Understanding Why People Need Their Wisdom Teeth RemovedA common dental procedure that many people have heard about or need themselves is having wisdom teeth removed.  There are a variety of videos of people after they’ve had their wisdom teeth removed behaving in a goofy manner after the procedure.  The internet seems to light up with these videos.

While viewers get a good laugh at these videos or have heard of this common procedure, many people still don’t understand why wisdom teeth need to be removed or what to really expect after the procedure.

What Are Wisdom Teeth?

When people refer to wisdom teeth, they are referring to the third set of molars that generally appear between the ages of 17 and 21.  These teeth emerge behind the existing molars on both sides of the upper and lower jaw.  Wisdom teeth can be helpful for chewing food, but when they become painful or cause problems the best solution is to have them removed.

The Types of Problems Causing Wisdom Teeth To Be Removed

If your wisdom teeth can help you chew, you might be wondering why you would need to have them removed.  Wisdom teeth that are healthy and have grown in completely, often don’t need to be pulled.

For many people, that simply isn’t the case, however.  Wisdom teeth that don’t have enough room to grow can grow in at an angle and cause problems.  Three common problems that can require wisdom teeth removal are as follows.

  • Impacted Wisdom Teeth. Wisdom teeth that fail to emerge completely and become trapped often require removal.  Wisdom teeth that are impacted can cause swelling and pain along the gums and jaw.
  • Infections Around Wisdom Teeth. Wisdom teeth that are partially or fully impacted can become a breeding ground for bacteria and cause painful infections.  Some people will even develop cysts around their gum line and the surface covering their wisdom teeth.
  • Wisdom Teeth That Cause Alignment Issues. In some cases, wisdom teeth that don’t have room to grow in straight will push through sideways and crowd the surrounding teeth.  This overcrowding can push and damage healthy teeth and mess up the overall alignment of your teeth.

What to Expect After Having Your Wisdom Teeth Removed

You may be wondering how difficult the healing will be after having your wisdom teeth removed, especially after seeing videos of people on strong medication.  While having wisdom teeth removed is one of the most common dental procedures, it still can require a measure of anesthesia.  Not all patients opt for general anesthesia, but will often get numbing shots and painkillers.

The first 24 hours after having your wisdom teeth removed, your mouth may be swollen, painful, or bruised, but those feeling generally subside to general soreness in just a few days.  In fact, the average person returns to work 1 to 2 days after having their wisdom teeth removed.

Having your wisdom teeth removed may be a necessary part of keeping your mouth healthy, but it doesn’t have to be scary.  If you’re unsure about whether your wisdom teeth could cause problems down the line or need to be removed, the best option is to stop in for your regular dental check-ups.  Give The Gentle Dentist a call today at (586) 247-3500 to schedule your appointment!

 

 

Wisdom Teeth Removal in Shelby Township, Michigan – Part 2 Graphic

Dr. Antolak: We have removed both of the lower wisdom teeth already. Now the top ones that we need to do next those are actually a little bit easier. Typically we don’t need to actually put a stitch in those. And so what it does is the cheek will keep that flap that’s there on hold. And we don’t normally have to reflect that flap so much. Okay. So, they are numb them up really well here. And so you just have to go up a little higher and a little differently. I am sure you are pretty numb, Marshall. And this is sitting behind his tooth, so you are not going to really be seeing anything. It is all based on feel for me. You are going to feel some pressure.  So this one, I am going to take this out. Open a little bigger. And then this one and like I said it’s all based on feel. But it’s sitting way up high. Marshall, close down a little bit. Not too far. I don’t want my finger bitten. Good job.  So, you’re going to feel some pressure.  A lot of pressure Marshall. You okay?

There it is right there. The bone is much less dense on the top then on the bottom jaw.  So, I got to take that stack out again. And let’s see what you’ve got going on here. Don’t pass out on me.  Not you Marshall, you’re okay. This I’ll have to put a stitch in there.  Marshall once again a little pressure. Open a little wider please? So, we’ll just be on that last tooth as you can see. There we go, close down a little bit please. And you’re going to feel some pressure here, okay? Open. There it is. There you go. That’s all four wisdom teeth. So you did great Marshall, I’m going to just put a little stitch in there. You did great with it. He’s going to have to use some ice on the side for his lower ones so it limits the swelling and he should be good with that so . Thanks have a good day.

