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Grace Dental Clinic

NABH Accredited Centre

Our locations in gurgaon : Call at +9953076985,             Landline : 0124-4832254  for appointment

Sector 31 Location

Grace  Medical and dental Clinic

H.no 1298, Sector 31

Opp. Ajanta Public School, Gurgaon

Call +91-9953076985

landline: 0124-4832254

Opening Hours: 10AM to 9 PM

 

Sector 4 Location

Grace Medical and Dental Clinic 

Shop No.167, Sector 4 market 

behind ICICI bank, Gurgaon

Call +91-9953076985

Opening Hours   5:00 PM to 9:00 PM,  

  
  

 

Wisdom teeth

Wisdom teeth are the third and final set of molars that most people get in their late teens or early twenties. Sometimes these teeth can be a valuable asset to the mouth when healthy and properly aligned, but more often, they are misaligned and require removal.

When wisdom teeth are misaligned, they may position themselves horizontally, be angled toward or away from the second molars, or be angled inward or outward. Poor alignment of wisdom teeth can crowd or damage adjacent teeth, the jawbone, or nerves. 

Wisdom teeth also can be impacted -- they are enclosed within the soft tissue and/or the jawbone or only partially break through or erupt through the gum. Partial eruption of the wisdom teeth allows an opening for bacteria to enter around the tooth and cause an infection, which results in pain, swelling, jaw stiffness, and general illness. Partially erupted teeth are also more prone to tooth decay and gum diseas,e because their hard-to-reach location and awkward positioning makes brushing and flossing difficult.

How Do I Know if I Have Wisdom Teeth?

Ask your dentist about the positioning of your wisdom teeth. He or she may take an X-rayperiodically to evaluate for the presence and alignment of your wisdom teeth. Your dentist may also decide to send you to an oral surgeon for further evaluation.

Your dentist or oral surgeon may recommend that your wisdom teeth be extracted even before problems develop. This is done to avoid a more painful or more complicated extraction that might have to be done a few years later. Removal is easier in young people, when the wisdom teeth roots are not yet fully developed and the bone is less dense. In older people, recovery and healing time tend to be longer.

How Are Wisdom Teeth Removed?

The relative ease at which your dentist or oral surgeon can extract your wisdom teeth depends on their position and stage of development. Your oral health care provider will be able to give you an idea of what to expect during your pre-extraction exam. A wisdom tooth that is fully erupted through the gum can be extracted as easily as any other tooth. However, a wisdom tooth that is underneath the gums and embedded in the jawbone will require an incision into the gums and then removal of the portion of bone that lies over the tooth. Often, for a tooth in this situation, the tooth will be extracted in small sections rather than removed in one piece to minimize the amount of bone that needs to be removed to get the tooth out.

What Happens During Wisdom Teeth Removal?

Before your wisdom teeth are pulled, the teeth and the surrounding tissue will be numbed with a local anesthetic -- the same type used to numb a tooth prior to having a cavity filled. In addition to the local anesthetic to numb the pain, you and your dentist or oral surgeon may decide that a sedative is desired to control anyanxiety. Sedating medications that could be selected include: nitrous oxide (otherwise known as "laughing gas"), an oral sedative (for example, Valium), or an intravenous sedative (administered via an injection into your veins). If nitrous oxide is given, you will be able to drive yourself home. If any of the other medications is selected, you will need someone to drive you both to and from the appointment.

What Does Recovery Involve After Wisdom Teeth Are Pulled?

After having your wisdom teeth removed, the speed of your recovery depends on the degree of difficulty of the extraction (a simple extraction of a fully erupted tooth versus a tooth impacted into the jawbone). In general, here's what to expect.

During the first 24 hours

  • Bleeding may occur for several hours after tooth extraction. To control it, position a piece of clean moist gauze over the empty tooth socket and bite down firmly. Apply constant pressure for about 45 minutes. A moistened tea bag is an effective alternative. The tannic acid in tea helps healing blood clots to form (blood clots function similarly to scab over an open wound). Repeat this process if a small degree of bleeding continues; if heavy bleeding continues to occur, contact your dentist or oral surgeon. Avoid rinsing or spitting for 24 hours after tooth extraction, avoid "sucking" actions (for example, don't drink beverages through straws or smoke) and avoid hot liquids (such as coffee or soup). These activities can dislodge the clot, causing a dry socket (see below) to develop.
  • Facial swelling in the area where the tooth was extracted typically occurs. To minimize swelling, place a piece of ice, wrapped in a cloth, on that area of your face on a schedule of 10 minutes on, followed by 20 minutes off. Repeat as necessary during this first 24-hour period.
  • Pain medications, such as acetaminophen (Tylenol) or ibuprofen (Motrin or Advil), can be taken for minor pain. Your dentist or oral surgeon may prescribe more potent pain relievers, if necessary.
  • Antibiotics that may have been prescribed prior to tooth extraction (to treat any active infection around the wisdom tooth to be extracted) should continue to be taken until the full prescription is gone.
  • Foods should be restricted to a liquid diet until all the numbness from anesthesia has worn off. Eat soft foods for a few days. Also avoid alcohol if you're also taking narcotic pain medication.
  • Continue to brush your teeth, but avoid the teeth directly neighboring the extracted tooth during the first 24 hours. On day two, resume the gentle brushing of your teeth. Do not use commercial mouth rinses -- these can irritate the extraction site.

