Wisdom Tooth Extraction

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July 8, 2016

An oral and maxillofacial surgeon or your dentist can remove (extract) a wisdom tooth. The procedure often can be done in the dentist's or surgeon's office. You may have the surgery in the hospital, especially if you are having all your wisdom teeth pulled at one time or if you are at high risk for complications.

If you have any infections, surgery will usually be delayed until the infection has cleared up. Your doctor or dentist may have you take antibiotics to help heal the infection.

Before removing a wisdom tooth, your dentist will give you a local anesthetic to numb the area where the tooth will be removed. Ageneral anesthetic may be used, especially if several or all of yourwisdom teeth will be removed at the same time. A general anesthetic prevents pain in the whole body and will cause you to sleep through the procedure. Your dentist will probably recommend that you don't eat or drink after midnight on the night before surgery so that you are prepared for the anesthetic.

To remove the wisdom tooth, your dentist will open up the gum tissue over the tooth and take out any bone that is covering the tooth. He or she will separate the tissue connecting the tooth to the bone and then remove the tooth. Sometimes the dentist will cut the tooth into smaller pieces to make it easier to remove.

After the tooth is removed, you may need stitches. Some stitches dissolve over time and some have to be removed after a few days. Your dentist will tell you whether your stitches need to be removed. A folded cotton gauze pad placed over the wound will help stop the bleeding.

What To Expect After Surgery

In most cases, the recovery period lasts only a few days. Take painkillers as prescribed by your dentist or oral surgeon. The following tips will help speed your recovery.

  • Bite gently on the gauze pad periodically, and change pads as they become soaked with blood. Call your dentist or oral surgeon if you still have bleeding 24 hours after your surgery.
  • While your mouth is numb, be careful not to bite the inside of your cheek or lip, or your tongue.
  • Do not lie flat. This may prolong bleeding. Prop up your head with pillows.
  • Try using an ice pack on the outside of your cheek. Apply for 15 to 20 minutes at a time for the first 24 hours. You can use moist heat-such as a washcloth soaked in warm water and wrung out-for the following 2 or 3 days.
  • Relax after surgery. Physical activity may increase bleeding.
  • Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as healing progresses.
  • Do not use a straw for the first few days. Sucking on a straw can loosen the blood clot and delay healing.
  • After the first day, gently rinse your mouth with warm salt water several times a day to reduce swelling and relieve pain. You can make your own salt water by mixing 1 tsp (5 g) of salt in a medium-sized glass [8 fl oz (240 mL)] of warm water.
  • Do not smoke for at least 24 hours after your surgery. The sucking motion can loosen the clot and delay healing. Also, smokingdecreases the blood supply and can bring germs and contaminants to the surgery area.
  • Avoid rubbing the area with your tongue or touching it with your fingers.
  • Continue to brush your teeth and tongue carefully.

Your dentist will remove the stitches after a few days, if needed.

Why It Is Done

A wisdom tooth is extracted to correct an actual problem or to prevent problems that may come up in the future. Some of the problems that can occur when wisdom teeth come in are:

  • Your jaw may not be large enough for them, and they may becomeimpacted and unable to break through your gums.
  • Your wisdom teeth may break partway through your gums, causing a flap of gum tissue to grow over them. Food and germs can get trapped under the flap and cause your gums to become red, swollen, and painful. These are signs of infection.
  • More serious problems can develop from impacted teeth, such as infection, damage to other teeth and bone, or a cyst.
  • One or more of your wisdom teeth may come in at an awkward angle, with the top of the tooth facing forward, backward, or to either side.

How Well It Works

Wisdom tooth removal usually is effective in preventing:

  • Crowding of the back teeth.
  • A wisdom tooth becoming stuck in the jaw (impacted) and never breaking through the gums.
  • Red, swollen, and painful gums caused by a flap of skin around a wisdom tooth that has only partially come in.
  • Gum disease and tooth decay in the wisdom tooth, which may be harder to clean than other teeth, or in the teeth and jaw in the area of the wisdom tooth.

Risks

After a wisdom tooth is removed, you may experience:

  • Pain and swelling in your gums and tooth socket where the tooth was removed.
  • Bleeding that won't stop for about 24 hours.
  • Difficulty with or pain from opening your jaw (trismus).
  • Slow-healing gums.
  • Damage to existing dental work, such as crowns or bridges, or to roots of a nearby tooth.
  • A painful inflammation called dry socket, which happens if the protective blood clot is lost too soon.
  • Numbness in your mouth and lips after the local anesthetic wears off, due to injury or inflammation of nerves in the jaw.
  • Rare side effects, including:
    • Numbness in the mouth or lips that does not go away.
    • A fractured jaw if the tooth was firmly attached to the jaw bone.
    • An opening into the sinus cavity when a wisdom tooth is removed from the upper jaw.

