4 Common Reasons Why Tooth Extraction Is Necessary – Indianapolis

Common Reasons Why Tooth Extraction Is Necessary – Indianapolis

Most patients may picture a dentist as someone who performs extraction painfully. In truth, dental professionals also want to preserve the teeth as much as patients do. Despite the advancements in dental care and procedures, there are still some instances where tooth extraction is necessary. Whatever it may be, rest assured that we at Indianapolis Oral Surgery & Dental Implant Center are committed to performing the procedure effectively while minding our patients’ safety and comfort. Those who are quite anxious about undergoing the process, discuss your sedation preferences with us! We can offer either oral conscious and inhalation sedation for a more favorable experience.

Tooth extraction, as a last resort, can be considered as a dental solution. To know the reasons why removal is necessary, read below:

#1 Impaction

Wisdom teeth are the last set of teeth to erupt. If patients experience pain during its eruption, and x-rays show that the teeth are crooked, extraction should be performed. It is best to prevent the surrounding teeth from damage when the wisdom tooth pushes through the gums.

#2 Irreversible Damage Due to Decay

Excessive damage to the tooth surface can also lead to the infection of the pulp. Root canal therapy may be the ideal solution to this problem. If it is too late to save a tooth through this process, extraction is necessary. It is done to prevent the infection from spreading to the other structures which may result to other complications.

#3 A Practical Solution for Gum Disease

Gum disease is an oral condition that can affect the ligaments, bone, and other structures that surround the teeth. If the patient would not undergo a periodontal therapy, the condition may worsen. The advanced stage of the said disease can cause the teeth to loosen from its sockets, eventually requiring extraction.

#4 Orthodontic Requirement

If a patient experience overcrowding, an orthodontist may require a tooth extraction. It is usually done if there is not enough room in the jaw for all the teeth. In some cases, not extracting the tooth may jeopardize the result of the treatment.

Having the tooth extracted is not always the option provided by the dentist, but if there is no other choice, it will be performed to keep the overall health in tip-top condition.

For more inquiries about Extractions in Indianapolis, IN, call us at Indianapolis Oral Surgery & Dental Implant Center. You can also visit us at 1320 N. Post Rd Indianapolis, IN 46219.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office at 1320 N. Post Rd Indianapolis, IN 46219 patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Wisdom Teeth Removal During The Holiday Season in Indianapolis

Wisdom Teeth Removal During The Holiday Season in Indianapolis

As the holidays approach we are all getting excited for what they bring. Family gatherings, turkey dinners, the year’s first snowfall and general cheer and merriment.

For us they also indicate the arrival of another season. The wisdom tooth removal season. Winter break presents a great opportunity for teenagers and young adults to have their 3rd molars examined by qualified oral and maxillofacial surgeons. The welcome break from cramming and exams is also a great time to have your wisdom teeth removed, should they require removal, and not miss any class due to the recovery time, short though it may be.

The Wall Street Journal recently published an article titled, “Changing Wisdom About Pulling Teens’ Teeth.” This article was spurred by a new statement on the American Association of Oral and Maxillfacial Surgeons (AAOMS) website.

Evidence Based Wisdom Tooth Management

“The American Association of Oral and Maxillofacial Surgeons and its members do not advocate the performance of unnecessary surgical procedures, including the prophylactic or unwarranted removal of third molar teeth. We do, however, support the surgical management of erupted and impacted third molar teeth for which there is the presence of pathology or a reasonable potential that pathology may occur in relation to, or as a result of, these teeth.”

In other words, The American Association of Oral and Maxillofacial Surgeons recommends surgeons offer young adults options “ranging from removal to a monitored retention plan.”

At Indianapolis Oral Surgery & Dental Implant Center we support AAOMS and our policy of evidence based third molar extraction mirrors the statement above.

We believe that while not all wisdom teeth need to be extracted, all of them need to be managed. As oral and maxillofacial surgeons, we provide our patients the best advice based on a careful oral examination, appropriate imaging and tests, and honest discussions with the patient and caregivers. If a decision is made to keep the wisdom teeth, we advise the patient to keep the area immaculately clean and recommend an annual examination to assess any changes in the teeth or gum tissues.

Resources To Help You Manage Your 3rd Molars

In order to help you or your child decide if and when to have wisdom teeth removal surgery please see these articles on the subject:

Winter break and the holiday season are the perfect time to consult with a qualified Oral Surgeon and develop a personalized management plan for your 3rd molars. In order to facilitate the proper management of 3rd molars for our patients Dr. Lawrence Falender is offering consultations to anyone considering wisdom tooth extraction or anyone seeking a qualified 2nd opinion.

