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Wisdom Teeth Extractions

Wisdom teeth are the third and final set of molars that emerge, usually during your late teens to early twenties. For some people the wisdom teeth emerge through the gums and have enough room to grow in naturally. For others, wisdom teeth often cause problems as they are trying to protrude through the gums.
When a wisdom tooth is impacted the tooth is coming in at an angle and not straight through the gum line. The tooth can come in unevenly, or the tooth may only emerge partially. This can cause discomfort, pain or even more serious complications (infections, headaches, migraines). When a wisdom tooth only emerges partially a flap of skin, called an operculum, may form over the tooth. This can make the tooth hard to clean, and pieces of food may be caught under the skin. This makes it easy for an infection, called pericoronitis, to develop. It will usually go away on its own, but it causes swelling and pain in the area. 

Impacted wisdom teeth can cause structural damage to the jaw and other teeth. They can also provide a place for bacteria to gather since they are hard to reach and clean. These potential problems make it necessary to remove impacted wisdom teeth so that larger problems do not arise. Routine x-rays during a dental exam can reveal if you will need to have your wisdom teeth removed.

Wisdom teeth extractions are a fairly common procedure. Extractions can range from a single tooth, to removing all four wisdom teeth at once. Based on the preference of the doctor and/or the patient, a local anesthetic could be used to numb the areas where the teeth will be extracted.our office is offering you the option for conscious sedation (nitrous oxide or oral sedation)

The gum tissue around the wisdom tooth is cut open to reveal the tooth. The tooth is loosened by gripping it tightly and wiggling it back and forth until it can be lifted out of the gums. Sometimes a tooth may be impacted so tightly that it cannot be simply lifted out of the gums. In cases like this the tooth will be broken up into pieces first before being removed. Soluble sutures are the best option, which will dissolve on their own are placed  in the surgical areas. Sometimes the bone defect where the wisdom tooth was present might need to be filled up with bone grafting material.

After the surgery you will receive instructions how to take care of the extractions sites and to have a good healing. You need to be driven home by a friend or family member because of the sedation. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Dr. Burlacu will prescribe you medication for pain, swelling and to prevent infection and  you should  take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site (after 24 hours) after the extraction.

Soft food might be necessary for the next few days.

When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don't feel that the extraction site is healing properly call your dentist for a follow up.

Because it is important, all the potential risks, benefits and possible outcomes of tooth removal are reviewed with you beforehand, so you know what to expect. We hope that this puts your mind at ease and addresses your questions.