Wisdom teeth extraction
Discussion
Saw my dentist today, everything is fine except my wisdom teeth.
I'm 24, and so far have had little greif with them. However, my lower right has a cavity, my lower left is coming in laying flat. Now my dentist reckons, if I get the lower two taken out, it would be an idea to get the uppers done at the same time, as they'll have nothing stopping them coming down as it were.
I'm all for having them out as I've heard they can push out of line my teeth, and I had a lot of orthodontic work done as a kid and don't want to have a crap smile now!
I've booked a free consultation with surgeon at my surgery with a review to having them out. What I'm after is some advice really.
Do I need them out? Should I be knocked out? Should I look around for other places to have it done, or stick with who I go to currently (been with since I 10)?
Lovely pics:
The dark shadow is apparently the cavity.
Any help greatly appreciated
I'm 24, and so far have had little greif with them. However, my lower right has a cavity, my lower left is coming in laying flat. Now my dentist reckons, if I get the lower two taken out, it would be an idea to get the uppers done at the same time, as they'll have nothing stopping them coming down as it were.
I'm all for having them out as I've heard they can push out of line my teeth, and I had a lot of orthodontic work done as a kid and don't want to have a crap smile now!
I've booked a free consultation with surgeon at my surgery with a review to having them out. What I'm after is some advice really.
Do I need them out? Should I be knocked out? Should I look around for other places to have it done, or stick with who I go to currently (been with since I 10)?
Lovely pics:
The dark shadow is apparently the cavity.
Any help greatly appreciated
I was about that age when I was told the same. I opted for going on the NHS list to be done under a general anaesthetic. 2.5 years later I got done (this is about 20 years ago!) and I was in hospital overnight then - and had effing whiplash for over a week afterwards. I reckon they were wrenching like mad while I was under.
HOWEVER. I have since had another tooth out under a local - and that was a doddle, really. No pain, just a weird crunching sensation as the dentist twisted and pulled. To be honest, I wish I'd had the wisdom teeth out the same way...
HOWEVER. I have since had another tooth out under a local - and that was a doddle, really. No pain, just a weird crunching sensation as the dentist twisted and pulled. To be honest, I wish I'd had the wisdom teeth out the same way...
Lower left is definitely not straight forward.
Lower right is difficult and the cavity complicates things.
Both lower wisdom teeth are very close to the nerve that runs in your lower jaw. There is a risk of nerve damage when having these extracted.
Upper wisdom teeth are easy to extract.
If left, lower left could cause a food trap which causes decay in that tooth and one next to it.
Wisdom teeth will not make your other teeth crooked.
I would have sedation not a GA.
Expect a couple of days off work afterwards.
If your normal dentist is proposing to do the lowers, I would hope he has a lot of oral surgery experience.
All of this is general advice and does not constitute a treatment plan as I've not seen you for a full exam.
Lower right is difficult and the cavity complicates things.
Both lower wisdom teeth are very close to the nerve that runs in your lower jaw. There is a risk of nerve damage when having these extracted.
Upper wisdom teeth are easy to extract.
If left, lower left could cause a food trap which causes decay in that tooth and one next to it.
Wisdom teeth will not make your other teeth crooked.
I would have sedation not a GA.
Expect a couple of days off work afterwards.
If your normal dentist is proposing to do the lowers, I would hope he has a lot of oral surgery experience.
All of this is general advice and does not constitute a treatment plan as I've not seen you for a full exam.
Diff to answer in here! Legals means can't really advise. This is a car forum with health stuff for general help. This is very specific and no dentist should give you a reply due to not being in there. X-rays only an aid and not full picture...sorry!
Edited by MacGee on Thursday 5th April 22:52
LL looks easy-peasy to me. LR does look like a bit of a b
d, although I have have a colleague at work who would have that out in 15 mins.
IMO no danger of ID nerve damage.
(Am I committing professional suicide here? Maybe should add "but you never know"
)
ETA Can we get things the right way round on the radiograph?
d, although I have have a colleague at work who would have that out in 15 mins.IMO no danger of ID nerve damage.