Wisdom Teeth Removal in Shelby Township, Michigan – Part 2 Graphic

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Wisdom Teeth Removal in Shelby Township, Michigan – Part 1 Graphic

Dr. Antolak: Hi, my name is Dr. Antolak at thegentledentist.com in Shelby Township, Michigan. Our phone number is 586-247-3500 in case you’re interested in any dental treatment that you want. At our office we provide a full line of services for our patients so that’s basically one-stop shopping. Today Marshall has agreed, that we can go ahead and record this and put it on YouTube. Say hi, Marshall.

Shelby Township Dental Patient: Hello

Dr. Antolak: Marshall has been, is gassed up right now and I just numbed Marshall up. So he’s good and ready to go. And what we’re going to do is, were going to extract some of his wisdom teeth. And if we look here on this x-ray that we took we can see that these are the wisdom teeth, the third molars of the wisdom teeth. These four teeth here we are going to take out today. We got him nice and numbed up and the thing I’m always concerned about with wisdom teeth is that right in here is the nerve that gives sensation to the lip and the teeth. And it comes like this; it comes around like this, okay? And the roots with the teeth of Marshall makes it a good time to do it because the roots aren’t completely formed here. Sometimes if they get really too long like, for example, this one here it can encroach upon where the nerve is and affect the lips having numbness in the lips and the teeth.

So this is the, the right side. This is the left side. Once again, this is where the nerve will traverses down here, and we’re going to remove this. These are called soft tissue impacted because they are actually, encased, currently, within side the bone within side the soft tissue. It’s kind of sitting in there, so we basically have to make an incision and basically like a banana peel if the peel banana backs we need access to where the tooth is.

You can stop this video now, if any bloody things bother you. If not, then right now Marshall is completely numbed up. And basically, I just want to point out where the teeth are going to be removed over the top here. This is first molar, second molar, and the third molar. It is like in this position right here. So actually, right in here, I can fill his tooth right there. This tooth is just broken through the tissue. So we are going to make an incision here, deflect it back, and then move that. It’s the same axis as his left side. And also his right side is the same thing, right back in.  So the first thing we’re going to do is we’re going to numb him up. You’re completely numb. Your lip feels real fat, Marshall?

Shelby Township Dental Patient: Mm-hm.

Dr Antolak: Yes, okay. So, I use what’s called a bite block. That’s going to help to open real big for me. What that’s going to do is help to stabilize his lower jaw. Okay Marshall, open up wide, please. And so we are going to create an incision here. And Marshall, you just raise your hand if you need me to stop. Okay, bud? Okay. So right now, we are just going to create a little incision here so we can gain access to it. Okay. So now, I am just. Marshall, you are going to feel some pressure, okay. You are not feeling anything, correct?

Shelby Township Dental Patient: Uh-uh.

Dr Antolak: Okay. Good. Just going to feel lots of pressure now, okay. You get to see this on YouTube. Just think, isn’t that fun? So actually we do actually we put videos on YouTube. It’s one of those top of the ones out there because I know there’s lots of you out there, who have an interest in, or probably have a wisdom tooth that might be bugging you or something. Okay, can you suction? So we are basically going to open this up here a little bit. And turn my light on here. It is just right here in this little socket. Okay. So, it is right there. Some pressure. You may feel a little movement around a little bit here. That is all it is. Okay.

So right now, we have gone ahead and selected the tooth sitting right in here. Right underneath that area, I’m just removing a little of the bone around the crease itself. And then I can basically re-attach. Go ahead and remove that. Hey, Marshall, good. I just want to make sure you are comfy here. We’re just going to create a little bit more of a window there for that. Suction right there. So, a lot of pressure now, Marshall. Are you OK? A lot of pressure. So right now, we are just moving the tooth a little bit. Now it can sit right beneath there.

Here it goes. A lot of pressure. There it is. It is like birthing a baby. There it is. So I am just putting a stitch in here. It is just like basically, doing some sewing here. So of course, Marshall is nice and numb, so the idea of when we put a stitch in like this is if we can approximate that soft tissue that was together there, they’ll go ahead and heal nicely together. That’s good. So then we are just going to take that back here, a little further back. Okay, Retractors please. So we’ve put about four stitches which is in this each area here.
We find it’s better to actually take these wisdom teeth out at a younger age, especially because when it encroaches on upon where the nerve is, then you have an issue. Especially if there is not going to be enough room in the mouth and it starts poking through the gums. Now there are some times when. Okay, go ahead. There are sometimes when we can wait and see if there is enough room in the mouth for them to erupt. In those cases, if there is enough room in the mouth for them to erupt, then we can use them, you know?

