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The journey to adulthood is filled with many milestones, yet one often sneaks up unnoticed until it announces its presence with a dull ache: the emergence of wisdom teeth.
Wisdom teeth removal is a common dental procedure that many undergo, particularly in their early 20s. This surgery is often necessary to prevent issues such as tooth decay, gum disease and infection, which can arise if wisdom teeth are left untreated. Whether you're facing the prospect of wisdom tooth extraction or simply curious about the procedure, read on to discover more about this common dental intervention.
Do I need to have my wisdom tooth removed?
Wisdom teeth, also known as third molars, are the last set of teeth to develop between the ages of 17 and 25, a period often associated with gaining wisdom. Not all wisdom teeth require removal, as the need for extraction varies among individuals.
For instance, if a wisdom tooth is fully erupted, functional, easy to clean and well-maintained, it may not need to be extracted. Your dentist is best equipped to determine whether extraction is necessary based on a thorough examination but here are certain signs and symptoms that may indicate the need for wisdom tooth extraction:
- Impacted wisdom teeth, which are teeth that are partially or fully trapped in the gums or jawbone
- Pain, discomfort or swelling in the back of the mouth where your wisdom teeth are located. Swelling can also be a sign of infection
- Difficulty opening the mouth fully
- Gum sensitivity or bleeding, particularly around the molars, often accompanied by frequent trapping of food and debris
- Repeated infections or development of cysts around the wisdom teeth
- Damage to neighboring teeth due to pressure from wisdom teeth
- Tooth decay (cavities) in a partially erupted wisdom tooth
If you experience any of these signs or symptoms, it's important to consult with a dentist for a thorough evaluation. Read more here.
What are the different types of wisdom tooth extraction?
There are two main types of wisdom tooth removal and they are determined by whether the tooth has emerged through the gum (erupted) or is trapped within the jaw bone (impacted).
1) Wisdom Tooth Extraction
This procedure is to remove impacted wisdom teeth that have fully emerged through the gums and are easily accessible. It does not involve incisions. Using forceps, the dentist or oral surgeon gently grasps the tooth and removes it from the socket. Local anaesthesia is typically administered to numb the area, making the procedure quick and straightforward. It is crucial to allow the formation of a blood clot at the extraction site, as this is essential for the healing process.
3) Wisdom Tooth Surgery
Surgical extraction is necessary when a wisdom tooth is partially or fully impacted, meaning it is trapped beneath the gum or jawbone. This more complex procedure may require an oral surgeon or a specialist.
The surgeon begins by cutting into the gum tissue to access the tooth. In some cases, a small amount of bone may need to be removed, and the tooth may be divided into smaller pieces for easier removal. After the tooth is extracted, the incision is closed with stitches.
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How long does it take to recover from wisdom teeth extraction?
The recovery period following wisdom tooth extraction varies from person to person but typically lasts between one to two weeks. During this time, individuals may experience varying levels of discomfort, swelling and minor bleeding, which are normal parts of the healing process. It is important to brush your teeth gently and use an ice pack to reduce swelling at the impacted wisdom tooth. Additionally, rinse your mouth with salt water to keep the area clean.
Complications such as pain infection can arise if proper care is not taken. To mitigate these risks, brush and floss regularly, taking care around the extraction site. Keeping the area clean and free from trapped food can help prevent tooth decay and gum disease from developing around the site where your wisdom teeth were removed.
However, most people find that they can resume their regular activities, such as attending school or work, within three to five days post-treatment. Additionally, your dentist will provide you with detailed postoperative instructions to follow during your recovery period for a comfortable recovery process.
How much does wisdom tooth extraction in Singapore cost and can I use MediSave?
The cost of wisdom tooth extraction may vary depending on whether the tooth has fully emerged in the mouth or is impacted. Wisdom teeth that have fully emerged can usually be extracted through a relatively straightforward procedure, which tends to be less expensive.
However, if your wisdom tooth has multiple or curved roots that could increase the risk of fracturing during removal, or if the roots are in close proximity to vital structures in the jaw such as nerves or sinuses, your dentist may recommend a referral to an oral surgeon specialist.
Conclusion
Following the guidelines and maintaining good oral hygiene can ensure a smooth recovery and protect your permanent teeth from future problems. Wisdom tooth removal is a step towards preserving your overall dental health, making it easier to maintain a healthy smile well into the future.
At Dental Designs Clinic, we are proud to be an accredited Medisave Clinic endorsed by the Ministry of Health, Singapore. This accreditation allows you to use Medisave to cover the expenses associated with your wisdom tooth surgery.
Interested in finding out more?
References:
- Lysell L, Rohlin M. A study of indications used for removal of the mandibular third molar. Int J Oral Maxillofac Surg. 1988 Jun;17(3):161-4. doi: 10.1016/s0901-5027(88)80022-5. PMID: 3135340.
- Marciani RD. Third molar removal: an overview of indications, imaging, evaluation, and assessment of risk. Oral Maxillofac Surg Clin North Am. 2007 Feb;19(1):1-13, v. doi: 10.1016/j.coms.2006.11.007. PMID: 18088860.