Dr. Wineman has taken out thousands of teeth. He can remove almost any tooth. But there are times when he may defer to an oral surgeon because he has his patient’s best interest at heart. If you request sedation or want to “knocked out” for the tooth removal, he will refer you to an oral surgeon who is part of your dental insurance network. Dr. Wineman can prescribe his patients of record a mild sedative to take the edge off their anxiety. A local anesthetic is used to numb up the area around the tooth that is going to be extracted/removed. Don’t worry, Dr. Wineman will ensure you are profoundly numb before he begins any procedure. Occasionally Dr. Wineman must perform a surgical extraction, that means that he must section tooth into smaller pieces whichmakes it easier to remove. Infrequently, the gum tissue has to be cut and pushed out of the way to expose the bone around the tooth so he can get a better look at the tooth’s structure. After the tooth is removed, you may need stitches. Some stitches dissolve over time and some have to be removed after a few days. Dr. Wineman will tell you whether your stitches need to be removed. A folded cotton gauze pad placed over the wound will help stop the bleeding.
Wisdom teeth extractions are a fairly common procedure. Wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially.
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 teeth and wisdom teeth that can potentially cause problems, like infections, need to be removed. 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. Others will prefer to go under a general anesthetic so that they will be sedated during the procedure.
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. Depending on the incision and extraction site, sutures may be needed to close the area. Soluble sutures are the best option, which will dissolve on their own.
After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. 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. Your dentist will prescribe you pain medication, so if you become sore 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.
You will be limited to soft foods for a few days after your surgery. Some recommended foods are:
• Mashed Potatoes
• Ice Cream
• Thin Soups
…and other food you can eat without chewing.
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.