(Am I committing professional suicide here? Maybe should add "but you never know"
)ETA Can we get things the right way round on the radiograph?
Edited by Driller on Friday 6th April 09:00
Foofighter said:
I'm all for having them out as I've heard they can push out of line my teeth,
What's the latest feeling amongst UK dentists on this? I was taught (and the studies appear to show) that the contribution to late lower incisal crowding from third molars is minimal.(Outside of NICE guidlines of course, a principle raison d'etre of which seems to be to reduce NHS costs to a minimum).
In France on the other hand, they'd have 'em out as soon as look at 'em.
I am of the opinion that the wisdom teeth cannot cause crowding of the anterior teeth. From a mechanical point of view the anchorage required to move a single molar tooth is fairly substantial and so to suggest that the eruptive power of a wisdom tooth could disrupt 7 other teeth seem unlikely in my opinion.
I was taught that onset of crowding as we age was caused by the slighty mesial directed vector force of the occlusion. Can't remember if this was from undergrad or post grad education.
I was taught that onset of crowding as we age was caused by the slighty mesial directed vector force of the occlusion. Can't remember if this was from undergrad or post grad education.
Edited by rex on Friday 6th April 13:41
Driller said:
ETA Can we get things the right way round on the radiograph?
Sorry about that! typical me, 24 and still can't get my left and right, er, right!I'm not worried about professional liability, I'm more after opinions from people who've had it done. What can I expect, is the general consensus to have it done under local due to the possible help I can give?
What sort of questions should I ask as the consultation as well. Stuff like the nerver damage would be new to me, but add to that, I bet they probably gloss over that :P
I'm on both side of this fence. I would go with the Local, as I did when I had one of my lower 8's removed. I did not have the upper removed (was not offered it by my GDP at the time). I now have a very over erupted 28 still not a big issue.
The wisdom tooth will not cause crowding of the anteriors as other also previously mentioned, not to say they wont ever become crowded as teeth will tend to mesial drift, but I wouldn't be worried about that.
Avoid GA go concious sedation if you are worried about the LA, you wont remember anything. Personally my wisdom tooth had given me so much pain I could not wait to get it out, I maintain I was the happiest extractee ever that day
The wisdom tooth will not cause crowding of the anteriors as other also previously mentioned, not to say they wont ever become crowded as teeth will tend to mesial drift, but I wouldn't be worried about that.
Avoid GA go concious sedation if you are worried about the LA, you wont remember anything. Personally my wisdom tooth had given me so much pain I could not wait to get it out, I maintain I was the happiest extractee ever that day
7 years ago I had excruciating toothache, a visit to the dentist was a must. Both my lower Wisdom teeth were like the horizontal one in the above pictures, they were pushing onto a nerve and that was causing the pain. I was refered to the hospital where the surgeon sucked through his teeth looking at the x-ray. Day surgery, general anaesthetic, all Wisdom teeth gone, I had a very bruised swollen face for a day or so after. The stitches in the mouth were a pain but I am so glad I had it done under GA, since heard some horror stories with the same procedure done under LA.
I had all 4 of mine removed so I could have some jaw surgery done. I had them done under GA and was eating normally within 2 days and didn't take 1 painkiller, no swelling that was noticeable. One of the first things I did when I woke up was go to the loo to have a look at what a state my face was in, I was gutted to see me standing there looking normal. I suspect mine was easy due to them not being impacted etc.
Rollin said:
Wisdom teeth will not make your other teeth crooked.
Sorry to crash the thread, but is this really true or just applicable to the OP's situation? I'm in no way an expert, but I'm rather hoping that my wisdom teeth don't crush my other teeth. One of my bottom tooth is starting to move slightly (gf says she can't see/notice anything), but I know that it is.Cheers
Had mine done, all four, under GA about 4 years ago. Went in in the morning & was discahrged at 1600 that afternoon. No pain afterwards either. Though I was able to blow fluid from my mouth out through my nose via the sinus that got nicked. Was a great party trick for a few months until it healed up.
they are all so different.....some just pop out with a little flick and others require severe bone removal and cutting into pieces to have them out!.
no evidence that they cause crowding or push others forwards. as said before there is a general tendancy that all teeth want to move towards the front of face.
no evidence that they cause crowding or push others forwards. as said before there is a general tendancy that all teeth want to move towards the front of face.
