During evolution, the jawbone shrank over time, making less room for wisdom teeth. For this reason, wisdom teeth remain hidden in the jaw, partially erupt or cause the teeth to become crooked due to lack of space. This is why so many people decide to have them shot. One or two 20-year-old teeth can be operated under local anesthesia, but because the procedure takes too long, all of them can usually be extracted under general anesthesia.
If the patient and doctor decide to get rid of all four wisdom teeth in one session, the first step is to take a panoramic X-ray to determine the exact location of the wisdom teeth and to determine if there are any obstacles to the extraction of the teeth. After the oral surgeon locates the wisdom teeth and performs additional tests, the patient is placed under general anesthesia under the supervision of a qualified anesthesiologist.
The surgery begins with an incision in the gum to reach the tooth itself. Part of the jawbone often blocks the driveway, so it must be drilled and removed to expose the tooth. Then, the tissues surrounding the tooth are loosened, reducing the engagement and also making room for the special tools required for tooth extraction. If the tooth is considered too large or fragile, the mouth will cut the tooth into several pieces to prevent unexpected breakage during the surgical procedure. After the tooth or tooth fragments are removed, the doctor cleans the wound, disinfects it and puts the stitches, which are usually removed after a week. This entire process is then performed on all four wisdom teeth.
After surgery, antibiotics and anti-inflammatory drugs are prescribed to reduce the risk of infection and inflammation. Patients may experience swelling and pain in the days after surgery. Pain relievers can be taken to relieve pain if needed. In the first two hours after the surgery, patients should avoid talking, eating and drinking in order to stop bleeding and blood clotting in the incision area. Soft food and fluid consumption is recommended for the first 24 hours after surgery. If taken care of impeccably, sores in the mouth heal quite quickly. It helps patients to wash their teeth at least twice a day, to be extra careful around the wound and to use antibacterial mouthwash.
In modern dentistry, the extraction of four wisdom teeth at once is a completely safe procedure that ensures an even smile that is easy to maintain and avoids the problems associated with an irregular wisdom tooth.