Why do some people get wisdom teeth? And some people, they may not erupt all the way? Well, you know, it’s through our micro-evolution, we just don’t have the need any more for to eat these course diets that at one time we did. So now we find that that some people just don’t have them now. It’s interesting because when I go to Haiti, almost every person now in Haiti have their wisdom teeth because their jaw none is actually bigger; because here in America we are a blend of many different cultures in different ethnicity groups, and sometimes you get jaws that are bigger, some are smaller so combination of those two factors affects how much space and room there is actually available.
Now when you see these stitches being done, it might seem like were going high, but we actually have to keep that, that incision towards the cheek side because there’s a nerve that runs through and if we get too close to that, then it effects the nerve to the tongue. I guess we could do it as risk free as possible. Now, go ahead. So, we are going to be done with this site here. So he is done with this lower wisdom tooth on his right side.

End of Part 1

Wisdom Teeth Removal in Shelby Township, Michigan – Part 1 Graphic

Dentist in Shelby Township Discusses Importance of Wisdom Teeth Removal

Hi, this is Dr. Antolak from thegentledentist.com in Shelby Township, Michigan. (586) 247-3500 is our phone number. One thing that we have just got through. We just got through with our 3rd Christmas and between Christmas and New Years of 2012. And we’re in the year 2013. And one thing that we did see a lot of was college students coming back and having actually their wisdom teeth removed. We are a general dental practice, but because of my experience of the last 25 years of doing oral surgery we have a lot of experience doing wisdom teeth, third molar extractions. Whether it’s more complex or even simple extractions, we can do that. Because I have been going to Haiti also for the last 11 years I have a lot of experience with doing extractions there without the use of a lot of the instrumentation that we have here. So with that being said, it is important if you are young, probably in your late teens to early 20’s to really seriously have your wisdom teeth have that examined and contemplate having those extracted. I have a story, a neighbor of mine who’s only 16 years old.  She had wisdom teeth removed. And I couldn’t do it because it got to the point where the roots were so well developed at 16 years old, that it was right next to where the nerve is and I had, serious concerns that she was going to have numbing. Well thank god she didn’t after they were removed, by an oral surgeon, a specialist.

The thing about it is, is that she was 16 years old. We think of wisdom teeth coming in when you’re in your 20’s. I think that used to be but it seems like these days that kids are developing much more rapidly and sooner and maturing much quicker than they were in the past. And so now the time frame, what used to seem in the past as being in the 20’s, now I’m seeing it into the last teens and in fact, the dentist that she was going to was saying oh well, you have wisdom teeth. But we’ll yet, keep an eye on it. And by the time we took a panoramic x-ray that revealed everything, her roots were completely developed, but the teeth were impacted in her jaw.  In fact, I believe it’s so important that the day after Christmas, my daughter who is 11 years old with the suggestions from an orthodontist that we refer to, that we not only removed 4 of her bicuspid teeth and we also removed her wisdom teeth on the bottom which were all encased in bone still.

Well, needless to say, the day after Christmas, and the day after that, she was a little bit swollen. But the good news is that we can take care of that before the roots developed so much where it was going to encroach upon the nerves. You know? Any time wisdom teeth are extracted, there’s always a potential of having numbness in the lip because the nerve lies down right next to where that is where the roots form. So if we can take care of that before the roots are completely formed, the roots, as they’re developed, they’re not calcified, they’re not hardened. So they’re a soft, kind of a thick, gelatin kind of mass, and that can be removed without encroaching upon where the nerve is.  This is something that might seem kind of new and being a little bit aggressive, but my, my belief is that if they’re not taken care of right away, they will potentially give you problems down the road, especially if they’re impacted or kind of poking through the gums a little bit. When they’re poking through the gums, you can actually need, get infections because the bacteria in food and debris gets stuck underneath the gums there and can create these infections and in my opinion, it’s better to have that removed preventatively than to wait until you have a significant problem.

Dentist in Shelby Township Discusses Importance of Wisdom Teeth Removal

So if you’d like to get this assessed, you can go to our website. Which is thegentledentist.com or you can visit our website at that. And or you can give us a call at 586-247-3500. And thank you.

