Monday, May 17, 2010

Does getting your wisdom teeth removed hurt?

Im having to get them removed over spring break and im afraid ill be in a lot of pain... i have a very small mouth and the room they have to take each tooth out (having all 4 taken out) is very small. the teeth are actually like twice as big as the whole there gona make to get them out. did it hurt when you got yours removed??? how long are u actually out of it and how long did it take you to be able to eat like maccaroni or smoothy or some type of food?

Does getting your wisdom teeth removed hurt?
What Happens During the Procedure?

Before your wisdom tooth is extracted, the tooth and the surrounding tissue will be numbed with a local anesthetic – the same injection with the same medication you would receive to numb a tooth prior to having a cavity filled. In addition to the local anesthetic to numb the pain, you and your dentist or oral surgeon may decide that a sedative is desired to control your anxiety. Sedating medications that could be selected include: nitrous oxide (otherwise known as "laughing gas"), an oral sedative (for example, Valium), or an intravenous sedative (administered via an injection into your veins). If nitrous oxide is given, you will be able to drive yourself home. If any of the other medications is selected, you will need someone to drive you both to and from the appointment in which your tooth will be extracted.

What Does Recovery Involve?

How quickly you heal depends on the degree of difficulty of the extraction (a simple extraction of a fully erupted tooth versus a tooth impacted into the jawbone). In general, here's what to expect.

During the first 24 hours

Bleeding may occur for several hours after tooth extraction. To control it, position a piece of clean moist gauze over the empty tooth socket and bite down firmly. Apply constant pressure for about 45 minutes. A moistened tea bag is an effective alternative. The tannic acid in tea helps healing blood clots to form (blood clots function similarly to a scab on an open wound). Repeat this process if a small degree of bleeding continues; if heavy bleeding continues to occur, contact your dentist or oral surgeon. Avoid rinsing or spitting for 24 hours after tooth extraction, avoid "sucking" actions (for example, don't drink beverages through straws or smoke) and avoid hot liquids (such as coffee or soup). These activities can dislodge the clot, causing dry socket (see below) to develop.

Facial swelling in the area where the tooth was extracted typically occurs. To minimize swelling, place a piece of ice, wrapped in a cloth, on that area of your face on a schedule of 10-minutes on, followed by 20-minutes off. Repeat as necessary during this first 24-hour period.

Pain medications, such as acetaminophen (Tylenol) or ibuprofen (Motrin or Advil) can be taken for minor pain. Your dentist or oral surgeon may prescribe more potent pain relievers, such as narcotics, if necessary.

Antibiotics that may have been prescribed prior to tooth extraction (to treat any active infection around the wisdom tooth to be extracted) should continue to be taken until the full prescription is gone.

Foods should be chewed on the side of the mouth opposite the extraction. Avoid hot liquids and alcoholic beverages for at least 24 hours. In the case of difficult extractions, consume a soft or liquid diet for the first 24 hours.

Continue to brush your teeth, but avoid the teeth directly neighboring the extracted tooth during the first 24 hours. On day two, resume the gentle brushing of your teeth. Do not use commercial mouth rinses - these can irritate the extraction site.

Facial swelling in the area of the tooth extraction should be treated with heat after the first 24 hours of ice. Apply a moist warm towel to the area on a 20-minute on, 20-minute off schedule. Repeat as necessary.

Rinse your mouth with warm salt water (1/2 teaspoon of salt in a cup of warm water) after meals and before bed. Do not use commercial mouth rinses.

Stitches, if used and if not of the self-dissolving type, need to be removed by your oral health care provider in about 1 week. If you do require stitches, ask what type you have been given.

Watch for signs of dry socket (described below). This condition requires treatment by your oral health care provider.

Complete healing doesn't occur for a few weeks to a few months following the extraction. However, usually within the first week or two, enough healing has taken place for use of your mouth to be reasonably comfortable in the area of the extraction.

Your dentist will explain what to expect in your specific case.

What Are Potential Complications?

Two of the more important complications include:

Dry socket. Dry socket is a common complication that occurs when either a blood clot has failed to form in the extracted tooth socket or else the blood clot that did form has been dislodged. Without clot formation, healing will be delayed. When it happens, dry socket typically occurs 3 or 4 days following the extraction and is accompanied by pain (ranging from "dull" to moderate to severe) and a foul mouth odor. Your dentist or oral surgeon will treat the dry socket by placing a medicated dressing in the socket. Dressing will need to be removed and replaced every 24 hours until symptoms subside.

Paresthesia. Paresthesia is a less frequently occurring complication. Wisdom teeth entrapped in the jawbone are often close to nerves. Sometimes these nerves can be bruised or damaged during the tooth removal process. The result is a numbness (called a paresthesia) of the tongue, lip or chin that can last a few days, weeks, months or may even be permanent.
Reply:no they didnt hurt i didnt feel a thing! actually they took them out of the gum before they emerged which probably enduces more pain. they load you up on pain killers afterwards so its fine. you will get chipmunk cheeks for 1-2 wks though :] keep icing them and using a heating pad; repeat that process constantly. whatever you can get in your mouth is fine as long as your careful. it's really hard to open your mouth wide at first. hope this helped!
Reply:Getting your wisdom teeth out is actually not a big deal at all. I got mine removed last year and they give you painkillers so you're not in too much pain. You are also not out for that long, I left the doctor's office about an hour and a half after I came in.

The swelling is pretty bad, and I didn't want anyone to see me for a while, but really the whole thing wasn't so horrible.

Make sure not to smoke or use straws for about a week after, or you could get dry sockets like I did, which is painful, but they can make fix that too if it happens.

Also, the mouth wash they give you to keep your mouth clean only use for a week or two, because it actually stains your teeth.
Reply:I had all 4 of mine taken out 2 years ago too. As long as they give you a general anesthesia, you will be asleep and not feel a thing. You will be able to eat things like jello, pudding, smoothies, soup, etc within 24 hours. The pain should not be too bad(they will give you pain pills). If you get Dry socket, it is painful though but most people won't have any problems with that. Good luck to you and don't worry.
Reply:i got 2 of mine pulled in 1950. it didnt hurt after they numbed it. i went dancing that night
Reply:shouldn't be that bad if your dentist is good. just have to give your mouth time to heal afterwards. good luck.

I had a very similar situation my mouth is really tiny and my teeth were huge and still under my gums...I got them taken out on a wednesday and was back on school on the tuesday after. the actual pain was not bad at all, just the swelling was. I was back to my notmal size about a week after. Good luck, you have nothing to worry about!:)

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