- They’re impacted. Because they sit so far back in your mouth, wisdom teeth can get trapped in your jawbone or gums. This can be painful.
- They come in at the wrong angle. They may press against your other teeth.
- Your mouth isn’t big enough. Your jaw has no room for an extra set of molars.
- You have cavities or gum disease. You may not be able to reach your wisdom teeth with your toothbrush or dental floss.
Wisdom teeth removal is usually an easy, short process. Your mouth should heal in a few days. You should be able to go back to school or work the next day.
You’ll meet with an oral surgeon to talk about the removal. You can bring a parent or other caregiver with you to go over the procedure. Use this time to:
- Discuss any health problems you have.
- List medications you’re taking.
- Ask questions.
- Talk about anesthesia, drugs that numb you for the surgery.
Your surgery should take 45 minutes or less.
Your doctor will use one of these types of anesthesia so you don’t feel anything during the surgery:
Local: Your doctor will numb your mouth with a shot of lidocaine in your gums.You may also breathe nitrous oxide, or laughing gas, to relax or even doze during surgery. You should feel alert again shortly afterward.
IV sedation: The doctor will numb your mouth and also give you drugs through a vein in your arm to make you drowsy. You might sleep the whole time.
General: You’ll either get drugs through a vein or breathe gas in through a mask. You’ll sleep through the whole surgery -- and maybe even for an hour or more afterward.
If the surgeon has to cut your gums or bone to pull the teeth out, they’ll close the wound with a few stitches. These dissolve after a few days. They may also stuff gauze pads in your mouth to soak up some of the blood.
Plan time off from work, camp, or school to have your surgery. You’ll want to take it easy the rest of the day. Some teens can drive themselves to and from the surgery. But if you have general anesthesia or pain drugs, your parents will need to drive.
Most people have little to no pain afterward. It may take a few days to feel back to normal, but you can go back to school, camp, or work the next day.
As you leave the office, your doctor will give you a list of instructions to follow. These tips will help you heal quickly, have less pain or swelling, and fight infection.
- Use an ice pack on your face to curb swelling or skin color changes during the first 24-36 hours after surgery.
- Use moist heat on your face for a sore jaw after it has been at least 36 hours from your surgery.
- Gently open and close your mouth to exercise your jaw.
- Eat soft foods like pasta, rice, or soup.
- Drink plenty of fluids.
- Brush your teeth starting the second day. Avoid brushing any blood clots.
- Take the drugs your doctor prescribes to ease your pain or swelling.
- Call your doctor if you have a fever, or if your pain or swelling doesn’t improve.
- Don’t drink through a straw. Sucking may loosen blood clots that help your mouth heal.
- Don’t rinse your mouth too harshly. Your doctor may suggest rinsing gently with saltwater but wait until the day after your surgery to do this.
- Don’t eat hard, crunchy, or sticky foods that may scratch your wounds.
- Don’t smoke. Smoking can slow your healing and greatly icrease your chances of developing a dry socket.