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Long wisdom teeth
What an experience
"Usually there is no obvious feeling
Once inflamed, it hurts to the point of doubting life."
Some people endured the pain to go to the doctor and asked for the wisdom teeth to be removed immediately, but the doctor refused: when the wisdom teeth are inflamed, it is not recommended to remove them.
Why? How hard is it to get a wisdom tooth removed?
1
When the wisdom teeth are inflamed, swollen and painful, they cannot be pulled out
Many people only think of going to the hospital when their wisdom teeth cause pain.
However, when you feel a swelling and pain in the gums around your wisdom teeth, or even cause your face to swell and you can't open your mouth, you are in a state of acute inflammation. At this time, the extraction of wisdom teeth may cause inflammation to spread, and even spread to the whole body, causing sepsis, bacterial endocarditis and other dangers.
Therefore, in general, when the wisdom teeth are inflamed and cause swelling and pain, it is not recommended to remove them immediately, and you can go to the stomatology department for treatment, carry out local irrigation, and if necessary, apply anti-infective drugs to the whole body. After the inflammation is resolved, no swelling and no pain, the wisdom teeth are removed. The specific operation method should be decided by the professional doctor after evaluation.
2
The time of wisdom tooth extraction, it is recommended to choose the morning
If the person with the tooth extraction is in good health and wants to remove a simple wisdom tooth, then the morning and afternoon are no problem.
If the patient's general condition is more complicated, such as high blood pressure, heart disease, etc., or the wisdom teeth to be removed are complex wisdom teeth that require incision for further treatment, we recommend that it is best to choose the morning. Once complications such as tooth extraction and bleeding occur after surgery, it is more convenient to go to the outpatient clinic for timely treatment.
3
Wisdom teeth extraction is not so painful, and the anesthesia will hurt a little
Most people are afraid to pull out their wisdom teeth because they are afraid of pain. But in the process of extracting wisdom teeth, you don't actually feel pain. If you have to have a pain warning, you may feel a little pain for a brief moment of anesthesia.
Tooth extraction is divided into two stages, one is local anesthesia and the other is tooth extraction. What can really hurt is the anesthesia phase. And with the progress of anesthesia research and development and the popularization of comfort dental treatment, the pain in the anesthesia stage has also been greatly reduced. After the teeth are partially anesthetized, the patient's local pain disappears, and the pain is not felt during the tooth extraction process.
At the same time, special tooth extraction equipment and turbo micro-power cutting tooth extraction technology have replaced the traditional hammer extraction method, and also reduced the psychological fear caused by hammering to patients.
Therefore, wisdom tooth extraction is not as scary as imagined. In addition, the anesthetic subsides after the tooth extraction, and if you feel pain, you can take pain medication as appropriate.
4
What preparations are required for a smooth wisdom tooth extraction
In order to reduce the complications of dental extraction during and after surgery, have a pleasant tooth extraction experience, and remind everyone to pay attention to the following points:
If you need to attend important meetings, lectures, or perform strenuous exercise after surgery, it is recommended to choose a date for tooth extraction.
Women should avoid menstruation.
Before surgery, fasting, staying up late, fatigue and other conditions should be avoided.
Improve preoperative tests, such as oral panoramas or CT, to assess surgical risk.
If there is a systemic disease such as high blood pressure, diabetes, heart disease, a history of drug allergies or other special circumstances, you should inform the doctor in advance.
5
Wisdom tooth extraction, it is not recommended to pull out 4 at a time
It is not easy to understand so much knowledge, wait until the wisdom teeth are not painful, pluck up the courage to come to the hospital, some patients will put forward: "Long pain is not as good as short pain, I am the bravest, I want to remove 4 wisdom teeth at a time!" ”
Don't worry, the doctor will advise you to calm down. Because wisdom teeth can be removed and eating is affected, complex wisdom teeth can even lead to swelling of the posterior part of surgery and limited opening of the mouth.
Therefore, in order to alleviate the postoperative reaction, we recommend that at most 2 wisdom teeth on the same side and upper and lower be removed at a time. Also, if the ipsilateral 2 wisdom teeth are more complicated, we will also recommend removing only 1 at a time.
So, after 1 or 2 wisdom teeth have been extracted, when can we proceed to remove another wisdom tooth? Our recommendation is to wait 1 to 2 weeks apart for the extraction wound to heal, when the local swelling has completely subsided and the mouth can be opened again.
6
Wisdom teeth extraction, why is the price so expensive
The price of wisdom teeth extraction has always been the focus of many people's concerns: isn't it just to pull out 2 wisdom teeth, why is it so expensive?
On the one hand, there is a cost problem, and many instruments in the department of stomatology are disposable. The purchase of these devices, and their disposal as infectious waste after use, come at a cost, and other reusable devices need to be disinfected promptly after each use.
On the other hand, not all wisdom teeth extractions are expensive, the price is determined by the difficulty of tooth extraction, complex teeth have higher requirements for medical technology, and the cost will increase accordingly.
7
Which wisdom teeth do not need to be removed
If your ipsilateral 2 wisdom teeth can grow normally, the position is very correct, can bite together very well, and can do a good job of oral hygiene, do not cause teeth inflammation and pain and other symptoms, then, congratulations, the above 6 problems related to wisdom teeth extraction you do not need to consider.
Conversely, if these problems occur:
Wisdom teeth cause repeated swelling and pain in the surrounding gums.
Wisdom teeth are "long crooked" and may squeeze out adjacent teeth.
Oral hygiene is not in place, causing caries in the wisdom teeth themselves.
Wisdom teeth have a tendency to form cysts.
Then, it is recommended that you carefully study the above 7 points, and seek medical treatment in time to remove wisdom teeth.
The author | He Wenpeng, director of the Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Jinan University
Audit | expert of the National Health Science Popularization Expert Database
Peng Xin, chief physician of Peking University Stomatological Hospital
Planner | Tan Jia Yu Yunxi
Editor| Fan Hongyan