Wisdom Teeth Patient Information

Transcription

1 Wisdom Teeth Patient Information 1

2 About Your Wisdom Teeth What You Need Know Also known as third molars, don t usually push through gums until individuals reach ir late teens, early 20 s or sometimes even older. Wisdom are usually last push through gums. Most individuals have four while some individuals have none. For many, re is not enough space at rear jaw for easily push through gums. When jaw lacks space for push through, becomes impacted or wedged in. Impacted not necessarily be a problem for some people while ors experience severe problems. If any cause problems, y must be removed as soon as possible before situation worsens. Sometimes, if it appears that will be difficult remove, your refer you an oral maxillacial surgeon. Depending on shape position some shape jaws, it s occasionally recommendable that an oral maxillacial surgeon removes. When Remove Teeth Your will need inspect your mouth, jaws x-rays before discussing diagnosis with you. It be required that one or more your are removed, or or options are needed be discussed. If re has been an infection, it need be treated before surgery is performed. Sometimes, even if has caused problems, situation remedy once it has pushed through gum. Your delay surgery see if it is no longer causing problems. Some impacted never cause problems, while ors can be quite problematic need urgent removal. The decision remove your is yours. 1

3 About Your Wisdom Teeth Talk To Your Dentist This brochure provides general information only about is not a substitute for advice from your. Not all facts information about are provided in this document. This brochure should only be given after consultation with your. Talk your about all benefits risks removal. Your will be happy answer any questions pertaining your diagnosis,, surgery anaessia. Please read this brochure carefully. Some terminology in this brochure need furr explanation by a so talk him or her about this at your next appointment. Your can not give a guarantee that treatment will meet all your expectations has no risk. If you are unsure about advice you have received, seek a second opinion from anor or an oral maxillacial surgeon. Consent form: Your ask you sign a consent form if you decide have your removed. Please read it carefully if you have any questions, ask a for more information. 2

