After Extraction of Wisdom Teeth
In most cases, the removal of wisdom teeth is performed under local anesthesia, laughing gas (nitrous oxide/oxygen analgesia), or general anesthesia. These options, as well as the surgical risks (i.e., sensory nerve damage, sinus complications), will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured. To help control bleeding bite down on the gauze placed in your mouth. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge your postoperative kit will include postoperative instructions, a prescription for pain medication, antibiotics, and a follow-up appointment in one week for suture removal. If you have any questions, please do not hesitate to call us at WEST OFFICE Phone Number 541-617-3993.
Our services are provided in an environment of optimum safety. We utilize modern monitoring equipment and our staff are experienced in anesthesia techniques.
What Will I Feel Like after Wisdom Teeth Removal Surgery?
On the first day after surgery, you may experience some minor bleeding and pain. You should cover your pillowcase with something so that you don’t get any blood on it. Each individual’s reaction to surgery varies, and the sensation of pain can range from mild discomfort to severe pain. A variable amount of swelling can be expected following the surgery. This swelling usually peaks on the second day and should begin resolving on the third day. You can limit the amount of swelling you will have by using ice for the entire first day. The more ice you use the first day, the less swelling you are likely to have on the second day. Please remember to put ice on the first day even if it is somewhat uncomfortable to have the cold next to your skin. On the third day, you will notice that your jaw muscles are stiff, and it is difficult to open your mouth normally. You can apply moist heat to your face on the second and third day allowing your muscles to relax more and open wider. Most of the time you will want to limit your activities for a few days. We ask that you follow your post-operative instructions closely. Doing so will make you as comfortable as possible during the first few days following your procedure. Please allow time for your body to begin healing before resuming an active social, academic, or athletic schedule. Most patients feel like they are over the hump and on their way to recovery in 3 to 5 days.
Are There Any Problems after the Extraction of Wisdom Teeth?
As with any medical procedure, there can be complications or an unanticipated result. Some complications that patients undergoing Wisdom Tooth Extraction may experience include: Damage to the sensory nerve that supplies sensation to the lips and tongue, sinus communication, infections and dry sockets.
After the procedure, our assistants will review your post-operative instructions with your escort. We ask that you follow these instructions closely, as they will make you most comfortable following your procedure. If you were sedated, you will be comfortable and drowsy when you leave the office. Most patients prefer to go home and rest with no other physical or scholastic activities planned for a few days. With any medical procedure, there can be unexpected results. These can include delayed healing, infection and post-operative numbness or tingling in your lip, chin, or tongue. The oral surgeon will review relevant post-operative events with you and answer any questions during your office visit.
Damage to Sensory Nerve:
A primary concern is a nerve within the lower jaw bone that supplies feeling to the lower lip, chin, and tongue. This nerve is frequently very close to the roots of the lower wisdom teeth. Having these teeth out between the ages of 12 and 18 usually provides shorter roots so that the nerve is not so close to the roots of these teeth. Occasionally, when the teeth are removed, and especially in older patients, the nerve can become injured. When local anesthesia wears off, you may experience a tingling or numbing sensation in the lower lip, chin, or tongue. Should this occur, it is usually temporary and will resolve gradually over a period of weeks or months. On rare occasions it can result in a permanent alteration of sensation similar to having local anesthesia. We feel that you should be aware of this possibility before consenting to surgery.
The upper wisdom teeth are situated close to your sinuses, and their removal can result in an opening between your mouth and the sinus. Once again, if the teeth are removed at an early age, the root formation is minimal, and this complication is very unlikely. However, if it does occur, it will usually close spontaneously, but we may give you special instructions to follow, such as avoid blowing your nose for two or three days following the surgery. You can wipe your nose, but don’t blow your nose. If you have to sneeze, you should sneeze with an open mouth into a tissue. Pressure should not be created in the sinus area, which may dislodge the healing blood clot. If you sense this condition occurring after the surgery, please contact the office. An additional procedure may RARELY be necessary to close the opening.
Dry sockets continue to be the most common problem people experience following dental surgery. They arise due to premature loss of a blood clot in the empty tooth socket. This seems to occur with greater frequency in people who smoke or are taking birth control pills. While both jaws can be affected, they usually occur in the lower jaw on the third to fifth day. They cause a deep, dull, continuous aching on the affected side(s). Patients may first notice the pain starting in the ear radiating down towards the chin.
The symptoms frequently begin in the middle of the night, and your pain medication regimen may not help. Treatment can involve changing your prescription. Occasionally it is helpful to place a medicated dressing in the empty tooth socket. This will help decrease the pain and protect the socket from food particles. The effectiveness in alleviating the pain lasts for 24-48 hours and may require dressing changes every day or two, for five to seven days. Dressings usually are removed when you have been pain free for 2 to 3 days.
