Impacted Wisdom Teeth (with gnarly xray pic!)
Impacted Wisdom Teeth (with gnarly xray pic!)
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BritishRacinGrin

Original Poster:

26,489 posts

189 months

Tuesday 6th January 2015
quotequote all
Well doesn't this look like jolly ole' fun.



Both lowers impacted. Booked in to have at least one of them extracted by a dental surgeon this Saturday at 5pm.

Now, a few questions;

-Should I be encouraging the surgeon to do both of them, or one at a time (prolonging the suffering)?
-Will this be a general anaesthetic job?
-any tips at all for recovery?
-Isn't 5pm an awful time to have this done? I'll want to go to sleep a few hours after they finish so presumably I'll be dribbling blood all over my sheets?

Megaflow

11,481 posts

254 months

Tuesday 6th January 2015
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I had all four of mine removed in one go under a general. Recovery time from the actual teeth removal was about two hours, I couldn't wait any longer for something to eat!

It took longer to get over the general!

That said, I'd be going for all in one hit, under a general.

blueg33

46,323 posts

253 months

Tuesday 6th January 2015
quotequote all
I had one done with a local anaesthetic and 3 done under a general (had an apesectomy at the same time). The one done under local was terrible as teh dentist had to break up the tooth to get it out. I could hear all the crunching noises, and I felt truely crap afterwards, I drove home, but shouldnt have done. It was almost like being in shock.

The general was fine alothough there was alot of swelling for a week, I ate porridge and scrambled egg, but nothing else. Unfoetunately the apesectomy had some very gruesome complications, but you dont have that worry.

Original Poster

5,429 posts

205 months

Tuesday 6th January 2015
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Incredibly apt username.

toohuge

3,473 posts

245 months

Tuesday 6th January 2015
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If possible, go for general and all at once.

I had two out under local and it was agony and very unpleasant.

techguyone

3,137 posts

171 months

Tuesday 6th January 2015
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Mine were done under Local at hospital, one came out smooth (still remember how shocked at how BIG the thing was), the other sadly, broke up and it took them ages to get each shard out and it did hurt and the crunching noises were scary, and its really surreal when you got a dentist holding Mole grips or something with his foot on your chest yanking as hard as they can! That side of my mouth wasn't fun was off work for about two weeks for that. Couldn't open my mouth more than a straw width for a while, had to suck up soup through a straw, glad that's all done with now.

Edited by techguyone on Tuesday 6th January 21:00


Edited by techguyone on Tuesday 6th January 21:01

TheInternet

5,225 posts

192 months

Tuesday 6th January 2015
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Any reason you can't just leave them? Thought you could leave them if not causing problems.

numtumfutunch

5,172 posts

167 months

Tuesday 6th January 2015
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You need a proper dentist to give an opinion, but the one at the bottom on the right as you look at it looks sporting

5pm on a Saturday sounds like a cash in hand job to me, expect a local smile

zetec

5,182 posts

280 months

Thursday 8th January 2015
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Megaflow said:
I had all four of mine removed in one go under a general. Recovery time from the actual teeth removal was about two hours, I couldn't wait any longer for something to eat!

It took longer to get over the general!

That said, I'd be going for all in one hit, under a general.
I had the same as the above, day surgery, was home by teatime.

matrignano

4,693 posts

239 months

Thursday 8th January 2015
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I only had 3, taken out in 2 goes under local anaesthetic.

2 of them had to be smashed to bits and taken out piece by piece. As said above, wasn't a pleasant experience to hear all the noise and feel the yanking.

Was quite sore and painful for a few days but certainly didn't put me off work for 2 weeks!

General anaesthetic seems a bit drastic for such a minor op. I'd be more worried about getting the anaesthesia wrong than anything else!

nyt

1,933 posts

179 months

Thursday 8th January 2015
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Had a very similar situation. Both lower wisdom teeth impacted.

Dentist gave me some sort of valium thing. Absolutely no problem after. No real pain afterwards either. Didn't even use the painkiller.

Don't delay though, the wisdom tooth will be damaging the adjacent tooth (decay from trapped food etc) and you risk loosing that tooth too.

Make sure that you have someone to take you home.

