Hello all,
I recently wrote in the wisdom tooth subsection about how part of my very decayed erupted wisdom tooth was broken to the gumline, and I was worried about it being infected and if they were going to be able to remove it with just regular extraction tools and novocaine.
Well, I just had the tooth out on Thursday and things went well!
Here's the process I went through, in detail, for those who are worried about what they might experience or want to know:
A. My DA did both a bite-wing and panoramic x-ray so the dentist could see if I had an infection, and assess whether he could confidently do the extraction (they wanted to make sure the roots were shaped well and weren't too close to/merged with the jawbone).
B. Once the dentist affirmed he was going to proceed, they swabbed the inside of my cheek near the offending tooth with a numbing agent and injected lidocaine. On a scale of 1-10, the pain from the needle was a 1.
C. They gave the lidocaine some time to kick in then came back to see if I was numbed enough. They used a tool to poke at my gums and asked if I felt anything. I felt a little, sliiiiightly painful sensation, so they gave me a little more lidocaine. After the second injection, they scraped (what felt like) along my gumline and kept asking me if I felt any of it. When I said no, they began the extraction.
-I want to mention for anxious folks: when the local anesthetic kicks in and things go numb, it might feel hard to swallow. Don't panic. You can still swallow. And during the procedure, any blood/water/saliva build-up will be suctioned out.
D. The dentist began using an elevator tool to help extract the tooth. However, after a few minutes he found that he was having trouble using just the elevator because both the roots had a slight curve to them. So, he cut the top of the tooth in half and proceeded to work on one half at a time. The cutting itself (performed with a very small circular saw) was painless and pressure-less.
E. Next, the dentist cracked the tooth. Note, the cracking wasn't ear-deafening nor horrifying: I heard two little cracks (to section the tooth in half) which didn't concern me at all. Half of my tooth came out fine after this. The other half where the root curved a bit more was difficult, so he cut and cracked again to section the remaining head of the tooth from the root.
F. The dentist wrestled with the remaining root for quite a few minutes after this. Maybe the lidocaine lost just a little effect because I felt the root give (just a twinge of sensation, no pain) made an "ungh" noise, and they stopped to ask me if I was ok. I said, "I think the root just came loose." They proceeded, and the next thing I know the DA laughed, "you were right!" and suddenly the root was out and I was finished!
The whole process took probably a little under a half an hour (we had to stop a few times because of my TMJD, which makes it incredibly painful to open my jaw very wide), whereas the extraction of my other wisdom tooth with straight roots literally took only a minute.
Pain Afterwards:
Day Of: When the lidocaine (and the Ibuprofen the DA gave me for my jaw pain via TMJD) wore off, there was a very intense, deep, and uncomfortable throbbing in my lower jaw. It almost felt like a deep seated itch. My neck and head also felt very stiff. 400mgs of Ibuprofen every six hours helped immensely.
24 Hours Post-Op: Still took 400mgs Ibuprofen every six hours. The pain and throbbing weren't extreme, but it was enough to make me hmm and haw over if I could be more comfortable. I chose to be more comfortable, lol.
40 Hours Post-Op: The latest dose of Ibuprofen wore off and I'm experiencing a variety of referred sensations that come and go. First I was having sharp pain in the ear next to the extraction site, then I had some throbbing, itching, and sensitivity in the teeth on the side of the jaw my extraction was. Now the ear pain is back, I'm still having the throbbing, and there's aching at the TMJ from the inside of my mouth. My clot is in place and I don't appear to be/feel infected, so I'll assume this is mostly due to the dentist getting aggressive with the stubborn root (and also digging around in there for 30 minutes). I'm about to take 400mgs of Ibuprofen so I can sleep comfortably!
I can update a few more times to let you know how I'm healing up, but so far everything appears to be going well! My fears about the process were completely unfounded, especially about the infection I feared I had pre-extraction! The DA said I caught the tooth sensitivity at a good time and circumvented the pain of a dying (and more infection-prone) tooth!
Hopefully this post helps give at least one other person a little more confidence about getting their wisdom teeth out
*Jupiter