In order to set up your consult please provide the following:

  • Please bring the radiograph (X-Ray) from your dentist.*
  • Please let us know your dental insurance provider.
  • To set up your consultation with Dr. Falender we ask that all patients fill out a form or Call our office at (317) 790-2555

We wish everyone a happy and safe holiday season. And if you or a loved one need to have your wisdom teeth extracted we will do everything we can to make that as painless and hassle free as possible.

Call Your Indianapolis Oral Surgery & Dental Implant Center Today!

If you think that you may need a tooth extraction, contact Indianapolis Oral Surgery & Dental Implant Center and speak with our experienced and skilled Oral And Maxillofacial Surgeon to learn what options may be right for you. Dr. Falender and his skilled staff are all here to help answer any questions you may have about tooth extraction and your complete oral health. Together, we can help you maintain a healthy mouth that will result in a happier, healthier you!

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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When Do You Need A Tooth Extraction?

When Do You Need A Tooth Extractions?

Dr. Lawrence Falender and Staff of Indianapolis Oral Surgery & Dental Implant Center make it their number one priority to care for their Indianapolis, IN patients using the latest technology and oral health initiatives. That includes keeping your mouth free of disease and preserving your original teeth. However, there may be a time when you or your child will need to have a tooth removed, perhaps due to tooth overcrowding, damage, a stubborn baby tooth, or future orthodontic treatment.

When this occurs, you can count on our trusted Indianapolis Oral Surgery & Dental Implant Center to provide high-quality, professional service that will efficiently and expertly remove your tooth.

About Tooth Extraction

Tooth extraction is usually a routine, minor procedure. Its difficulty is based on the location of the tooth that is being removed. For instance, a tooth in the front of the mouth that has a single straight root is easier to remove than a molar in the back that has several roots. Meanwhile an impacted wisdom tooth that is below the surface of the gum is most difficult to remove.

You may not realize it, but your teeth are actually only attached to your jaw bone with fibers that can be carefully loosened to free the tooth. So, regardless of the level of difficulty, tooth extraction is a common occurrence that your Indianapolis Oral Surgeon can easily help you with.

When Do You Need A Tooth Extraction?

Tooth extractions happen for a variety of reasons. If your Oral Surgeon determines an extraction is your best treatment option, he will be sure to discuss the details and fully explain why you need the procedure. These reasons may include:

Damaged Tooth

Teeth can be irreparably damaged in a number of ways. You may have suffered an injury or accident to the mouth affecting the teeth. Or you may have serious or repeating tooth decay. Your dentists will always try to repair and save your existing tooth by using treatment methods such as a root canal or dental crown. However, in some cases it might be best to extract the tooth and replace it with a solid dental implant, which can look and function like your original tooth.

Impacted Wisdom Tooth

At Indianapolis Oral Surgery & Dental Implant Center, your Oral Surgeon monitor patients’ teeth from their first visit through adulthood. Through routine exams, we can keep an eye on your wisdom teeth to ensure that they are moving into your mouth as they should. Wisdom teeth (also known as your “third molars”) emerge in the late teens or early twenties at the back of the mouth, but often don’t have enough space to erupt fully or even at all. When this happens, wisdom teeth become impacted, or don’t push through the gums properly. This can damage your healthy teeth, gums, jaw bone, and nerves. So your dentist will want to step in and extract the problematic wisdom teeth before their roots are fully formed.

Stubborn Baby Tooth

Your child’s baby teeth will usually fall out in their own time in the best order for his or her permanent teeth to come in normally. But, occasionally a baby tooth can be stubborn and will need to be extracted. Undergoing such an extraction may keep your child from needing orthodontic treatment later on.

Overcrowded Mouth

Your Indianapolis Oral Surgeon will extract teeth when there is just not enough room in your mouth for the teeth that are coming in, or in preparation for braces or another form orthodontic treatment. Orthodontists often need the additional space in the mouth gained by tooth extraction for your remaining teeth to be moved and aligned in the proper way. For orthodontic treatment, the teeth that are usually removed are the first premolars, next the canines or eyeteeth.

How Will My Tooth Be Extracted?

YourIndianapolis Oral Surgery & Dental Implant Center team will walk you through each step of the extraction process including:

X-rays

We will take X-rays of your teeth to determine the exact position of the tooth’s roots and to find out what kind of condition the bone around the tooth is in. These X-rays will be used to foresee any potential challenges with your extraction.

