Wisdom teeth

[masTers]

Does anyone have any experience with dentists that will remove impacted wisdom teeth whilst sitting in the chair?

Apparently it's quite a common procedure in Singapore / Hong Kong?

I really don't want to wait for surgery.

Thanks.

[SimonR32]

Yes I had it out in the chair...

Wouldn't recommend it, there is no pain (unless the anesthetic wears off like it did with me) but for one tooth it took over a hour and listening to that shit and staring at the roof becomes tedious :(

[TheChad]

Yes I had it out in the chair...

Wouldn't recommend it, there is no pain (unless the anesthetic wears off like it did with me) but for one tooth it took over a hour and listening to that shit and staring at the roof becomes tedious :(

i had the opposite... surgery :P

asleep, wake up, get driven home, fat faced for 2 days, ate solids 1 day after surgery, none the 2nd (most swollen) back to normal but fat faced by the 3rd day.
get surgery man, the chair is brutal and much worse in the long run.

[McKVNT]

I had it done in the chair, 4 x partially erupted wisdom teeth, Was fine during, kept asking if I could feel anything, all good... felt it afterwards tho hahahaha I wasn't really swollen. Just stayed on soft foods for a while. Actually went to the gym after having them removed now that I think about it... THAT was a dick move.

[masTers]

Yes I had it out in the chair...

Wouldn't recommend it, there is no pain (unless the anesthetic wears off like it did with me) but for one tooth it took over a hour and listening to that shit and staring at the roof becomes tedious :(

Which dentist? Was there much bruising after?

[dmwill]

Surgery here.

Got all four out, the issue was they they were all growing sideways and inwards which made the surgery a little more tedious and painful afterwards.

I was in a mess for near 5 days with icepacks strapped to my face and on painkillers 24/7 - could barely open my mouth, had to live off fluids and mushy stuff all that time. I actually lost a bit of weight too (and found it again pretty quickly once I could eat again).

[P100_Ute]

I got mine pulled in Chair.
then in my sleep i was chewing on my swollen cheek and bit of a chunk in the night (wouldnt go down the sink drain it was that chunky. had to put in tissue and throw in bin). mrs woke up to have a piss and found the bed covered in blood. heres a pic i snapped before i cleaned myself up.

http://s701.photobucket.com/albums/ww15/P100_Ute/The-Joker-Audition.jpg

same same...
http://www.deviantart.com/download/94434502/Heath_Ledger_as___The_Joker___by_patricktoifl.jpg

[thrtytwo]

Y U HAV GIRLY MOUTH FOR?

Haha all my wisdoms fit with room to spare. Lucky me I guess

[zeroyon]

Had mine out in the chair, full dose of drugs so was not awake for it.

Dentist was a butcher and a year on still having nerve pain issues and my jaw is just not right.

Also looked like P100_ute afterwards .... well except I have hair :)

My experience is the exception to the rule but it is good to knoew were you could end up.

[P100_Ute]

the bloke who did mine was real good. He asked what i wanted to do about it as it was sideways as and in a prick of a spot.
i just told him to do it as i didnt really want surgury @ hospital for it. and He said he'll do his best to get it out without having to goto the hospital. and he got it done. He was happy he was able to do it as he hadnt had the chance to do heaps of them as most people opt for surgery at hospital.
And both happy with outcome.. cept for the bloody bed of course.

[Joe]

Any Antilag dentist hook ups? I need mine out shortly.

I know Skipmaster J is a dentist but not sure if he has his own clinic or not.

[batmat]

Depending on the patient there can be complications having them removed with either method.

Have an x-ray, speak to your dentist about which method they feel comfortable with for your condition.

Having them removed in the chair is fine, it's common place here in Holland.

[urban]

wow guess i was lucky, i had one out while i was up north(broome) sitting in a chair, took about half hour, was eating soft solids the next day, no swelling or bleeding.

[Fryman]

had 2 done in teh chair.

local anast. It was not painful at all, but the mental pain you experience whilst staring at the ceiling and the mans literally in your mouth ripping them out from side to side Auschwitz spec is fucking phenomenal

[Lump]

wow guess i was lucky, i had one out while i was up north(broome) sitting in a chair, took about half hour, was eating soft solids the next day, no swelling or bleeding.
yeah mine was like that - fuck all, OP is talking about impacted ones which is far worse.

[R3N]

Had it done in chair as well, got 2 out. Anaesthetic jab to the gums, cut gums, break wisdom teeth, remove broken bits, stitch up, good to go. Was popping pain killers like skittles after.

[dmwill]

Actually...the most painful part for me was when the aesthetic wore off and I woke up....just as they were pulling a fucking tube out of my nose. Felt like a never ending tube too.

[Macca]

wow guess i was lucky, i had one out while i was up north(broome) sitting in a chair, took about half hour, was eating soft solids the next day, no swelling or bleeding.

did you get pete ellies? he did mine, awesome job. he owns broome dental

[Socrates]

When you say impacted wisdom teeth, what do you mean?

I need to get one out, that is still under the gum.
Because it will fuck with the rest of my teeth as there's no space for it

Are you guys saying all this shit could happen to me?, not feeling good about it now.

