Healing after wisdom teeth extractio... 
Dancing Love
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Hi all,
My boyfriend is having all four of his wisdom teeth extracted today. They are all impacted, so the extractions will involve surgery.
I would like to ask for advice as to what he should do in order to facilitate the healing process.
I suggested he should abstain from eating/chewing for as long as possible, preferably a couple of days, and to only drink through a straw (tea and water).
Please let me know what you recommend.
Thanks!- Re: Healing after wisdom teeth extra... StratRebel
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This is a reply to # 1,330,257The dentist should provide you with a list of things to do post-op to help with healing.
1. Do NOT drink from a straw!!!! Cannot stress this enough! This causes pressure in the mouth and may cause the blood clot to come out or be damaged. As long as he rinses everytime he eats/drinks the areas will stay clean.
2. Eat/drink what he feels comfortable with. Anything soft is great, I would avoid sharp foods like chips or crackers for a while just because they can pinch the area.
3. Keep the area clean. Brush your teeth like normal, and then rinse your mouth several times to clean the extraction sites. Do NOT spit, just let the water fall out. Pressure spitting may delay healing.
4. Avoid smoking, carbonated drinks, mouthwashes, alcohol for at least a week.
5. Bed rest and plenty of fluids! He may be groggy the day of, just take good care of him, make sure he stays off his feet for 1-2 days. No lifting!
6. Swelling. To help prevent this, you can use a cold pack or ice (20 min on, 20 min off, repeat) for the first day. Warm heat after the first day. This will reduce the swelling of the area and will make him feel better/heal faster.
Overall, the worst thing that can happen usually is a dry socket. This just means the blood clot becomes damaged. If this happens it will majorly increase healing time and will HURT! Rarely happens, but just something to avoid. Everything I mentioned will help prevent this complication.
Again, your dentist should provide you with good post-op instructions. If he doesnt, be sure to ask!
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- Re: Healing after wisdom teeth extra... Dancing Love
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This is a reply to # 1,330,385Thanks a lot. He had the surgery this morning and is feeling ok, though in some pain.
I was wondering about something else... Is it fairly common for wisdom teeth extractions to be done under general anesthesia (i.e., the patient is unconscious)? I grew up in Europe and when I had my bottom wisdom teeth extracted they only used local anesthesia, even though the teeth were impacted and it took the two dentists almost an hour and a half to extract them properly (it was pretty nasty, as I understand).
So I was very surprised when my boyfriend told me that they injected an IV anesthetic, which put him to sleep. It's true that he had to have all four wisdom teeth out whereas I only had surgery for two of them, but still, it seems to me that general anesthesia should only be used in major surgery, since the stronger the anesthetic the greater the risks.
I am curious to hear your opinion on this.
And another question, is it common for U.S. dentists to use laser therapy on the site of the extraction after surgery to speed up healing? They used that on me after my extractions in Europe, and I have to admit that I healed very fast and was not swollen at all. Thus I was surprised to hear that it is common to experience swelling after wisdom teeth extractions...
Thanks.
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- Re: Healing after wisdom teeth extra... StratRebel
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This is a reply to # 1,330,876I glad he is doing well!
There is a difference in IV sedation and general sedation. General sedation is done in an operating room of a hospital and the patient is completely unconscious (lose ability to control muscles, even breathing) and is considered a level 4 sedation.
IV sedation is very common. With IV sedation you are still conscious and able to respond. You retain control of all your muscles. The medications used also provide an amnesia effect so most people will not remember the surgery. IV sedation is only a level 3 sedation. Since you never lose consciousness, the risk is extremely low.
While I am surprised your dentist did not discuss this with you, it is very common practice for oral surgeons to use IV sedation. (Many general dentists will not only because of training or equipment). Impacted tooth removal is not fun, and if I had impacted teeth I would personally ask for IV just so I don't have to remember the experience.
"And another question, is it common for U.S. dentists to use laser therapy on the site of the extraction after surgery to speed up healing?"
No, in the US laser therapy is not common to my knowledge. For me, cold/heat and a little ibuprofen works wonders and is much cheaper than having to charge for a laser (which are incredibly expensive).
I could go into the reasons why europe and the US are different if you want, but it boils down to a different economy: Europe being more centralized and US being more individualized. Either system has its benefits and flaws.
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- Re: Healing after wisdom teeth extra... Dancing Love
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This is a reply to # 1,331,135Thanks for all the information!
So, is it possible that even though he says he was not conscious, he was actually awake but does not remember anything?
As for my dental office in Europe (I grew up in Romania), I know they had invested a lot in their equipment, so that's probably why they had the laser -- they really wanted their office to be the best in the city. I also imagine that they probably paid a lot less for their laser than it would have cost to get in the US. I'm really grateful for that though, because it seems that the laser was the reason why I had no swelling at all, and very little pain afterwards, despite a very long and nasty surgery.
Thanks again.
- Re: Healing after wisdom teeth extra... Dancing Love
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- Re: Healing after wisdom teeth extra... StratRebel
15 y
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- Re: Healing after wisdom teeth extra... Dancing Love
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- Re: Healing after wisdom teeth extra... StratRebel
15 y
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