Medical History

Your family dentist will review your medical history to make sure you are healthy enough for the procedure and discuss anesthesia options with you. Then your appointment will be set.

Anesthesia

At your appointment, your Oral Surgeon will administer a local anesthesia that will numb the tooth to be extracted and the gums surrounding it. We can use additional sedatives as needed, such as: oral sedative pills, nitrous oxide gas, or intravenous sedation. Complete sedation is usually only required for more challenging tooth extractions or when you have more than one tooth that needs to be extracted.

Extraction

Your Oral Surgeon will carefully loosen the tendon fibers around your tooth, being careful to make sure that the bone surrounding your tooth is not damaged. If your extraction is going to lead to the placement of a dental implant or orthodontics, our dentists will sometimes place a tiny amount of lab-processed bone-grafting material into your tooth socket to retain the bone volume.

Recovery

Your recovery time should be minimal at our Indianapolis office. Immediately after the tooth extraction, your Oral Surgeon will apply pressure with sterile gauze for 10 – 20 minutes to control any bleeding. A few small stitches may also be utilized. In most cases you will want to have someone drive you home and take it easy immediately after your extraction.

At Home

Your Oral Surgeon  may prescribe antibiotics to enhance healing and make sure that your tooth extraction doesn’t result in infection. Patients routinely encounter some mild swelling or irritation after a tooth extraction. You may want to take ibuprofen or other anti-inflammatory drugs to ease this discomfort. You may also want to use ice packs on the outside of your jaw and eat softer foods until the discomfort subsides. Within a few days your mouth should be back to normal.

Call Your Indianapolis Oral Surgery & Dental Implant Center Today!

If you think that you may need a tooth extraction, contact Indianapolis Oral Surgery & Dental Implant Center and speak with our experienced and skilled Oral And Maxillofacial Surgeon to learn what options may be right for you. Dr. Falender and his skilled staff are all here to help answer any questions you may have about tooth extraction and your complete oral health. Together, we can help you maintain a healthy mouth that will result in a happier, healthier you!

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Why Sometimes A Tooth Extraction Is The Answer For Better Oral Health

Why Sometimes A Tooth Extraction Is The Answer Indianapolis

When you go to the Oral Surgeon with severe tooth pain or a serious case of tooth decay, the Oral Surgeon will do everything they can to save that tooth and ease the pain. Advances in dental technology mean that many teeth, even seriously compromised ones, can be saved, but there are times when a tooth extraction is the best option.

It is best to let your Oral Surgeon decide whether your tooth can be saved or extraction is the best option. Your Oral Surgeon has the experience, the training and the expertise needed to make the call, and your mouth will be the better for it.

#1 A Dangerous Infection

An infected tooth will cause you severe pain, but it could also put your physical health at risk. An infection deep in the tooth can spread to other parts of your body, compromising your health and leading to a potentially dangerous condition.

If your tooth is found to be severely infected, your Indianapolis Oral Surgeon Dr. Falender may choose extraction as a safer alternative to other forms of treatment. In this case, extraction could be the only safe course of action, and you should always listen to the advice of the Oral Surgeon and other medical professionals.

#2 Severe Pain

If you are suffering from severe pain, a timely tooth extraction may be the best way to relieve the suffering. While other forms of treatment could be effective, they could take longer, and that could mean more pain in the long run.

For patients with severe tooth pain, the Oral Surgeon may recommend an immediate extraction, followed by the use of a dental implant or other appliance later on. That way you get immediate relief from your tooth pain, and you can save your appearance.

#3 If the Tooth is Severely Damaged or Compromised

If your tooth has been damaged in an accident or as the result of a sports injury, it may be too compromised to save, and an extraction may be the only viable course of option. Extraction may also be required if the tooth is severely decayed, or if it is extremely discolored or otherwise compromised.

If you suspect tooth decay, it is important to get to the Oral Surgeon as soon as possible. If you leave your decayed tooth go too long, the damage could be too severe to save the tooth. In that case, extraction may be the only way to preserve the rest of your natural teeth, as the decay and gum disease could spread to the surrounding area. As with all types of medical care, it is important to rely on the advice of your Oral Surgeon regarding a tooth extraction. Your Indianapolis Oral Surgeon Dr. Falender can help you understand what is involved in the extraction, and how to preserve your healthy smile going forward.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Top 8 Possible Causes of Your Tooth Pain You Should Never Ignore

Top 8 Possible Causes of Your Tooth Pain You Should Never Ignore

Unless you’ve just had dental work such as a root canal or filling, it is not normal to experience tenacious or prolonged dental pain. Your body is telling you that something is wrong. For persistent pain that lasts longer than a day or for reoccurring pain that goes on for more than a week, it’s essential to schedule an appointment with your Indianapolis dentist near me who will identify the cause.