[masTers]

http://www.animated-teeth.com/wisdom_teeth/impacted-tooth/wisdom-horizontal-impaction.gif

[dmwill]

Everyone reacts differently...the majority of people I know have been good after a day or so, but having said that...mine were growing sideways.

[Lump]

When you say impacted wisdom teeth, what do you mean?

I need to get one out, that is still under the gum.
Because it will fuck with the rest of my teeth as there's no space for it

Are you guys saying all this shit could happen to me?, not feeling good about it now.
as far as i know 'impacted' means they are perpendicular to how teeth should normally be & yeah still under the gum - not good.

[Skipmaster J]

Any Antilag dentist hook ups? I need mine out shortly.

I know Skipmaster J is a dentist but not sure if he has his own clinic or not.

I practice at Lifecare Dental in the city (working for a faceless corporation), do 95% of wisdom tooth extractions in the chair under local anaesthetic. The other 5% I have an anaesthetist present for sedation. I don't bother booking lists at hospital, there's a ton of paperwork involved so if you want GA I just refer you to a specialist.

Availability pretty much within a couple of days at the moment. I'm no superstar but I do fancy myself pretty decent at getting teeth out.

Shameless plug - If you're keen call 9221 2777 and ask for an appointment with Alan.

[Stealthed]

I had bottom ones done in chair, you're awake but I don't remember much. Bit tender for a few days, stock up on pain killers and Up + go's and it's all good after about 4 days. (Can depend person to person though)

P.S, your first solid meal will be the best you'll ever have, scrambled eggs never tasted so good!! I had this done at joondalup dental centre (The big medical building next to cop shop)

[ovaxitd]

had all 4 out in the chair... full knock out needle in the arm etc .... still took them 2 hours...

was dentist in garden city next to david jones.. tallish building... was awsome... ended up home, asleep, looking like above naked.... fucken trippy going to sleep somewhere and wake up in bed all fucked up haha..

could only eat cheese burgers :)

[Socrates]

as far as i know 'impacted' means they are perpendicular to how teeth should normally be & yeah still under the gum - not good.

Mine still hasn't come out though, i don't think anything's wrong.
They start coming out now from my age (19) don't they?

[Passage GT]

had mine done in the chair, was awake for the whole thing which was great cause the dentist was 6 foot, dark blonde hair, stunning green eyes and listened to old school music on her ipod, best dentist ever, also had minimal problems after.
had 3 taken out, fourth had never been removed previously but simply wasn't in there.. still can't explain it.

[n1ghth4wk]

Mine still hasn't come out though, i don't think anything's wrong.
They start coming out now from my age (19) don't they?

I had the same situation as you at 17 but with all 4. Just organize to book in early at Murdoch hospital like I did. Was in and out in a few hours but slept the rest of the day (no blood). Few days taking it careful with what you eat and you will be fine. They do a nice job of dissolvable stitches that you have to salt wash every day for a couple of weeks but isn't painful.

[monk_13]

Bottom ones pulled out in the chair. Had to get them cut out as I left trips to the dentist off my priorities list for 11 years.
Think I'll get knocked out for the top two as they are broken off at gum level.

DO NOT LEAVE GOING TO THE DENTIST TOO LONG.

Shit is costing me a fortune now.

[mxracer]

mine where impacted and got em out in the chair ,and adult wisdom ( over 30 yr old )
older the harder and more painfull apperntly

bannister rd canningvale ,(not far from willeri drive ) i hate dentists with a passion , but ive had a few teeth out by this guy and he does a good job.

ask for a green whistle $50 .. best drug on the market !

the thing is when u have surgery they are rough as shit and flog ya mouth , and gum to get the teeth out , so usually ur left in alot more pain once u come out.

[shifted]

Mine are growing straight so keeping them, pretty lucky. Would prefer to remove shit teeth with fillings if I had to make room though.

Anywhere in Perth do what they do in Melbourne where you get gassed and are passed out for the duration of the dentist appointment? I loathe the dentist, can't stand needles and have to get two small fillings done soon... NOT KEEN.

[Bomber]

the thing is when u have surgery they are rough as shit and flog ya mouth , and gum to get the teeth out , so usually ur left in alot more pain once u come out.
Ken Oath!! Same as the videos the shows about plastic surgery show, watching your head bobble around while they go to town. Fark that.

I had all 4 out in the chair. Concious Sedation. BEST. SHIT. EVER. You can still respond to the dentist's instructions like move your tongue or open your mouth wider but you can't feel a thing. You can hear it though as your jaw bone connects real well to the ear haha.

The place I used is called Painless Dental - 2915 Albany Highway, Kelmscott, Ph: 9495 7999 http://www.painlessdental.com.au/ Hot reception/assisstants too.

[Skitzo]

Got all 4 out 2 years ago, but i opted for surgery. Apparently they popped out, and were perfectly formed. Lil bit of swelling, no bruising, a bit of bleeding (due to blood disorder) and basically no pain. Had some bombed dude near Kings Park do it becuase one fo them was close to the nerve. Shit wasn't cheap.

Shifted, I'd still get an opinion on them before you commit to keeping them.

[JME]

Sedated or medicated you won't feel anything. It's usually that night/next day when the forte's get smashed.

