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Wednesday, April 12, 2017

Some Wisdom On Extracting Wisdom Teeth

In our previous blog post, Some Wisdom On Wisdom Teeth, we discussed what wisdom teeth are and why you may need to have them removed. Today we are covering what will happen if they do need removed and post-op instruction to achieve proper, timely healing.
If your wisdom teeth are extracted by our dental office, Dr. Bertolini will give you a local anesthetic to numb the area of removal. If your teeth are severely impacted, Dr. Bertolini will refer you to an oral surgeon for the extraction and they would use a general anesthetic which would cause you to be asleep for the procedure. In either scenario, after the extraction you may need stitches to promote healing of the tissue. Some stitches will resorb or dissolve over time and others will need to be removed by the doctor. Dr. Bertolini will tell you whether yours need to be removed.

The recovery period after an extraction should only last for a few days and you can avoid complications if you follow these instructions:
recovery-wisdom-tooth-extraction

Right after surgery

  • Keep gentle pressure on the extraction site by biting on gauze. 
  • Use 2 pieces of gauze folded in half and in half again. 
  • Check every 10-15 minutes, changing gauze as needed. Call our office or the oral surgeon if bleeding persists after 24 hours.

For the first 24 hours 

  • Eat soft foods today and chew more toward the front of your mouth.
  • Be careful not to bite the inside of your cheeks, lips or tongue while you are still numb. 
  • Do not eat or drink things that are very hot (temperature hot or spicy hot) or things that are very cold. You don’t want to shock the extraction sites. 
  • Do not smoke and do not drink through a straw - both can dislodge the blood clot in the extraction site, causing a dry socket (which can be very painful.)
  • Do not drink alcohol or carbonated beverages. 
  • If needed, for discomfort, take what you would normally take for muscle aches or if Dr. Bertolini prescribed something for pain, take as directed.
  • Do not lie flat, elevate your head and chest with pillows.
  • Use ice packs on the outside of your cheeks, do this for about 20 minutes at a time.
  • No strenuous activity, it may cause an increase in bleeding.
  • Continue your regular oral hygiene, carefully near the extraction site.

24 hours after extraction

Extraction Upper Extractions Sites

  • Starting 24 hrs after surgery, rinse the area with a mixture of sea salt or non iodized salt in warm water (1/4 tsp. salt in 8 oz. warm water). 
  • Do this after each meal to keep the sites clean. 
  • Do this rinse at least 7-10 days after the surgery. 
  • Use moist heat for discomfort after the first 24 hours. This could be a wash cloth or hot water bottle (just not too hot).

Lower Extraction Sites

  • Starting 24 hrs after surgery, fill the plastic syringe you were given by our office with a mixture of sea salt or non iodized salt in warm water (1/4 tsp. salt in 8 oz. warm water). 
  • Looking into the mirror over the bathroom sink, aim the tip of the syringe at one of the sites, gently press on the plunger of the syringe to push water into the site and remove any food debris. 
  • Continue with the other side. 
  • Do this after each meal to keep the sites clean. 
  • Do this rinse for at least 7-10 days after the surgery. 
  • Use moist heat for discomfort after the first 24 hours. This could be a wash cloth or hot water bottle (just not too hot).
Please contact Dr. Bertolini if anything unusual occurs: bleeding will not stop, pain lasting beyond 72 hours that the pain reliever will not relieve, fever greater than 101.
Complete healing of gums may take three to four weeks. For the first day or two, eating soft foods and avoid things that could get stuck in the extraction site is best. As the sites begin to heal, regular foods that require chewing can be added back into your diet.
If you do need your wisdom teeth removed, it's best to have the procedure done promptly because the more time that passes increases risks of complication and longer healing time.

1 comment:

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    wisdom tooth extraction

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