Why Should I Get My Wisdom Teeth Out?

Andra M

Andra Mahoney, RDH BSDH

Why Should I Get My Wisdom Teeth Out?

Teeth are generally predictable.  We know the first permanent teeth we will get are our first molars, also known as six year molars because we get them between six and seven years old.  We know they will be bigger than all our other teeth.  We know our maxillary central incisors, our two top front teeth, will come in about seven to eight years old and  be a particular shape and size.  Wisdom teeth; however, have a mind of their own!  They come any anywhere from 16-25 years old, and sometimes don’t even stick to that time frame.  They can be big as your other molars or small as your front teeth.  They can come in properly and vertically or angled and horizontally.  I have even seen X-rays of wisdom teeth going the wrong direction!  They were headed back towards the jaw bone!  Wisdom teeth do whatever they want.

Common recommendations for getting wisdom teeth removed:

Not enough room in your mouth.

Impaction.

Partially Erupted.

Why above reasons are problems:

Many of us do not have the space in our mouths to accommodate wisdom teeth.  Not enough room in our mouths can lead to the wisdom teeth causing pain.  It can also cause problems in keeping those teeth clean.  They are often hard to reach which means plaque is allowed to grow and cause cavities, tartar, and/or gum infections.

When teeth are impacted they are not coming in the proper direction.  This could be anywhere from tilted to all the way horizontal. This can present a variety of issues.  The major problem can be damage to other teeth.  If the wisdom tooth is tilted and now running into the back of your second molars, this can cause damage, decay, and potential loss of that second molar.  Impaction can also lead to cysts or infections around those teeth.  This can lead to long term damage of your jaw bone.

When teeth are partially erupted, only part of the tooth has grown into the mouth, the other is still covered with gum tissue.  This can be very hard to keep clean.  It is a great spot for food impaction and plaque bacteria to collect.  As mentioned before, this can lead to cavities, tartar, and/or gum disease.

Why get them out if they don’t hurt:

Size of wisdom teeth can play a big factor is health and recovery.  Most dentists like to get them out after the crown is fully formed, but before the roots are complete.   This helps extraction process to go easier and quicker, as well as reduces nerve damage.  Wisdom teeth, particularly those on your bottom jaw, can grow around or next to the nerve that runs through your jaw.  When the roots of wisdom teeth are allowed to grow close to that area, that increase risk for nerve damage upon extraction.  This damage can be temporary or permanent.

Stage of jaw bone growth plays a factor.  Dentist usually recommend wisdom teeth to come out in the teen years or early twenties.  This is because your jaw bone is still growing.  Once you hit your thirties, your bone is much more solid and recovery time after extractions can be longer and more difficult.

Why wait till it hurts?  Get them out on your schedule.  Spring break, summer vacation, fall break, long weekend, these are the best times for recovery. Don’t put yourself through tooth pain, its an awful experience, and one that is avoidable!

You’ve decided to get them out! Now what?

This is a great time for a chat with your dentist.  They can help you determine the appropriate avenue for you.

Different ways to get them out can include:

Just getting numb – Your appointment will be pretty straight forward.  The wisdom teeth may already be erupted and properly aligned.  You are not very nervous about the appointment.

Nitrous and getting numb – Nitrous, or laughing gas, can be administered before the local anesthesia.  This can help some people with anxiety.  It is also good to help people relax if there is a little more work involved in getting out the wisdom teeth – they are partially erupted or completely unerupted.

IV Conscious Sedation – This is a great option for a more involved procedure or those that have very high anxiety.  A dentist trained in this method, will administer medication through an IV that allows you to relax.  You are able to respond to questions (Can you open wider? Are you doing ok? Can you turn to the left?), but you will not remember the procedure.

Oral Surgeon Specialists – In some cases the removal of the wisdom teeth may be very complicated.  This can be due to position, age, nerve involvement, etc.  You may then be referred to a specialist to handle this situation.

Whatever way and method can be tailored to your specific needs through exam, xrays, and a visit with your dentist.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

https://www.mouthhealthy.org/en/az-topics/w/wisdom-teeth

https://www.colgate.com/en-us/oral-health/conditions/wisdom-teeth/should-you-have-your-wisdom-teeth-removed

https://www.mayoclinic.org/diseases-conditions/wisdom-teeth/expert-answers/wisdom-teeth-removal/faq-20058558

IV Sedation Dentistry

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Andra Mahoney, BS RDH

IV Sedation Dentistry

It is very common that people are nervous at the dentist office.  While we do everything we can to make your appointments run quickly and smoothly, sometimes people need a little extra help.  We offer several different options to make your appointments easier.  If applicable, you can be prescribed a medication to help calm your nerves.  You can be given Nitrous Oxide, also know as laughing gas.  And finally, IV conscious sedation.  All of our Signature Dental Offices offer IV sedation dentistry.

What is IV Sedation?

IV stands for intravenous. Medication is administered through the veins and because of its rapid effects, many patients prefer this option.

How does IV Sedation work?

IV sedation medication is delivered through a very small needle placed in either the top of your hand or within your inner elbow.

Some people have a fear of needles, that is not uncommon.  Due to that, some patients are not able to tolerate IV sedation. However, most people describe the sensation as a small pinch or prick. Also, dentists can further reduce the feeling by giving you an oral sedative beforehand and/or applying a topical anesthetic where the needle will be placed.

What are the benefits to IV sedation?

Just like other forms of sedation dentistry, IV sedation is designed to relax you and make you completely comfortable. IV sedation also eliminates your anxiety and pain. Although you may lie back in the dental chair with your eyes closed, you will not be asleep during your appointment and will still be able to respond to verbal cues from your dentist. Because you are completely relaxed, your dentist can accomplish more high-quality dentistry in less time. IV sedation can benefit you if you have a sensitive gag reflex or difficulty sitting in a dental chair for long periods of time. You’ll be so relaxed that you’ll be unaware of the sights, smells, and sounds of the dental office. Patients remember little-to-nothing of their appointment by the next day.

IV sedation gives your dentist optimal control of the amount of medication administered and allows them to readily increase or decrease your level of sedation as needed, quickly and comfortably.

An additional benefit of IV sedation includes faster onset of the sedation medications, meaning you’ll be able to feel the effects of the medication quickly.

What dental procedures are recommended for IV sedation?

Mainly, people prefer to use it for taking out wisdom teeth and appointments that need to have a lot of treatment accomplished in one sitting.  Those that have high dental anxiety also prefer IV sedation.  However, IV sedation can be an option for any treatment that needs to done!

What is the recovery time after IV sedation?

There is no set amount of recovery time because every patient is different. However, many patients begin to feel more alert soon after the IV medication is stopped. You should not drive or operate heavy machinery for at least 24 hours after the end of your appointment. If you experience any nausea after treatment, your dentist can usually provide a prescription to help. Patients are encouraged to sleep and drink plenty of water and clear fluids for the remainder of the day. In regards to recovery from the actual dental work itself, your dentist will give you individualized instructions for aftercare. Many sedation patients report significantly reduced pain levels the day after their treatment. There are multiple theories for why this is, but the common thought is that because a sedation patient is relaxed and not tense during their appointment, the dentist can often use less force as well as access the mouth more easily.

Does Dental Insurance cover IV sedation?

Patients have different insurance plans, so there is no single answer. Generally speaking, most dental insurance plans do cover part or sometimes even all of the cost of IV sedation. It’s best to check with your insurance provider prior to your appointment to confirm your plan’s benefits.

If this is something that interests you, your dentist can review your particular needs and your medical history to see if you are a good candidate.

 

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

http://evsedation.com