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Wisdom teeth: When to remove and what does recovery involve

The wisdom teeth are the last to be born, at around 18 years of age, and can take several years until they are fully born. However, it is common for the dentist to indicate their withdrawal through a minor surgery because most of the time your mouth doesn't have enough space, pressing the other teeth or until they are damaged by cavities.

The extraction of wisdom tooth should always be done in a dental office and lasts a few minutes with local anesthesia, and then some stitches are needed. In the postoperative period, it is recommended you avoid eating or drinking for at least 2 hours and if there is a lot of pain after the surgery, you should take an analgesic every 4 hours and rest for at least one day.

The complete recovery of a wisdom tooth extraction may take up to 1 week, but this period may vary depending on the complexity of the surgery and the number of teeth removed, for example.

Wisdom teeth that need to be removed
Wisdom teeth that need to be removed

When do you need to extract the wisdom tooth

Usually, the dentist recommends wisdom tooth extraction when:

  • The tooth can not get out of the gum and is trapped;
  • The tooth is being born at a wrong angle, pressing on the other teeth;
  • There is not enough space in the mouth to receive the new tooth;
  • The wisdom tooth has cavities or there is a gum disease.

In addition, if during the birth of the wisdom tooth the pain becomes very intense and unbearable, the doctor may also recommend it's extraction so as not to cause further discomfort. See some natural ways to relieve toothache.

After the extraction of the wound healing the area takes about 1 week and therefore some dentists prefer to remove more than one wisdom tooth at the same time, if necessary, to avoid having to go through the healing process several times.

How is the wisdom tooth extracted

Before removing the tooth, the dentist will assess whether antibiotics should be taken for 8 days before surgery if there are signs of caries or inflammation in the tooth so as to prevent infection and for the anesthesia to take effect.

On the day of the extraction the dentist will anesthetize the part of the mouth needed to remove the tooth, and then with instruments of their own will remove the wisdom tooth from the others and pull it, removing it altogether. In case the tooth has not yet been born completely, a cut can be done on the gum where the tooth is located, so that it can be removed.

Once removed, the dentist will close the spot with stitches, if necessary, and will place a sterile compress on the spot so the person can bite to stop bleeding.

The easiest teeth to remove are those that are not inflamed or included, having a faster extraction and easier recovery. Already the wisdom included may take more time in the surgery for its extraction and the recovery may be a little slower due to the size of the cut in the mouth.

Wisdom tooth with caried
Wisdom tooth with caried

Signs that the wisdom tooth is infected

When the wisdom tooth is decayed, it is normal to have bad breath, but when the tooth is inflamed, other signs appear, such as:

  • Acute tooth pain with throbbing sensation;
  • Pain in the face, near the jaw;
  • Headache;
  • Redness in the region where the wisdom tooth is growing.

These symptoms can occur when the wisdom tooth is being born but the pain is bearable. When the wisdom tooth does not have enough space to be born, it can begin to come out crooked, stop being born for a period and after a few months begin the process again.

Cautions to follow after extracting a wisdom tooth

After removing the syringe the dentist should guide certain recommendations such as biting the compress that he leaves inside the mouth to avoid bleeding, remaining with it for about 1 to 2 hours. In addition, one should:

  • Avoid hot foods and prefer ice creams, provided they are liquid or soft, especially on the same day as withdrawing the syringe;
  • Do not mouthwash or use mouthwash to avoid irritation and bleeding during the first day;
  • Use a soft bristle brush to brush your teeth, and only the day after surgery;
  • Stay at home resting on the day you extract the wisdom tooth, avoiding going on work;
  • Return to more intense physical activity only 3 to 5 days after extraction, or as directed by your doctor.

It is normal the side of the face where the wisdom tooth was taken out to become swollen and it is possible to take anti-inflammatory drugs like Ibuprofen and use a cold compress on the face. Doing lymphatic drainage can also help to reduce swelling, relieving pain.

How to speed up healing

In order for gum tissues to heal faster, reducing pain and swelling you should eat protein-rich foods like boiled eggs, shredded chicken, or roasted fish, for example.

These foods contain the nutrients that the body needs to close the wound faster, accelerating healing.

Warning signs to return to the dentist

You should return to the dentist after extracting a wisdom tooth if the following symptoms arise:

  • Fever above 38ºC;
  • Increased swelling in the region where the tooth was extracted;
  • Severe pain that worsens over time;
  • Excessive bleeding.

In addition, if it appears that food has entered the wound, you should also return to the dentist to remove them and prevent the development of an infection in the region, for example. Generally, when food gets stuck inside the wound, it is common to feel a lot of sensitivity or throbbing sensation.

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