MacGee said:
they are all so different.....some just pop out with a little flick and others require severe bone removal and cutting into pieces to have them out!.
That was me last time out - six months ago. Just popped in for an emergency appointment for toothache. Some bad decay - and a cancellation by the next appointment. Good timing.The big bird (sorry - dentist) had to grind away some jaw and break away, bit by bit. I don't normally bother with any anesthetic - think it was a good job I did for this 90 minute session. Three gone now - one to go probably sometime.
I suppose I should follow this up as I had the consultancy last night.
Met the surgeon they use and was instantly reminded by his laugh that he was the one who did quite a bit of surgery on on unexposed canine when I was about 12. He remembered me and was amazed at how well the orthodontic work had gone.
He then had a look at my x-ray and a quick (literally 30 seconds) said yep, that ones buggered (referring to the one with a cavity in it) and in his opinion said I don't feel any of the other need to come out at the moment. He asked if the impacted one was causing any pains, which it wasn't and he believed there would be no reason to remove it at the moment. Yes it was impacted but he doesn't believe it would cause movement of the teeth, and besides I still have the lower retainer fitted.
As for sedation, GA or local, he recommended just local as there doesn't seem to be any reason for it to be more than a 30 min procedure, but make it for the end of the day as I'll probably feel pretty 'naff'.
He did finish the consultation by giving me a leaflet saying I should read this and the bit about possible numbness afterwards to the mouth and lip area. Its highly unlikely with this one though.
For the person who asked, I don't have dental insurance, just a very understanding firm who offer it. Oh and the price I was given for it, was £95 with local and £160 with sedation.
Met the surgeon they use and was instantly reminded by his laugh that he was the one who did quite a bit of surgery on on unexposed canine when I was about 12. He remembered me and was amazed at how well the orthodontic work had gone.
He then had a look at my x-ray and a quick (literally 30 seconds) said yep, that ones buggered (referring to the one with a cavity in it) and in his opinion said I don't feel any of the other need to come out at the moment. He asked if the impacted one was causing any pains, which it wasn't and he believed there would be no reason to remove it at the moment. Yes it was impacted but he doesn't believe it would cause movement of the teeth, and besides I still have the lower retainer fitted.
As for sedation, GA or local, he recommended just local as there doesn't seem to be any reason for it to be more than a 30 min procedure, but make it for the end of the day as I'll probably feel pretty 'naff'.
He did finish the consultation by giving me a leaflet saying I should read this and the bit about possible numbness afterwards to the mouth and lip area. Its highly unlikely with this one though.
For the person who asked, I don't have dental insurance, just a very understanding firm who offer it. Oh and the price I was given for it, was £95 with local and £160 with sedation.
I had all four out, under general anaesthetic, when I was 21 on the advice of my orthodontist. The first few days were pretty uncomfortable, and all I could eat was ice cream, but from then on my mouth felt much more comfortable. I still wear retainers at night whenever I can, but I find that since the wisdom teeth have been removed, I feel much less pressure when I wear the retainers after not having them in for a few nights.
I had a half exposed lower wisdom tooth out under local and it was a very straight forward and fast operation. 5 minutes after the local was injected the surgeon cut the gum, pushed on the tooth hard a few times with what looked like a centre punch, got some pliers, pulled and out it came.
Total time taken around 10 minutes.
The post op was OK, a bit of pain as it healed up but otherwise fine.
The other lower wisdom is like yours at 90 degrees to the neighbouring tooth and the surgeon said as you were told that unless it caused problems there's no reason to remove it.
Total time taken around 10 minutes.
The post op was OK, a bit of pain as it healed up but otherwise fine.
The other lower wisdom is like yours at 90 degrees to the neighbouring tooth and the surgeon said as you were told that unless it caused problems there's no reason to remove it.
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