Impacted Wisdom Teeth

When a wisdom tooth is cramped from erupting, it’s termed impacted. Wisdom teeth can be impacted in your gums. These are called soft tissue impacts and are many times removed by dentists rather than surgeons.  Wisdom teeth more commonly are still surrounded in jaw bone. These are called partial or full bony impactions. These are either partially exposed in the mouth or completely under the gum surface and an only be seen by x-ray.

Wisdom Teeth Removal: What Adults Should Expect

  • Why Take Them Out?
  • Before Surgery
  • During Surgery
  • After Surgery

When your dentist determines that your wisdom teeth need to be removed, they may refer you to an oral surgeon. Wisdom teeth removal is a procedure that can be performed in an oral surgeons office. It usually only takes a few days to heal and start to feel normal again.

Why Take Them Out?
Wisdom teeth are the third set of molars at the back of your mouth. They usually erupt when you are aged between 16 and 25. They’re commonly removed from most people for one of these reasons:

They’re impacted.

Because they’re so far back in your mouth, wisdom teeth may not erupt as they’re meant to. They can become trapped in your jawbone or gums, which can be painful and cause dental problems.

  • They come in at the wrong angle. They may press against your other teeth.
  • Your mouth isn’t big enough. Your jaw has no room for an extra set of molars.

Before Surgery
It’s normal to meet with your oral surgeon to discuss whats involved in the procedure. At your appointment ensure that you check these details:

  • Talk about any health problems you have.
  • List any drugs you take on a regular basis.
  • Ask any questions you have about the surgery.
  • Discuss what type of anesthesia you’ll have. You can either be numb or asleep during your surgery.
  • Plan time off from work or school to have your surgery and rest afterward at home. Set up child care, pet care, or a ride home if needed.

You’ll get one of these types of anesthesia so you don’t feel pain during the removal:

  • Local: Your doctor will numb your mouth with a shot of Novocaine in your gums.You may also breathe nitrous oxide, or laughing gas, to relax or even doze during surgery. You should feel alert again shortly afterward.
  • IV sedation: The surgeon will numb your mouth and also give you drugs through a vein in your arm to make you drowsy. You might sleep during the whole procedure.
  • General: You’ll either get drugs through a vein or breathe gas in through a mask. You’ll be asleep the whole time and might not wake up for an hour or so after the surgery.
    Your doctor may have to cut your gums or bone to get the teeth out. If so, he’ll stitch the wounds shut so they heal quickly. These stitches usually dissolve after a few days. He may also stuff gauze pads in your mouth to soak up some of the blood.