Third molars are commonly referred to as wisdom teeth. They are usually the last teeth to develop and are located in the back of your mouth, behind your second molars. Their development is usually completed between the middle teenage years and early twenties, a time traditionally associated with the onset of maturity and the attainment of wisdom.

Wisdom teeth are trouble. Wisdom teeth are also called third molars and it is not unusual for these teeth to become “stuck”, wedged in or what we call impacted. They are the last teeth to come through into the mouth and often there is not enough room for them. Most people have four wisdom teeth but up to 10% of the population missing one or more. When wisdom teeth become impacted they cause a number of problems.

  • Infection:: When a wisdom tooth becomes stuck in the jaw bone there is often a partial flap of the gum overlying the tooth and infection may develop around this area. The area becomes swollen, red and very painful. Swallowing may be painful and sometimes people can feel generally unwell. Sometimes, there can be a discharge of pus and this may have a foul taste associated with it. Often if the infection around the wisdom teeth is severe antibiotic therapy may be required.
  • Decay: When the wisdom teeth become stuck they are often impossible to clean properly and they can become decayed. Also, they can cause decay in the tooth in front and it can be very difficult to place fillings in these situations prior to the removal of the wisdom teeth.
  • Crowding: Pressure from impacted wisdom teeth is one of the causes of crowding of the front teeth. It is not the only cause of crowding as some people with no wisdom teeth still get crowding but it is believed to be a significant contributing factor. This is particularly disappointing if you have undergone orthodontic therapy to achieve straight teeth.
  • Damage to adjacent teeth:: Pressure from impacted wisdom teeth can also cause damage to the adjacent teeth. Food impaction between the adjacent tooth and the wisdom tooth can cause cavities in both teeth and cause bone loss on the back of the good tooth.
  • Cysts: A fluid filled sack called a cyst can on rare occasions form around the crown of an impacted wisdom tooth.
  • Line of weakness in the jaw bone: An impacted wisdom tooth causes a weakness in the jaw bone which could result in a broken jaw if the jaw bone is struck such as during boxing or other contact sports.

These problems can be prevented by the timely removal of impacted wisdom teeth. Generally speaking, it is best to have this done if at all possible when you are young as the surgery is a lot more comfortable for younger patients and recovery times considerably quicker. At Advanced Dental & Medical Care, we recommend the removal of impacted wisdom teeth to be ideally undertaken between the ages of 18 and 25 and before they cause problems. However, there are occasions when these teeth are removed earlier if they have started to cause trouble, needed to be removed for orthodontic (teeth straightening) work or are causing problems such as cyst formation. It is often best to have the wisdom teeth removed before they cause problems as symptoms such as pain can be quite severe and occur at very inconvenient times. Also the surgery becomes more difficult and complication rates rise as people get older. Not all wisdom teeth need to be removed,such as those that are erupted into a normal position and not impacted. Another occasion when the wisdom teeth may not need to be removed is if they are deeply buried in the jaw bone and not associated with any pathology.

The special x-ray considerably improves the diagnostic ability for the surgeon in removal of impacted teeth. It clearly shows the position of a nerve which supplies feeling to the lower lip and chin and often lies close to the roots of wisdom teeth. By being able to carefully assess the position of this nerve, we at Oral Surgery Associates are able to plan your surgery to minimise the risk of damage to this nerve.

We at Oral Surgery Associates, offer two alternative ways of having your impacted wisdom teeth removed:

  • Intravenous sedation:: This is also called “twilight sleep”. We offer this treatment at ADMC. We use a combination of drugs which is given through a small plastic tube in your arm which will make you feel extremely relaxed, comfortable, sleepy and the surgery can be undertaken painlessly. You will generally not remember anything of the procedure although you will be “partially awake”. We have special monitors to be able to measure how relaxed you are and can adjust the medication to ensure a very pleasant experience. You and your surgeon will be able to discuss whether this option is suitable for you at the time of your consultation.
  • General anesthetic In this technique, you will be completely asleep. It is always done in conjunction with a specialist anaesthetist. You and your surgeon will be able to discuss whether this option is suitable for you at the time of your consultation.

At ADMC, we pride ourselves on the techniques that we use to minimise any pain during the procedure and during your postoperative period.

Removal of impacted wisdom teeth usually requires an incision in the gum tissue to expose the tooth and the surrounding bone. Sometimes, some of the surrounding bone must be removed with a drill and/or the tooth may be divided into segments to assist its removal. Any bone that is removed during the surgery will completely reform. The area from which it has been removed is cleansed and dissolving stitches placed to restore the contour of the gum and to stop bleeding.

