does not
become infected. You must continue to brush your teeth as normal, although for the first few days you must avoid directly brushing the site where the wisdom tooth was removed. Your dentist may recommend using a mouthwash to compensate for this, which will
help to keep your mouth clean without being as abrasive as brushing.