As wisdom teeth are the last permanent teeth to come in, or erupt, there is often not enough room left in your mouth to accommodate them. This can lead to wisdom teeth that are impacted (below the gum line and not erupted). If teeth are impacted, swelling and tenderness may occur in the area of the third molar.A tooth extraction is a relatively routine procedure. Your dentist will recommend either local anesthesia, if the teeth are erupted, or sedation if the teeth are impacted. The oral surgeon will recommend the best anesthetic option to the person who is having their wisdom teeth extracted.
If the wisdom teeth are erupted, the tooth (or teeth) will be removed. After surgery, you may be asked to bite down softly on a piece of gauze for 30 to 45 minutes after you leave the office, to limit any bleeding that may occur. If the wisdom teeth are impacted and embedded in the bone, the oral surgeon will put an incision into the gums and remove the tooth or teeth in sections in order to minimize the amount of bone being removed. Some pain and swelling may occur, but it will normally go away after a few days; however, you should call Plaza Health if you have prolonged or severe pain, swelling, bleeding or fever. Removal of wisdom teeth due to crowding or impaction should not affect your bite or oral health in the future. Swelling and tenderness in the face and neck are common, as is bruising. Ice packs and pain medications prescribed by the dentist will help.
After a tooth is extracted a blood clot forms in the tooth socket and seals the area so that it can heal. A dry socket can occur during the first five days after the extraction when the blood clot breaks down or is dislodged, it exposes the bone and nerves of the tooth. Only 2 to 5% of people will develop a dry socket. To ease the pain, a dentist will rinse out the empty socket, remove any debris and apply medicated dressings to protect the area and decrease the pain. They will prescribe an antibiotic to prevent infection and a painkiller to decrease discomfort. With proper care and rest a dry socket should heal in 7 to 10 days.