What to expect if you have to have a tooth removed?
You will be administered a certain dose of anesthetic agent in the surrounding tooth area, to numb the region so that you do not feel the pain. One should make the difference between pain and pressure.
If the tooth is impacted, the dentist will cut away gum and bone tissue that cover the tooth and then, using forceps, grasp the tooth and gently rock it back and forth to loosen it from the jaw bone and ligaments that hold it in place. Sometimes, a hard-to-pull tooth must be removed in pieces.
Once the tooth has been pulled, a blood clot usually forms in the socket. The dentist will pack a gauze pad into the socket and have you bite down on it to help stop the bleeding. Sometimes the dentist will place a few stitches — usually self-dissolving — to close the gum edges over the extraction site.
People often decide to have their wisdom teeth removed, as they can cause painful, aching gums. How can wisdom teeth pain be relieved at home before their removal?
Wisdom teeth are the last teeth to break through the gums. They grow at the very back of a person’s mouth. There are normally four wisdom teeth in total, with one in each of the furthest corners of the top and bottom gums.
Pain in the wisdom teeth may resolve on its own, but in some cases it will need either active home management or treatment in a hospital or dental surgery.
This article looks at options to relieve the pain as well as the causes.
Impacted wisdom teeth may cause pain, aches, and tenderness. Ultimately, removing the wisdom teeth can help resolve these problems.
In the meantime, there are several over-the-counter medical treatments and natural home remedies available.
1. Numbing gel
A numbing dental gel may help reduce feeling in the gums and dull the pain. These gels are available over the counter or online and contain the active ingredient benzocaine.
Most dental gels can be applied directly to the affected gums throughout the day. However, it is important for a person to follow the instructions included in the product. Also, it is possible to be allergic to benzocaine.
Ibuprofen is an over-the-counter pain relief medication that helps reduce inflammation.
Taking the recommended dose on the packet may help relieve discomfort. It can also reduce inflammation of the gums associated with wisdom teeth development.
Ibuprofen or other NSAIDs (nonsteroidal anti-inflammatory drugs) may be effective pain management until a person can see a dentist for treatment.
3. Ice pack
Applying an ice pack to the jaw can help reduce inflammation, which in turn may relieve pain. Using ice can also have a numbing effect.
A person can try holding an ice pack with a tea towel around it against their jaw for up to 15 minutes.
The ice pack can be applied off and on with 15 minute breaks until the pain has subsided.
4. Salt water rinse
This is one of the simplest advice and my most favourite and effective one til date (Tested and proven on myself)
Rinsing the mouth with salt water several times a day may help to reduce symptoms such as pain.
Salt water has natural disinfectant properties. A 2010 study showed that rinsing the mouth with salt water can help reduce bacteria.
Sometimes, a build-up of bacteria in the broken gums around wisdom teeth can be the cause of pain. As such, rinsing with salt water may help treat the infection and reduce the discomfort.
To make the salt water rinse, a person can dissolve a few tablespoons of salt into a glass of freshly boiled water. When the water has cooled slightly, it can be swirled around the mouth for several minutes, then spat out.
A person may want to rinse their mouth with salt water two or three times a day, or until the pain starts to reduce.
Research into the effectiveness of cloves to relieve wisdom tooth pain is positive. A 2006 study showed that there is promise for cloves as a topical pain reliever due to their numbing effect.
To try this home remedy, a person can use a whole clove or clove oil. If using a whole clove they should:
place the clove over the wisdom tooth that is causing pain
hold it in place by closing their jaw, but without chewing
leave it there until the pain reduces and then spit it out
To try this remedy using clove oil, a person can:
put a few drops of clove oil on a ball of cotton wool
put the cotton wool on the wisdom tooth that is causing pain
hold the cotton wool in place until the pain reduces and then remove it
A 2007 study found that onions have anti-inflammatory and antimicrobial properties. These advantages of onions mean they can help reduce swelling and fight bacterial infections.
