Wisdom Tooth Removal / Odontectomy
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 be positioned horizontally, leaning towards or away from the tooth in front of it, or maybe 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 covered with soft tissue, bone or both. They could be partially impacted with only part of it peeking thru 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 disease because they are located too far back in the mouth which makes brushing and flossing difficult.
Prior to the removal , a local anesthethic will be used to numb the area of the wisdom tooth and the surrounding tissue. In addition to the local anesthetic to numb the pain, our oral surgeon may suggest the use of a sedative to control any anxiety. Sedating medications that could be selected include: oral sedative or an intravenous sedative (administered via an injection into your veins). If any of these two methods are selected, you will need someone to drive you both to and from the appointment.
Sedation is used to give a relaxing and anxiety-free experience for certain people receiving dental treatment. It enables patients too afraid to go to the dentist to receive the dental care they need while avoiding the common fear known as dental phobia. A thorough medical history is usually taken to ensure that a person is safe to undergo this procedure. A medical clearance from your physician maybe requested if needed.
- Oral Conscious Sedation : Depending on the total dose given, oral sedation can range from minimal to moderate. For minimal sedation, a pill will be given. It usually takes about 30 minutes to 1 hour it takes effect. The pill will make you drowsy, although you’ll still be awake. A larger dose may be given to produce moderate sedation. Some people become groggy enough from moderate oral sedation to actually fall asleep during the procedure. They usually can, though, be awakened with a gentle shake.
- IV Conscious Sedation : This is the next level of sedation administered if oral sedation is not enough to facilitate needed dental treatment. In this case, the sedative medication is delivered through a small needle or catheter placed in a vein. This method allows the doctor to continually adjust the level of sedation. A medical anesthesiologist or a dental anesthetist administers this for our patients, ensuring effectiveness and safety during the procedure.