Is it painful to remove wisdom teeth from the upper or lower jaw?

Is it painful to remove a wisdom tooth from above?

The bone tissue of the upper jaw is not as dense as the tissue of the lower jaw. Additionally, superior figure eights typically have less tortuous roots than lower molars. Therefore, local anesthesia can completely relieve the patient of pain during surgery. This is confirmed by reviews of people who have already had an upper wisdom tooth pulled out. They note that the most unpleasant, but quite tolerable sensations were experienced when the anesthetic was administered. And the removal itself was absolutely painless.

It can really hurt those patients who put off visiting the doctor for a long time. And all this time they took painkillers. Local anesthesia also has a very bad effect on people who use drugs.

Features of removing tooth fragments

After the walls of the crown are destroyed, the remainder of the root is removed using a special tool. The dentist performs surgery to remove all affected tissue and relieve inflammation. Such removal is complicated by the fact that tooth fragments do not have sufficient strength and can be destroyed during the extraction process. Therefore, the doctor first performs an x-ray (allows you to assess the condition of the root, its location and size, the presence of complications, etc.). Removing the fragments may require soft tissue detachment. When removing the root, gum excision and the use of local antiseptics, anti-inflammatory and other agents can additionally be performed.

Dentospas dentistry recommends performing dental treatment in a timely manner to avoid such complications. If the crown has already been destroyed, make an appointment with our surgeon for an examination and consultation.

Is it painful to remove a wisdom tooth from below?

Reviews about the removal of lower wisdom teeth are very contradictory. Some talk about the complete painlessness of the operation, others remember the minutes spent in the chair with a shudder. The fact is that when a wisdom tooth is removed from below, the patient’s sensations directly depend on the professionalism of the doctor.

Thus, infiltration anesthesia in the upper jaw is carried out in the gum in the area of the root of the wisdom tooth. And in the case of the lower “eight”, the dentist has to give an injection from the inside of the jaw. Carrying out such anesthesia is technically more difficult, and, alas, not all dentists are fluent in it.

If modern anesthetics are used, and the doctor is a professional in his field, pain during the removal of the lower wisdom tooth is completely eliminated.

It may hurt a little when the anesthetic is administered. Unpleasant sensations do not go away if an abscess has already formed in the area of the wisdom tooth. But in particularly difficult cases, the dentist may decide to use general anesthesia.

Molar removal technology

Before proceeding with the removal of a molar, the doctor must make sure that there is no curvature of the roots. For this, an x-ray is taken. If the roots are not bent, the patient is given an anesthetic injection. After 10 minutes, the tooth can be removed.

First, the dentist carefully separates the gum from the body of the tooth. Then he grabs the tooth with pliers and begins to swing it and rotate it at the same time. After several such manipulations, the doctor pulls the tooth out of the alveoli.

In this sequence, both the upper and lower root teeth are removed. However, it is somewhat more difficult to grasp the upper molars with forceps.

Sometimes, when removing a molar, the doctor must first cut it into two or three parts and then pull out each part separately. This usually happens when the roots are bent.

In case of severe curvature of the roots, when they intertwine with the roots of neighboring teeth, removal must be done in fragments and under general anesthesia. In this case, the doctor completely exposes the gum around the diseased tooth.

If there is a cyst in the area of a diseased molar, the doctor is required to be highly qualified. This removal is done under both local and general anesthesia.

Two days after the removal of a molar, the patient must visit the dentist again to take an x-ray. This is necessary to ensure that all tooth roots have been removed.

Patient reviews

Review 1

Before describing the procedure, I want to talk about my pain threshold. I can NOT stand pain. At all! I LOVE IT!!! For example, before treating caries, I ask you to give me 2 painkiller injections. And then one day my wisdom tooth began to hurt. I endured it steadfastly! But patience has come to an end! I had to go to the clinic.

Sitting down in a chair, I, as usual, asked for 2 injections and mentally prepared myself for torture :) Instead of somehow supporting and encouraging me, the doctor said: - Nahhh... but the tooth is in an inaccessible place! You can’t even get close to him!!!

Then she asked me to open it wider, then even wider, then again and again... It seemed to me that the corners of my mouth were already torn, and the doctor kept asking me to make my “mouth wider”! At the same time, she said, “What can I do here...” and tried to pick up the tooth with pliers.. These attempts lasted about 5 minutes. There was no particular pain, it was just unpleasant that the doctor could not pick up the tooth and was scared from waiting for the outcome. In the end, I asked: - Maybe I’ll go already?!!! If she can’t pick up a tooth, then WHAT will happen next?! To my deep surprise, the doctor did not even try to persuade me to stay and complete the procedure. She simply said: “Go!”

Well, wow :) This has never happened to me before. Usually doctors persuade: - Well, be patient... If you came, then you need to be patient. And here on you - go... I ask: - And what to do now? The answer was: “Nothing!” Rinse! And don't eat anything for 2 hours. And don't drink anything hot all day. - Why??? - Because the wound should heal. - So you REMOVED my tooth??? - Yes!

Just like that! While I was preparing for “medieval torture” and many hours of torment, the specialist did her job! BRAVO!!! I was delighted! After a couple of hours, the freezing sensation began to subside and the pain returned. She was tolerable, rinsing helped. After a few days the pain went away, but the wound healed for probably a whole month! The pain was weak and dull... The gums ached a little and as if something was pulling. But everything ended well! Everything is overgrown evenly.

Review 2

One of the four teeth had grown into the gum and began to rot there. Therefore, when I came to my favorite dentist, there was only one diagnosis - the wisdom tooth needed to be removed. I honestly couldn’t even get scared when I was already given anesthesia and the fragile dentist started pulling my tooth.

