KenW
Headphoneus Supremus
- Joined
- Jan 17, 2004
- Posts
- 3,933
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- 10
Sorry folks but I've got to call BS on this one. Knees on your chest? C'mon. I know people like to dramatize and I'm certain it makes for a good tale and at the same time scares the hell out of prospective patients but that's ridiculous. I've been in practice for over 20 years and have done as much if not more oral surgery than many oral surgeons. The equipment and techniques don't involve any sort of jerking motion as described....."violently yanking". If you truly think that happened, I submit that perhaps your mind was, in truth, playing tricks on you. As for the number of "novacaine" injections received, uh, 12 carpules of anesthetic borders on overdose depending on how close together the injections were administered. Frankly, under such stress, I'm shocked someone had the presence of mind to count the number of injections. Pretty amazing if you ask me.
Let's set the record straight. Removal of third molars(wisdom teeth) and other molars for that matter, is extremely safe and a very common procedure. Reasons for removal are numerous....impacted which could lead to damage of adjacent teeth, cyst formation, periodontal problems, decay, insufficient space and/or orthodontic concerns. The procedure can be done with nothing but local anesthesia(injections) or with additional anxiolytic measures including nitrous oxide(laughing gas) and IV sedation. Versed is the most popular medication today replacing Valium. With Versed, you have an emergency reversal agent(nicknamed "reversed") which only enhances safety. Versed also has the property of creating an amnesia effect which only serves to further lessen the perceived trauma of the procedure. If the wisdom teeth are impacted, the surgeon/dentist will use a scalpel blade to surgically penetrate and reflect the tissue to expose the tooth. At that point, he may use a handpiece to remove a small amount of bone from around the tooth and/or section the tooth. Sounds scary but bone has no "nerves" and using a smooth cutting handpiece with copious amounts of sterile saline makes it smoother than a filling! On some rare occasions, a provider might use and osteotome and mallet(the "hammer and chisel") but the surgical handpiece is the routinely used instrument on the lower arch. The bone around the upper third molars is egg shell thin in most cases and can easily be "flicked" away with a periosteal elevator and no "hammering" is needed. At that point, the tooth will be loosened using "elevators" which are small instuments(they look nothing like a crowbar!) placed between teeth or between the bone and tooth and ROTATED to loosen the tooth section. Usually, a couple of minutes max is all that it takes to loosen the tooth or fragment and ELEVATE it out if it's been sectioned correctly and prepped. No "yanking" or "jerking" is part of this process. It's a smooth and controlled motion and not the haphazard method described by several here. Once the tooth is removed, the socket is inspected and cleaned with a single suture is placed on the lower arch and usually none are placed on the uppers(gravity and the cheek hold this tissue in place.
Honestly, the procedure does have risk of complication too involved to go into here but suffice it to say, it's nothing like a few of the posts in this thread describe. If your description is accurate, I'll submit that a very inexperienced provider did the procedure and I'll also guarantee you he was NOT an oral surgeon. Frankly, I'll submit that a few of the more "graphic" posts in this thread are grossly exaggerated to enhance the effect of the tale on others.
To all who are considering or about to have the process done, plan on taking a couple of days off work/school and follow your post-op instructions carefully to minimize your risk of post-operative complications. It's not anything close to the nightmare you've been led to believe it is.
Let's set the record straight. Removal of third molars(wisdom teeth) and other molars for that matter, is extremely safe and a very common procedure. Reasons for removal are numerous....impacted which could lead to damage of adjacent teeth, cyst formation, periodontal problems, decay, insufficient space and/or orthodontic concerns. The procedure can be done with nothing but local anesthesia(injections) or with additional anxiolytic measures including nitrous oxide(laughing gas) and IV sedation. Versed is the most popular medication today replacing Valium. With Versed, you have an emergency reversal agent(nicknamed "reversed") which only enhances safety. Versed also has the property of creating an amnesia effect which only serves to further lessen the perceived trauma of the procedure. If the wisdom teeth are impacted, the surgeon/dentist will use a scalpel blade to surgically penetrate and reflect the tissue to expose the tooth. At that point, he may use a handpiece to remove a small amount of bone from around the tooth and/or section the tooth. Sounds scary but bone has no "nerves" and using a smooth cutting handpiece with copious amounts of sterile saline makes it smoother than a filling! On some rare occasions, a provider might use and osteotome and mallet(the "hammer and chisel") but the surgical handpiece is the routinely used instrument on the lower arch. The bone around the upper third molars is egg shell thin in most cases and can easily be "flicked" away with a periosteal elevator and no "hammering" is needed. At that point, the tooth will be loosened using "elevators" which are small instuments(they look nothing like a crowbar!) placed between teeth or between the bone and tooth and ROTATED to loosen the tooth section. Usually, a couple of minutes max is all that it takes to loosen the tooth or fragment and ELEVATE it out if it's been sectioned correctly and prepped. No "yanking" or "jerking" is part of this process. It's a smooth and controlled motion and not the haphazard method described by several here. Once the tooth is removed, the socket is inspected and cleaned with a single suture is placed on the lower arch and usually none are placed on the uppers(gravity and the cheek hold this tissue in place.
Honestly, the procedure does have risk of complication too involved to go into here but suffice it to say, it's nothing like a few of the posts in this thread describe. If your description is accurate, I'll submit that a very inexperienced provider did the procedure and I'll also guarantee you he was NOT an oral surgeon. Frankly, I'll submit that a few of the more "graphic" posts in this thread are grossly exaggerated to enhance the effect of the tale on others.
To all who are considering or about to have the process done, plan on taking a couple of days off work/school and follow your post-op instructions carefully to minimize your risk of post-operative complications. It's not anything close to the nightmare you've been led to believe it is.