- Wisdom Teeth Removal
- Tooth Replacement Therapy (Dental Implants)
- Tooth Extraction
- Post Op Dental Instructions
Wisdom teeth generally show up between the ages of 17 and 25. Early humans had larger jaws then we do and also had a rougher diet and needed these third molars. Modern diet, as well as orthodontic tooth straightening procedures, don’t allow for wisdom teeth to erupt properly. This causes impaction. Impaction, or partial impaction (where part of the tooth erupts) can crowd other teeth, cause gum disease, can decay due to the inability to properly clean and can cause infections or cysts that can destroy the jaw or surrounding teeth.
Removing your wisdom teeth helps keep your mouth healthy and allow your other teeth to remain properly aligned.
Wisdom teeth removal is usually performed as an outpatient procedure. In rare occasions, hospitalization may be required.
Tooth loss effects millions of americans every year. Not only do we lose a tooth but with it we lose confidence when talking to others, we lose our smile, and we lose the ability to eat some of our favorite foods. Dental implants can once again give us the confidence to smile and socialize with out fear of dentures falling out or without the concern of what others think.
Dental Implants are devices that are attached to your jaw bone that create a tooth root, providing a stable foundation for a replacement tooth. Eventually the bone and the implant become integrated, providing the same stability as a natural tooth. Today’s replacement teeth look and feel like your natural teeth.
Its time to start smiling again.
Your dentist may have recommended a tooth extraction for a number of reasons. Perhaps your teeth are crowded and you are considering braces, your tooth may be decayed beyond repair, or infection has set in and it is causing issues with your jaw. What ever the reason, tooth extraction is a common surgery. The area surrounding the tooth will be anethesized and the tooth will be loosened with a dental tool called an elevator. Once loosened the tooth can then be removed with forceps. A stitch or two may be required.
After surgery, some pain and discomfort can be expected. We suggest that you rest and not do anything strenuous right after surgery. An ice pack on your face for 15 minutes will help. Avoid hot liquids and do not drink through a straw.
INSTRUCTIONS & INFORMATION FOR POST OPERATIVE ORAL SURGERY
Proper care of the mouth following most Oral Surgery Procedures can reduce complications and speed the healing of the surgical area.
DISCOMFORT: A certain amount of discomfort following extractions is not uncommon. If you have been given a prescription, use as directed if necessary.
BLEEDING: A certain amount of bleeding is to be expected following the extraction. Blood tinted saliva may be seen for about 48 hours. If bleeding occurs after you return home, fold a small gauze pad (to the size of a quarter) and place directly over the bleeding socket for at least 30 minutes, holding it in place with moderate biting pressure. It may be necessary to repeat this procedure. Do not smoke for at least 24 hrs. following the extraction. Forceful spitting and excessive physical activity tend to increase and prolong bleeding as does bending over and picking up objects. A semi-reclining position with the head elevated and rest for the first few hours is recommended.
SWELLING: To help minimize ordinary immediate swelling following the extraction, apply an ice pack to the face over the area of extraction (20 minutes on – 20 minutes off) FOR FIRST 6 HOURS. (Alternate sides if surgery was performed on two sides). You may suck ice chips or crushed ice. This thins out the saliva, keeps the surgery site cold, and reduce swelling.
DO NOT DISTURB THE BLOOD CLOT:
Its greyish or yellowish appearance and slight odor do not indicate an infected condition. Keep fingers, tooth picks, or other matter that may cause infection out of the mouth. Keep your tongue away from the area of extraction.
SALT WATER RINSE: Vigorous mouth washing may stimulate bleeding by breaking clots which have formed. Therefore, DO NOT RINSE your mouth for 24 hours following extractions. You may then gently rinse the mouth with a warm salt water solution( 1/2 teaspoon salt to 8 oz. glass of warm water) 4 or 5 times a day for several days. This solution promotes cleansing and healing. Food particles which may have lodged in the surgical site will be flushed away. Circulation will be increased and healing hastened. If bleeding continues, stop all mouth rinsing and follow instruction in paragraph 2 regarding bleeding. Do not rinse with commercial mouth washes. After 24 hours we encourage you to brush the teeth with a soft toothbrush.
DIET: It is important to maintain a good diet. A liquid to soft diet is advisable for the first day. You should drink plenty of fluid (6 to 8 glasses per day). Following the day of surgery it is suggested that you eat soft foods which require little chewing. You can gradually progress to solid foods as tolerable.
ELIMINATION: The medications that have been prescribed are sometimes constipating. Keep bowel movements normal.
BONE FRAGMENTS: During the healing process, small sharp fragments of bone may loosen and work through the gum. These fragments, which are not roots, usually work out of their own accord, but if they are annoying return to the office for their simple removal.
NAUSEA: In some patients general anesthetic causes nausea and vomiting. If this occurs try drinking a few swallows of carbonated drink, i.e. gingerale. Mild tea, clear broth or Coca-Cola will usually alleviate this.
INFECTIONS: Rarely infection occurs at the surgical site. Antibiotics may be prescribed at the discretion of the doctor. However, if pain increases suddenly several days following surgery or there is a sudden increase in swelling or temperature, please call our office for a check-up appointment.
SUTURES: Sutures may have been placed during your surgery. Both dissolving (clear) and non-dissolving (black) may have been used. You will be asked to return to the office for their simple removal.
ALCOHOLIC BEVERAGES: may have a magnified effect when combined with pain medication – avoiding all alcohol is advised.
PENICILLIN: Penicillin may counteract the protection of birth control pills. Alternative precautions are advised.
TO REPEAT: Remove your gauze upon returning home. Bleeding is expected for 24 hours. DO NOT replace your gauze if it is minimal. Only if bleeding is excessive is it necessary to replace the pack. It should be folded into a small tight wad (about the size of a quarter) and placed directly over the socket and held for 30 minutes. Placement of the gauze pack solely between the teeth will not work. It must be placed over the bleeding socket and held with biting pressure! Swelling reaches maximum around 48 hours following surgery. Do not be alarmed.
Try to call our office during the day if you think you are having a problem.
SPECIAL SINUS INSTRUCTIONS:
If you have been instructed to follow sinus instructions please:
- Do Not Try To Stop A Sneeze!
- No Forceful Nose Blowing.
- Do Nothing To Cause An Increase In Sinus Pressure. (Horn Blowing Etc.)
- Use A Decongestant Such As Afrin To Keep Nasal Passages Clear.
- Take Medication As Prescribed.