In the meantime, following are 8 Causes of Your Tooth Pain you can read for a better understanding of your diagnosis?

#1 Tooth Sensitivity:

Often the result of brushing your teeth too hard and/or too often, tooth sensitivity is caused by receding gums and tooth enamel. Use a sensitive toothpaste to ease your symptoms while waiting for an appointment with your Indianapolis dentist.

#2 Dental Cavities:

When one tooth in particular is bothering you, the likely cause is a cavity. Your Indianapolis dentist will perform an oral exam and may also take a quick X-ray to confirm.

#3 Jaw Clenching/Tooth Grinding:

Habitual clenching and grinding wear down the teeth leading to increased jaw soreness and tooth sensitivity.

#4 Cracks and Chips:

Not always caused by a specific event, some tooth cracks occur over time. This is another potential side effect of excessive jaw clenching and tooth grinding. The pressure exerted over your teeth can cause tiny lines to form. With continued pressure, these lines evolve into cracks and chips which expose nerve endings.

#5 Impacted Wisdom Teeth:

Pain near the back of the mouth, swelling of the jaw, bad breath and a headache are all signs of an impacted wisdom tooth. Additionally, some people also get jaw stiffness and in more extreme cases, a person may have trouble opening and closing their jaw.

#6 Gum Disease:

When gingivitis is left untreated, gum disease is the next stop on the dental train of pain. While gingivitis can typically be reversed with a better oral hygiene routine and regular dental cleanings, gum disease is a more challenging problem to tackle. See your Indianapolis dentist to devise a plan for fighting your particular case of gum disease.

#7 Dental Fillings:

Tooth sensitivity to hot, cold, air and pressure are common for some people after a dental filling. If you continue experiencing pain, the filling may be too high and require additional filing by your Indianapolis dentist. Another type of pain to look out for is a sharp shock occurring only when your teeth touch. This is like lya galvanic shock caused by two metals (fillings) touching producing an electric current.

#8 Abscess:

When the pulp of your tooth becomes infected, it’s known as an abscessed tooth. Additional symptoms include facial swelling, fever and relentless pain. You may also experience a sour taste in your mouth from the drained swelling at the tooth root.

Depending on the dental problem you are experiencing, your Indianapolis dentist may recommend one of many solutions including a root canal, dental filling or tooth extraction. Ignoring dental pain is never a good idea and when ignored for long enough, it will ultimately limit your solutions.

Take control of your dental health! To schedule your next appointment, call (317) 790-2555 or visit us online.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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What Care Do I Need To Take Post Tooth Extraction

What Care Do I Need To Take Post Tooth Extraction

“What Care Do I Need To Take Post Tooth Extraction?” is one of the many questions that are asked by dental patients in Indianapolis who’ve had their tooth extracted at Indianapolis Oral Surgery & Dental Implant Center. After You’ve Had a Tooth Pulled, your oral surgeon Dr. Falender will send you home to recover. Recovery typically takes a few days.

Following all the post-operative instructions after tooth extraction reduces the incidence of infection and chances of dry socket. If aftercare instructions are not followed then it can cause complications, which can further lead to delayed healing.

Here are some of the do’s and don’ts after a tooth extraction.

DOs

1. Take Your Medicines as Prescribed by Your Oral Surgeon

Don’t skip the medicines. If antibiotics are given they should be taken regularly. Pain killers and anti-inflammatory drugs are to be taken after tooth extraction. It help in reducing the pain and swelling. If the pain continues even after two days of tooth extraction and bleeding starts then you should call your dentist.

2. Use Ice Packs

Apply an ice bag to the affected area immediately after the procedure to keep down swelling. While on simple extractions swelling isn’t accompanied, in cases requiring severe cheek retractions swelling can occur after operation. The swelling after an extraction may not occur immediately, but can continue to swell for a few days, reaching a maximum at the 2nd or 3rd day. Application of the ice pack is most effective during the day of extraction as after 24 hours there is no significant beneficial effect. Apply ice for 10 minutes at a time.

