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Have you ever wondered why people have wisdom teeth? These are a third set of molars that come in behind the rest of all your other teeth, usually during early adulthood. Scientists and anthropologists believe that wisdom teeth are a result of evolution, because our ancestors needed these extra teeth to handle their primitive diets. Nowadays, the average diet consists of fewer hard-to-chew foods, which renders wisdom teeth largely superfluous.

Most people begin to experience wisdom teeth pain between the ages of 17 and 25. Our ancestors nicknamed them wisdom teeth because they appeared at a time in life when we supposedly grew wiser.

If you’ve already had your wisdom teeth removed, you know how painful they can become if they aren’t taken care of promptly. If not, watch out for discomfort in the back of your mouth and let Dr. Matthew Hilmi know right away if you think your wisdom teeth are coming in.

In some cases, people do not experience any problems or discomfort with their wisdom teeth. These patients may keep their wisdom teeth intact if there’s enough room in their jaw to fit them properly. But this is generally not the case, so wisdom teeth can cause several concerns, depending on which direction they grow.

Common problems include:

• Damage to surrounding teeth due to the pressure from the emerging teeth
• Infection that causes the surrounding gums to swell and become painful
• Tooth decay due to the lack of room to clean the teeth properly
• Impaction (when the tooth is unable to break through the skin)
• A cyst that may damage the jaw, the surrounding teeth, and nerves

If you haven’t had your wisdom teeth removed yet, there are many symptoms to watch out for when they begin to grow. Symptoms may include:

• Pain or stiffness in the jaw
• Tooth irritation
• Swelling of gum tissue
• Crowding of other teeth
• Spread of tooth decay or gum disease on nearby teeth

If you’ve noticed these symptoms, schedule an appointment at our office. Don’t forget: This is a common procedure that will take some time to recover from. Allow your mouth to heal, and then you’ll be able to get back to a normal routine quickly and be free from pain!

If you need oral surgery, Dr. Matthew Hilmi and our team will use our expertise and training to ensure that you have the best possible surgical outcome. And we want to make sure you have the best possible outcome for your recovery as well. Here are a few of the most common aftercare suggestions for making your healing as comfortable and rapid as possible.

• Reduce Swelling

Ice packs or cold compresses can reduce swelling. We’ll instruct you how to use them if needed, and when to call our office if swelling persists.

• Reduce Bleeding

Some amount of bleeding is normal after many types of oral surgery. We might give you gauze pads to apply to the area, with instructions on how much pressure to apply and how long to apply it. We will also let you know what to do if the bleeding continues longer than expected.

• Reduce Pain or Discomfort

If you have some pain after surgery, over-the-counter pain relievers such as ibuprofen might be all that you need. We can recommend those which are best for you. If you need a prescription for pain medication, be sure to take it as directed and always let us know in advance if you have any allergies or other reactions to medications.

• Recovery-friendly Diet

Take it easy for the first few days after oral surgery. Liquids and soft foods are best for several days following surgery. We will let you know what type of diet is indicated and how long you should follow it depending on your particular procedure. We might, for example, recommend that you avoid alcohol and tobacco, spicy, crunchy, and chewy foods, and hot foods or beverages for several days or several weeks.

• Take Antibiotics If Needed

If you have been prescribed an antibiotic, be sure to take it as directed. If you have any allergies to antibiotics, let us know in advance.

• Protect the Wound

Do NOT use straws, smoke, or suck on foods. Avoid spitting.  Part of the healing process can involve the formation of a clot over the surgical site which protects the wound. If the clot is dislodged by suction or spitting, it can prolong your recovery time, or even lead to a potentially serious condition called “dry socket.”

• Maintain Oral Hygiene

Depending on your surgery, we might recommend that you avoid rinsing your mouth for 24 hours, use salt water rinses when appropriate, and keep away from the surgical site when brushing. It’s important to keep your mouth clean, carefully and gently.

• Take it Easy!

Rest the day of your surgery and keep your activities light in the days following.

These are general guidelines for recovery. If you have oral surgery scheduled, we will supply you with instructions for your specific procedure, and can tailor your aftercare to fit any individual needs. Our goal is to make sure that both your surgery and your recovery are as comfortable as possible.

Patients have a variety of options in dental providers, and it can be tricky to know which type of dental professional is best for your current needs. Understanding the differences between general dentists and oral surgeons, like Dr. Matthew Hilmi, can help you make an informed choice for dental care.

Education

Both general dentists and oral surgeons must complete dental school after receiving a bachelor’s degree. In dental school, which typically takes four years of full-time study, students take coursework in anatomy, physiology, pharmacology, pathology, and oral surgery. Dental students also complete clinical practicum experiences, gaining hands-on training in how to diagnose and treat dental problems.

After completing dental school and earning the Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) degree, a general dentist must complete a licensure exam to practice in a particular area. In contrast, oral surgeons (often called oral and maxillofacial surgeons) complete a four to six year surgical residency. The residency program must be accepted by the Commission on Dental Accreditation, ensuring that each resident receives the training in oral pathology, anesthesia, oral surgery, and other areas needed to competently practice. Following the surgical residency, a person completes a board certification examination.

Scope of Clinical Practice

General dentists serve as primary care providers for dental medicine. At the general dentist’s office, you will receive teeth cleaning, X-rays, and a comprehensive screening for dental problems. General dentists most often provide gum care, dental fillings, root canals, veneers, bridges, and crowns. They also make recommendations for how to prevent common dental problems. Although a general dentist may perform simple tooth extractions, more complex surgeries may be outside of the scope of a general dentist’s competence.

Oral and maxillofacial surgeons receive specialized training to treat a variety of conditions affecting the face, mouth, and jaw. Patients are typically referred to an oral surgeon when a problem is beyond the scope of a general dentist’s expertise. Oral surgeons perform simple and complex tooth extractions, including wisdom tooth extraction. They also provide care to accident victims who need reconstructive dental surgery. Oral surgeons may also perform soft tissue biopsies, tumor removal, jaw realignment surgery, soft tissue repair, or positioning of implants.

It can be difficult to determine what dental professional best fits your needs. Contact our  office to determine if an oral surgeon can best meet your needs.

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about the dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctor and staff - we hope this will be a valuable resource for our patients, their families, and friends!