• 01 JUN 16

    WISDOM TEETH

    What are the problems with them?

    Removal of wisdom teeth is necessitated by recurrent infections (pericoronitis) which causes pain, swelling and reduced opening, decay, serious gum disease, the development of a cyst or impaction of the teeth.

    What will the NHS Dentist do?

    Wisdom teeth may be removed in this surgery under local anaesthetic or by referral to a specialist oral surgeon for sedation or general anaesthetic (depending on the level of difficulty). This will be at a hospital or clinic. There are long waiting times for hospital treatment due to a shortage of funds to employ specialists.

    You will have an appointment to assess the wisdom teeth and then another appointment to have them extracted, probably one by one.

    What to expect after the extractions?

    • The socket may ooze slightly for a few hours. Some bony spicules may outline the edge of the wound. These will either be separated and exfoliated or reabsorbed into the healing socket. These symptoms usually improve rapidly within a week
    • Some bruising and stiffness will occur and you may experience some difficulty in opening your jaw wide. This will usually pass over the following week or two.
    • Pain and discomfort may be relieved with ordinary pain killers such as paracetamol and ibuprofen (not aspirin). You may also be prescribed antibiotics.

    Complications

    • Occasionally wisdom teeth sockets become infected. This will cause the pain, stiffness and swelling to last longer than normal.
    • Some patients will suffer a tingling or numb sensation in the lower lip or tongue. This is because the nerve supply to the lip lies just below the lower wisdom teeth.  This nerve supply may be bruised and can be permanently damaged. You may be bruised during the procedure.

    Should any of the above occur, you are advised to contact your dentist.

NHS Treatments

  • AFTER EXTRACTION CARE

    To avoid a dry socket (post operative infection of the bone), usually due to early loss of the blood clot… Avoid excessive exercise for several hours. Ideally, rest by sitting in a chair and use an extra pillow for the first night.Excessive exercise will cause further bleeding. Do not drink anything alcoholic for 24 hours.

  • BRUXISM – Grinding or Clenching your teeth

    Bruxism (Medical term for the habit of grinding/clenching your teeth). Who is most at risk? – You are more likely to suffer from bruxism if you: Have a stressful lifestyle Drink large amounts of alcohol Smoke Take medication for sleep, depression or anxiety (paroxetine, fluoxetine and setraline) Drink six or more cups of tea or coffee a

  • FLUORIDE

    What is Fluoride? Fluoride is a natural mineral that is able to protect teeth against decay. It is not a substitute for cleaning your teeth and eating healthily. It is found in toothpastes, mouth rinses and is added to public water supplies in some areas (not in London). How does Fluoride work? If fluoride is

  • ORAL HYGIENE

    What is it? Keeping your teeth and gums clean, healthy and free from infection. Good oral hygiene will prevent dental decay and periodontal disease and is essential for preserving gums and the bone which keeps your teeth secure in your mouth. If you smoke you are much more likely to get periodontal problems. You are

  • TOOTH SENSITIVITY & EROSION

    TOOTH (dentine) HYPERSENSITIVITY and EROSION (worn teeth) What is hypersensitivity? It is a short sharp pain arising from exposed dentine (part of the tooth which is in communication with the nerve inside the tooth) in response to stimuli. These could be thermal such as hot or cold drinks, chemical such as sweet or acidic food

  • YOUR CHILD’S FIRST TEETH

    Your child’s first teeth will begin to erupt at about six months of age. The lower deciduous (baby) incisors (front teeth) erupt first followed by the upper deciduous incisors. These are followed a few months later by the lower, then upper deciduous first molars (back chewing teeth), the deciduous canines (pointed teeth at side of