Regarding how to manage wisdom teeth issues?
Hello Doctor: I would like to ask you about the issue of wisdom teeth extraction.
During a school health check, it was found that I have wisdom teeth emerging on the lower left and lower right.
When I went for a follow-up, the doctor told me they are impacted teeth (without looking at an X-ray) and need to be extracted.
At my age, is there a chance I can wait for them to fully erupt and avoid extraction? My upper wisdom teeth are fine.
Additionally, I play the trumpet and have a performance in July.
If I do need to have them extracted, how long will I be unable to play? Currently, aside from the impacted teeth mentioned by the doctor, my teeth are all in good condition.
If I choose not to extract them now and wait until after the performance, is that okay? Furthermore, if I do need to have the extraction, how can I manage my anxiety? I have a strong fear of tooth extraction due to a bad experience in my childhood, but I will definitely go through with it if necessary.
Thank you for your answers! P.S.
There is a small cavity between my right wisdom tooth and the adjacent tooth.
If I really need to wait until after the performance to address this, how should I clean it?
Grace Ma, 10~19 year old female. Ask Date: 2018/04/04
Dr. Zhu Guanyu reply Dentistry
Hello,
When considering whether to extract the lower third molar, age is typically not a primary factor.
The recommended cleaning tools for adjacent surfaces are dental floss or interdental brushes.
You are welcome to visit our oral surgery department for the extraction in the coming days; it should not affect your work schedule in July.
Thank you for your message!
Wishing you health and safety,
Dr.
Kuan-Yu Chu
Director of Dentistry
Taoyuan Hospital, Ministry of Health and Welfare
Reply Date: 2018/04/04
More Info
Managing wisdom teeth can be a significant concern, especially when they are impacted or causing discomfort. Your situation, where you have been advised to extract your wisdom teeth due to them being classified as "impacted" or "阻生齒," is not uncommon. Here’s a comprehensive response to your questions, along with some additional insights into managing your oral health during this time.
Understanding Wisdom Teeth Extraction
1. Timing of Extraction: It is generally advisable to extract wisdom teeth if they are impacted, as they can lead to complications such as infection, pain, and damage to adjacent teeth. However, if your upper wisdom teeth are healthy and not causing issues, they may not need to be removed. The decision to wait for the lower wisdom teeth to fully erupt before extraction can depend on several factors, including the position of the teeth and your overall dental health. If your dentist has recommended extraction without an X-ray, it may be beneficial to seek a second opinion or request imaging to assess the situation more accurately.
2. Impact on Activities: Regarding your concern about playing the trumpet after extraction, it is essential to allow your mouth to heal properly. Typically, patients are advised to avoid strenuous activities, including playing wind instruments, for at least a week post-surgery. This timeframe can vary based on individual healing rates, so it’s best to consult your dentist or oral surgeon for personalized advice. If you can wait until after your performance to have the extraction, that might be a good option, provided your dentist agrees that it won’t lead to further complications.
3. Managing Anxiety: It’s understandable to feel anxious about dental procedures, especially if you have had negative experiences in the past. Here are some strategies to help manage your anxiety:
- Communicate with Your Dentist: Discuss your fears with your dentist. They can explain the procedure in detail, which may help alleviate some of your concerns.
- Relaxation Techniques: Practice deep breathing exercises or mindfulness techniques before your appointment to help calm your nerves.
- Bring a Support Person: Having a friend or family member accompany you can provide emotional support and help you feel more at ease.
Oral Hygiene Before Extraction
Since you mentioned a small cavity between your right wisdom tooth and the adjacent tooth, maintaining excellent oral hygiene is crucial. Here are some tips:
- Gentle Brushing: Brush your teeth gently, especially around the area of concern, to avoid aggravating any potential issues.
- Floss Carefully: If you can, try to floss around the wisdom tooth to remove any food particles. Be gentle to avoid causing pain or bleeding.
- Rinse with Salt Water: A warm saltwater rinse can help keep the area clean and reduce inflammation. Mix about half a teaspoon of salt in a cup of warm water and rinse gently.
Conclusion
In summary, while it is possible to wait until after your performance to address your wisdom teeth, it is essential to monitor your oral health closely. If you experience any pain, swelling, or signs of infection, seek dental care promptly. Additionally, managing your anxiety through communication and relaxation techniques can make the experience more manageable. Always consult with your dentist for personalized advice tailored to your specific situation. Taking proactive steps in your oral hygiene and understanding the extraction process will help you navigate this dental concern effectively.
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