Friday, May 21, 2010

Wisdom teeth removal with braces on?

i am having all four of my wisdom teeth removed tomorrow..two are impacted.. and i have braces on top and bottom teeth..any advice?

Wisdom teeth removal with braces on?
Yes i have the same situation, or at least had. I had to get all myt 4 removed. BUT, the doc told me, that it should removed 1 at a time. with a few days gap, preferably week gap (as i had). removing them is a big thing as they are permanent teeth with deep roots. I couldnt even eat properly, with the removal of one, with my mouth swelling. I had to get stiches with the bottom 2, as they were impacted. So, I dont know why ur doc is saying to get them all out at once. That is a lot of injury to take at one time. Maybe get a second opinion.


ANd also, it is advisable to get either top braces or lower first. Not both at once. As the pain gets alot. So it should be done with time. I got my lower ones after 2 months since the top was put on.


Not trying to scare u, but just warn u that it might not be best to get all removed at one. IT takes time for the injury to heal





wait, did u say u already had ur braces on? Well if u do, then well no problem in that regard. ONly about removing the wisdom all at once.
Reply:THIS SHOULD NOT PSE A PROBLEM AT ALL. JUST FOLLOW THE DOCTOR'S INSTRUCTIONS TO PREVENT DRY SOCKET. SOME GOOD INF IS FOLLOWING:


Dry Socket








information from the Atlanta Dental Group PC














In a patient with a dry socket, blood does not fill up the extraction socket or the blood clot is lost. The gums can not grow over the extraction socket because there's nothing to grow over and the hole remains open. This opening causes a constant dull throbbing pain and the patient can often have a foul smelling breath and bad taste in the mouth. Ear pain is another possible dry socket symptom.





It's called a dry socket because the hole, or socket, that the tooth used to fit into becomes dry. It begins hurting about three days after oral surgery. Unfortunately, the pain lasts about a week after it begins. The dental name is acute alveolar osteitis. Acute means all of a sudden. Alveolar is the name of the bone that supports teeth. -itis means inflamed and osteo- means bone. Osteitis means bone inflammation. Acute alveolar osteitis means sudden inflammation of the bone that supports a tooth.





Dentists don't know exactly what causes a dry socket. It occurs more with lower teeth than upper teeth and more with females than males. The problem occurs more often after difficult extractions. It may be that forceful pushing against the wall of the socket when the tooth is being removed causes the walls of the tooth socket to become crushed. This prevents bleeding into the socket because the blood vessels have been crushed closed. The lack of blood then causes severe pain.





Anything that dislodges the clot can cause a dry socket. Forceful spitting or sucking though a straw can pull a clot completely out of its socket. Patients should wait a day before rinsing with warm salt water to avoid dissolving the new blood clot. When salt water rinsing, spit gently to avoid pressure. Carbonated beverages should be avoided because they may bubble the clot out. Alcoholic drinks can dry out the blood clot and prevent healing. Avoid smoking for a few days after dental extractions because smoking can disturb clot formation. Patients who have recently had oral surgery should avoid anything that may irritate the socket or anything that may cause the clot from being dislodged. Follow our oral surgery post operative instructions carefully to avoid dry socket treatment.





GOOD LUCK!
Reply:Hi!


I am an Oral Surgeon and have practiced for 27 years. The removal of all 4 wisdom teeth at once is the routine procedure. If you have an Oral Surgeon do it, there shouldn't be any problem. We are trained for surgery and actually, removal of teeth and wisdom teeth is one of the easier things for us. Just remember to follow all of the post-operative instructions very closely so your recovery will be quick and comfortable.


It is INSANE to remove these teeth one at a time. If you do 1 or 2 or all 4, you will still have the same amout of pain afterwards, which will be easily taken care of with a prescription pain killer. You will still take the same amount of medication whether you do 1 tooth or 4. If you do 1 or 4 teeth, you will still be eating soft foods for a few days, still be keeping ice on for the swelling, etc, etc. So, whether you do 1 or 4 teeth, your post -op experience will essentially be the same. If you do all 4, then you will be done and not have to do this again (medication, soft foods, ice, etc).


If you are paying for this, it is also cheaper doing all 4 at once - only 1 anesthesia vs 2, or 4.


Teeth that are impacted usually require a little more work than those that are erupted. Sometimes we use a dental drill and cut them in half to make it easier to remove them. This is not a problem and will not hurt. The fact that you have braces on will not effect the procedure.


It's good that your'e having these widsom teeth removed, because if left there, they can push forward and cause anterior tooth crowding and ruin your nice orthodontic treatment.





Find a good, compassionate Oral Surgeon who has a gentle touch and you won't have any problems! Good luck.
Reply:Buck is straight, you see, so full marks to him. For the clean and straight job, seek recommendations from friends for an oral surgeon.


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