Can You Get Braces Right After Wisdom Tooth Extraction? - Dentistry

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Can I get braces immediately after having my impacted wisdom teeth removed? Or is it possible to avoid extracting impacted wisdom teeth?


There is a horizontal wisdom tooth in the lower right that is very close to the nerve.
I am wondering if it is possible to undergo orthodontic treatment without extracting the wisdom tooth? If extraction is necessary, how long after the extraction can I start orthodontic treatment? Thank you.

Lai Xiaojie, 20~29 year old female. Ask Date: 2019/02/13

Dr. Huang Tingfang reply Dentistry


1.
Whether or not you can undergo orthodontic treatment without extracting your wisdom teeth depends on your orthodontist.
You should consult with them to determine if the presence or absence of wisdom teeth will affect your orthodontic treatment.

2.
After the extraction of impacted wisdom teeth, you can begin orthodontic treatment 2-3 weeks later, once the wounds have healed.

Reply Date: 2019/02/13

More Info


After wisdom tooth extraction, the timing for getting braces can vary based on several factors, including the healing process and the specific dental situation. Here’s a comprehensive overview of what you need to consider regarding braces after wisdom tooth extraction, particularly in the context of a horizontally impacted wisdom tooth that is close to the nerve.


Timing for Braces After Wisdom Tooth Extraction
1. Healing Period: After wisdom tooth extraction, it is crucial to allow the extraction site to heal properly before starting orthodontic treatment. Typically, the initial healing period can take about 1 to 2 weeks, during which the soft tissue will begin to close over the extraction site. However, complete healing of the bone can take several months. Most orthodontists recommend waiting at least 4 to 6 weeks after the extraction before considering braces, but this can vary based on individual healing rates.

2. Consultation with Your Dentist/Orthodontist: It is essential to have a thorough consultation with both your oral surgeon and orthodontist. They can assess the healing of the extraction site and determine if it is safe to proceed with braces. If the wisdom tooth was impacted and close to the nerve, your dentist may want to monitor the area more closely to ensure there are no complications before starting orthodontic treatment.

3. Orthodontic Treatment Planning: If you are considering braces, your orthodontist will evaluate your overall dental alignment and the position of your remaining teeth. They may also take X-rays to assess the condition of the surrounding teeth and the extraction site. If the wisdom tooth is not causing any issues and the orthodontist believes that it can be managed without extraction, they may suggest proceeding with braces without removing the wisdom tooth. However, if the tooth is likely to cause future problems, extraction may be necessary.


Considerations for Impacted Wisdom Teeth
- Potential Complications: If your horizontally impacted wisdom tooth is close to the nerve, there is a risk of nerve damage during extraction. This is a significant consideration, and your oral surgeon will discuss the risks and benefits of extraction with you. If extraction is deemed necessary, it is often performed with caution to minimize complications.

- Alternative Treatments: In some cases, if the wisdom tooth is not causing any immediate issues, your dentist may recommend monitoring it rather than extracting it. This decision will depend on factors such as the tooth's position, the presence of decay, and the potential for future complications.


Post-Extraction Care
After wisdom tooth extraction, it is vital to follow post-operative care instructions to ensure proper healing. This includes:
- Avoiding Hard Foods: Stick to soft foods for the first few days post-extraction to avoid irritating the extraction site.

- Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. You can start brushing your teeth carefully after a few days, but avoid the extraction area until it has healed sufficiently.

- Follow-Up Appointments: Attend follow-up appointments with your dentist to monitor the healing process and discuss the timing for braces.


Conclusion
In summary, while it is possible to get braces after wisdom tooth extraction, the timing will depend on your individual healing process and the specific circumstances surrounding your wisdom teeth. It is essential to work closely with your dental care team to determine the best course of action for your orthodontic treatment. If you have concerns about your impacted wisdom tooth and its proximity to the nerve, discussing these with your oral surgeon will provide clarity on whether extraction is necessary and how it will impact your orthodontic plans.

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