Tag Archive for 'wisdom teeth'

Wisdom Teeth Surgery (Dr Tan Chuan Sien)

*this is an article written by Dr Tan Chuan Sien to help answer many of your questions on this topic

Wisdom teeth are third molars which erupt into the mouth at the age of approximately 20-25 years old. However, by the time they erupt into the mouth, the upper and lower jawbones have stopped growing, often leaving no space for their eruption. The wisdom teeth therefore erupt into an impacted position which is malaligned with the other molars. This condition is common among Asians and people with small jaws.

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Extracting Wisdom Teeth

Extracting Wisdom Teeth

The extraction of wisdom teeth, also known as third molars is a common surgical procedure. Your dentist may recommend extraction if your wisdom teeth do not fully erupt, when the alignment of the wisdom teeth damages the adjacent teeth and when a cyst (fluid filled sac) develops.

The most common reason for extraction is that the mouth is too small for wisdom teeth to erupt properly. This may result in a complete bony impaction, when the third molars still in its developmental sac, remain completely covered in bone. This sac may develop into a cyst.

Another consequence is a partial bony impaction, where the teeth only partially erupt. This can lead to gum disease and decay around the adjacent second molars. Some, although not all, dentists also believe that misaligned wisdom teeth may push the other teeth forward, causing misalignment.

As with any surgery, there are complications associated with removal of wisdom teeth. Some of the most common complications are: pain, infection, swelling and bleeding. Pain medication can be prescribed to alleviate pain and prophylactic antibiotics to prevent infection.

There are also complications unique to removal of third molars. The removal of the upper third molars may lead to a communication between the oral cavity and sinus. In this situation, the area is sutured (stitched) and antibiotics and decongestants prescribed. Minor surgery may be required to close the communication.

The removal of the lower third molars may cause the inferior alveolar nerve (the nerve that provides feeling to the lip, teeth and tongue), to become bruised. This may cause a change in sensation, which typically heals itself within 6 months to a year. In very rare cases, the damage is permanent. It is important to note that damage to the nerve does NOT affect mobility.

As with any procedure, the decision to extract wisdom teeth should be made in conjecture with your dentist. You can find an experienced dentists by going through the following steps:

Research local dentists in your area and meet with them personally for a few minutes; Seek a referral from dental associations and dental societies; Search the internet and read up about the dentist’s qualifications and specialties.

As with any dental or medical procedure, there are often risks. Talk directly to your dentist to discuss the risks and make whatever efforts you can to minimize those risks. Most importantly, be prepared, educated, informed and aware; the rest is in god’s hands.

For more information, please contact Chicago dentists.

Wisdom tooth Excision (Surgery)

If you’ve got an impacted wisdom tooth, you’re the majority of the population. Though doctors don’t really know why we’ve got this problem, some speculate that our jaw bones has “evolved”, becoming smaller and thus not being able to fit our last wisdom tooth.

Whatever the reason, the tooth fairy doesn’t magically take it away. Unless you’re talking about a dental surgeon that’s wearing a costume. That’s just strange.

Using an X ray, the dentist would be able to see the condition of your wisdom tooth. As seen below, the bottom 2 wisdom teeth are impacted, meaning “jammed” against your last molar (Proper dental defination: a tooth so confined in its socket as to be incapable of normal eruption).

Zoomed view of one side

The only way to take out these impacted wisdom teeth is to go for a wisdom tooth surgery. This is usually done by a Specialist Oral Surgeon but can also be performed by a G.P.(General Practitioner).

Below are some of the frequently asked questions pertaining to Wisdom tooth surgery.

Q:How much would wisdom tooth surgery cost?
A: It would cost around SGD$800 (see also Ministry of Health’s average cost for institutions) Q: What are wisdom teeth? A: Wisdom teeth are the last teeth to erupt at the back of the mouth between the ages of 17 to 25, or even later. Q: Why are impacted wisdom teeth a problem? A: A tooth becomes impacted as a result of a lack of space in one’s jaw. If left in place, the molar tooth next to wisdom tooth will trap foods in between and end up will cause decay, leading to pain of the soft tissue around. Or it can cause infection leading to bone resorption/ loss. Q: Why should I have my wisdom teeth removed if they have not given any trouble? A: Food particles and bacteria that are collected around an impacted wisdom tooth and can cause tooth decay, usually leading to pain and infection.

Q: How are wisdom teeth removed?
A: There are two options available: ? Local Anaesthesia, whereby injections are given to numb your mouth ? General Anaesthesia, whereby an anaesthetist administers a full (general) anaesthetic, so that you are completely ’sleeping’ throughout the procedure After the anaesthesia, the clinician extracts it out if the tooth is visible. If not, the clinician does an excision (cut) to expose to tooth and then taking it out.

Q: Can I brush my teeth after the surgery?
A: Yes you can, but you should brush carefully to avoid the surgical areas for the first day or so.

Q: Can I use Medisave for wisdom tooth excision?
A: You can use Medisave for the whole or part of the surgical fees depending on the complexity of the case. Under local anaesthesia, you can claim $800 per tooth. Under general anaesthesia, you can claim up to $1600.

Q: What is the total duration of the procedure?
A: The entire procedure will take approximately 60 minutes.

Q: If I do an excision of my wisdom tooth, how many days MC will I get?
A: 5 days

Q: What is the break down of the fees if I go under general anaesthesia?
A: Fees breakdown would be as follow (for 4 teeth):

Dental Surgeon’s fees:$2200 - $2500

Anaesthetist fees:$600

Day surgery (Private)/ Hospital fees: $700/ $1700

Total:$3500 - $4800

Q: What are the risks involved in removing wisdom teeth?
A: As in all surgery, there are always potential risks like bleeding, swelling and infection.
Especially with the lower wisdom teeth, the risk of nerve damage is present and is generally accepted that in 10-12% of patients, there will be numbness or altered sensation for the next few days.

And in approximately 1% of patients, numbness may be present for some weeks but very rarely is this permanent.

Another risk would involve damaging other neighbouring teeth.