[180SXTCY]

I had some teeth removed in the chair and didnt feel a thing..bit weird sitting there and hearing the cracking and what not and the dentish pulling on them... then about a year later i had my wisdom teeth out. Enter CSB MODE

went for the extra and had teeth dentists refer to as 'nines' they're basically 2 extra wisdom teeth on my top jaw so in total i had 6 wisdom teeth pull out in hospital, was way better than the chair experience imo.

/csb

[Tre-Cool]

the rear top teeth for me have started to break down this year and get sharp edges to them. but generally there not causing me any trouble. they are a bit sensitive to pressure but as my jaw is out of whack anyway i very rarely chew any food with them.

bottom ones are perfectly fine. Be interested to know exactly what teeth people are getting pulled. top or bottom.

[Lump]

yeah i used to get a 'point' of a wisdom tooth rubbing on my lower gum - i used to get a nail file & file the bugger down

[brynj]

Reading this shit makes me feel sick. I've had a tooth put back in without anaesthetic.. there is no way I will ever have any major dental work done without full sedation now, fuck that!

[Trolley]

Good timing with the topic. I have an appointment with a surgeon in a fortnight to book in removal of wisdom teeth. Going to book it in for the end of the year hopefully during which I will be on school holidays. Should be fun at age 33... :/

They've never caused me any problems, but my dentist has hounded me for 10 years to get them out as they're only partially ruptured (halfway through) and the gums are overlapping them a little bit (easy to get shit stuck in there and turn nasty).

[Skipmaster J]

Toughen up, princess!
Haha in all seriousness though, having stuff like that happen can be pretty traumatic, which is a shame seeing as dentistry can (at times) be relatively comfortable.

[ReaperSS]

Best thing to eat after havin them out is kFC potatoe and gravy

[Skitzo]

They've never caused me any problems, but my dentist has hounded me for 10 years to get them out as they're only partially ruptured (halfway through) and the gums are overlapping them a little bit (easy to get shit stuck in there and turn nasty).

That's what prompted my wisdom teeth removal. Same deal with mine, and got some somethig stuck in the gum. Got infected, and hurt like a mother fucker. Could barely move my jaw.

[-Luke-]

This topic makes me very uncomfortable.......:o

Had 1 lower out ten years ago. Came out in several pieces and my dentist politely told me not to bother seeing him for the
other 3. He recommended a general and an orthodontic surgeon. All my bottom teeth where loose for about a week as the wisodm tooth was pushing against the rear molar. Diazapem for pain management FTMFW :D

[thrtytwo]

Diazapem for steadying your sniper rifle FTMFW :D

fixed

[-Luke-]

saywhat?

[Mad_Aussie]

Try to get into Hollywood if you're going the surgical route. When I was a PSA there we took a lot of people in for their teeth, they seemed to treat the patients *relatively* well. Nice facilities too. HBF is worth it.

[Skipmaster J]

Best thing to eat after havin them out is kFC potatoe and gravy

Fuck yes, I lived on the stuff for the first few days.

[_oz]

had all 4 taken out in surgery couldn't eat solids for 5 days after surgery :(

kate morlet-brown removed mine :)

[dattoman]

I'm 43 and need 3 , maybe 4 done soon
I had xrays done but don't have a copy... but I showed them to a dentist and he recommended surgery
I'm a sook so don't want to go.... and can't afford it anyway
But I know it needs doing sooner rather than later

[mxracer]

i think the cost of 3 of mine was only about $400 and inc a $50 green whistle .

the compounded one was what he was worried about .. and that came out easy .. one of my other ones he really struggled on .. when it came out he said it was really badly hooked roots and said he only had 1 other case in 15 yrs of teeth pulling that where like that .. took it off to me and sent it to dentist school as a sample to students ..

either way im same , hate dentists , hate the needles and pain . but the green whistle make it like a party , so wacked thatu dont care or feel anything ..
not any major pain afterwords.
when i was about 20 i had a tooth pulled by a curry muncher chick . she was weak as piss and had to wiggle and flog my gums to get the tooth out ( instead of a firm straight pull ) and after the local wore off i swear it felt like i had a upper cut from a sledge hammer ..
so just a tip .. so make sure ya dentist is strong .. it helps in the long run ..

[Gurney]

I had x-rays taken of mine and they appeared to be coming through extremely angled, removal was recommended but unfortunately at the time I didn't have a spare $1,000 so I didn't go ahead with it. Instead I decided in my head that if I wore my retainer 24/7 until they fully emerged that this might force them out straight, and thankfully that's exactly what (seemed to) happened. I get the occasional pain here and there and I will be looking to get them out with I can afford it/the time off work, but so far it's been fine.

[thrtytwo]

I didn't realise wisdom teeth caused problems for so many people

Skipmaster, any idea of any kind of statistics of how many people keep them vs. get them out?

[MISS 13B]

I had 4 out at the same time, FUCK getting that done in the chair.
In most cases, wisdom teeth have to be cut out, not just pulled.

There's so many fine nerves that run through your face and mouth that if something goes wrong, you may lose feeling in part of your face.
Don't be a Jew, a good maxillofacial surgeon is worth every dollar when it comes to wisdom teeth removal.

