The views of the American, European and Russian experts on this subject differ. If foreign dentists insist on compulsory removal of third molars, the domestic dentists are not in a hurry to judge them, logical reasoning that the teeth are not redundant. Therefore, if the doctor insists on removal, you can say for sure: for good reason!
15% of the population, wisdom teeth do not even erupt. These lucky people do not suspect, how much suffering and pain can cause third molars or “eight”. Alas, the vast majority will sooner or later have to face a serious dilemma: to remove or not to remove wisdom teeth.
This happens at the age of 18 – 25 years – in this period begin to grow wisdom teeth. In rare cases, there is earlier or later than the emergence of eights – 15 – 16 years 25 – 30 years.
And the patient is mentally prepared for the procedure. Unfortunately, transparency in this regard is not always beneficial. The stories of suffering in the dentist’s chair passed from one forum to another, gathering all the new horrific details. As a result, the prevailing myth about the incredible difficulty of removal of wisdom teeth, and extreme pain have to go through each patient. But is it really? And should we be afraid?
It hurts whether to remove a wisdom tooth on top
The bone of the upper jaw isn’t as tight as the fabric bottom. In addition, the “eight” from the top usually have less winding roots than the lower molars. Therefore, local anesthesia is able to completely relieve the patient from pain during surgery. This is confirmed by the testimonials of people who had to pull out the upper wisdom tooth. They note that the most unpleasant, but quite tolerant of the sensations experienced when introducing the anesthetic. And the removal was absolutely painless.
Really painful can be to patients, that long delayed visit to the doctor. And all this time took painkillers. Also very bad local anesthesia affects people who use drugs.
It hurts whether to remove a wisdom tooth on the bottom
If the top “eights” all clear, feedback about the removal of lower wisdom teeth is very contradictory. Some people talk about the perfect painlessness of the operation, others remember the minutes spent in the chair with a shudder. The fact is that if you remove a wisdom tooth on the bottom of the sensations of the patient are directly dependent on the professionalism of the doctor.
So, infiltration anesthesia in the upper jaw is held in the gum near the root of the wisdom tooth. And in the case of lower “eight” the dentist has to do a shot with the inner side of the jaw. The performance of such anesthesia technically more difficult, and, unfortunately, not all dentists possess it in perfection.
If you use modern anesthetics, and doctor – professional, pain during the removal of the lower wisdom tooth is completely excluded.
Hurt a little bit may be the introduction of anesthetic. Not cropped discomfort if the area of the wisdom tooth has already formed an abscess. But in some complicated cases, the dentist can be a decision made about the use of General anesthesia. And certainly not to rip the tooth to the cries of the patient in modern hospitals, no one will!
How much will it hurt the removed tooth
The removal of wisdom teeth is a serious surgical intervention which is highly traumatic for the soft tissues of the periodontium. The fact that the third molars – the teeth are large, having from 2 to 5 roots. And after their removal into the jaw bone and the gum remains an open bleeding wound, which is bound to be sick! And not a couple of hours and a few days.
The pain can be aching and cutting, radiating to the neck or ear. The patient may complain of painful swallowing and not passing headache. A natural and physiological is the increase in body temperature to 37.5 0C. to Endure the discomfort is not worth it.
After tooth extraction, the dentist will recommend pain medications:
They are all OTC, non-addictive and have minimal side effects. However, effectively docked pain syndrome. Normal pain at the site of an extracted tooth subsides within 3-7 days. And the final healing of the hole is in the end 2 – 3 weeks after tooth extraction. During this time it must protect from injury is to gently brush your teeth, gently eat.
Swelling is also natural that after removal of the eight. As a rule, it is formed in the first days after surgery and lasts the next 2 – 3 days.
If over time the pain does not abate, but rather intensifies, you need to go to the doctor. Warning signs are high fever, bad smell from the hole, a sharp pain, radiating to the temple or ear. These symptoms may indicate the development of inflammation. And without the intervention of a dentist suppurative process will lead to an abscess and sepsis.