3. Rest for a Day

Relax for at least 24 hours after the extraction. Limit activity for the next day or two.Avoid rinsing or spitting forcefully for 24 hours after the extraction to avoid dislodging the clot that forms in the socket.

After 24 hours, rinse with your mouth with a solution made of 1/2 teaspoon salt and 8 ounces of warm water.

4. Let it Clot

Let the clot be formed on the tooth extraction site, which covers it and allows it to heal. After the procedure your dentist will give you a piece of gauze to bite on near the extraction site. Try to bite down and keep it in place for at least an hour afterwards. This will put pressure over the wound and help it to stop bleeding.

However, make sure you don’t chew on gauze piece. If you can keep it in place longer that’s best, but make sure to change the gauze after roughly every half hour, depending on the amount of bleeding. If once the clot forms it becomes dislodge the nerve endings then become exposed. The nerves and capillaries spasm and constrict, limiting essential blood supply, which causes delay in healing. If the bleeding persists for a few hours after the procedure then try putting a wet tea bag on the site. The tannic acid present in black tea helps to aide in the clotting process.

5. Take Warm Saline Rinses

The main aim of rinsing is to clean the area of extraction as it is not possible to brush the socket. We mix salt to make the solution isotonic and similar to natural tissue fluid and thus it is less irritating than water. Rinsing is usually advised 12 hours after extraction. So, warm saline rinses help in cleaning and maintaining the hygiene of that area.

DONTs

1. Avoid Sucking

Do not drink from a straw for the first 24 hours. Avoid using Pacifier and Sippy-Cup. The sucking action will increase the pressure inside your mouth and may interfere with a clot forming.

2. Don’t Smoke

For at least 48 hours after tooth extraction do not smoke. The chemicals in the smoke can affect the clot and hence the chances of developing dry socket 3-4 days after tooth extraction increases and can inhibit healing.

3. Avoid Solids

While you still have numbness it’s best not to eat solids. When you start feeling your jaws you can start taking solids. After tooth extraction, take soft and liquid foods like soups, mashed potatoes, yogurts, milkshakes, smoothies etc. Gradually add solid foods to your diet as the extraction site heals.

4. Avoid Aspirin

Don’t ever take aspirin (Can take ibuprofen). Aspiring being a blood thinner will delay in clot formation thereby will prevent healing. Take the medications as prescribed by the physician and consult your dentist before taking any medicine.

5. Use Pillows

When lying down, prop your head with pillows. Lying flat may prolong bleeding.

6. Avoid Exposure of the Extracted Site

Continue to brush and floss your teeth, and brush your tongue, but be sure to avoid the extraction site. Doing so will help prevent infection.

7. Don’t Poke into the Gap Created

Though for initial few days, it will feel a bit awkward to have a gap but don’t poke that area with any toothpick or tongue as it may delay healing, may provoke bleeding and can also lead to dry socket.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Is Wisdom Tooth Removal Necessary?

is wisdom tooth removal necessary

It seems that removing wisdom teeth has become a rite of passage into adulthood, but is it always necessary to remove them? The answer varies because each case is different. While it is true that extracting wisdom teeth can prevent dental problems, both now and later, only after assessing the growth, position and impact on surrounding teeth can we decide whether it’s best to remove them.

We Recommend Removing Wisdom Teeth When

They Cause Gum Problems.

Impacted wisdom teeth crowd other teeth and cause pain and swelling, especially when they only partially erupt (push themselves up through jawbone and gum tissue into the mouth). Partially erupted (impacted) teeth may lead to infections, cysts or tumors in the gum tissue or jawbone. These are serious problems that negatively affect your overall health. Incompletely erupted teeth can create deep pockets around themselves where bacteria and food can collect and infection can develop.

Their Growth Can Cause Damage to Neighboring Teeth.

Deep pockets around incompletely erupted teeth create areas where bacterial plaque, calculus and food collect. Cavities on tooth roots may develop in these areas. If cavities do develop on the roots of the neighboring teeth, extraction of the wisdom teeth and the neighboring teeth will likely be required.

The Position of the Tooth Hinders Jaw Movement or Affects Chewing Function in Any Way.

  • Does the wisdom tooth scrape the soft tissues in your mouth?
  • Does it cause you to bite your cheek?
  • Does food get caught under the gum tissue around the wisdom tooth and cause swollen and/or painful gums that you bite while chewing?

These are concerns that need to be addressed to keep you chewing your food well and facilitating digestion.