Scantily

395 posts

200 months

Thursday 8th January 2015
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I would really push for a general if you can, it will not be a pleasant experience with just a local. When I came around my jaw was quite sore from how wide they'd had to open my mouth during surgery.

tim0409

5,930 posts

188 months

Thursday 8th January 2015
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I had an impacted lower wisdom tooth extracted last year and it was a complete nightmare. The process itself was fine - sedated, tooth out and got a lift home from the dental hospital. I then went through 2-3 weeks of severe discomfort and three emergency trips back to the out-of-hours dental hospital where they gave me antibiotics (x3) and inserted clove saturated material in the hole. I must have been unlucky as I know plenty people who are back on their feet in a matter of hours. Not something I want to repeat in a hurry.

FreeLitres

6,128 posts

206 months

Thursday 8th January 2015
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Late last year I had this lower wisdom tooth extracted under local;



The dentist did a great job of keeping the tooth in one piece and managed to pull it out almost sideways.

You have got one hell of an angle on yours though OP!

BritishRacinGrin

Original Poster:

26,489 posts

189 months

Friday 9th January 2015
quotequote all
Original Poster said:
Incredibly apt username.
hehe

TheInternet said:
Any reason you can't just leave them? Thought you could leave them if not causing problems.
There's been a dull pain in the gum around the molar next to the right lower tooth (on the left as you look at the image) for a week now. I'm pretty sure the impacting tooth is causing it, and as another poster has said it's standard practice to remove impacting wisdom teeth as a precautionary measure because they tend to cause damage to adjacent teeth. Also my Dad suffered pretty bad crowding and as a result his teeth are pretty crooked, I'd like to avoid that. They aren't going to get any better.

numtumfutunch said:
5pm on a Saturday sounds like a cash in hand job to me, expect a local smile
I live and work in Thailand so the extraction will be carried out by a Thai surgeon in a Thai hospital. They seem to keep strange hours. I am encouraged that the medical treatment here and the hospital I'm going to is world class though (apparently). Very popular place for medical tourism particularly dental and cosmetic work (might ask if they can do something about my nose...)

trixical

1,074 posts

204 months

Friday 9th January 2015
quotequote all
BritishRacinGrin said:
Well doesn't this look like jolly ole' fun.

Both lowers impacted. Booked in to have at least one of them extracted by a dental surgeon this Saturday at 5pm.

Now, a few questions;

-Should I be encouraging the surgeon to do both of them, or one at a time (prolonging the suffering)?
-Will this be a general anaesthetic job?
-any tips at all for recovery?
-Isn't 5pm an awful time to have this done? I'll want to go to sleep a few hours after they finish so presumably I'll be dribbling blood all over my sheets?
Ah you have my sympathies the one on the right of the xray is pretty much like the lower I had out in Nov which was at 90 degrees to the rest going straight into the back of the last tooth.
I had it (& the respective upper) out under local which was no issue, I didn't like the idea of sedation at all & big thanks to driller on here for chatting with me & allaying my fears that local wouldn't be an option which was the initial impression I had got from the surgery.

- Definitely have the upper & lower done on a side done together (I understand top ones can float down too far if the lower is not there to meet it)
- With how I felt I'd suggest you have 2 weeks recovery between sides. Mine was removed at half 4 Friday afternoon & the swelling went down on the most part Mon/Tue (was full on chipmonk for the weekend see below for procedure)but still could be seen till the Thurs roughly.
- As mentioned above doesn't have to be under general/sedation.
- Stock up on ibuprofen & maybe if having local take some beforehand, also straws to drink through for comfort & the usual soft foods; soup, yoghurt.
- I had mine at half 4 on a Friday afternoon which was fine, your lower gum will probably be stitched, didn't dribble very much at all & its better to get to sleep fairly soon while you've got some anti inflammatorys on board (2 just before or straight after, 2 a couple of hours later then straight to sleep if possible)

Now apologies for the slightly graphic nature but just so you are aware & may help you decide on the local/general issue, to get my lower out it had to be cut with a cutting disk into 3 pieces which was uncomfortable & rattled the brain quite a bit & prior to that the gum got cut & shoved about a lot to access the tooth.

& with lower wisdom teeth they always warn you there may be numbness around your lips for a while after as there is the major nerve running along the lower brain which they may bruise.

Edit to add anaesthetic & comfort is often down to the dentist sadly, when I've had a good one they have drip fed it as they have advanced the needle so numbed the needle track & then taken time to ensure its taken effect before starting, rather than just a big stab & put it all in in one.