But even if the healing goes according to plan, the majority of patients after the first 7-10 days after surgery will have to seem your doctor. This time to remove the stitches. This procedure can not be called painful, even though it is unpleasant. If the pain threshold of the patient is too low, the dentist will numb the area of the gums with a gel or spray lidocaine.
What tools are used for pain
A few decades ago, the only pain killer the dentist was novocaine. Despite its malotoksicnam, it is very often caused patients serious complications ranging from allergic reactions and anaphylactic shock ending.
The next step was the application of lidocaine. It is still used in budget dental offices, and has an undeniable plus: Allergy to the drug occurs very rarely. There is another problem: to prolong the effect of lidocaine dentist have to add to it a drop of adrenaline. And this is done “by eye”! And is only the doctor’s hand a little shake, and the patient is guaranteed by such unpleasant symptoms as rapid heartbeat and dizziness.
Much more comfortable and the doctor and the patient, the dental clinic to deal with the anesthetic of articaine kind.
First, such preparations are administered carpool syringe that guarantees the small pain of the injection. Second, the ratio of adrenaline and anesthetic drugs are reconciled to the milliliter. And, therefore, the removal of wisdom teeth will be painless and the patient will not experience any side effects.
Important! If the patient is at risk, it is recommended to apply anesthetic, in which there is no adrenaline.
In some cases, it is necessary to remove a wisdom tooth
Indications for removal of the “eight” are:
- Abnormal location of the wisdom tooth. Exactly growing third molars is rather the exception to the rule. Most often, the teeth grow at an angle, damaging the tongue, cheek, shifting other teeth. Sometimes the slope is so great that wisdom teeth don’t even seem on the surface, and can be detected only on radiographs.
If we compare with our ancestors, modern human jaw has decreased in length nearly 12 mm. That is why the “eights” is often just not enough space in the jaw bone.
- The pericoronitis or too slow growth of the tooth. This pathology is not an absolute indication for surgery. Often a dentist offers the patient just to remove the hood to avoid the development of the inflammatory process over the growing tooth. But if the patient goes to the doctor too late, then there is only one way: destruction.
- Caries. Efficiently take care of “eights” is difficult. Teeth still plaque bacteria and later during the preventive visit, the doctor and discovers a carious cavity. To suspect their appearance is possible if the tooth began to pull after exposure to cold or sweet foods.
- The inflammatory process. To remove the tooth necessarily and in that case, if the soft tissue of the periodontium was developing an infection. It can trigger the development of the flux or of the cyst and the delay in this case, the dentist will not.
Does it make sense to save a wisdom tooth, in each case determined only by the doctor.
How to prepare for the removal
If the process of the emergence of the third molars is a concern or is accompanied by pain, it is necessary to show the problem unit the dentist. You should not delay a visit to the clinic, to abuse painkillers or to use “miracle” folk remedies – it will not help to solve the problem and may exacerbate it.
After the address there are 2 possible scenario the wisdom tooth treated or removed.
To properly prepare for the destruction, it is enough to observe some simple recommendations.
- For 1 – 2 days before the procedure, to abandon admission of alcohol and anti – drugs impair blood clotting, for example Aspirin, Heparin, Ibuprofen.
- Before the operation it is better not to practice warming procedure is to go to the bath, sauna, Solarium, soar feet.
- For 1 – 2 hours before removal is necessary to eat.
- Before visiting the doctor to thoroughly clean the teeth and oral ordinary toothbrush and toothpaste.
Immediately before removal of wisdom teeth is recommended to grease lips with vaseline or hygienic lipstick – it will keep them from cracking. Usually good clinics do the dentists, but just in case, better to take the tool with them from home.
It is important to know! According to the observations of doctors, dentists, earlier recourse guarantees a less painful procedure.