[millzy_88]

Mine are absolutely killing me at the moment, normally the pain comes and goes but i think it is here to stay this time. I'll definitely be looking into surgery when i get back though as after having mine x-rayed it turns out i not only have the four wisdom teeth coming through but an extra tooth as well behind those on the bottom right of my mouth so will need it. Not looking forward to the bill mind you.

[dmwill]

http://a7.sphotos.ak.fbcdn.net/hphotos-ak-prn1/549845_416439701705371_272251539457522_1889302_166 8872534_n.jpg

[ReaperSS]

apparently they chisel them out. Mate at work came out of surgery and had bruising on his chest. The docs said that was where they were leavering the jaw open with a bar to get right at the back WTF!!!!!

[Skitzo]

Try to get into Hollywood if you're going the surgical route. When I was a PSA there we took a lot of people in for their teeth, they seemed to treat the patients *relatively* well. Nice facilities too. HBF is worth it.

That's where i got mine done.

[MISS 13B]

apparently they chisel them out. Mate at work came out of surgery and had bruising on his chest. The docs said that was where they were leavering the jaw open with a bar to get right at the back WTF!!!!!
Yeah it's fucked up hey. They have to be so rough because those mother fuckers are wedged into the jaw tight.
Sophie Mougos at Cambridge Street Day Surgery in Wembley did mine, she was fantastic. Minimal pain, very minimal swelling and bruising of the cheeks and awesome after surgery drugs.

[Tre-Cool]

i have finally cracked the shits with the rear tooth i keep getting pain from time to time. will be booking in to see the dentist when i get back on wednesday.

got some shit from the medical centre on site tonight and apart from tasting horrible it seems to have numbed the pain and part of my tongue.

[Gleeso]

i have finally cracked the shits with the rear tooth i keep getting pain from time to time. will be booking in to see the dentist when i get back on wednesday.

got some shit from the medical centre on site tonight and apart from tasting horrible it seems to have numbed the pain and part of my tongue.

Has it come through relatively all the way? Could just be growing pains, I kept waking up with shredded skin from my cheeks and tongue all around my mouth from chomping my teeth when asleep. I've only got wisdom teeth on the top of my mouth, and they're coming through fine. Thank fuck for that!

[Tre-Cool]

my teeth have been through for years, the problem is it's starting to break. i was getting pain so, as you do stuck my finger in and broke parts of it off with my nail.

plus i figured as i havent seen a dentist in 14 years it's probably a good idea to get a check up.

[Gleeso]

plus i figured as i havent seen a dentist in 14 years it's probably a good idea to get a check up.

14 years?! That shit cray!

Yer sounds like you need to get that thing ripped out.

I honestly couldn't go 14 years without, I fucking love the dentist, it's like a massage in your mouth. On a side-note, flossing your teeth is fucking amazing. Was told my teeth were good but I just need to floss, it really makes a difference/CSB

[tinto]

My wife enjoys telling me I'm less evolved than her because I have had wisdom teeth extracted (when i was 13) and she hasn't.
I'm yet to prepare a plausible comeback.
She has this fancy walk where she only uses her legs too - I can't get the hang of that.

[Joe]

She has this fancy walk where she only uses her legs too - I can't get the hang of that.

Does her fancy walk help her get to the kitchen more efficiently?

[tinto]

Does her fancy walk help her get to the kitchen more efficiently?
Four legs good two legs bad.

[TJ]

punch her in the back of the jaw, then tell her if her wisdom teeth were out it would hurt less

[Gleeso]

punch her in the back of the jaw, then tell her if her wisdom teeth were out it would hurt less

Ricey must of hacked TJ's account.

[Marti]

I had 4 removed after they got Infected( almost 2 weeks of pain and not eating, a I did was smoke duress which made it even worse), went to a dentist, pain killers wore off, dentist chiseled half off and snapped the other which led to drilling, stabbing,cuttin my gums and pulling. Worst pain I have ever felt. Get them out as soon as you can and save your self the pain

[siamak]

I'm a dentist. PM me if you have any questions on where to go etc.

[JBAE]

I'm almost a dentist. PM me if you have any questions on where to go etc.

Y U NO DR!?

[Lump]

LOL
nailed it.

[siamak]

Y U NO DR!?


ok

[siamak]

JOOOKES.

[vk-308]

Just had 4 of mine taken out about 12 days ago now. Bottom 2 were impacted top 2 where fucked.

Got em in the chair under local, was some pretty knarly sounds and I somehow ended up with stitches a couple of teeth away from where the wisdoms were. Think the dentist slipped with the scalpel. And when he just ripped the top 2 clean out I could feel fucking everything!!

Kept ice on it all day for first day and swelling pain after that was suprisingly very minimal.

Anyone know how long the holes in my gum will take to close up?

[Marti]

Mine closed up in under a month, be very careful with what you eat (infection may set in) also be rest gentle with the tooth brush, if you brush to hard the holes will open up and bleed

[swan]

My bottom 2 are impacting , but the top 2 are OK. But when I saw the dentist last year (and haven't gone back yet cause some of us are afraid of dentists) He said it was best to remove all 4 top and bottom wisdom teeth.

Is this the best way to go? (although I hadn't been to see a dentist in the decade prior to last years visit:)

[ED40]

Im in the same situation as you swan.. Keen to hear advice!