Dental surgery may cause bacteria in the mouth to enter the bloodstream and cause infections in other parts of the body. People who have difficulty fighting off infections may need to take antibioticsbefore and after dental surgery. Such people include those who have artificial heart valves or were born with heart defects.

Anesthetic (local and/or general) almost always is used during the extraction procedure. All surgeries, including oral surgery, that use general anesthetic have a small risk of death or other complications.

What To Think About

If your wisdom teeth are not causing problems, it may be difficult to decide whether to have these teeth removed to prevent possible dental problems later in life. Think about the following:

  • You may never have any problems with your wisdom teeth.
  • It is rarely harmful to your health to have your wisdom teeth removed, but there are slight risks involved with any surgery.
  • In younger people (late teens and early 20s), the wisdom tooth's roots are not fully developed and the jaw bone is not as dense, so it is easier to remove the tooth. The easier it is to remove the tooth, the easier your recovery is likely to be.
  • Most problems with wisdom teeth develop between the ages of 15 and 25.
  • If you are older than age 30, you have only a small risk of having problems with your wisdom teeth. Few people older than 30 develop problems that require removal of their wisdom teeth.
  • Medical insurance does not always cover this procedure.
  • If you have a medical condition that may get worse over time and your teeth may cause problems, consider having your wisdom teeth removed while you are healthy.
  • Possible complications include dry socket (alveolar osteitis), infection, bleeding, and numbness.

Women on birth control pills who decide to have their wisdom teeth removed should try to schedule the surgery for the end of their menstrual cycle (usually days 23 through 28). There seems to be less risk of dry socket during this time.

After a wisdom tooth is removed, you may have or notice:

  • Pain and swelling in your gums and tooth socket where the tooth was removed.
  • Bleeding that won't stop for about 24 hours.
  • Difficulty with or pain from opening your jaw (trismus).
  • Slow-healing gums.
  • Damage to dental work, such as crowns or bridges, or to roots of a nearby tooth.
  • A painful inflammation called dry socket.
  • Numbness in your mouth and lips after the local anesthetic wears off, due to injury or inflammation of nerves in the jaw. Numbness will usually go away, but in rare cases it may be permanent.

Dental surgery may cause bacteria in the mouth to enter the bloodstream and cause infections in other parts of the body. People who have difficulty fighting off infections may need to take antibiotics before and after dental surgery. Such people include those who have artificial heart valves or were born with heart defects.

webmd.com

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Juan Rodriguez (Greenacres, FL)

Well I’ve been going to Dr. Gorbatov since 1996.... Yes ! I’m a loyal. With all the dental issues I’ve had, he’s been able to resolve them and been keeping... Read more

Burke Crump (Wellington, FL)

I would like say that this office is at the TOP of my list. The staff is awesome, it is very clean and you made at home as soon as... Read more

Jazlyne Jimenez (Lake Worth, FL)

I just moved from California and immediately fell into the "trap" of Dr.Gorbatov. Was very pleasantly surprised. Firstly, a knowledgeable sociable Doctor with "golden hands". Secondly, the wonderful staff, especially... Read more

Naum Berdichevsky

I take my 90yr great grandmother to this office and they are so kind and she feels so loved here. Every visit she receives excellent service and quality work. Thank... Read more

Farron Ann (Wellington, FL)

Fast service and the best staff! I highly recommend this Dentist. I've been going to this Dentist for 2 years and I travel far now just to come here. They... Read more

Christine (Orlando, FL)

Dr. Gorbatov Dmitry - Doctor with a capital letter. Many thanks to the doctor and his team. The clinic employs real experts in their field.It's amazing, but after visiting Dr.... Read more

Yulia Dobrynina

Doctor always helps me with everything and the atmosphere is always amazing and welcoming. I would recommend this office to everybody!

Edgar Gorodetsky

Had a great experience with Dr.Gorbatov, he is really professional and doing great his job always with a smile)) Definitely recommending him

Tanya Kusiumova (Sunny Isles Beach, FL)

Very gentle. Did not feel the needles. Dr. Gorbatov has great bedside manners. Explain the treatment in detail.

qspasalon hollywood beach florida

Very professional office , sweet people. Love this place . I really recommend it . I went for an emergency dentist issue and I would hoped tolived in this city... Read more

Ingry Rodriguez

This was my first experience and it was amazing! I haven’t been in a dentist chair in 6 years but I felt very comfortable getting my xrays there! Staff is... Read more

Gloomii

Great office. Dr. Gorbatov is an excellent dentist. The staffs are really nice and helpful.One of the best experience. Highly recommend.

