1. DISIMPACTION is initiated by administration of local or general anesthetic as decided by dentist with patient’s consent.
2. Once anesthetized, In second step, the gums are incised and underlying bone is partially removed by surgical instruments to gain access to the impacted tooth.
3. In third step, it is decided by dental surgeon whether to remove the tooth as single structure or whether to split in multiple sections.
4.Now after ensuring the complete removal of all the pieces of wisdom tooth, the gum is approximated and sutures (stitches) are placed. The number of suture is decided by the dentist and depends on the size of incision. 5.Once the removal is completed, the dentist gives particular set of instructions to the patient so that the patient can recover quickly along with the help of antibiotics and pain killers.
Generally the instructions are
1. Instructions for 1st 24 hours
(a) Patient is advised not to
- Spit
- Gargle
- Brush
(b)Patient should be on liquid or semisolid diet preferably ice-creams, curds, lassi etc.
2. Instructions for remaining 3-5 days
- Usually the patient is asked,
- Not to have hot, hard and spicy
- Not to use straw
- Must clean the mouth specially the extraction area using warm water with salt
- Not to miss any dosage of medication / prescription
- Not to open the mouth very wide
- To come back for follow up after medication are over.
Usually in 3-5 days the primary healing may be completed, but for completion of healing of jaw bone it may take up to 4 weeks.However the patient will be able to continue his/ her daily activities without any trouble within third day of the surgery.As the surgical procedure is painless and while recovery the pain is controlled by medicines. However, patients cooperation to keep the surgical site clean after having food is of utmost importance.