[crabman]

Do it once do it properly. Get them all out.

[31-EVO]

As crabman said, get them all out at once, I only had the two impacting on my lower jaw, But with them all out there is no need to return when the others do starting causing issues, best thing I ever did was fork out for the operation, the rest of my teeth are no longer sensitive sally's, and I can enjoy icecream again. But yes, do it once, do it properly, also, I might be a big girl, but I went with day surgeory instead of in the chair.

[shifted]

Found a dentist that uses happy gas.. didn't know we finally got this here in Perth. May make dentist more enjoyable.

[siamak]

Just had 4 of mine taken out about 12 days ago now. Bottom 2 were impacted top 2 where fucked.

Got em in the chair under local, was some pretty knarly sounds and I somehow ended up with stitches a couple of teeth away from where the wisdoms were. Think the dentist slipped with the scalpel. And when he just ripped the top 2 clean out I could feel fucking everything!!

Kept ice on it all day for first day and swelling pain after that was suprisingly very minimal.

Anyone know how long the holes in my gum will take to close up?

The reason the stiches were a couple teeth away is because of the design of the flap they need to raise to be able to access the site - 100% normal. I'm sure he didn't slip.

4-6 weeks. Avoid smoking and drinking as much as you can as they impair wound healing and continue warm water and salt rinses 3x a day after meals.

Remember to floss and brush as per normal, meticulous oral hygiene really helps (and prevents future problems).

[siamak]

Found a dentist that uses happy gas.. didn't know we finally got this here in Perth. May make dentist more enjoyable.

All dentists are licensed to use nitrous, but its whether or not they have it in their practise. A fair few do.

[siamak]

My bottom 2 are impacting , but the top 2 are OK. But when I saw the dentist last year (and haven't gone back yet cause some of us are afraid of dentists) He said it was best to remove all 4 top and bottom wisdom teeth.

Is this the best way to go? (although I hadn't been to see a dentist in the decade prior to last years visit:)


Im in the same situation as you swan.. Keen to hear advice!

Okay, a few factors to consider

Space - If there is physically no space for the wisdom tooth to erupt, then as a rule of thumb is best to have it out.
Ability to clean the area - if you cant clean it, then its only going to decay and cause you pain.
Level of impaction and orientation - need to see your OPG (X-ray) to determine this.
Root development - Depends on how old you are! Generally once you are in your 20's the roots are fully developed.
Proximity to Inferior Alveolar Nerve - This is our biggest concern. There is a nerve that runs from the back of your jaw, through your jaw below all your teeth and supplies sensation to your teeth on either side, your tongue, your chin and clip. If this is damaged during the tooth removal, you may have temporary loss of sensation or pain 0.5%-4%, or worse you may as a result have permanent loss of sensation to these areas and or chronic pain <1% chance.

What happens if I leave it?

Losing the adjacent tooth. (see picture) If you leave it it can erupt slowly into the molar infront and cause resorption/decay of that molar. If you can't clean or floss that area then you are more prone to periodontal disease (progressive destruction of bone and attachment due to dental plaque). Then you will end up loosing the wisdom tooth AND that 2nd molar.
Infection and in rare causes death (last one was a few years ago) - If the bacteria proliferate and grow in that area, the site can be a source of infection. The infection can form a more localised abscess or sac of pus, or can spread along the planes of tissue layers (facial cellulitis).
Cyst Formation - (see picture) in rarer cases the cells in that area can continue to grow and resorb the surrounding hard and soft tissues, leaving a resultant sack of fluid. In extremely rarer cases when this is left for years people have lost sections of their jaws altogether or can result in a pathological fracture of your jaw.
Bad breath and constantly getting sick - you would be surprised how much food and bacteria can build up in that site. Recent studies have linked pulmonary disease, early and premature births and cancer. (see http://www.independent.ie/health/health-news/bad-oral-hygiene-may-raise-risk-of-cancer-death-3136666.html)
If you're travelling abroad - you don't want it to flare up while you're away and cop the expensive bills.
Fractured jaw - if you play contact sports, you are more likely to have your jaw fracture if you have a knock or a blow in that area. Kind of like a wedge splitting a block of wood. Same thing for the weeks following the extraction until 4-6 weeks of bony healing as occurred.
Chronic and unexplainable pain - you may even get referred pain from somewhere else in your mouth that may be caused by your wisdom teeth.



Fig 1: Fig 1 Radiograph reveals roots of horizontally impacted 3rd molar touching roof of mandibular canal (the inferior alveolar nerve [mentioned above] is inside here)
http://journal.pdmdentalcollege.com/issue1/originalarticle/fig1_article2.jpg
Fig 2 Loss of canal cortical outline due to dentigerous cyst in relation to third molar and its roots.
http://journal.pdmdentalcollege.com/issue1/originalarticle/fig2_article2.jpg
Fig 3 Roots of mesioangular impacted 3rd molar in close relation to mandibular canal (the inferior alveolar nerve [mentioned above] is inside here)
http://journal.pdmdentalcollege.com/issue1/originalarticle/fig3_article2.jpg

Common misconceptions:

Wisdom teeth do not make the rest of your teeth crowded or crooked. This is physically impossible. Similar to a tree sprouting from one side of the forest causing the collapse of a tree kilometers away (I hope that analogy makes sense)
Antibiotics do not fix the problem, they only temporarily can reduce the bacterial load in the infection and delay the inevitable.