To use onions as a home remedy, a person should:
cut off a piece of onion
chew the onion on the side of the mouth that has the pain
keep chewing for a few minutes until pain reduces and then spit out the onion
This process allows the juice from the onion to go into the gum so that it can reduce inflammation and bacteria.
7. Tea bags
Tea bags should only be placed in the mouth when completely cooled.
A 2016 study found that tannins contained in tea bags have antibacterial and anti-inflammatory properties. This means tea bags may help reduce swelling and fight bacterial infections.
To use tea bags as a home remedy, a person should make a cup of tea and put the cup in the fridge with the tea bag left in it. Once the tea is cold, the tea bag can be taken out and placed inside the mouth where the pain is located.
No milk, cream, or sugar should be added to the tea.
In some cases, home remedies may not alleviate the pain of an impacted wisdom tooth.
A wisdom tooth may be removed in a dental surgery by a dentist or in a hospital by a dental surgeon. Local anesthetic will be injected into the affected area to numb the pain of surgery. The practitioner will apply pressure to the tooth to lossen it from its socket.
Small cuts are made around the tooth, and the wisdom tooth may be cut into smaller pieces before removal. The procedure is a short one that normally takes only a few minutes but can last up to 20 minutes and sometimes more.
The gum is normally only sore from the time until anesthetic wears off until around three days later, but the pain sometimes lasts for two weeks.
When a person’s wisdom teeth are coming through, there are practical things they can do to make it less likely that their gums become infected. These actions include:
Practicing good oral hygiene: Brushing teeth twice a day, flossing, and using mouthwash can help reduce the bacteria in the mouth that cause infections.
Drinking plenty of water: This helps to flush food and bacteria away from the teeth and gums.
Avoid sugary foods: Sweet foods can get stuck inside the broken gums, encouraging bacteria to grow.
Wisdom teeth usually emerge after all the adult teeth. They may emerge at an awkward angle, or there may not be enough room for them.
Wisdom teeth normally push their way through the gums when a person is between the ages of 17 and 21. The sensation of a tooth pushing through the gums can be painful.
In addition, there is often no room for the wisdom teeth in a person’s mouth, as the adult teeth have already developed. This lack of space may cause wisdom teeth to come through at an angle, or getting stuck and not come through fully.
When this happens, the wisdom teeth are impacted. Having impacted wisdom teeth leaves the gums vulnerable, as the surface breaks and the teeth are not fully through. Food and bacteria can get trapped in the gums and lead to several issues, including:
While the remedies in this article have been proven to reduce pain caused by wisdom teeth, they are only short-term solutions.
When wisdom teeth become impacted, a dentist will normally advise that they be removed to provide long-term relief.
I’ve been asked a couple of times about herbal toothpaste and if they are efficient. I came across this article from the daily mail UK. I shall test some products myself and let you know. For now here is the article.
Should you use herbal toothpaste?
by CHARLOTTE HARDING, femail.co.uk
Alternative medicine seems to have reached every area of healthcare. And oral hygiene is no exception.There are now a growing number of natural toothpastes on supermarket and health shop shelves. Demand is growing to such an extent that even the mainstream brand Colgate has just launched its own variety.
But who are these toothpastes aimed at? And do they really work?
Makers of the natural pastes use a wide range of different herbs which they claim mimic the functions of traditional toothpastes – the ability to fight plaque, freshen breath and prevent gum disease.
They claim customers prefer them to traditional toothpastes for a variety of reasons. Many are apparently opting for them because they are not tested on animals.
Others, keen to protect the environment or who are sensitive to the ingredients in traditional toothpastes, are attracted to the fact that they contain no artificial colours or flavourings.
People who use homeopathic medicines are also attracted to toothpastes that don’t contain mint because practitioners claim the herb may interfere with the effectiveness of their treatment.
Many of the herbal toothpastes on the market also boast they are ‘fluoride free’. Although fluoride has been championed for years as the best way of combating tooth decay by increasing the resistance of enamel to the acid produced by bacteria in the mouth, there has been some controversy over its use in recent years.
A growing body of experts claim if children take too much fluoride when they are young they can suffer a condition called fluorosis which causes teeth to become mottled.
