Wisdom tooth extraction is a common dental procedure to remove the third molars. These teeth typically emerge between late adolescence and early adulthood. While some individuals experience no issues and keep their wisdom teeth, others encounter pain, infection, or misalignment as these teeth develop and begin to erupt. Knowing the signs that indicate the need for wisdom teeth extraction and how to prepare for the procedure can lead to a smoother recovery and prevent future oral health issues.
Pain near the back of the patient's mouth is one of the most common symptoms of impacted or misaligned wisdom teeth. This discomfort often occurs when the tooth presses against adjacent molars or becomes trapped beneath the gum line. Over time, the pain can radiate to the jaw or ear, making it difficult for the patient to chew or fully open their mouth.
The gum tissue that surrounds erupting wisdom teeth may become red, swollen, and tender. Inflammation occurs when bacteria accumulate in the soft tissue pocket around a partially erupted tooth. If left untreated, this can progress into pericoronitis, a painful infection that may require antibiotics and extraction.
When wisdom teeth exert pressure on surrounding structures, stiffness or limited movement of the jaw can develop. This symptom may indicate that the teeth are impacted and angled. Chronic tension in the jaw muscles can also contribute to jaw and facial discomfort.
The eruption of wisdom teeth may push existing teeth out of alignment, particularly if the patient previously completed orthodontic treatment. Crowding of the lower front teeth is a common result. Wisdom tooth extraction can help prevent the teeth from shifting and maintain a straight, even smile.
Partially erupted wisdom teeth often trap food particles and bacteria, leading to chronic bad breath or an unpleasant taste. This is also known as halitosis. The patient may also experience recurrent gum infections due to trapped debris.
Delaying wisdom teeth extraction can increase the risk of complications. These risks include:
In some cases, even asymptomatic wisdom teeth may require removal if X-rays reveal impaction, an angled growth pattern, or a risk to nearby teeth. Fortunately, early wisdom tooth removal often results in a faster recovery, as roots are not yet fully developed and the surrounding bone is less dense.
Before the procedure, the dentist will conduct a comprehensive evaluation, including dental imaging and a review of the patient's medical history. This step takes any underlying conditions or medications into account before administering local anesthesia or other sedation options. Patients will typically need to avoid certain medications or supplements that can increase bleeding risk, such as blood thinners and anti-inflammatories.
Wisdom teeth extractions can be performed under local anesthesia, sedation, or general anesthesia, depending on the complexity of the case and patient preference. Arrangements should be made for assistance following the procedure, as sedation may cause drowsiness. Additionally, preparing a comfortable resting space at home with soft foods and cold compresses can further support a successful recovery.
Dental professionals recommend that patients consume a soft diet for several days following extraction. Foods such as yogurt, soups, mashed potatoes, and smoothies minimize discomfort while chewing and prevent irritation of the surgical site. Proper oral hygiene, including gentle rinsing with salt water after the first 24 hours, promotes healing while reducing the risk of infection.
Additionally, patients should avoid using straws, as they can dislodge the blood clot and lead to a dry socket. This condition, also known as lveolar osteitis, is a painful dental emergency that can lead to severe discomfort and infection. The patient will need to return to the dentist for treatment.
After the procedure, swelling typically peaks within 48 hours. The patient can apply ice packs intermittently and take any prescribed pain medication as directed to alleviate discomfort. They should also avoid strenuous activity and keep their head elevated while resting to help reduce inflammation.
Wisdom teeth extraction is an essential procedure in maintaining your long-term oral health. Do you believe you need your wisdom teeth removed? Our team is here to help. Call our Woodland Hills office today to learn more about our extraction services or to schedule a consultation.
Request an appointment here: https://www.southerncalsmiles.com or call Southern Cal Smiles: Susan Fredericks, D.D.S, M.P.H. at (818) 657-8055 for an appointment in our Woodland Hills office.
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