What is an impacted Wisdom tooth?

When there is not enough space for wisdom tooth to grow and wisdom tooth remains buried in gums or bone, due to decreased jaw size, then it is known as impacted wisdom teeth

Is extraction of wisdom tooth necessary?

If a person is not experiencing any kind of pain and discomfort then there is no need for wisdom tooth extraction. In case if one experience pain in gums and jaws, difficulty in mouth opening, swollen or inflamed gums, headache, bad taste in mouth, bad breath, crowding and decay of other teeth then you should consult your dentist regarding the further course of treatment.

What is the age of wisdom tooth eruption?

Wisdom teeth usually erupt in oral cavity in between the ages of 16-25 years with 17-21  being the most common. In some people, wisdom teeth may erupt at 30-40 years of age.

What is the treatment of wisdom tooth?

Surgical tooth extraction is done for impacted wisdom tooth. Cut is given on gums and if necessary bone cutting and or tooth sectioning is done to remove the tooth from socket. After surgical tooth extraction, stitches are given after tooth extraction to approximate flap margins.

The procedure is done under local anaesthesia on the dental chair.

Whom should one visit regarding wisdom tooth extraction?

Removal of  wisdom tooth mostly include surgical tooth extraction. Surgical tooth extraction is different than a normal tooth extraction and is performed by an oral and maxillofacial surgeon as opposed to a general dentist.

Is wisdom tooth extraction painful?

No pain occurs during wisdom tooth extraction, as before tooth extraction the area is made numb by injecting a local anaesthetic. Patient will feel a little pressure while extraction.

 What are the precautions to be followed after wisdom tooth extraction?

Ans  After wisdom tooth extraction, take rest for a day. Don’t spit much after wisdom tooth extraction as it can lead to dislodgement of blood clot. Don’t drink anything with straw for atleast 48 hours of tooth extraction and don’t smoke. Take the medicaments as prescribed by the oral and maxillofacial surgeon and don’t chew from side of tooth extraction socket. After tooth extraction, you are advised to take soft foods. You should not brush after 8 hours of tooth extraction and after that, you can brush your teeth gently avoiding area of surgery. There will be an extraoral swelling for 4-6 days, you are advised to apply Intermittent ice pack to reduce swelling after wisdom tooth extraction. Ice application can be done during first 24 hours after wisdom tooth extraction. After 1-2 days, heat in form of moist compresses can be applied.

Q7  Will bleeding occur after wisdom tooth extraction?

Bleeding can occur up to 3 days after wisdom tooth removal. Till the time bleeding occurs one should avoid vigorous rinsing of mouth. To control bleeding patient can bite on a gauze pack and have an icecream later as cold will act as a vasoconstrictor therby reducing the bleeding

What are the complications of wisdom tooth extraction?

Prolonged pain, swelling, bleeding and bruising can occur after wisdom tooth extraction, in such case patient is advised to report back to the oral and maxillofacial surgeon. Limited mouth opening, in such a case patient is advised to perform some mouth exercises as shown by the oral and maxillofacial  surgeon .  Patient may also get burning or numbness sensation after wisdom tooth extraction due to nerve injury during tooth extraction, numbness caused by nerve injury is reversible is most of the cases but might take from few weeks to few months.

Is wisdom tooth extraction covered by the insurance?

As wisdom tooth extraction is a minor surgical procedure most of the insurance companies like bajaj Allianz, arogya etc cover it.

What are the treatment option if the patient is very anxious and uncooperative.

You have two options to have wisdom teeth removed. The first is under local anesthesia in the dental chair and the second is under dental sedation or general anesthesia. For a highly uncooperative and anxious patient wisdom tooth extraction can be done under sedation/ general anesthesia by an oral and maxillofacial surgeon