After 24 hours

  • Facial swelling in the area of the tooth extraction should be treated with heat after the first 24 hours of ice. Apply a moist warm towel to the area on a 20-minute on, 20-minute off schedule. Repeat as necessary.
  • Rinse your mouth with warm salt water (1/2 teaspoon of salt in a cup of warm water) after meals and before bed. Do not use commercial mouth rinses.
  • Stitches, if used and if not of the self-dissolving type, need to be removed by your oral health care provider in about 1 week. If you do require stitches, ask what type you have been given.
  • Watch for signs of dry socket (described below). This condition requires treatment by your oral health care provider.
  • Complete healing doesn't occur for a few weeks to a few months following the extraction. However, usually within the first week or two, enough healing has taken place for use of your mouth to be reasonably comfortable in the area of the extraction. Your dentist will explain what to expect in your specific case.

What Are Potential Complications of Wisdom Tooth Removal?

Two of the more important complications after having your wisdom teeth removed include:

  • Dry socket. Dry socket is a common complication that occurs when either a blood clot has failed to form in the extracted tooth socket or else the blood clot that did form has been dislodged. Without clot formation, healing will be delayed. When it happens, dry socket typically occurs 3 or 4 days following the extraction and is accompanied by pain (ranging from "dull" to moderate to severe) and a foul mouth odor. Your dentist or oral surgeon will treat the dry socket by placing medication in the socket.
  • Paresthesia. Paresthesia is a rarer complication of wisdom teeth extraction. Wisdom teeth entrapped in the jawbone are often close to nerves. Sometimes these nerves can be bruised or damaged during the tooth removal process. The result is a numbness (called a paresthesia) of the tongue, lip, or chin that can last a few days, weeks, months, or may even be permanent.

How Much Does Wisdom Teeth Extraction Cost?

Simple extraction of a wisdom tooth can cost as little as $99 per tooth. The cost of wisdom teeth that are impacted can cost between $230 and $340 and even more. Because costs vary in different areas of the country, contact your dentist or oral surgeon for their charges. Also, check with both your dental insurance carrier and medical insurance provider. One or the other type of insurance may cover a portion of the cost of wisdom teeth removal.

 

Post Surgical care

Care after Minor Oral Surgery

Oral surgery is any procedure that involves cutting into or removing tissue from your mouth. It includes procedures like removing a tooth, gum surgery, and getting dental implants. Oral surgery also includes getting rid of diseased tissue from the mouth, correcting jaw problems, or repairing a cleft lip or palate.

Who does this procedure?

Your dentist may perform oral surgery or refer you to an oral surgeon, called an oral and maxillofacial surgeon. An oral surgeon is a dentist who has completed a university post-graduate specialty program in oral and maxillofacial surgery.

Oral and maxillofacial surgery is a specialty of dentistry that deals with the surgical treatment of disorders, diseases, injuries and defects of the hard and soft tissues of the oral and maxillofacial regions and related structures.

Sometimes, after minor oral surgery, you may have pain, bleeding and swelling. Proper care after oral surgery will help your mouth heal quickly and cleanly. Here’s what usually happens after oral surgery and how you can deal with it.

You have pain

Once the anesthetic (freezing) wears off, feeling some pain is normal. You might have the most pain in the first 24 to 48 hours after your surgery. Some soreness or discomfort at the site of the surgery may last for 3 to 5 days. The amount of discomfort is different from one person to another and from one operation to another.

What to do

Your dentist or oral surgeon may prescribe medication. Tell your dentist or oral surgeon about any other prescription medicines or herbal supplements you are taking. Take the medication exactly as your dentist or oral surgeon and pharmacist have instructed.

It is important to rest. If you are up and about, you may feel more discomfort. Call your dentist or oral surgeon if the pain does not get any better within 48 hours or at any time if you think there is a problem.

What NOT to do

  • Do not take more medication than advised.
  • Do not drink alcohol when taking pain relief medication.
  • Do not drive or use machines if you are taking narcotic medication. A narcotic may cause you to feel drowsy. Your dentist, oral surgeon or pharmacist will tell you if your pain relief medication is a narcotic.