Phicha M

The dentist fit me in last minute when my normal dentist was unavailable I tried them on the recommendation of a friend after I broke a veneer and had 3... Read more

Mark Krawiec (Hollywood, FL)

I've been going here for a few years now. I'm a periomaintenance case, so I'm in four times a year. The hygienists do a great job, provide me with excellent... Read more

Devin Scheller

I had an amazing visit and pleasure to meet Dr Gorbatov and his assistance were very pleasant. Ana is very sweet secretary upfront. I will definitely return as a new... Read more

Gigi Borden

This has been the best dental office I've visited.Gorbatovs work is amazing and I would recommend him to anyone looking for a top quality dentist

Damarys Leyva

I recommend this place to anyone that needs any type of dental work done , I always feel welcome from the moment i sign in untill my visit is over... Read more

Lyn F (Wellington, FL)

I recommend to all ! Fast, high quality!!! Very, very good doctor Dmitry! Top notch professional!!!! Very attentive staff! Thank you !!! I was satisfied and recommend to everyone!

Miami Dance Academy

Very professional office. Good dentist.Clean dental office

Anna K. (Hollywood, FL)

I had an amazing experience here. Lily the hygienist is the best she’s so nice and didn’t stop until my teeth were perfect. I love her I’ll be back soon... Read more

Auto Sales

Great staff I was nervous but they made me feel at ease. I am confident that they will give me the smile that I airways wanted. The receptionist personality is... Read more

Uuggh uggh (West Palm Beach, FL)

No teeth fell out mid cleaning. 10/10

Erik Purdy (West Palm Beach, FL)

Excellent professionals and Dr Gorbatov was the one in Miami who helped me with the toothache. Excellent Job!

A. El Dani

Very impressed with Dr. Gorbatov's ethics. He truly cared about my situation, the fact that I was from another city and had limited time off of work to address my... Read more

Tatiana Safonova (Sunny Isles Beach, FL)

Great experience! Really felt like Dr Gorbatov and his staff took time to explain and perform my procedures on a very short notice. Highly recommend!

Suzanne Ireland

Nello studio del dott Gorbatov ,Il dottore e il suo team sono stati disponibili e gentili , coccolano il paziente e sono stata seguita a 360 gradi ....Il dottore mi... Read more

Martina D’Alessio

Loved coming here, very nice Doctor and wonderful experience with a great cleaning. Receptionist is awesome too.

Lina Lobo (Greenacres, FL)

Very professional and high quality, definitely recommend to anyone wanting to feel confident with your smile

Korina Macsimova

Dr. Gorbatov is a highly qualified, very skilled dentist. I came to Dr. Gorbatov to remove amalgam fillings and replace crowns.All the personnel that work in the office are very... Read more

Irene Mandel

Always highly satisfied with Dr.Gorbatov and his lovely staff. Very professional and kind , Happy Holidays !!

Haleigh Podrazik

Thanks to Dr. Gorbatov and his assistant Lidi for my dazzling Hollywood smile and caring atmosphere during procedures. Highly recommend this clinic 😁🎉

Cornelia Gordila

The best Doctor and assistants, who really care about their patients and work professionally. They helped me to save a tooth, when other doctor refused to do so, and what... Read more

A

Dr. Gorbatov is our family dentist for many years. The best dentist I ever had in my life. Very professional, gentle and a real artist in his field. The best... Read more

Matvey Padva

A Center for Dental Excellence is fantastic. They’re understanding and extremely competent. Not only is the dental care itself excellent, but their quality of caring about their patients is unparalleled.... Read more

Haylee J (Aberdeen, FL)

I have been Dr. Gorbatov's patient for over 8 years and have always received excellent service. The facility and staff are wonderful. I would highly recommend A Center for Dental... Read more

Teresita Camacho (Lake Worth, FL)

Very high professionalism, excellent atmosphere and responsiveness of employees have made this business one of the best. A well-functioning team led by one of the best professionals of the US... Read more

Lili Ivanova (Sunny Isles Beach, FL)

I always have a good experience here with the Doctor. He is always helping me and is always assisting me with anything I may need. Thank you!

igor gorodetsky

Top-notch and high-quality services are provided at Dr. Gorbatov’s office. Since my last visit, I can't stop smiling ever after. I think I found the dentist for life. My highest... Read more

Val Lovechild

My experience was very smooth. When I called for appt, the next available time was in two days, I didn’t expect it will be that soon.Everybody in the office is... Read more

Daria Tis

Dr Gorbatov is an amazingly talented dentist. I had the porcelain veneers done in his office and have a feeling like I have never had such beautiful smile in my... Read more

Julia Soldatova

My experience, couldn’t ask for any better, great office, wonderful people. Professional in his field, with pleasant energy in his office Dr. Gorbatov, his assistant, Lidi, without whom all the... Read more

Kirill Krassikov

I am extremely happy I found Dr.Gorbatov! He saved my vacation and helped me in emergency mode(I broke my front tooth) I am changing my dentist to Dr.Gorbatov, convenience, no... Read more

Tatiana Vaccaro

An Incredibly patient-centered practice. Compassionate, skilled, knowledgeable, and convient.

