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Removal of Wisdom Teeth

Panfleto informativo da British Association

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15 views5 pages

Removal of Wisdom Teeth

Panfleto informativo da British Association

Uploaded by

Sara Sofia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INFORMATION FOR PATIENTS

Removal of Wisdom Teeth


(Third Molars)

This booklet is for patients who may need to have an operation to take
out their wisdom teeth. It explains why this may need to happen. It also
explains what is involved and the risks and problems.

Wisdom teeth
Adults normally have 32 teeth. Wisdom teeth (third molars) are the last
to come through at the back of the mouth usually around the age of 18
years. Normally, there are four wisdom teeth, one on each side of the
upper and lower jaws.

Impacted wisdom teeth


Some jaws are too small to accommodate all the teeth. There
may not be enough space for the wisdom teeth to come through
completely. They are said to have become impacted (stuck). This is
often painful.

Reasons for the removal of wisdom teeth

• the most common reason is repeated infections


(pericoronitis) of the gum overlying a wisdom tooth

• decay in the wisdom tooth, which your dentist cannot fill

• decay in the tooth in front of the wisdom tooth. The dentist


can’t fill this tooth properly until the wisdom tooth is
removed
• infection (abscess) at the bottom of the wisdom tooth root

• when the molar tooth next to the wisdom tooth is affected by


gum (periodontal) disease

• a cyst (fluid filled sac) forming around the wisdom tooth

• as part of other operations on the jaw where the


wisdom tooth is “in the way”

• there may be other less common reasons that your


surgeon will discuss with you which are too unusual to
go into detail about here

Your surgeon should only recommend removal of your wisdom


teeth when the benefits of taking the tooth out are greater than
the risks of leaving the tooth where it is. The NICE guidelines*
help your surgeon make this decision.

Nerve shadow

Decay (black shadow)


in an impacted lower
wisdom tooth
The removal of wisdom teeth
Some wisdom teeth are harder to take out than others. It can
involve a cut in the gum close to the tooth. Sometimes some bone
around the tooth is taken away with a drill and the tooth may be cut
into smaller pieces. This makes removing the tooth and root easier.
Stitches will be placed in the area and these dissolve usually by
themselves in one to two weeks.
The procedure can be carried out with just an injection in the gum to
numb the area (local anaesthetic), with or without sedation, or general
anaesthetic may be suggested if the extractions are difficult. This may
also be the case if you are very anxious or frightened. There may also
be medical or personal reasons why sedation or general anaesthetic
are necessary.

What can be expected after the operation?

The amount of pain after the operation varies. It depends largely on


how difficult the tooth was to take out. The usual recovery time is 5 to 7
days. Pain is usually managed by taking painkillers e.g. ibuprofen and
paracetamol. These are same medicines you usually take for
headaches and general aches and pains.
Swelling is common and tends to be most on the second and third day
after surgery. It gradually disappears over about a week. You may have
difficulty opening your mouth (trismus) and this is likely to last for a few
days. You will have to eat soft foods that don’t need much chewing.
You may see some bruising on your face and neck. You will not
normally be given antibiotics.
Do not plan to have your tooth out just before going on holiday,
especially if you are going abroad. Also avoid important social events.
It is also likely that you will need to be away from work for a few days
afterwards.
Further information may be given to you when your surgery
is finished.
What can go wrong
Having a wisdom teeth taken out is a safe and common operation.
However, as with any procedure there are some risks and problems
can occur.
Most bleeding will stop within 30 minutes after the operation finishes.
You may notice your saliva is blood stained for a day or two
afterwards. If you bleed a lot you should bite down hard, for 20
minutes, on any swab/gauze you were given. A rolled up clean
handkerchief (not tissue) could also be used. If you cannot stop the
bleeding, you should contact your dentist or surgeon.
Dry socket is a condition which is more common after removal of
wisdom teeth in the lower jaw. If you have pain which seems to
be getting worse rather than better, 3-10 days after the
extraction, together with a bad taste and/or bad breath then you
should contact your dentist or surgeon. The socket may need
washing out and a dressing being placed. Antibiotics are not
usually necessary.
You may develop an infection. This may show as a fever, feeling
generally unwell; tender glands under your jaw line; the skin
over your jaw or upper neck becoming hot, hard, reddened and
tender to touch. You should contact your dentist or surgeon.
Although you usually won’t have been given antibiotics at the
time you had your tooth out you may need to take them now.

As has been said before It is also not uncommon for there to be a


restriction in the amount that you can open your mouth afterwards
(trismus). If this doesn’t improve in the days immediately after
surgery it can also be a sign of infection.

When the tooth next to the wisdom tooth has a large filling or
crown it is possible that this can be damaged or knocked out during
surgery. This will need repairing or replacing when the extraction
socket has healed up enough.

There are two nerves that lie very close to the roots of the lower
wisdom teeth. One of these nerves supplies feeling to your lower lip,
chin and lower teeth. The other supplies feeling to your tongue and
helps with taste. Sometimes these nerves may be bruised when a
wisdom tooth is taken out. This can cause tingling or numbness in
your lip, chin or tongue, or more rarely affect your taste. In most case
this doesn’t last, but in a small number of people recovery may not be
complete. Very rarely, permanent painful sensations may be felt in the
damaged nerves (burning sensations, stabbing, shooting pains.)
Between 2 and 20% of people will have some tingling or numbness
that can last several weeks, between 0.5 and 2% will have permanent
problems. If you experience any of the symptoms that suggest nerves
have been damaged as described above you must contact your
Dentist or surgeon as soon as possible.

Upper wisdom teeth generally cause less problems and are simpler
and quicker to remove. As with lower wisdom teeth crowns or fillings
in the teeth nearby can be damaged. There are no nerves close by
that can be damaged, however there is a small risk of breaking the
bone behind the wisdom tooth (tuberosity) which can cause bleeding
and/or create a passageway between the mouth and the sinus (the
air-filled spaces that lie either side of the nose and beneath your
cheeks). If this happens it may need a surgical operation to repair it
either at the time of your wisdom tooth removal or at a later date.

Your dentist or surgeon may inform you of other problems and risks
that only apply to removing your particular tooth.

Your dentist or surgeon may advise you of ways of changing the


way of removing your tooth to reduce the risk of complications
particularly if your surgery is high risk. One such modification is
called a Coronectomy and a separate leaflet is available that
explains this.

*Link to NICE guidelines for the removal of impacted third molars


https://www.nice.org.uk/guidance/ta1

©British Association of Oral Surgeons


201711NDOV1
Produced March 2019
Revision date March 2021

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