What if I don't want them done in the chair?
Completely understandable. I had mine done under general anaesthetic by a Oral and Maxillo-Facial Surgeon. They have a dental degree, a medical degree and 6 years+ of surgical training.
Wisdom teeth are their bread and butter, kind of like what an oil change is for a mechanic. They do hundreds of cases a year and they are the best at what they do. They have the lowest risk of complications due to their level of skill and they who dentists refer to if a case is too difficult to be done in a chair.


What can you do?

Brush twice a day (2 minutes each time) and floss once a day. Only 3% of the population do this. The rest of the 97% will spend thousands and thousands of dollars visiting me. I would rather do check-ups on healthy patients than have to actually do fillings. If you do not floss and you only brush, you are only cleaning 3/5 surfaces of your teeth. In between your teeth, food and bacteria will literally be rotting away, causing decay and bad breath. Do us both a favour. Trust me when I say if you do this you will be saving thousands of dollars over your life time.
Visit your dentist every 6 months for a clean and checkup and listen to that boss! Do you service your car? Or do you drive around for years without an oil change. Same Same. When you feel something isn't right, go in EARLIER rather than when its hurting.
Get private health insurance and find out when you can claim to save you some $$
If you have kids, and your dentist determines they should have them out. Get them done sooner before the roots are fully developed and while they are young, fit, healthy and able to heal faster.



I'll be happy to see any of you guys in a couple months time. But if its urgent, don't put it off. If you want to know WHO to see, feel free to PM me.

Hope that covers it all! PS (This is free advice and I'm not liable).

[dattoman]

Consult booked July 4
Will advise

[siamak]

PM's replied.

One thing I forgot to mention.

If you go for a General Anaesthetic, obviously you have to pay for the Anaesthetist. Hence why private health insurance will save you a bundle!

[shifted]

Seems like I'll have to get mine removed. Not keen.

So... HBF should cover - healing times? Probably going to go private surgeon route.. don't have the balls to take the dentists chair.

[Tre-Cool]

i had my tooth removed today, top left rear. half the tooth was missing and down to the roots, thus why it was hurting.

just had local anesthetic and pulled it out, took about 40 minutes and cost me $250

[shifted]

Dentist wants to take out 2 at a time, and do all four in a month.

Apparently option is up to me, general anesthetic, or get a anesthetist in at about $550/hr to be knocked out. Can do hospital but pointless.

So... who has had them out in the chair... easy? Bad?

[Satan]

my teeth are all good but I wouldn't mind a hook up for some green whistles

[Tre-Cool]

are your teeth impacted/sideways? mine wasnt just as above and that was done in the chair

[PHIL]

missus had a wisdom tooth out today. said it was worse than giving birth.

[shifted]

missus had a wisdom tooth out today. said it was worse than giving birth.

Fucken hell. Makes me want to postpone even more now! haha

Chair seems likely - hence wondering.

[PHIL]

i pulled mine out with pliers while drunk bout 2 years ago. bit of listerine every day and plenty of panadine forte and all was good

[DT95WA]

had 1 of mine done in the chair, they broke the tooth, ended up pulling it out in 3 pieces. Jaw hurt like a mother fucker being wide open for so long. if the other 3 start playing up ill be getting gassed. fuck going thru that shit again.

[evil1]

had my top 2 removed during a normal dental check up, was easy as for the dentist to get to.
bottom two were growing sideways impacting with other teeth, my aunty refered me to a specialist in vic park, and managed to get booked into southbank hospital that following friday, thanks to someone cancelling...im also with HBF ended up costing me ~$400, that included me going under...
the whole operationg went very smooth, came in with an empty stomach, had a bed for me all ready, i fell asleep, they woke me up and wheeled into the operating room, introduced themselves, put an IV into me, told me to breath some gas, NEK MINIT woke up with a bloody mouth and a glass of lemonade next to me.
took a good solid week to heal properly, could still feel stitches after a week, was freaking out a bit had this piece of meat flapping about up against my teeth but that went down.
went in for operation on friday morning 7:30am home by 1pm, and i was back at work on Monday with some swelling...
pain rating 2/10
annoying level 8/10
SOUTHBANK HOSPITAL GET ON IT

[ProJRad]

back to normal but fat faced by the 3rd day. get surgery man, the chair is brutal and much worse in the long run.

Jack your always fat faced....

[dattoman]

Consult booked July 4
Will advise


Total pending once a few calls made
But the Dr gave me a rough price
3 wisdoms out with surgery
$970 for the Dr
$1300 for the hospital fees
$700 for anesthetist

So $3000 give or take total
Booked in for Wed 18th July
No private cover
Ouch

[Marti]

Fuck that's expensive, private health care is worth it when it comes to things like this

[huggy_b]

Total pending once a few calls made
But the Dr gave me a rough price
3 wisdoms out with surgery
$970 for the Dr
$1300 for the hospital fees
$700 for anesthetist

So $3000 give or take total
Booked in for Wed 18th July
No private cover
Ouch


Fuck that's expensive, private health care is worth it when it comes to things like this

When I had 4 out about a year ago, HBF covered everything but the anethetist and that bugger cost me $1500, so $700 sounds alright to me! Didn't even get the option of chair, the dentist looked at the x-ray and referred me right away.....

