The sequence of using an occlusal splint and wisdom tooth extraction?
Hello, I apologize for the inconvenience.
I have a question.
I am scheduled to get an occlusal splint next week, but I still have a wisdom tooth that hasn't been extracted.
It is vertically inclined and has erupted about 0.3 cm.
Should I get the occlusal splint first or should I extract the wisdom tooth first? If I need to extract the wisdom tooth first, how long should I wait after the extraction before getting the occlusal splint? Thank you!
Ting, 20~29 year old female. Ask Date: 2016/02/24
Dr. Huang Zhicheng reply Dentistry
Hello: Yes, it should be fine and there is no conflict.
You can wear the occlusal splint immediately after tooth extraction; just make sure to take impressions before the extraction to prepare the splint in advance.
Wishing you safety and good health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2016/02/24
More Info
When considering whether to get a bite plate (also known as an occlusal splint) before or after wisdom tooth extraction, there are several factors to take into account. Your situation involves a partially erupted wisdom tooth that is vertically inclined and has emerged about 0.3 cm.
From a clinical perspective, it is generally advisable to address any potential issues with wisdom teeth before proceeding with the fabrication of a bite plate. This is primarily because the presence of an impacted or problematic wisdom tooth can affect your bite and overall dental alignment. If the wisdom tooth is causing discomfort, misalignment, or other dental issues, it may be more beneficial to have it extracted first.
In your specific case, since the wisdom tooth is still relatively small and has not fully erupted, the extraction could be performed with minimal complications. After the extraction, it is typically recommended to wait for a healing period before fitting a bite plate. This healing period can vary, but it is often around one to two weeks. During this time, your dentist will monitor the extraction site for any signs of infection or complications.
Once the extraction site has healed sufficiently, you can proceed with the bite plate. The bite plate can help in managing any occlusal issues that may arise from the extraction and can also assist in alleviating any discomfort associated with teeth grinding or jaw clenching.
It is important to communicate openly with your dentist about your concerns and the sequence of treatments. They can provide personalized advice based on your specific dental health and the condition of your wisdom tooth.
In summary, it is generally advisable to extract the wisdom tooth first, especially if it poses any potential issues. After a healing period of about one to two weeks, you can then proceed with getting your bite plate. This approach not only addresses the immediate concern of the wisdom tooth but also sets a solid foundation for the effectiveness of the bite plate in managing your dental health. Always consult with your dentist for the best course of action tailored to your individual needs.
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