In some areas of Britain where fluoride is already added to the water supply many parents are turning to toothpastes without fluoride. Interest in this area has grown so much that Kingfisher, one of the country’s biggest manufacturers of herbal toothpastes, now sell more non-fluoride than fluoride products.
Despite this, both the British Dental Association, the organisation representing dentists across Britain, and the British Dental Health Foundation, the independent charity representing consumers, recommend that people should use toothpastes containing fluoride.
Although many natural health practitioners are recommending herbal toothpastes and despite anecdotal evidence that they work, many of the health claims made for them have not been clinically proven.
Only one range of herbal toothpastes has had it’s health claims approved by the BDHF – Kingfisher.
‘Consumers need to be wary of claims made by manufacturers about the benefits of their products,’ said a BDHF spokesman. ‘If a product carries the Foundation accreditation logo a customer can be sure that a scientific testing supports any claims made on the packaging and have not been sensationalised.’
But natural health expert Maryon Stewart, author of the Natural Health Bible, says the lack of clinical trials should not necessarily put people off using herbal toothpastes.
‘Clinical trials cost a lot of money and many of the smaller health companies do not have the money to carry them out,’ she says. ‘Many of the natural products in herbal toothpastes have been used for many years by people to great effect. I think some people would be surprised by the amount of chemicals used in some toothpastes – but herbal ones are completely natural.’
It cannot be stressed enough how important scaling and polishing is!!
What is scaling and polishing ?
It is a term dentists and dental hygienists use for prophylaxis professional cleaning of the teeth and gum area.
Scaling– This is a professional method of cleaning your teeth in which the hard deposits are removed through an instrument called an ultrasonic scaler.
Polishing– This is a procedure conducted just after the process of scaling is over and is meant to make the tooth surface smooth.
Over a period of time, tartar is formed as the result of hardening of plaque layer.
What is plaque? It a sticky deposit on teeth in which bacteria proliferate.
Routine brushing is insufficient to remove the hard deposits stuck on your teeth. This is primarily because of the shape and the position of our teeth. The bristles of the brush cannot reach every corner of your mouth. Hence, you need to seek professional care like scaling to maintain your oral hygiene.
Another benefit of Scaling and Polishing is removal of stains. Superficial stains can be removed after a good session of dental clean up.
Why is polishing important ? Besides the nice feeling of a smooth glossed surface, polished tooth surface does not allow food particles to stick easily and reducing the chance of deposition. Gingivitis/ Periodontitis is the inflammation of gingiva and periodontium respectively.
Summary : When plaque is formed around the teeth, beneath the gum surface, it causes inflammation and slowly the gums become red, they swell and bleed and little by little they get displaced and slowly even the bone starts to be affected and then we reach an irreversible stage and the teeth start becoming mobile in other words they begin to move and eventually FALL OFF
Please see image below for illustration
stages of gum disease
Gum disease begins when plaque, a sticky deposit on the teeth where bacteria multiply, builds up on the teeth. Calcium from saliva hardens the plaque into a barnacle-like material — this calcified plaque is called tartar or calculus. Certain types of germs that live in this plaque and calculus damage gum tissue. Your body tries to fight this infection with an inflammatory attack, sending white blood cells to the area to destroy the bacteria. The inflammation then causes the tissue to bleed easily when you brush or floss.
If untreated, gingivitis will then progress to periodontitis. With periodontitis, calculus deposits expand on the surface of your teeth, edging down below your gum line. This condition causes your gums to separate slightly from the teeth, supporting bone and ligament, forming periodontal pockets. The infection and the pockets may continue to deepen, eating away at the jawbone until your teeth become loose and fall out.
So Scaling and polishing makes way for healthy gums healthy periodontium . Healthy and infection-free gums anchor and support the teeth strongly within the jaws.
Cure to bad breath
Clean teeth and gums keep bad breath at bay. Those of you who feel that you are suffering from low confidence level due to bad breath, you can find immense relief after scaling and polishing is done for your teeth.