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Wisdom Teeth Removal Described by Shelby Township Dentist

Hi. This is Dr. Antolak from thegentledentist.com. We’re in Shelby Township, Michigan. Our phone number is 586-247-3500. What am I doing holding a skull, you might be asking. Well, I wanted to just go over some anatomical considerations when somebody has some type of dentistry done. Or even implant surgery, even third molar or root canals. Surgery that happens with having wisdom teeth removed. So I use this. This is a skull. A dry skull. It’s actually a real skull. I don’t know whose this is. But it is what it is.

Right now this is in the skull. We have some things to consider. Especially in the dental world. One is, the most common area is when wisdom teeth are removed. When wisdom teeth are removed, you always have to be very concerned about the location of the nerve in relationship to the tooth itself. So what happens is, in nature, in our jaws, I’m going to turn this around a little bit here. And your action, right where this is here.

You have a nerve that comes right from your brain. And it comes into the lower jawbone here. And it comes right through this little area here called the lingula. And this is actually a little depression in an opening where the nerve that gives sensation to the lip and to the teeth. It traverses and goes inside of here. And it literally goes inside of the bone. Inside of the bone, all the way out here. And then it exits the bone. Or the nerve, most of it exits right out this little hole right here. So, what happens is, wisdom teeth and this person here, they still have their wisdom tooth is in place. And that’s this tooth way back here. So, if we can see right here, this is where the wisdom tooth is here. And this is where the nerve sits inside the bone. And, sometimes the relationship of where the root is, where this root might come down to maybe around right here, this line right here. Where that is and where the nerve comes, it can be pretty close. So the concern is when having a tooth removed, a wisdom tooth removed, and its relationship to where that nerve is. That could effect someone, and what they’re actually feeling as far as when this surgery is done. They could even have some numbness to their lip or numbness to their teeth. So we have to always be very concerned about that. On occasion, in fact, a neighbor of ours came over, and I was planning to do wisdom teeth extractions. And this young lady is only 16 years old. Well, by the time I looked at it, I had a CAT scan done on her. And I looked on my computer and with the CAT scan, and realizing that this nerve was paper thin, and it lies just on top of the nerve and it sometimes goes in through there. So in those cases we have to be very concerned about when those teeth are removed, is there going to be some numbness. With the wisdom teeth already removed there could be a potential having numbness.

The greater majority of the time, high 90% of the time, 98% of the time is just, if there’s numbness its a very temporary numbness. Maybe a tingling of the lip. That type of thing. But there is an occasion where there is some permanent numbness in that lip when the wisdom teeth are removed. So, that’s something to be concerned about. What happens is, when cases are close like that. In fact, today I saw a young man who’s 18 years old, needs to get his wisdom teeth out and they’re very close to the nerve. And I didn’t want to take any chances. So, we actually have what’s called a CAT scan is ordered. A CT scan is a 3 dimensional view. And so, it gives me the ability on a computer to actually locate where that nerve is, like I did on my neighbor, where that location where that nerve is.

Relation to where the teeth are. And to assess what the risk is of having some numbness, or even when doing an implant, how close that implant comes down and how long it has to be before it starts getting close to the nerve. So that’s one issue that we have with wisdom teeth removal and why it’s an issue.

Wisdom Teeth Removal Described by Shelby Township Dentist

So this is Dr. Antolak, if there are any questions you have about wisdom teeth, you can give us a call at the office at 586-247-3500 or visit our website at thegentledentist.com. Thank you.

Wisdom Teeth Removal Described by Shelby Township Dentist

“Thank You!!  Thank you very much for the great service.  Dr. Antolak is a great dentist. I went in not once,  but twice to have my wisdom teeth removed and he did awesome. Both visits were very nice, he removed all four teeth quick and painless. Dr. Antolak cares, he took time to listen to my concerns and answer all of my questions. During the first visit I was kind of nervous, and had a little anxiety about having the first two teeth removed, but he was very reassuring.  He sat down on the chair next to me, and took a few minutes to say a prayer to make me feel better about the situation. During the removal he made sure I was comfortable throughout, he wanted to make sure that I wasn’t feeling any pain. He even took time out of his day to call me later and make sure that I was doing OK. I highly recommend Dr.  Robert V. Antolak to anyone that is in need of a dentist.  If your are afraid of the dentist I would say to go see Dr. Antolak because he is the only dentist I’ve  ever had that actually cares about the patients needs. So again, thank  you for both the great service and the great dentist!

Joshua B.
Dental Patient Macomb, Michigan (Macomb County)

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