You have bleeding

You will probably bleed for the first hour or 2 after surgery. The area may continue to ooze for up to 24 hours. Blood and saliva mix together in your mouth and this can make it look like you are bleeding more than you really are. After 4 hours, if you cannot control the bleeding by pressing firmly on the area with a gauze pad, call your dentist or oral surgeon.

What to do

Your dentist or oral surgeon will use a gauze pad over the wound to cut down on the amount of bleeding while the blood clots. This gauze pad should be left in place for an hour no matter how soggy it becomes. Keep firm and constant pressure on the gauze pad by closing your teeth firmly on the pad. If you are still bleeding after 1 hour, put a new gauze pad on the area and continue to put firm and constant pressure on the pad for another hour.

Rest and keep your head raised. Rest slows down the circulation (flow) of blood. This helps stop the bleeding and helps you to heal faster. Brush and floss your teeth as usual, but stay away from the wound and use only a little bit of water. If you are still bleeding a lot and it has been 4 hours or longer since your surgery, call your dentist or oral surgeon.

A full day after surgery, rinse your mouth gently with warm water. Your dentist or oral surgeon may suggest that you add 1/2 teaspoon of salt to a cup of warm water each time you rinse. Rinse 4 or 5 times a day, for 3 or 4 days.

What NOT to do

  • Do not rinse your mouth within the first 24 hours, even if the bleeding and oozing leave a bad taste in your mouth.
  • Do not chew on the gauze pad or suck on the wound.
  • Do not strain yourself for 2 full days after your surgery.
  • Avoid hot liquids like coffee and tea. If you eat soup, let it cool first. Hot liquids increase the flow of blood and your wound can start to bleed again.
  • Avoid alcohol and tobacco for the first 2 weeks after surgery. They make it harder for the blood to clot and easier for an infection to start. Alcohol and tobacco will also delay healing.

You have swelling

Your face may swell in the first 24 hours after oral surgery. The swelling may last for 5 to 7 days. Once the swelling starts to go down, your face may bruise. The bruising could last for up to 10 days after your surgery.

What to do

On the FIRST day after surgery, put a cold compress on the swollen area. You can make a cold compress by wrapping ice cubes in a towel or you can use a bag of frozen vegetables. Keep the cold compress there for 10 minutes. Take it off for 10 minutes, then put it back on for another 10 minutes. Do this over and over again for the first 24 hours after surgery, if possible.

On the SECOND day after surgery, put something warm on the swollen area. You can make a warm compress by wrapping a hot water bottle or a heating pad in a towel. The warmth will increase blood flow or circulation and bring down the swelling. Do not use anything hot enough to burn your skin. Call your dentist or oral surgeon if the swelling continues to get worse 48 hours after surgery, or if the swelling does not go down within 7 days after surgery.

What NOT to do

  • Do not apply heat to the swollen area in the first 24 hours after surgery. This will only make the swelling worse.

Your jaw is sore

After surgery, your jaw muscles may be sore and it may be hard to open your mouth for up to 7 to 10 days. Your jaw muscles may have become stiff and sore from holding your mouth open during surgery.

What to do

If your jaw muscles are not too sore, massage them gently with a warm, moist face cloth. Eat foods that are easy to chew such as eggs, pasta and bananas. Have drinks like milkshakes, milk and juices. If, after 7 to 10 days, your jaw muscles are still tender or your mouth is still hard to open, call your dentist or oral surgeon.

What NOT to do

  • Do not force your mouth open.
  • Do not chew gum or eat hard or chewy foods.

Warning signs

If you have any of the following problems after oral surgery, call your dentist or oral surgeon right away:

  • You are bleeding a lot and it has been 4 hours, or longer, since your surgery.
  • You have the feeling that you are going to throw up.
  • You are throwing up.
  • You have a fever.
  • You have pain that does not get any better, and it has been 1 full day or longer since your surgery.
  • Your swelling is still getting worse, and it has been 2 days or longer since your surgery.

 

Contact Us

Grace Dental Clinic, Resi. cum clinic, H.No 1298 Sector 31, Opp. Ajanta public School , Gurgaon

Opening Hours 10:00 AM to 9:00 PM,      +91124- 4832254, 9953076985

 

Grace Dental Clinic, Orthodontic and implant center 

Shop. no 167 Sector 4 Market, Behind ICICI Bank,  Gurgaon-122001

M +91-9953076985,  Drhimanshu@gurgaondentalcare.com

Opening Hours , 5:00PM to 9:00PM,  Sunday Evening Closed   نعمة عيادة الأسنان