Melissa Casey

Very helpful and amazing response time! Found them on Instagram and I'm happy I did!

Cece Esk (Hollywood, FL)

I love this dentist office the service here is very fast and comfortable. The staff is extremely nice and caring. I recommend this dentistry to everyone :)

Анна Anna

Im from out of state visiting Florida. Broke my front crown. Searched the internet and Dr Gorbatov came up first. I walked in the next morning and they fixed my... Read more

Michael Jonas

This is the Best Dental Office I ever was. Great personality, gentle touch and perfectionism in all aspects of cosmetic dentistry. Thank you Dr. Gorbatov for creating Smile I always... Read more

Yuriy Gorobets (Hallandale Beach, FL)

My experience here was absolutely great!. From Anna who I first spoke to about an appointment to Lida and Patricia who made me feel relaxed and comfortable during my procedure.... Read more

sean scott

Amazing service! The team is in top of what they are doing. I had two emergency root canals needed retreatment and Dr. Gorbatov and his team meticulously saved my teeth... Read more

Yuliia Vienikova

I am grateful to reach the hands of Dr. Gorvatov,my dental surgery has been successful, he was very professional when deciding what to do with my tooth, thinking about the... Read more

EP TECH USA

Dr Dmitry Gorbatov is simply the best! Super professional, fixed my issues in few minutes without any pain or discomfort. Thank you so much! Staff is very friendly. I’m definitely... Read more

Alyona M

Excellent service , friendly & professional !!!

Mauricio Bonifacio (Sunny Isles, FL)

Excellent job! Very professional and friendly ... that’s my personal experience and actually if I could, I would give 5+ stars. Will recommend it to everyone!

Janetta Smilowska Matyinko

FIVE STARS! I left my pre you’d Hollywood dentist because she refused to do a simple noninvasive ADA recommended preventive treatment, and insisted I needed an implant. In addition her... Read more

therese costa

Dr. Gorbatov placed an implant for me, I am extremely happy with the result, I had absolutely no pain during the procedure after few month doctor put a crown, looks... Read more

Sergey Kasatkin (Sunny Isles Beach, FL)

First time ever giving a dentist visit 5 stars. The staff was very kind and attentive. Albina was very professional and I would recommend her to anyone who visits! Definitely... Read more

Alejandro Figueredo

First time here the staff and Dr were so informative and professional thank you for making my experience run so smooth ?

Evelyn Garcia (Greenacres, FL)

The best confortable dental officeHighly recommendedVery nice and professional Doctor and assistant

62511aveful

I absolutely LOVE the attentive and friendly customer service and quality of work they provide here at Dr.Gorbatov’s office!! I would highly recommend them to anyone looking for a touch... Read more

Serena Morrisey

Thank you personally and from the bottom of my heart for the kindness and consideration you showed my mom, Catherine the other day! ?

Patrizia Rondelli (Hollywood, FL)

Dr. Gorbatov is the best dentist in Florida. He is my dentist many years. He is very professional and honest. The best doctor in Florida. Great professional and very honest.

Polina Padva

I know Dr. Gorbatov and use his service already for 15 years since we moved to Florida. He is an amazing doctor capable to do all types of dental and... Read more

Eugenia Aulov-Volchek (Sunny Isles Beach, FL)

For me, dental work always came with the presumption of pain and discomfort. That's why it was always very difficult to get any recommended work done, because all I'd have... Read more

Iry T. (Hallandale Beach, FL)

The best dental office and dentist Highly recommend for my friends and family ❤️

Valentina Zhdan

I had an urgent dental issue while on vacation in Miami and was able to schedule an emergency visit for my treatment with Dr. Gorbatov. The staff was friendly, the... Read more

Marina Greenberg

The best dentist! I recommend. The crown that was placed in another country fell out, everything was done in a second, it is more convenient than it was before. thanks... Read more

Алёна Давыденко

Great Dentist and Team. Fantastic experience and service. My husband had a dental emergency while on vacation and Anna got us in immediately. Dr. Gorbatov is very attentative and caring... Read more

Giannotti Jessi

Everyone in the office is super amazingly fantastic! They're informative and understanding. Dr. Gorbatov has done great work on my teeth! The dental hygienist has been a charm, makes every... Read more

John Kern (Hollywood, FL)

Friendly and the caring stuffOK gentle professional careComfortable and election dental experience

Albert Volchek

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