It’s clear they won’t fully erupt and they are either:

  • Moving in the direction of neighboring tooth roots or
  • Will never come into contact with an opposing tooth.

Wisdom teeth do move within the jawbone as they attempt to erupt. If they move in the direction of adjacent tooth roots and put pressure on them, the roots will resorb. This will permanently damage the adjacent tooth and will require either surgery on the affected roots or tooth extraction. Alternatively, if it’s clear that the wisdom tooth will not come into contact with its opposing tooth, it is functionally useless and the risks of keeping it can often outweigh the benefits of keeping it. Conversely, if your wisdom tooth is impacted and not causing harm in any way, it’s best to leave it in place.

Now that you know when you should remove wisdom teeth, read on for reasons why you shouldn’t.

We Don’t Recommend Removing Wisdom Teeth When They Are

  • Healthy
  • Fully erupted
  • Positioned correctly and not overly crowding adjacent teeth
  • Functioning properly

What Is The Process for Wisdom Tooth Extraction?

  • X-rays and an exam to confirm the need for extraction and plan the procedure.
  • A consultation to discuss your options for anesthesia, sedation and to review the overall extraction process before the day of the procedure
  • Administering anesthetic and possibly sedation on the day of the procedure in the comfort of the dental office
  • Opening the gum tissue and removing the wisdom tooth or teeth
  • Closing the gum tissue with sutures, which will be removed during a follow-up appointment (In some cases, the gum tissue is left open to heal)
  • The procedure may take 1 hour or more. The doctor can give you an estimate of the time required during your consultation appointment.

What Happens After Wisdom Tooth Removal?

  • Post-operative instructions will be reviewed with you in the dental office.
  • Keep gauze pads in the area to help stop any bleeding.
  • Ice packs may be used on your cheek(s) to help avoid or reduce swelling.
  • Rest and refrain from any sports or strenuous activities for a few days.
  • Avoid smoking, carbonated beverages, drinking from straws, touching the extraction site, chips and nuts and eat soft foods for 2 to 3 days.
  • Take any medications prescribed as directed.

Have you felt pain or discomfort in your jaw? Are you wondering if your wisdom teeth should be removed? Contact us for an appointment and get a professional opinion. We have answers and we can help.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Common Signs You Need to Get Wisdom Teeth Removed

Common Signs You Need to Get Wisdom Teeth Removed

Why do we have wisdom teeth?

Scholars believe that we have wisdom teeth as the evolutionary answer to eating raw meats, vegetables, and roots. These third set of molars grow in some people between the ages of seventeen and twenty-five, or the wisdom years. They are not always functional and can crowd the mouth or make problems for you in the future. The roots of the wisdom teeth are not fully embedded between the ages of sixteen and nineteen. It is recommended that they are evaluated during this time to make sure that there is no threat. As you get older, the bones in the mouth become harder, making them difficult to remove.

Some dentists decide to take these teeth out to prevent problems later on, even if no symptoms are occurring. Sometimes the teeth are impacted and cannot break into the jaw through the mouth. Waiting to have them removed could cause problems after surgery that include, heavy bleeding, fractured teeth, severe numbness and loss of movement in your jaw. These problems could go away after a little while, or they could last for a lifetime.

Common Causes for Wisdom Teeth Removal

Incorrect Growth

When these teeth grow in, sometimes they take up too much space in the mouth. These teeth cannot be straightened out with braces. When the mouth is overcrowded, there is no procedure that can be done to make the teeth all fit together. The only option is to have them removed. A dentist can determine which teeth and how many need to come out. They might have to extract all of them or only a few.

Before the wisdom teeth grow in, there is normally twenty-eight teeth in the mouth. After the wisdom teeth grow in, there are thirty-two teeth. There might not be enough room in everyone’s mouths to fit the extra teeth. Extraction is done to make sure that your mouth has enough room.

Pain and Irritation

Sometimes these teeth can cause aches and pains. If these pains occur, contact your dentist to find the right solution. They can determine if it is the actual wisdom teeth or if something else is causing the pain. When pains and irritations happen, the dentist will not always decide that extraction is the best solution. Over time, the pain might correct itself and no extraction will be required.

Difficulty Eating

If you experience pain while eating, this might be a reason to have your teeth taken out. Food could be getting stuck in between the gums and the tops of the teeth. This could cause a lot of problems if you cannot get to the back of the mouth and clean well enough while brushing. Checking with a dentist to find the right products to fix this problem is the best way to handle it. If it can’t be resolved, extraction might be the only choice.