4 The put pressure on next it, causing pain. Infection around also cause pain. Impacted Wisdom Teeth Potential Problems IMPACTED WISDOM TEETH INFECTION Potential Problems An infection can start at p an impacted when it starts push through Food gum. Trap Inflammation TREATMENT OF INFECTION infection can cause swelling, pain Infections treated in several ways. Your Food be become trapped between jaw stiffness. It can also cause clean area around infected neighbouring molar. bad breath an unpleasant taste..consequently, You be advised rinse your mouth cavities can occur in both Theaindividual quite unwell have with solutionof onefeel teaspoon salt even a glass TREATMENT INFECTION. difficulty swallowing. warm water. water should be asways. warmyour as Infections The be treated in several possible, but not uncomfortably hot. clean infected area around ULCER Ulcer You be prescribed disinfectant. You be advised rinse mouthwash your mouth Upper Upper pain relief. Your prescribe with a solution one teaspoon sometimes push sideways ouf salt a glass water. sometimes push should be as warm as antibiotics. The water warm gum. This cause sideways out possible, but not uncomfortably If lower are infected, upper an ulcer where rubs hot. CROWDING Crowding IMPACTED WISDOM TEETH Potential Problems Wisdom push Wisdom push neighbouring out neighbouring correct alignment. out correct alignment. CROWDING PAIN Wisdom push The put neighbouring out pressure on next it, correct alignment. Painpain. Infection around causing The also cause pain. put pressure on PAIN next it, causing pain. Infection The put INFECTION around pressure on next also it, cause An infection can start at p causing pain.pain. Infection around an impacted also cause pain. when it starts push through Infection gum. Inflammation INFECTION infection can cause swelling, pain An infection at p An infection can can startstart at jaw stiffness. It can also cause an impacted p an impacted bad breath an unpleasant taste. when it starts push whenthrough it The individual feel quite unwell even have gum. Inflammation starts push through difficulty can swallowing. infection gum.cause swelling, pain jaw stiffness. It can also cause ULCER badinflammation breath an unpleasant taste. infection can cause Upper swelling, pain jaw stiffness. It can also The individual sideways feel quiteout unwell even have sometimes push cause bad breath an unpleasant taste. difficulty swallowing. gum. This cause The individual feelrubs quite unwell even an ulcer where ULCER have difficulty swallowing. inside cheek. Upper sometimes FOOD TRAPpush sideways out Cyst gum. This trapped cause Food become between If not removed, a Consequently, cause a an ulcer where rubs neighbouring molar. inside sack fluid (cyst) cavities can occur inform bothcheek..around gum. This cause an biting down on disinfectant gums can exacerbate You be prescribed mouthwash inside cheek. ulcer where condition. Removal upper pain relief. Your prescribe can help remedy situation. rubs inside FOOD TRAP antibiotics. cheek. Food become trapped between If lower are infected, upper MEDICAL DENTAL HISTORY & neighbouring molar. Consequently, biting down on gums can exacerbate Your complete medical. dental hisry must cavities can occur in both condition. Removal upper Resorption Cavity be disclosed your. This ensures best can help remedy situation. Sometimes impacted CYST possible treatment. If not removed, apush cause a sack continue molar next MEDICAL & DENTAL HISTORY Certain health conditions can interfere with fluid form (cyst) around it. This causes a resorption cavity surgery, anaessia after-care, sowhere it s vital Your complete medical dental hisry must displace. This can destroy bone all nudges molar. disclose information. The be disclosed your. This ensures best damage gums or. are fairly Often, this can result in tests serious damage recommend particular health orcysts blood test. possible treatment. common around unerupted. both. Medicines: Tell your about medications Certain health conditions can all interfere with you are currentlycavity taking or have taken previously. RESORPTION surgery, anaessia after-care, so it s vital This includes contraception even over-the molars become abscessed or Sometimes impacted continue disclose all information. The counter medicines, e.g. cough medicines push molar next it. causes infected. When infection occurs, removal recommend particular health tests or This blood test.a aspirin. It is essential that you tell your if you resorption cavity is where required. nudges both molars usually Resorption Medicines: Tell your about all medications have ever hadmolar. an allergic reaction antibiotics or Often, this canresult in serious cavities are rare. you medications. are currently taking or have taken previously. any damage both. This includes contraception even over-pregnancy: Ensure that you tell your if The molars become abscessed or infected. counter medicines, e.g. cough medicines displace. This can destroy you be pregnant. Pregnancy could affect When infection occurs, removal both molars aspirin. It is essential that you tell your if youis FOOD TRAP CYST bone damage gums or. treatments, including: usually Resorption cavities are rare. or have everrequired. had an allergic reaction antibiotics Food become trapped between If not removed, a cause a sack Cysts are fairly common around unerupted anypain relief; medications. neighbouring molar. Consequently, fluid form (cyst) around. anaessia; cavities in both. displacecan occur. This can destroy bone Pregnancy: Ensure that you tell your if medications; damage gums or. Cysts are fairly you be pregnant. Pregnancy could affect date surgery (delay be necessary). CYST common around unerupted. treatments, including: Dental x-ray films are safe for pregnant If not removed, a cause a sack women pain relief; providing x-ray beams are pointed at RESORPTION fluid formcavity (cyst) around anaessia; Infections be treated in several ways. Your clean infected area around uterus. Sometimes bone continue displace impacted. This can destroy withmedications;. You beor advised it.rinse mouth a solution one teaspoon salt a glass Bleeding or blood disorders: Inform your push molar next This your causes a damage gums. Cysts are fairly date surgery (delay be necessary). warm water. The water should be as warm asifpossible, but not uncomfortably hot. you: resorption cavity where nudges common around unerupted. Dental x-ray films are safe for pregnant molar. Often, this can result in serious have any blood disorders, e.g. haemophilia; women providing x-ray beams are pointed at RESORPTION CAVITY You be prescribed disinfectant mouthwash painbleed relief. Your prescribe damage both. prusely when injured or have surgery; uterus. Sometimes continue Theantibiotics. molars impacted become abscessed or infected. take any blood thinners e.g. warfarin or aspirin. Bleeding or blood disorders: Inform your pushinfection molar next it.both Thismolars causesisa When occurs, removal if you: resorption cavity Resorption where nudges usually required. cavities are rare. molar. Often, this can result in serious have any blood disorders, e.g. haemophilia; damage both. prusely bleed when injured or have surgery; warm possible You ma pa antibiot If lower b con can help MEDIC Your co be discl possible Certain surgery disc recomm Medicin you are This inc counter aspirin. have ev any me Pregnan you ma treatme pain anae med date Den wom Bleedin if you: have pr take Treatment Infection 3