Very Important before starting many dental procedures such as Orthodontic treatment, whitening, major oral surgeries, fillings, because the products will not adhere to a dirty surface and to reduce inflammation/ infection. Hence scaling and polishing is mandatory.
Other benefits of scaling and polishing
It’s good for your heart –
There have been countless studies performed on the correlation between a person’s oral and overall health. Gingivitis and gum disease have a direct effect on your cardiovascular well-being. Your risk of heart diseases, high blood pressure, stroke, diabetes and many other life-threatening illnesses can be greatly reduced by simply removing the tartar which acts as the cause factors for so many of these debilitating diseases.
It will save you money.
Taking good care of your teeth and mouth at home and by visiting the dentist or hygienist regularly, will save you thousands of rupees/ Euro / dollars or more over your lifetime. Regular cleanings by your doctor help prevent cavities, but more importantly identify cavities or caries at an early stage. Taking care of a small cavity can be a easy and simple procedure and is cheap. Left untreated inevitably will lead to unwanted complications including; infection, root canal treatment, tooth loss. All unpleasant outcomes that are very expensive to remedy.
How is it done
While some dentists still rely on manual instruments to scrape away the tartar, manual scaling can be more detrimental to enamel in comparison to ultrasonic technology. Modern dental offices today use ultrasonic instruments for maximum precision, more effective removal of tartar and calculus, and overall better patient comfort as well as quicker treatment. The procedure can take anywhere from one to four visits to complete, with or without the help of local anesthetic. The number of scaling sessions required and the amount of time required is individualized depending on each patient’s specific needs.
Is it painful?
Modern dentistry strives to be as painless as possible. In my practice I use a gel which is a topical anesthetic which has a berry taste, making the experience less uncomfortable. If the pockets are deep on the other hand, anesthesia will be injected after numbing the site with the gel.
Also if your enamel is thin, or you have exposed dentin, that might cause some sensitivity .
Regular dental teeth cleaning and polishing is the cornerstone for a lifetime of dental health and the best insurance you can have for keeping a healthy and attractive smile!
Looking forward to hearing from you.
Frequency of dental cleanings?
Depending on the proliferation of plaque in the mouth due to certain factors like hormones, age, cigarettes , intake of sugary food and poor oral hygiene (no floss etc) , your doctor will let you know on a case to case basis how often you should go. As a rule of thumb it is recommended to visit your dental surgeon every 6 months , if however we find that the plaque is under control , we will tell you to come back within a year.
In August, together with a non profit organization we set out to help less fortunate kids who had a rough start to life.
Victims of domestic violence, homelessness amongst others.. They were as small as 2months old to nineteen years old, with their mothers. For security reason I won’t disclose the location, but if you feel to donate or help them please contact me I’ll be glad to bridge the gap.
There is no greater feeling than giving back to the community. It does not ask for much , just your time and whatever one can afford to give. It may be nappies, clothes, food, soap. They need love and understanding more than anything.
We set out for a health campaign, and importance of organic food , less cariogenic foods. Encouraging them to plant their own food, consume less sugary foods and visit the dentist on a regular basis. It was a success!
If the tooth is handled properly, your dentist can attempt to save your tooth.
Remember to quickly get to a dentist.
Make sure it is a permanent tooth
To hold only the crown of the tooth (the part where you chew)
If the tooth got dirt ,wash it quickly less than 10s under water
Put it back in the mouth, tooth socket
If you cannot place it back in its space, place on buccal area between cheeks and molars. Do not swallow!
Or Put it in milk
Or put in a container
Don’t dry, don’t wipe ,don’t scrub it.
Once at the dentist, we will try to save it by administering local anesthesia, splinting, then you will be called in 7/10days depending on the state of the tooth, root canal treatment will be performed and prescribed antibiotics.
Regular review visits are recommended.
Avoid participation in contact sports.
Soft food for up to 2 weeks.
Brush teeth with a soft toothbrush after each meal.
Use a chlorhexidine (0.1%) mouth rinse twice a day for 1 week.