A Cyst Forms Around the Tooth

When a sac next to the teeth becomes filled with fluid, this is called a cyst. If it goes untreated, it can destroy bones, roots and surrounding structures. It becomes too severe, it can turn into a tumor and require additional surgery.

Teeth are Not Straight

If the wisdom teeth grow in crooked, they can make the other teeth shift and move over. They might even damage the other teeth. Extraction can prevent the other teeth from having any damage. There are multiple theories why wisdom teeth tend to grow out crooked and sideways. It has been said that our jaws are not large enough to accommodate a 3rd molar which then bumps against the others causing it to grow sideways.

Sinus Issues

You wouldn’t think wisdom teeth can cause sinus problems, think again. These problems arise when teeth grow in on the upper jaw. When the teeth grow and roots develop, they can push and rub against the sinuses putting pressure on them. Even though this problem doesn’t happen frequently, wisdom teeth can sometimes lead to sinus pain, pressure, headaches, and congestions.

Cavities

The position of the wisdom teeth can have a big impact on cleaning surfaces where bacteria can hide. If the gums become irritated, pockets can develop between the teeth and cause bacteria to grow. This will then promote the development of cavities leading to infecting and affecting more than just your teeth.

Inflamed Gums

Sometimes when wisdom teeth start sprouting out, it can create a flap of gum tissue that resides next to the tooth. This gum tissue can trap small particles of food and bacteria. Tissue around the teeth can become hard and inflamed, making it hard to clean. This is called pericoronitis, it can also occur around wisdom teeth that are still underneath your gums.

The procedure is done by the dentist or the oral surgeon. Patients usually have a local or general anesthetic. A general anesthetic will require someone to help you after the surgery. Depending on how many teeth will be removed and the severity of the case, the procedure can take from one up to several hours. If you are having the surgery, you might have to avoid blood thinner and aspirin prior to the surgery. There will also be aftercare with prescription medication for the pain.

Do I Have to Get Wisdom Teeth Removed?

Some people live with their wisdom teeth for their entire lives. It is not recommended to remove any teeth because there is the chance of the teeth shifting. If they are not causing you any problems, you should not worry about having them removed. If they have to be removed, you might have to have them removed two at a time (all of the top teeth or all of the bottom teeth), or you might have to get all of them removed at the same time. This option is what is recommended to keep you from having to make a second appointment.

Whatever the condition that your teeth is in, visiting your Indianapolis dentist regularly can prevent painful occurrences later on. Making sure that you maintain a healthy dental routine along with a healthy diet will keep your mouth healthy and pain-free. A regular routine of brushing, flossing and using a good mouthwash will keep your smile free from infection and pain. Most importantly, make sure that you follow the directions of your dentist.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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Can I Play Sports After Wisdom Tooth Extraction?

Can I Play Sports After Wisdom Tooth Extraction?

Wisdom teeth removal, while it is a fairly routine procedure in most cases, is still surgery, and proper post-operative care is crucial to a full and complication-free recovery. Dr. Falender often get asked about how recovery from wisdom teeth removal affects participation in sports and other activities.

The details of the care you will need and the length of your recovery depend largely upon individual circumstances, such as the number of wisdom teeth you’re having removed, your general state of health and the relative difficulty of your particular procedure.

However, there are some general guidelines that can help give you an idea of what to expect after surgery and how long you should wait before you resume normal activities, such as sports, after wisdom teeth removal.

Physical Activity Limitations: The First 24 Hours

After wisdom teeth removal, physical activity must be strictly limited for the first 24 hours. Strenuous exercise and work are to be avoided, as is bending over or heavy lifting. These restrictions apply without regard to the number of wisdom teeth removed or the difficulty of the procedure.

Even in the case of a very simple extraction, any activity that raises the blood pressure during this period can interfere with the initial phase of healing, making it difficult to control bleeding from the extraction site or sites and possibly interfering with the proper formation and retention of the blood clots that are meant to seal and protect the socket as it heals.

Sports After Wisdom Teeth Removal: Take Your Time

As a general rule, patients are advised to refrain from sports after wisdom teeth removal for about a week. However, how long you need to limit activities depends upon a number of factors, such as the location of the teeth to be removed, their positioning in the jaw, whether they have become impacted and how much root development has occurred in the tooth at the time of removal. These factors impact the complexity of the procedure, which, in turn, affects healing time.