After surgery, you must be accompanied home and preferably rest for 2 to 4 hours. You must not drive or operate machinery until the next day. Please use your ice packs as much as possible over the first 48 hours following surgery as these significantly help prevent swelling. Do not rinse your mouth out on the day of surgery as this will cause bleeding. Do not drink alcohol on the day of surgery as this also may cause bleeding. Do not smoke for as long as possible following surgery, as smoking causes and postoperative complications and inhibits wound healing. Generally speaking, you will be able to eat and drink after a couple of hours following surgery. However, take care with hot food and drinks as your lips may still be numb following the surgery. For the next few days, you should eat a fairly soft type of diet to protect the sites of surgery and prevent hurting yourself. For example: eggs (scrambled, poached, omelette), pasta, mashed veges with sauce or gravy, soups, noodles, ice cream, yoghurt, custard, rice puddings, and jellies and milkshakes etc. In the event of bleeding, roll up a guaze swab or clean handkerchief and place it over the wound and apply firm pressure with your fingers or bite firmly for 20 minutes. It is normal to experience slight oozing from the wounds for some hours postoperatively and especially when you eat. There will also be considerable bloodstained saliva during the first day. This should not be mistaken for bleeding. On the day following surgery, rinse three times a day after meals with warm salty water (mix half a teaspoon of salt with a glass of warm water).

After surgery you can expect some swelling which takes 48 hours to reach its peak. This can be minimised by the use of your ice packs. The swelling generally takes about a week to go down. After the surgery you can expect some pain which is minimised by taking the pain medication as prescribed which you will be given at the time of surgery. The discomfort is often the worst around the fifth or sixth postoperative days. Most people take two days off work, the day of surgery and the following day. Often people return to work following these two days but some people do on occasions take up to a week off.

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“Surgical extraction involves the removal of teeth that cannot be easily accessed because they have not fully erupted or they have broken under the gums.”

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WHAT OUR PATIENTS ARE SAYING

I AM SATISFIED WITH THE

I AM SATISFIED WITH THE RESULTS. DR VINOD IS DOING A VERY GOOD JOB WITH GOOD NATURE. REGARDS AND
BEST WISHES .

RAKESH BALA
MOHALI
INDIA

Doctor with great Patience and Services Skills

Finally, a solution(best one indeed) for my messed up situation with teeth was found with Dr. Chandel. Highly satisfied with his precise work, knowledge/explanation of the procedure and valuable advice.. One of the best qualities of him was his PATIENCE to deal with my case. I will always recommend to anyone with tooth problems. Deeply thankful to you doctor.

Jagraj Singh
Mohali
India

A DENTAL PLEASURE!

IT WAS A PLEASURE GETTING MY TEETH DONE BY YOU. IT WAS LEAST PAINFUL AND MOST EFFECTIVE.

GURINDER SINGH KHAIRA
CHANDIGARH
INDIA

VERY EFFICIENT. RCT WAS DONE

VERY EFFICIENT. RCT WAS DONE IN MINIMUM PAIN. STAFF AND CO DOCTORS ARE VERY COUTEOUS.

SANJAY HARLALKA
CHANDIGARH
INDIA

very good experence. will recommend

very good experence. will recommend to others.

mrs. manmeet kaur
chandigarh
india

KEEP UP THE GOOD WORK !!

EXCELLENT JOB ON THE TEETH. VERY GOD SERVICE .WE LOVED IT.

WILLIAM
CHANDIGARH
INDIA

Very Nice Services

Very Intelligent and Polite.Very Intelligent and Polite.Very Intelligent and Polite.Very Intelligent and Polite.

Vishal Mahajan
Chandigarh
India

EXCELLENT SETUP

THIS IS AN EXCELLENT CLINIC WITH A DOCTOR WHO IS HIGHLY KNOWLEDGEABLE AND TECHNICALLY STRONG. THE SUPPORTING STAFF IS ALSO VERY COOPERATIVE AND COURTEOUS.

G S MATOO
CHANDIGARHG
INDIA

CAME FOR THE FIRST TIME

CAME FOR THE FIRST TIME TO THE DENTIST. HA D AC COMFORT ZONE. WILL ALWAYS COME BACK TO DR. CHANDEL!!!

HARMINDER SINGH
TORONTO
CANADA

VERY GOOD EXPERIENCE

VERY GOOD EXPERIENCE

MEENAKSHI SHARMA
CHANDIGARH
INDIA

PLEASURABLE AND WONDERFUL!

A VERY RARE PLEASURABLE AND RERELAXING TREATMENT AT THIS DENTIST’S HANDS. HE HAS DONE A WONDERFUL JOB IN BRINGING THE BEST TO MY TEETH. CONSIDERATE AND EXPLAINS THE WORK OPTIONS CAREFULLY AND UNDERTAKES THE TASKS GENTLY WITH MINIMUM DISCOMFORT.
P.S. OPEN A CLINIC AT LONDON. 🙂

H.S. BASI
LONDON
U.K.

