Wisdom tooth issues?
Hello Doctor, I visited the clinic the day before yesterday for an examination and found that I have a wisdom tooth growing horizontally on the left side, and it is also covered by the gums.
The gums are often swollen.
Do I definitely need to have it extracted? How long will the extraction take? Will it take a long time? Also, how long will it be before I can eat solid foods and get a dental cleaning? Is this procedure out-of-pocket, or is it covered by health insurance? Thank you for your response.
Kuo Chang, 20~29 year old female. Ask Date: 2006/02/21
Dr. Zhuang Suhui reply Dentistry
Kuo Chang: If your wisdom tooth is growing horizontally and your gums are frequently swollen, it is best to have it extracted.
This can help prevent infections and avoid affecting the adjacent teeth.
Factors such as the root morphology, the degree of bone coverage, and the relative position to the anterior teeth can all influence the duration of the extraction procedure, so I cannot provide an exact timeframe here.
The National Health Insurance Bureau covers the costs for the removal of dental calculus, but teeth whitening procedures will need to be paid out of pocket.
Taitung Hospital, Department of Health, Executive Yuan, cares about your dental health.
Director Su-Hui Chuang.
Reply Date: 2006/02/21
More Info
When it comes to wisdom teeth, particularly those that are impacted or growing horizontally, there are several important factors to consider regarding extraction, recovery, and costs. Based on your description, it sounds like your wisdom teeth are indeed in a problematic position, which often necessitates removal.
Do You Need to Extract Your Wisdom Teeth?
If your wisdom teeth are growing horizontally and are covered by the gums, this is a classic case of impaction. Impacted wisdom teeth can lead to various issues, including:
1. Infection: The gums around the impacted teeth can become inflamed and infected, leading to pain and swelling.
2. Cavity Development: It can be challenging to clean impacted wisdom teeth properly, increasing the risk of cavities in both the wisdom teeth and adjacent molars.
3. Crowding: Impacted teeth can push against neighboring teeth, causing misalignment and crowding.
Given these potential complications, it is often recommended to extract impacted wisdom teeth, especially if they are causing discomfort or other dental issues.
How Long Does the Extraction Take?
The extraction of wisdom teeth typically takes about 30 to 60 minutes, depending on the complexity of the case. If the teeth are fully impacted and require surgical intervention, the procedure may take longer. The extraction is usually performed under local anesthesia, sedation, or general anesthesia, depending on the complexity of the extraction and your comfort level.
Recovery Time
After the extraction, recovery can vary from person to person. Generally, you can expect:
- Initial Recovery: The first 24 to 48 hours are crucial. During this time, you may experience swelling and discomfort, which can be managed with prescribed pain medication and ice packs.
- Soft Foods: You will likely be advised to stick to a soft food diet for the first few days. Foods like yogurt, applesauce, and smoothies are good options. Most people can return to eating solid foods within a week, but it’s essential to follow your dentist's specific recommendations.
- Full Recovery: Complete healing of the extraction site can take a few weeks, but most people feel significantly better within a few days.
Costs and Insurance Coverage
The cost of wisdom tooth extraction can vary widely based on several factors, including:
- Location: Prices can differ based on where you live and the dental practice.
- Complexity: Simple extractions are generally less expensive than surgical extractions.
- Anesthesia: The type of anesthesia used can also affect the cost.
In terms of insurance, many dental plans cover a portion of the cost of wisdom tooth extraction, especially if it is deemed medically necessary. It’s best to check with your insurance provider to understand your coverage and any out-of-pocket expenses you might incur.
Additional Considerations
- Post-Operative Care: Follow your dentist's instructions carefully after the extraction to minimize complications. This includes avoiding straws, smoking, and vigorous rinsing for at least 24 hours to prevent dry socket.
- Follow-Up Appointments: You may need a follow-up appointment to ensure proper healing and to remove any stitches if necessary.
In conclusion, if your wisdom teeth are impacted and causing issues, extraction is likely the best course of action. The procedure is relatively quick, and while recovery takes some time, most people return to their normal diet within a week. Always consult with your dentist or oral surgeon for personalized advice and to discuss any concerns you may have regarding the procedure and recovery.
Similar Q&A
Understanding Orthodontics: Costs and Impact of Gum Disease and Wisdom Teeth
I went to an outpatient clinic to consult a doctor about orthodontics, and she mentioned that I have periodontal disease and that my wisdom teeth have not erupted yet. She suggested extracting one of my molars. I am considering getting full orthodontic treatment. I would like to ...
Dr. Yang Hui reply Dentistry
To create space for crowded or protruding teeth, tooth extraction is often necessary during orthodontic treatment. If the teeth require minimal space or if an external device is used to move the teeth backward, it may be possible to avoid extraction. The average cost of orthodont...[Read More] Understanding Orthodontics: Costs and Impact of Gum Disease and Wisdom Teeth
Understanding Wisdom Tooth Extraction: Swelling and Bone Graft Concerns
Hello, Doctor. My wisdom tooth is growing vertically and is touching the last molar. After discussing with the doctor, I decided to have it extracted. However, the doctor mentioned that if I were to extract it, I would need to have bone grafting (costing NT$10,000). I felt that t...
Dr. Lin Jiayong reply Dentistry
Hello: 1. If swelling persists more than 48 hours after tooth extraction, or if you experience shortness of breath or difficulty swallowing, it is advised to return for evaluation and treatment promptly. 2. Please discuss the bone grafting with your treating physician. Thank you.[Read More] Understanding Wisdom Tooth Extraction: Swelling and Bone Graft Concerns
Understanding Wisdom Tooth Extraction and Bone Regeneration
Hello: I went to the dentist today for a teeth cleaning. The dentist informed me that my wisdom teeth could affect the adjacent teeth, so they recommended extraction. The dentist mentioned that after removal, the bone inside would be lost and suggested using collagen protein to p...
Dr. Zhuang Suhui reply Dentistry
Hello: Whether to extract wisdom teeth depends on the specific situation. If they are impacting the adjacent teeth, extraction is recommended. However, after extraction, if there are no special circumstances, the bone will typically regenerate on its own, so there is no need to w...[Read More] Understanding Wisdom Tooth Extraction and Bone Regeneration
Scheduling Wisdom Tooth Extraction: Costs and Considerations
Hello Dr. Lin, I am from Hong Kong and do not have health insurance. I have a lower wisdom tooth that is horizontally impacted and is pressing against the adjacent molar, causing it to decay very deeply, which makes me quite worried. I would like to know how long I need to wait f...
Dr. Lin Jiayong reply Dentistry
Hello: If the impacted tooth is very close to the inferior alveolar nerve, it is advisable to have the extraction performed at a medical center. Generally, the insurance reimbursement for wisdom tooth extraction ranges from 900 to 4300 points, so the out-of-pocket cost for the ex...[Read More] Scheduling Wisdom Tooth Extraction: Costs and Considerations
Related FAQ
(Dentistry)
Post-Wisdom Tooth Surgery(Dentistry)
Post-Extraction(Dentistry)
Pain(Dentistry)
Tooth Trauma(Dentistry)
Occlusion(Dentistry)
Apicoectomy(Dentistry)
Local Anesthesia(Dentistry)
Retained Tooth(Dentistry)
Tmj(Dentistry)