Wisdom teeth extraction

Apicoectomy or a root end surgery, root resection, retrograde root canal treatment or root-end filling, is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material. Wisdom teeth extraction is a surgical procedure to remove the end of a tooth root in endodontic therapy. At Empire Dental Center the wisdom teeth is removed within a very short time and 0 pain guaranteed! The procedure is done at the clinic under local anesthesia. If you have any infections, surgery will usually be delayed until the infection has cleared up by taking antibiotics. Before removing a wisdom tooth, the doctor will give you a local anesthetic to numb the area where the tooth will be removed. To remove the wisdom tooth, the gum tissue over the tooth will be open and than take out any bone that is covering the tooth. We will separate the tissue connecting the tooth to the bone and then remove the tooth. Sometimes we will cut the tooth into smaller pieces to make it easier to remove.

After the tooth is removed, you may need stitches. Some stitches dissolve over time and some have to be removed after few days. A folded cotton gauze pad placed over the wound will help stop the bleeding.

Why is it done?

A wisdom tooth is extracted to correct an actual problem or to prevent problems that may come up in the future. Some of the problems that can occur when wisdom teeth come in are:

• Your jaw may not be large enough for them, and they may become impacted and unable to break through your gums.
• Your wisdom teeth may break partway through your gums, causing a flap of gum tissue to grow over them. Food and germs can get trapped under the flap and cause your gums to become red, swollen, and painful. These are signs of infection.
• More serious problems can develop from impacted teeth, such as infection, damage to other teeth and bone, or a cyst.
• One or more of your wisdom teeth may come in at an awkward angle, with the top of the tooth facing forward, backward, or to either side. In all these cases you should visit your dentist and extract the tooth

What to Expect After Surgery?

In most cases, the recovery period lasts only a few days. Take painkillers as prescribed , The following tips will help speed your recovery.

• Bite gently on the gauze pad and change them as they become soaked with blood. Call us if you still have bleeding 24 hours after your surgery.
• While your mouth is numb, be careful not to bite the inside of your cheek or lip or your tongue.
• Do not lie flat. This may prolong bleeding. Prop up your head with pillows
• Try using an ice pack on – off, on the outside of your cheek. Apply for 15 to 20 minutes at a time for the first 24 hours.
• Relax after surgery. Physical activity may increase bleeding.
• Eat soft foods, such as gelatin, pudding or a light soup. Gradually add solid foods to your diet as healing progresses.
• Do not use a straw for the first few days. Sucking on a straw can loosen the blood clot and delay healing.
• After the first day, gently rinse your mouth with warm salt water several times a day to reduce swelling and relieve pain.
• Do not smoke for at least 24 hours after your surgery. The sucking motion can loosen the clot and delay healing. Also, smoking decreases the blood supply and can bring germs and contaminants to the surgery area.
• Avoid rubbing the area with your tongue or touching it with your fingers.
• Continue to brush your teeth and tongue carefully.

Advantages of the wisdom teeth extractions:

Wisdom tooth removal usually is effective in preventing:

• Crowding of the back teeth.
• A wisdom tooth becoming stuck in the jaw and never breaking through the gum.
• Red, swollen and painful gums caused by a flap of skin around a wisdom tooth.
• Gum disease and tooth decay in the wisdom tooth which may be harder to clean than other teeth