[shifted]

LOL I got a quote of $1001 for all 4 in the chair. :-/

[H1GHROLLR]

Will speak to the wifey tonight (she is a dentist) and see what is available in the ways of there and then , will update tonight

[Blueraven]

Just thought I would chime in...

All wisdom teeth through with no issues at all.

Not a single cavity, brush once a day but forget most weekends, eat/drink alot of supposedly bad shit for teeth.

See a dentist once every 5 years or so, they find nothing, even with xrays, then insist i come back every 3-6 months lol

xox

[MrMayhem]

You'll probably be hit by a bus for that gloating

[Blueraven]

I did get and infection in one a few years back, thought I was going to die...

[Marti]

When I had 4 out about a year ago, HBF covered everything but the anethetist and that bugger cost me $1500, so $700 sounds alright to me! Didn't even get the option of chair, the dentist looked at the x-ray and referred me right away.....

I only had a needle and with the hbf rebate total was around 400 dollars. i had mine done 3 years ago though

[dattoman]

Total pending once a few calls made
But the Dr gave me a rough price
3 wisdoms out with surgery
$970 for the Dr
$1300 for the hospital fees
$700 for anesthetist

So $3000 give or take total
Booked in for Wed 18th July
No private cover
Ouch

Teeth are out
$1300 for the hospital (Mt Lawley private)
$970 for dentist
$605 for anesthetist

Alittle swollen and not able to eat much besides prescription icecream... lol

Hope to be back and work and all good on Monday

[shifted]

All four removed in chair today - $430 after rebate from HBF.
Anesthetist, $900 (but have to go to medicare to claim).

Was completely asleep - apparently I was polite so no idea what was going on while under.

For now, trying to figure out how to take care of the saliva building in my mouth filled with gauze and when I can take them out to take some meds.

[ED40]

Yeah it's fucked up hey. They have to be so rough because those mother fuckers are wedged into the jaw tight.
Sophie Mougos at Cambridge Street Day Surgery in Wembley did mine, she was fantastic. Minimal pain, very minimal swelling and bruising of the cheeks and awesome after surgery drugs.

Bit of a thread mine but I had mine out today and just had to back Miss13B's call 100%... Dr Mougos is excellent. I've got minimal pain, small swelling and stuff all bleeding(my bottom two wisdoms were impacted and I woke up with NO gauze-didn't need it). She is very good at what she does, clearly, and would recommend anyone to go through her. Also very decent looking too :P

[Halle Terry]

Fancy that, had mine pulled out this morning.

[ADZ]

Had mine out a few months ago with Evan Kakulas (was a 2-3 month wait just to get an appointment)

http://healthengine.com.au/oral-and-maxillofacial-surgeon/wa/west-perth/mr-evan-kakulas-oral-and-maxillofacial-surgeon/s34853

Family works in the industry and said he was the 'go to' guy.

All 4 came through, all 4 removed, all 4 fully grown and monsters (I'm 29 shortly). Took about a week to recover - no bruising/complications and followup/recovery was flawless.

Didn't really have any issues til mid last year - general tightness across the teeth, very rarely I'd feel some pain as a result.

[Skitzo]

Evan Kakulas, pretty sure that's the dude that did mine. Out of Hollywood pivate Hospital? All mine came out sweet as well. No bruising, no pain and minimal swelling. This was years ago now.

[siamak]

Okay, a few factors to consider

Space - If there is physically no space for the wisdom tooth to erupt, then as a rule of thumb is best to have it out.
Ability to clean the area - if you cant clean it, then its only going to decay and cause you pain.
Level of impaction and orientation - need to see your OPG (X-ray) to determine this.
Root development - Depends on how old you are! Generally once you are in your 20's the roots are fully developed.
Proximity to Inferior Alveolar Nerve - This is our biggest concern. There is a nerve that runs from the back of your jaw, through your jaw below all your teeth and supplies sensation to your teeth on either side, your tongue, your chin and clip. If this is damaged during the tooth removal, you may have temporary loss of sensation or pain 0.5%-4%, or worse you may as a result have permanent loss of sensation to these areas and or chronic pain <1% chance.

What happens if I leave it?