FANTISTIC EXPERIENCE !!!

LASER TREATMENT FOR THE REMOVAL OF AN EXCESS TISSUE WAS FANTASTIC EXPERIENCE. IT WAS COMPLETELY PAINLESS WITH NO ANTIBIOTICS OR STITCHES. WOULD DEFINITELY RECOMMEND THIS TREATMENT AT YOUR CLINIC TO ANYONE WHO NEEDS IT.

MANPREET
CHANDIGARH
INDIA

EXCELLENT EXPERIENCE!

THINGS HAVE BEEN EASY FOR ME SINCE I GOT DENTAL IMPLANTS DONE. I AM ABLE TO CHEW FOOD WHICH HAS MADE EATING ENJOYABLE. THE STAFF HAS BEEN VERY COOPERATIVE. I NEVER FELT ANXIOUS FOR SUCH PROCEDURE. I THANK DR VINOD FOR HELPING ME OUT IN NEED.

TILOK CHAND
HIMACHAL
INDIA

EXCELLENT JOB DONE BY DR

EXCELLENT JOB DONE BY DR CHANDEL. HE IS GOOD FRIEND, PHILOSOPHER AND GUIDE. WELL SATISFIED WITH IN EXPERIENCED PERSON.

PRAZAPATI
CHANDIGARH
INDIA

DR VINOD IS ONE OF

DR VINOD NIS ONE OF THE MOST INSPIRING PERSONALITY I HAVE MET IN MY LIFE. HE IS TRULY SRK ( SHAH RUKH KHAN ) OF DENTISTRY !!! I WISH HIM GOOD LUCK.

DR SIDDHARTH
CHANDIGARH
INDIA

EXCELLENT TREATMENT VERY GOOD

EXCELLENT TREATMENT VERY GOOD

AJAY THAKUR
CHANDIGARH
INDIA

IT IS GOOD TO ME

IT IS GOOD TO ME TO COME HERE,AS THE CLINIC IS VERY NEAT AND CLEAN, STAFF”S ARE POLITE, AND THE PROCEDURE WHAT THEY DO IS TO THE SATISFACTION, APART FROM COST.

C.UMA RANI
CHANDIGARH
INDIA

HYGIENIC PLACE

VERY PLEASURE CLEAN AND HYGIENIC PLACE I LIKED THE STAFF BEHAVIORS AND WELCOMING. I THINK THE DOCTOR DID JOB ON MY TEETH AND WOULD LIKE TO MEET HIM IN THE FUTURE THANK YOU

FANELEY
BRISBANE
AUSTRALIA

EXPERIENCE VERY GOOD

EXPERIENCE VERY GOOD

VAISHALI
CHANDIGARH
INDIA

excellent job rendered by dr.vinod

excellent job rendered by dr.vinod chendle. always handle his pateint with simle when reduces 50% problem itself . very good painless procedure. fully satisfaid..

khem raj garg
chandigarh
india

UNPLEASANT CAVITIES TREATMENT

DEEPTI HOW UNPLEASANT CAVITIES AND BAD TEETH ARE, OR DR CHANDLE HAS ALWAYS MADE FIXING THEM A PLEASURABLE EXPERIENCE. HE ALWAYS PROVIDES ME COUNSELLING ON VERY ASPECT OF THE PROCEDURE AND PATIENTLY EXPLAINS THE DETAILS. HE ALWAYS HAD A GREAT EXPERIENCE HERE & HE IS THE ONLY PERSON I COME TO FOR DENTAL WORK EVEN THOUGH I LOVE ON THE OTHER SIDE OF THE WORLD.

DEEPTI SINGH
CHANDIGARH
INDIA

WILL RECOMMEND TO ALL !!

WONDERFUL EXPERIENCE! DOCTOR AND STAFF ARE WELL TRAINED PROFESSIONALS. DOCTOR HIMSELF IS VERY ACCOMMODATING. DUE TO DOCTOR’S EXPERTISE IN HIS FIELD MY TREATMENT OF TEETH WAS MADE PLEASANT. NOW MY MOUTH IS HAVING NICE LOOKING TEETH WHICH GIVE NATURAL LOOK. I WILL LIKE TO RECOMMEND TO MY AQUAINTANCES.

AMARJIT SINGH
CHANDIGARH
INDIA

IT IS A WONDERFUL EXPERIENCES

IT IS A WONDERFUL EXPERIENCES MY SON IS LOOKING AS WELL AS FEELING BETTER THAN PREVIOUS CONDITION.

RISHABH RATHORE
CHANDIGARH
INDIA

VERY PLEASING WORK

VERY PLEASING WORK

DR.VIRENDER KUMAR B.D.S
CHANDIGARH
INDIA