5 Impacted Wisdom Teeth Potential Problems Treatment Infection If lower are infected, upper biting down on gums can exacerbate condition. Removal upper can help remedy situation. Medical & Dental Hisry Your complete medical dental hisry must be disclosed your. This ensures best possible treatment. Certain health conditions can interfere with surgery, anaessia after-care, so it s vital disclose all information. The recommend particular health tests or blood test. Medicines Tell your about all medications you are currently taking or have taken previously. This includes contraception even overcounter medicines, e.g. cough medicines aspirin. It is essential that you tell your if you have ever had an allergic reaction antibiotics or any medications. Bleeding or Blood Disorders Inform your if you: Have any blood disorders, e.g. haemophilia; Pregnancy Ensure that you tell your if you be pregnant. Pregnancy could affect treatments, including: Pain relief; Anaessia; Date surgery (delay be necessary). Dental x-ray films are safe for pregnant women providing x-ray beams are pointed at uterus. Prusely bleed when injured or have surgery; Take any blood thinners e.g. warfarin or aspirin. 4

6 Procedures Smoking: Do not smoke for two weeks before your surgery. Smoking increases risk posperative infection impairs healing. X-Ray Examination Your will take an x-ray film your jaw. The x-ray will aid your plan most appropriate removal your. Surgery Location Depending on your condition, your will advise wher surgery should be performed in dental surgery, a day surgery clinic or a hospital. Mibular Nerve Canal Decay Caused By Impaction Anaessia After you have had a discussion with your, where pros cons local general anaessia are discussed, you will come a decision on what form anaessia is best for you. Local Anaessia If it is anticipated that surgery will be fairly straightforward, your suggest providing local anaestic via injection. This will numb gums lower part face. Local Anaessia If it is anticipated that surgery will be fairly straightforward, your suggest providing local anaestic via injection. This will numb gums lower part face. Additionally, your give you some medication relax you. The will n extract. General anaessia: The recommend general anaessia for some people, which means you would be tally unconscious for procedure. General anaessia requires a specialist anaestist be used for people who: Have that be difficult remove; Require multiple be removed; Have additional problems with ir, gums or jaw; Prefer not remain awake during procedure. 5

7 Procedures Removal Wisdom Teeth Your will have make an incision open your gums remove. Sometimes, a small portion bone also have be removed in order for get. Your be divided in segments make removal safer easier. Afterwards, incision in your gum require stitches. Your use stitches that dissolve over a few days or stitches that need be removed several days later by your. NOTE: Do not eat or drink anything for six hours before surgery under general anaestic. If surgery is being performed in morning, do not eat or drink after midnight night before. Talk your or anaestist for full instructions. Occasionally, some people have serious reactions general anaessia. However, modern anaessia is safe with few risk. Tell your or anaestist if you have ever had a reaction an anaestic drug. 6

8 Recovery & Care If extraction is performed in chair, you ll be required rest after surgery before returning home. Your will periodically check on you while you recover. Organise a family member or friend drive you home as you are not permitted drive after surgery. Once your is happy with your recovery, you return home. If your procedure is performed under general anaessia in a hospital, you will have stay in your room until you have recovered fully from anaestic. Self-care Take time f school or work for several days rest at home after surgery. Do not exercise, drive or operate heavy machinery; Eat st foods only such as pureed meat vegetables, soups jelly for first two days; Stay hydrated; Apply ice packs area reduce swelling pain; Do not drink alcohol while taking painkillers or antibiotics; Post-Surgery Pain Relief The amount pain people feel after surgery varies. Appropriate pain relief will be given you by your. If you feel that you require more pain relief or are unsure about your medication, contact your. After second day, pain usually starts decrease. However, people require pain medication for up one week. If you feel that your pain is not diminishing as days pass, speak your. You require furr pain relief. Control Bleeding By biting gently but firmly on a piece gauze, you can help sp bleeding. This is because pressure helps form blood clots. Leave area undisturbed so as not start bleeding again. Be aware that gums lose some blood for a day or so after surgery. By second day, all bleeding should have spped. If bleeding continues, consult your immediately 7