Losing the adjacent tooth. (see picture) If you leave it it can erupt slowly into the molar infront and cause resorption/decay of that molar. If you can't clean or floss that area then you are more prone to periodontal disease (progressive destruction of bone and attachment due to dental plaque). Then you will end up loosing the wisdom tooth AND that 2nd molar.
Infection and in rare causes death (last one was a few years ago) - If the bacteria proliferate and grow in that area, the site can be a source of infection. The infection can form a more localised abscess or sac of pus, or can spread along the planes of tissue layers (facial cellulitis).
Cyst Formation - (see picture) in rarer cases the cells in that area can continue to grow and resorb the surrounding hard and soft tissues, leaving a resultant sack of fluid. In extremely rarer cases when this is left for years people have lost sections of their jaws altogether or can result in a pathological fracture of your jaw.
Bad breath and constantly getting sick - you would be surprised how much food and bacteria can build up in that site. Recent studies have linked pulmonary disease, early and premature births and cancer. (see http://www.independent.ie/health/health-news/bad-oral-hygiene-may-raise-risk-of-cancer-death-3136666.html)
If you're travelling abroad - you don't want it to flare up while you're away and cop the expensive bills.
Fractured jaw - if you play contact sports, you are more likely to have your jaw fracture if you have a knock or a blow in that area. Kind of like a wedge splitting a block of wood. Same thing for the weeks following the extraction until 4-6 weeks of bony healing as occurred.
Chronic and unexplainable pain - you may even get referred pain from somewhere else in your mouth that may be caused by your wisdom teeth.



Fig 1: Fig 1 Radiograph reveals roots of horizontally impacted 3rd molar touching roof of mandibular canal (the inferior alveolar nerve [mentioned above] is inside here)
http://journal.pdmdentalcollege.com/issue1/originalarticle/fig1_article2.jpg
Fig 2 Loss of canal cortical outline due to dentigerous cyst in relation to third molar and its roots.
http://journal.pdmdentalcollege.com/issue1/originalarticle/fig2_article2.jpg
Fig 3 Roots of mesioangular impacted 3rd molar in close relation to mandibular canal (the inferior alveolar nerve [mentioned above] is inside here)
http://journal.pdmdentalcollege.com/issue1/originalarticle/fig3_article2.jpg

Common misconceptions:

Wisdom teeth do not make the rest of your teeth crowded or crooked. This is physically impossible. Similar to a tree sprouting from one side of the forest causing the collapse of a tree kilometers away (I hope that analogy makes sense)
Antibiotics do not fix the problem, they only temporarily can reduce the bacterial load in the infection and delay the inevitable.


What if I don't want them done in the chair?
Completely understandable. I had mine done under general anaesthetic by a Oral and Maxillo-Facial Surgeon. They have a dental degree, a medical degree and 6 years+ of surgical training.
Wisdom teeth are their bread and butter, kind of like what an oil change is for a mechanic. They do hundreds of cases a year and they are the best at what they do. They have the lowest risk of complications due to their level of skill and they who dentists refer to if a case is too difficult to be done in a chair.


What can you do?

Brush twice a day (2 minutes each time) and floss once a day. Only 3% of the population do this. The rest of the 97% will spend thousands and thousands of dollars visiting me. I would rather do check-ups on healthy patients than have to actually do fillings. If you do not floss and you only brush, you are only cleaning 3/5 surfaces of your teeth. In between your teeth, food and bacteria will literally be rotting away, causing decay and bad breath. Do us both a favour. Trust me when I say if you do this you will be saving thousands of dollars over your life time.
Visit your dentist every 6 months for a clean and checkup and listen to that boss! Do you service your car? Or do you drive around for years without an oil change. Same Same. When you feel something isn't right, go in EARLIER rather than when its hurting.
Get private health insurance and find out when you can claim to save you some $$
If you have kids, and your dentist determines they should have them out. Get them done sooner before the roots are fully developed and while they are young, fit, healthy and able to heal faster.



I'll be happy to see any of you guys in a couple months time. But if its urgent, don't put it off. If you want to know WHO to see, feel free to PM me.

Hope that covers it all! PS (This is free advice and I'm not liable).

Reposting the above for information for new readers.

For those of you that are NOR I am currently working at Mindarie at Anchorage Dental Mindarie (http://www.anchoragedental.com.au/)

If you are a bit nervous we have the following options:

Oral Sedation with Ativan (you pretty much lose a day in your life, someone would need to take you here and home)
Inhalation sedation with Nitrous Oxide or Penthrox (aka green whistle)
Referral for general anaesthetic

Feel free to come in for a check up and I will gladly walk you through all your options.
We also do everything here; fillings, whitening, crowns/caps, cosmetic dentistry, implants etc

Ask for Dr Saberi over the phone, I will be glad to give you guys a bit of a antilag discount if I can when you come in.

Any questions shoot.

[magic1]

PM HUGGY_B

[Evolved]

I have often wondered about getting mine removed

tops feel fine and dont cause many issues , but i can slightly feel the roots protruding through the bottom of my jaw bone

Anyone else have this , or know of any implications ?

[siamak]

I have often wondered about getting mine removed

tops feel fine and dont cause many issues , but i can slightly feel the roots protruding through the bottom of my jaw bone

Anyone else have this , or know of any implications ?

Highly unlikely that is the case, it is just probably normal anatomy called the angle of your mandible.

[Joe]

Finally, an Antilag dentist.. now all we need is an Antilag plastic surgeon specialising in breast augmentation, and our need help / detective threads will get a whole lot more interesting.

[Alt_F4]

Wisdom teeth giving me a lot of grief all of a sudden, iodine gargle + codeine is all that is keeping me from feeling like I'm dying...

Quote came back from the surgeon my dentist recommended, would be +$1000 out of pocket with HBF (not HBF supported surgeon so fuck all rebate).
So getting a consult at DB Dental at this stage on monday (or sooner), can't wait for these fuckers to be gone!