Edited by trixical on Friday 9th January 10:45

BritishRacinGrin

Original Poster:

26,489 posts

189 months

Friday 9th January 2015
quotequote all
trixical said:
Ah you have my sympathies the one on the right of the xray is pretty much like the lower I had out in Nov which was at 90 degrees to the rest going straight into the back of the last tooth.
I had it (& the respective upper) out under local which was no issue, I didn't like the idea of sedation at all & big thanks to driller on here for chatting with me & allaying my fears that local wouldn't be an option which was the initial impression I had got from the surgery.

- Definitely have the upper & lower done on a side done together (I understand top ones can float down too far if the lower is not there to meet it)
- With how I felt I'd suggest you have 2 weeks recovery between sides. Mine was removed at half 4 Friday afternoon & the swelling went down on the most part Mon/Tue (was full on chipmonk for the weekend see below for procedure)but still could be seen till the Thurs roughly.
- As mentioned above doesn't have to be under general/sedation.
- Stock up on ibuprofen & maybe if having local take some beforehand, also straws to drink through for comfort & the usual soft foods; soup, yoghurt.
- I had mine at half 4 on a Friday afternoon which was fine, your lower gum will probably be stitched, didn't dribble very much at all & its better to get to sleep fairly soon while you've got some anti inflammatorys on board (2 just before or straight after, 2 a couple of hours later then straight to sleep if possible)

Now apologies for the slightly graphic nature but just so you are aware & may help you decide on the local/general issue, to get my lower out it had to be cut with a cutting disk into 3 pieces which was uncomfortable & rattled the brain quite a bit & prior to that the gum got cut & shoved about a lot to access the tooth.

& with lower wisdom teeth they always warn you there may be numbness around your lips for a while after as there is the major nerve running along the lower brain which they may bruise.

Edit to add anaesthetic & comfort is often down to the dentist sadly, when I've had a good one they have drip fed it as they have advanced the needle so numbed the needle track & then taken time to ensure its taken effect before starting, rather than just a big stab & put it all in in one.

Edited by trixical on Friday 9th January 10:45
Thanks for all of that, very helpful.

The right lower is being removed tomorrow (the diagonal one). I would have the right upper removed at the same time but it hasn't come through the gum yet so I'm not sure what the surgeon wil recommend (leave the upper one in or make an incision in the gum to remove it)

BritishRacinGrin

Original Poster:

26,489 posts

189 months

Saturday 10th January 2015
quotequote all
The surgeon recommended taking out just the lower right one as the upper right hasn't come through the gum yet and is actually still covered by bone(?)

I think he was quite enthusiastic with the anaestheric injections and went to work shortly afterwards with the horrid drill. He initially planned to have the tooth out in two pieces but after quite a bit of pushing and pulling (it felt like he was driving a wedge into the drilled cavity to crack it?) he went back to the drill and dug out some more tooth. A couple of cracking sounds later the tooth was out in five pieces. It was obviously unpleasant but it didn't hurt and it probably took just under half an hour from the injections going in to the stitches.

I'm glad I wasn't under general in the end as it wasn't too bad and in a hurry to get there I'd ridden my scooter instead of taking a taxi as planned. I'd do the two left hand ones under a local too, I think that might happen a month from now.

So all in all I reckon a good surgeon and the whole thing was less of an ordeal than I feared.

Now I just have to figure out what to make for dinner.

FreeLitres

6,128 posts

206 months

Saturday 10th January 2015
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You survived! I bet you are glad it's over.

I remember the amount of pressure he was putting on my jaw to lever my tooth out whole last year. I seriously thought my jaw might pop of out joint as one stage.

Are you going back to get the others out?

BritishRacinGrin

Original Poster:

26,489 posts

189 months

Sunday 11th January 2015
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Just woken up (it's 10:30am here). Once the anaesthetic wore off last night the whole right side of my mouth was really sore. Ended up taking four times the recommended dosage of these pain killers and it still didn't stop. This morning it feels pretty good.
Freelitres, It's one down, three to go... I think I'll book the same surgeon in a month or so to do the two on the left. Glad it's done but it wasn't as bad as I feared really. The amount of force the surgeon was putting behind the drill and the lever things was a bit of a worry mostly because I was worrying about the tool slipping off the tooth. At a couple of points he stood behind me and supported my jaw with his left hand while pushing hard on the tooth with his right.
As always with dental work though, the worst sensation of all in my opinion is that awful sucky tube they use the get the saliva and blood out... I hate that thing, the feeling of it suckering itself onto my cheek/gum/tongue makes my skin crawl.