Removing upper wisdom teeth can be a bit less traumatic than removing lower ones, so patients who have had an upper wisdom tooth extraction may be able to begin light physical activity after about five days. However, if that activity produces throbbing, pain or bleeding, patients would be wise to refrain from further exercise for a few more days, then ease into activities gradually as tolerated.

Sports and Wisdom Teeth Removal

Returning to sports after wisdom teeth removal can be a longer process when the teeth in question are lower ones. Physical activity should be limited for about ten days, especially if both lower wisdom teeth are removed, since the lower jaw bone is typically more dense than the top, taking longer to heal. In cases where surgery is complex, such as when bones must be cut to remove teeth, patients may need to avoid sports after wisdom teeth removal for longer than 10 days to ensure proper healing.

Dr. Falender can offer more specific guidance on how long you will need to refrain from sports after wisdom teeth removal after a thorough evaluation of your particular circumstances. However, it is safe to assume that you will be out of commission for at least a week or two after wisdom teeth removal. Following those restrictions is very important to ensuring proper healing and avoiding complications. If you’re on a sports team and aren’t having acute problems with your wisdom teeth, waiting for the off-season to schedule your procedure is a much better bet than putting yourself at risk by rushing recovery for the sake of getting back in the game more quickly.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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What Are My Anesthesia Options During Wisdom Teeth Removal in Indianapolis

What Are My Anesthesia Options During Wisdom Teeth Removal in Indianapolis

If you’ve been informed that your wisdom teeth have to come out, chances are good that you’re feeling a little anxious about the process. Among the more frequent ways patients express that anxiety is through questions about how much discomfort and pain will be involved and what sort of anesthesia will be used to address it during wisdom teeth removal.

Dr. Lawrence Falender, Indianapolis oral surgeon, offer a range of anesthesia options to ensure patient comfort during these procedures, depending upon the complexity of each surgery and the patient’s personal preferences and pain tolerance, as well as their level of anxiety.

Local Anesthesia

Local anesthesia, during dental procedures, usually consists of the use of pain medication, typically novacaine, injected into the soft tissues to temporarily deaden the nerves, numbing the area in which work will be done. Used alone, this type of local anesthesia completely eliminates pain, but patients may still feel some pressure. For patients who are uncomfortable with that feeling of pressure, local anesthesia can be combined with nitrous oxide or other mild sedation techniques to lessen that feeling.

Nitrous Oxide

The mildest form of conscious sedation, nitrous oxide, commonly called laughing gas, is an inhaled anesthesia option, delivered via a nasal mask. This option is rarely used alone, since it is very mild. However, for wisdom teeth removal, Indianapolis oral surgeon often use nitrous oxide in combination with local anesthesia, which can offer effective relief of pain and discomfort without the hang-over affects common to more potent options.

Oral Pre-Medication

In oral pre-medication, patients are prescribed pills to take 30 minutes to an hour prior to wisdom teeth removal. Indianapolis oral surgeon commonly prescribe drugs that include Valium, Halicon and Ativan for this purpose. Oral pre-medication is more effective than nitrous oxide, particularly for patients who are anxious during dental procedures. Patients who use this anesthesia option will need an escort to drive them to and from their oral surgeon’s office, since there generally is a hang-over effect with these medications.

Intravenous (I.V.) Sedation

Intravenous sedation, also commonly called twilight or conscious sedation, involves the use of sedatives administered directly into the bloodstream via an IV port, generally placed in the arm. While patients are generally not unconscious with this form of sedation, they are typically completely unaware of the procedure as it happens and, in many cases, have no memory of it once the anesthesia is cleared from the body.

Local anesthesia is generally administered as well to ensure a pain-free experience during wisdom teeth removal. Indianapolis patients who use IV sedation cannot drive for 24 hours after their procedures and will require assistance in getting home.

Knowing your basic options will make choosing the best one for you easier, since you’ll have a better idea of what each of them can do to ensure your comfort. However, deciding which is most suitable to your particular circumstances is best done with the input of your Indianapolis oral surgeon. These matters should be discussed at your consultation appointment, with your options clearly explained. If you don’t understand those explanations, don’t be afraid to ask questions. After all, ensuring your comfort and peace of mind during wisdom teeth removal is a priority for a good oral surgeon, since taking the time to do so will make surgery easier on both of you.

About Your Indianapolis, IN Oral Surgeon

We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Falender contact our Indianapolis, IN, dental office today by calling (317) 790-2555. Our office welcomes patients in and around Indianapolis, IN, including Fishers, Lawrence, Greenfield, and the surrounding Southern Indianapolis communities.

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