9 Recovery & Care Swelling Swelling almost always occurs after surgery. The amount swelling varies between individuals. Some have little inflammation while ors suffer from excessive inflammation. Most swelling will go down within four five days. Applying ice packs on jaw area will help alleviate swelling. Follow-up Appointment It s important attend your follow-up important as your will need check on healing your gums possibly take out any undesirable stitches. 8

10 Potential Complications No surgical procedure is risk-free. Your will spend time with you going through a list complications potential side effects, but this not cover every complication that occur. However, before deciding on surgery, it s essential that you have enough information weigh up pros cons surgery The majority patients have no complications after surgery, but if you have any concerns you should discuss m with your. Usual side-effects after surgery involve swelling, pain limited jaw function for a few days after surgery. The following list possible complications is here inform you, not alarm you. However, it is not a comprehensive list all complications that occur. Nerve Damage Causing Pain In rare cases, some injured nerves not heal well, pain persist or recur without diminishing. This unlikely event can happen despite when all care was taken avoid injuring major nerves surgery has been successful. It is still not undersod why nerves react this way. In se instances, pain be difficult treat. Numbness or Different Sensation There are several nerves that sit close, such as inferior alveolar nerve or lingual nerve. Occasionally an impacted be uching one se nerves. When a is removed, procedure bruise nerve, leaving a feeling tingling, numbness or loss feeling in, lips, gums, chin, cheeks, ngue around lower upper jaw. Injured nerves usually heal, as healing takes place, numbness tingling will disappear. This take from four eight weeks. Occasionally, some individuals report six 18 months before complete healing nerve has occurred. In rare cases, nerve not heal completely, altered sensation or numbness be permanent. After removal, a blood clot will form over bone. This is essential for healing relief pain. However, if clot is washed away or dissolved, it leaves bone exposed. This is known as a dry socket. This can result in a throbbing pain that last several days. If you are suffering from pain like this, contact your immediately. You can prevent a dry socket by doing following: Rinse your mouth VERY GENTLY with a warm salt water solution wash away blood. Never rinse vigourously or spit with force as this loosen clot slow healing. Rinse every four hours or more ten. Rinsing helps healing, reducing swelling pain reduces risk infection. Avoid smoking, as smoking interferes with healing. 9

11 Potential Complications For 24 hours after surgery, do not brush your around area surgery. For next few days, brush extremely gently. Difficulty Opening Mouth It is common have discomfort or pain when opening mouth after extraction. This problem usually subsides a few days after surgery, once swelling goes away. Fever After surgery, your body temperature be slightly higher. This should return normal after hours. Any fever that lasts longer than 24 hours indicate an infection or or problem. Consult your immediately if you have a fever lasting more than a day. Infection Infections eir bone or gum are mostly treated with an antibiotic. If you ever had an allergic reaction an antibiotic or anor drug you must inform your. Make sure you complete your course antibiotics. Excessive Bleeding Excessive bleeding (haemorrhaging) is rare, although it occur. This is can be caused by vomiting or o much exertion after surgery. Place a piece gauze over wound apply gentle but firm pressure on gauze for 15 minutes. If bleeding continues, consult your immediately. Lip Sores During surgical procedure, pressure or stretching lip by surgical instruments cause bruising or even small sores. Usually, y heal quickly without any problem. Lip sores are not common. Weak Jaw Occasionally, extraction temporarily weaken jawbone. Rarely, fractures or breakages occur 10

12 Potential Complications Sinus Problems With upper, roots sit close sinuses. Occasionally, when a is removed, a sinus be opened. Usually, it will heal quickly without infection. However, if re are any signs infection or or problems, contact your as more treatment be required. Vomiting Some individuals vomit while recovering from general anaestic. Damage a Nearby Tooth or Fillings Rarely, when a is extracted, or filling next become chipped or loosened. Your Treatment Costs Your will give an estimate all costs for treatment. The cost will vary, depending on number extracted extent treatment required. If more treatments become necessary, this will alter initial cost make final cost different from what was initially proposed. Make sure you discuss cost at length with your before your procedure. Call your nearest Dentistry Plus clinic find out more DPLUS DENTISTRYPLUS.COM.AU JOONDALUP ( ) MADDINGTON ( ) LEEMING ( ) LEEDERVILLE ( ) 11