The dressing doesn’t aid in healing. The only reason to place a dressing is for pain control. If medication is controlling the pain, the socket will heal without a dressing. Following removal of the dressing, an irrigation device may be provided to help you to keep food particles from lodging in the extraction site.
Occasionally, post-operative infections occur. This usually requires an office visit and clinical examination. Many times, just placing you on an antibiotic for one week will take care of the infection. If it persists, the area will have to be drained and cleaned. Other temporary problems you may experience in the post-operative period include stiffness of the jaws, chafing around the corners of your lips, facial bruising, and blood oozing from the extraction sites. The post-operative instruction sheet we will provide should answer many of the questions related to these more common concerns. If not, don’t hesitate to call the office at WEST OFFICE Phone Number 541-617-3993.
Krueger & Lenox Oral and Maxillofacial Surgery
Patient Review By Julie W
My son Mitchel (20 years of age) had all four wisdom teeth pulled by doctor Lenox during one office visit. Dr. Lenox built a rapport with my son immediately and I remember my son said, "He's cool" on our drive home after the first visit. There were no complications and Mitchel healed quickly. I appreciate that Dr. Lenox explained the home care instructions in detail and checked in on Mitchel while he recovered at home. Dr. Lenox's obvious expertise put Mitchel's mind at ease and he somehow took the tension out of the entire process for both Mitchel and me.
- Julie W
Patient Review By John S.
My husband is 62 and needed his wisdom teeth pulled. We were aware, given his age, the procedure could be a little more involved. We were a bit nervous going to Dr. Welch because there weren't too many reviews on his performance. BUT, after meeting with him, his kind, calm demeanor and confidence put us at ease. He did say that, with age, the sinus bone does get larger and the roots to my husband's wisdom teeth were very close to this bone, so there was a likely chance the bone could break making healing longer. Not only did the extractions go quickly, but the bone stayed intact. Dr. Welch checked in on him that night as well. He has such a kind demeanor, great at what he does; we were so pleased with him in every aspect. HIGHLY RECOMMEND DR. WELCH. As a side note, over 10 yrs ago, I went to Dr. Krueger for some involved surgery. He too was great - demeanor and skill. It's nice to see that from the ladies in the office to the doctors, there's a common thread. Again, highly recommend.
- John S.
Patient Review By Teasa J
I was in and out so quick. Doctor called and checked up on me the same day. Seriously amazing doctors.
- Teasa J
Patient Review By Lori C
My 14-year-old son had his wisdom teeth removed by Dr Lenox and had an extremely easy recovery. The entire procedure took only an hour and later that day Dr Lenox himself called to check up on him. Although I expected some complaints of pain, but my son never had ANY pain. I was very pleased with how the entire process went and would recommend Dr Lenox to anyone needing their wisdom teeth removed.
- Lori C
Patient Review By Jillian G
I was so impressed with Dr. Krueger. I was very nervous going into my procedure and his calm and positive demeanor made me feel so much better. He called the evening of my surgery to check up on me and make sure everything was okay. I would highly recommend him. Thank you so much!
- Jillian G
Patient Review By Zachary j J
They got me in ASAP and removed all 4 wisdom teeth and they acomadated to my needs, the staff was super friendly and made me feel really comfterble and like they were going to take care of me. Here I sit 4 hours after my operation and I’m completely better than I was before. Recommend time and time again.
- Zachary j J
Patient Review By Mary O
Great service! Everyone was very helpful, friendly and informative. My daughter kept saying how nice everyone was (she was still a little loopy but meant it).
- Mary O
Patient Review By Morgan J
Getting my wisdom teeth out was so simple, and almost painless! Dr. Krueger and his staff were very kind and made the whole procedure so much easier.
- Morgan J
Patient Review By Ashley L
Loved everything about the office setting. The professionalism was great, cleanliness, staff communication and knowledge really helped me feel at ease. I felt the communication about what to expect and the aftercare was good. My icepack contraption I was sent home with was a LIFESAVER! The entire care package was great and made me feel valued as a patient. Really like how you go out the back door when finished with procedure so you don't have to walk out through the waiting area. I have done nothing but raved about the experience, and highly recommend Dr Krueger and his practice. P.S. Loved falling asleep to Billie Holliday playing 🙂 Thank you so much! I have healed beautifully and couldn't thank you enough~
- Ashley L
Patient Review By Noah F
The experience of getting my wisdom teeth was very good. From setting up the appointment to waking up from the procedure, I had no problems getting my wisdom teeth removed. The staff and everyone was very friendly and seem to legitimately care for the patients. The post-operation instructions were also very clear. I also appreciated Dr. Krueger calling to check in on me the night I had the operation.
- Noah F