This is due to the fact that the place of occurrence of the group of eight has not “exhausted” pain, slightly inflamed, no swelling and other unpleasant symptoms. In this case it will be enough injection of anesthesia to completely numb the procedure.
If you’ve tried, drank a pill and then could not stand the pain and asked for help, then you need to be prepared for the fact that, most likely, the operation will be more painful and the dentist will have to apply a large dose of anesthesia, which is not always possible.
Regardless of the time of treatment, you need to understand that the extraction of eight is quite complex from a technical point of view, the process requiring the efforts of a physician. Naturally, extraction of the tooth will be accompanied by unpleasant sensations. The degree of their manifestation depends on the pain threshold of the patient is therefore better to warn the expert about features of the body.
The uninstall steps
If the wisdom tooth has already erupted, no preparatory procedures dentist might not have. If will remove deportivas or partially prorezalsya “eight”, the doctor must refer the patient for x-rays. And already the image is the plan of operation. Its duration depends on the complexity of the procedure. Just delete takes 5 – 10 minutes, the complex will last for 20 to 160 minutes.
- Stage 1. Selection of the anesthetic. The doctor enquired about the presence of Allergy in a patient, interrogates him about chronic and previous diseases.
- Stage 2. Anesthesia. When you remove the upper wisdom tooth, pain relief to kick in after 3-4 minutes. If you have to remove the lower “g”, will have to wait 8-10 minutes.
- Stage 3. Actually, the removal or extraction of the group. The doctor grasps the tooth with forceps or elevators, and remove it from the hole.
If the removal was conducted on the background of inflammation, the dentist will wash the wound with antiseptic solution, and lay in the hole anti-inflammatory drug. In most cases, the operation is completed by wound closure. So it would heal faster and the risk of bleeding is considerably reduced.
A simple wisdom tooth surgery takes 1 to 10 minutes. The gums incision and the tooth is drilled, but simply extracted from bone tissue.
Complicated removal of wisdom teeth makes one of 3 factors: strong branched roots, badly damaged crown, which does not allow the dentist to use forceps or deportasiya third molar.
- Stage 1. Obtaining x-ray. It is the radiograph allows the doctor to understand how large-scale intervention will be and how long will surgery take.
- Stage 2. Selection of the anesthetic. This step does not differ from that in the simple removal of wisdom teeth.
- Stage 3. The introduction of anesthesia.
- Stage 4. An incision in the gums, breeding of its edges and exposure of the tooth.
- Stage 5. The wisdom tooth extraction. Branched roots doctor shares them together with a drill. And in turn removes them from the wells.
Completes the operation by washing the wound with antiseptics, laying the drug and suturing holes. After a difficult removal of wisdom teeth the patient is obligatorily re-appointment. Sometimes after 1-2 days, sometimes a week later.
Complex tooth extraction takes at least 20 minutes. In some cases, the operation can last even 3 hours. But all this time the patient will not feel pain.
Recommendations after removal
The first thing you need to pay attention after the removal of wisdom teeth – gauze. Keep it in your mouth longer than 5-10 minutes is not: it is soaked with blood, and promotes the growth of infection. The most difficult for the patient becomes the next 2-3 hours.
At this time it is impossible:
- to drink alcoholic beverages;
- eat hot food;
- your mouth wide open.
It is likely that on the background of nervous stress in people prone to hypertension, increase blood pressure, and patients with diabetes mellitus – blood sugar levels. Therefore it is very important after tooth extraction to measure these indicators, and take appropriate action.
Strictly prohibited on the first day to rinse your mouth, and try to find the hole. This can lead to leaching of clot, which would complicate healing.
It is important to remember that how successful the recovery period largely depends on adherence to doctor’s recommendations. If the surgeon has prescribed antibiotics, so, too great a risk of complications, and to ignore the destination is not worth it. It is not worth it to endure pain if it can be easily removed properly selected medicines.