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need advice about wisdom teeth removal ?

Question:

I'm in my late twenties, need to remove my wisdom teeth (3 partially impacted, 1 fully under the gum). I just wanted advice on the method, whether I should get IV sedation or not/whether to do them all at once or couple at a time. If anyone can share their experience that'd really help. I'm particularly concerned what it feels like once the IV sedation begins, what's it feel like going under/falling asleep, and the waking up...so would appreciate any comments/advice etc?


Answer: Keep in mind that I'm a total wuss about dental work. When I had to have four impacted wisdom teeth out, I told them they had exactly one chance to get them, I wasn't going to be aware for the procedure, and I wanted gas so I didn't even notice the needle ;-) They obliged on all three counts. It worked well for me, and if I had to do it again, that's the way I'd do it. I didn't notice going under (or didn't care ;-) I "woke up" somewhat disoriented and crying (due to the anesthesia, not because I was in pain or anything like that, which is not uncommon as I understand it), but it only took a few minutes to get out of that phase and feel oriented and okay again. Do look for recommendations for a very good oral surgeon. Mine came highly recommended, and my recovery was easy. I didn't even have much bruising, despite some difficult to get out teeth.

I would not do general anesthesia for this, and I'm dental phobic! I had all 4 of mine (all 4 fully impacted) removed in my mid 20s. I had them give me a combination of numbing meds and small doses of nitrous. I didn't feel a thing. I'd suggest getting one side done, let that heal, then do the other side. You may want one side to be able to chew food while the side you had them removed, heals. I've had general anesthesia for major surgeries, and it's just like falling asleep. I felt warmth in my arm, then nothing.... until they were waking me up in recovery.

I had my 3 impacted wisdom teeth out when I was a sophomore/junior in college - so about your age. All of them were fully under the gum, but I only had three of them. I was missing one of them - a top one I think.

The first one I had out with 'truth serum' general anesthetic gas. I was totally out of it, and anesthetics affect me for a long time - it's really easy to put me out and keep me there. There was no pain afterwards, but my face swelled up and turned black and blue. It looked like I had the mumps or someone had beaten me. I couldn't open my mouth very far and I lost 5 lbs. I didn't even have to lose any time at work (I was working as a relief cashier in the hospital cafeteria and was doing night shift so I went to work that night)

The next time, I had it during spring break and both the top and bottom one on the same side were done - also under general anesthetic IIRC. No adverse affects nor any problems this time, except that the bottom cavity had stitches or something. So I had to go to a local dentist when I got back to school to have the stitches removed or have the cavity packed. The dentist did it but commented that most people would have been screaming in agony, and I didn't even turn a hair.

I am not particularly brave. OTOH, I'm not a dental phobe either, and when I was a kid there were no high speed drills, and our dentist did not believe in giving anesthetic for dental procedures like filling teeth. I never had any anesthetic for that until after I had 2 kids.

I've had root canals that were NBD, and I've also had one where the nerve was not dead that was very painful. I don't like pain. I stopped going to that dentist.

My dad had all four of his impacted wisdom teeth out at once. He had a date with my mom that night, and he was bleeding, and he and the other guy they were doubling with got a certain amount of amusement from seeing if Daddy (who was an anatomist) could get the blood from his gums to come out his nose by holding his head at a certain angle. I don't know about my mom, but I think the girl the other guy was dating wasn't particularly amused.



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