I have some questions about having two teeth extracted?
Hello Doctor: Due to orthodontic treatment, the doctor said I need to extract my upper left and lower left first molars (I'm not sure if that's the correct terminology, but I know it's one tooth on each side).
The oral surgeon mentioned that they would extract both teeth at the same time and would perform suturing.
I would like to ask: 1.
Does suturing accelerate the healing time? 2.
Will extracting one tooth on each side at the same time affect my ability to eat? (I discussed with the doctor about possibly extracting them in two separate sessions, but the doctor insisted on extracting them simultaneously and told me to relax as they would suture.) 3.
After suturing, do I still need to bite down on gauze? 4.
Can I choose absorbable sutures, or is it necessary to use traditional sutures and then schedule a follow-up appointment to remove them? 5.
Since I finish work at 6 PM and my extraction is at 7 PM, can I take a shower afterward? (I have to work the day after the extraction.) Thank you for taking the time to respond, and I appreciate your hard work!
Rachel, 20~29 year old female. Ask Date: 2020/07/12
Dr. Lin Jiayong reply Dentistry
Hello: If you are concerned that extracting teeth from both sides at once may affect your ability to eat, it is advisable to extract them in separate sessions.
After the extraction, bite down on the gauze for 30 to 60 minutes to help with hemostasis.
You may choose absorbable sutures, but it is still recommended to have them removed, as sutures can cause some inflammatory response.
You can take a shower after the procedure, but for the first 24 hours, avoid direct contact of the extraction site with hot water.
Thank you!
Reply Date: 2020/07/12
More Info
When it comes to tooth extraction, especially in the context of orthodontic treatment, there are several important considerations and questions that patients often have. Here’s a comprehensive overview addressing your concerns:
1. Does suturing accelerate healing time?
Suturing the extraction site can indeed promote faster and more organized healing. When the gum tissue is sutured, it helps to minimize the space where food particles and bacteria can enter, reducing the risk of infection. This controlled environment allows the body to heal more efficiently. However, the overall healing time also depends on individual factors such as your overall health, oral hygiene practices, and adherence to post-operative care instructions.
2. Will extracting two teeth at once affect my ability to eat?
Extracting teeth from both sides of your mouth can impact your ability to eat, especially in the immediate aftermath of the procedure. You may experience swelling, discomfort, and difficulty chewing. It’s advisable to stick to soft foods and liquids for the first few days post-extraction. If your dentist has recommended extracting both teeth simultaneously, it’s likely because they believe it will be more efficient and less traumatic overall. However, if you have concerns about pain or eating, it’s worth discussing these with your dentist to see if a staggered approach might be more comfortable for you.
3. Should I continue to bite down on gauze after suturing?
Yes, after the extraction and suturing, you will typically be instructed to bite down on gauze for a certain period. This helps to control bleeding and allows a clot to form in the extraction site, which is crucial for healing. Your dentist will provide specific instructions on how long to keep the gauze in place, usually around 30 to 60 minutes, and you should replace it as needed if it becomes soaked with blood.
4. Can I choose absorbable sutures?
Many dentists offer the option of using absorbable sutures, which dissolve on their own over time and do not require a follow-up appointment for removal. This can be a convenient option for patients who prefer not to return for suture removal. However, the choice of suture material may depend on the specific circumstances of your extraction and your dentist's preference. It’s best to discuss this option with your dentist before the procedure.
5. Can I shower after the extraction?
Generally, you can shower after a tooth extraction, but it’s advisable to avoid hot water and steam, as these can increase blood flow and potentially lead to more bleeding. Keeping your head elevated during the shower can also help minimize swelling. Just be cautious not to disturb the extraction site while washing your face or hair. If you have any specific concerns about your post-operative care, it’s always best to consult with your dentist.
In summary, tooth extraction is a common procedure, especially in orthodontics, and understanding what to expect can help alleviate anxiety. Make sure to follow your dentist's post-operative care instructions closely, maintain good oral hygiene, and reach out to your dental professional if you have any concerns or unusual symptoms following the extraction. Proper care will aid in a smooth recovery and help you get back to your normal routine as quickly as possible.
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