From the sensations, I can’t say that it hurt, no, the anesthesia worked well, but there was a feeling, I felt the tooth being taken with forceps, how it was being pulled, and I was even surprised how my fragile doctor pulled out this chunky tooth. He fought hard to get out, but for professionals there are no problems.

After this, of course, my gums bled a little, I was prescribed mouth rinses so that everything would heal faster. My gums healed within a day. I did not feel any discomfort due to the missing wisdom tooth.

Therefore, I can say for sure that the devil is not as scary as he is painted. Yes, it was unpleasant, but not painful and it could be tolerated. And if I have to remove the rest of my wisdom teeth, I won’t be the least bit upset or scared. Since there is nothing scary in this procedure.

How long will an extracted tooth hurt?

Removing a wisdom tooth is a serious surgical procedure that severely injures the soft tissues of the periodontium. The fact is that third molars are large teeth, having from 2 to 5 roots. And after their removal, an open bleeding wound remains in the jawbone and gum, which will definitely hurt. And not a couple of hours, but several days.

The pain can be aching and cutting, radiating to the throat or ear. The patient may complain of painful swallowing and persistent headache. An increase in body temperature to 37.5 0C is also natural and physiological. There is no need to endure unpleasant sensations. After tooth extraction, the dentist will definitely recommend painkillers:

paracetamol;
ibuprofen;
analgin;
butadione;
sedalgin.

All of them are available without a prescription, are not addictive and have minimal side effects. At the same time, they effectively relieve pain. Normally, the pain at the site of the extracted tooth subsides within 3-7 days. And the final healing of the hole occurs by the end of 2 - 3 weeks after tooth extraction. During this time, she needs to be protected from injury - brush her teeth carefully, eat food carefully.

The appearance of edema is also natural after the removal of the figure eight. As a rule, it forms during the first day after surgery and lasts for the next 2 to 3 days.

If over time the pain does not subside, but, on the contrary, intensifies, you should immediately consult a doctor. Alarm signals are a strong increase in temperature, an unpleasant odor from the hole, acute pain radiating to the temple or ear. These symptoms may indicate the development of inflammation. And without the intervention of a dentist, the purulent process will lead to an abscess and sepsis.

But even if healing goes according to plan, most patients will have to see their doctor again 7-10 days after surgery. This time to remove the stitches. This procedure cannot be called painful, although it is unpleasant. If the patient's pain threshold is too low, the dentist will numb the area of the gum with lidocaine gel or spray.

Wisdom teeth removal with 20% discount

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Complex extraction

The preparation stage here follows the same principle. A specialist is recommended to take an x-ray to determine root growth.

Is it painful to remove an upper wisdom tooth? After the anesthesia takes effect, the pain goes away and doctors begin surgery. It is carried out according to this scheme:

the gum tissue is cut, after which it is peeled off from the bone;
an area that is open (part or all of it) is cut out;
The molar is removed, using an elevator or forceps;
the hole is inspected to see if parts of the root remain;
the wound is washed with antiseptic, anti-inflammatory solutions;
the hole is stitched along the edges.

What drugs are used for pain relief

Just a few decades ago, the only painkiller used by dentists was novocaine. Despite its low toxicity, it very often caused serious complications in patients: from an allergic reaction to anaphylactic shock.

The next step was the use of lidocaine. It is still used to this day in budget dental offices, and has an undeniable advantage: allergies to the drug occur extremely rarely. The problem is different: to prolong the effect of lidocaine, the dentist has to add a drop of adrenaline to it. Moreover, this is done “by eye”. And as soon as the doctor’s hand trembles a little, the patient is guaranteed such unpleasant symptoms as rapid heartbeat and dizziness.

It is much more comfortable for both the doctor and the patient of the dental clinic to deal with articaine anesthetics. These include:

ubistezin
;
ultracaine;
septanest
.

Firstly, such drugs are administered with a carpule syringe, which ensures that the injection itself is less painful. Secondly, the ratio of adrenaline and anesthetic in the drugs is adjusted to the nearest milliliter. This means that wisdom tooth removal will be painless, and the patient will not experience any side effects.

Important! If the patient is at risk, it is recommended to use an anesthetic that does not contain adrenaline.

In what cases should a wisdom tooth be removed?

Indications for removing the “eight” are:

Abnormal placement of wisdom teeth .
Evenly growing third molars are rather an exception to the rule. Most often, these teeth grow at an angle, injuring the tongue, cheek, and moving other teeth. Sometimes the inclination is so great that wisdom teeth do not even show on the surface and can only be detected on an x-ray. Compared to our ancestors, the jaw of modern humans has decreased in length by almost 12 millimeters. That is why “eights” often simply do not have enough space in the jawbone.
Pericoronitis or too slow tooth growth . This pathology is not an absolute indication for surgery. More often, the dentist suggests that the patient simply remove the hood to avoid the development of an inflammatory process over the growing tooth. But if the patient goes to the doctor too late, then there is only one way out: removal.
Caries . It is difficult to take good care of the “eights”. Bacterial plaque still remains on the teeth, and later, during a preventive visit, the doctor discovers carious cavities. You can suspect their appearance if the tooth begins to twitch when exposed to cold or sweet foods.
Inflammatory process . It is also necessary to remove a tooth if an infection has been introduced into the soft tissues of the periodontium. It can provoke the development of flux or a cyst, and in this case the dentist will not hesitate.

Whether it makes sense to preserve a wisdom tooth, only a doctor can determine in each specific case.

Types of anesthesia

When a molar needs to be removed, anesthesia should be performed. There are three anesthesia options for this:

local. Is it painful to have a wisdom tooth removed with this type of anesthesia? It is used most often. It acts in a specific area and relieves nerve endings of sensitivity;
general anesthesia. Sometimes the patient does not have enough local anesthesia. Then anesthesia is used if the patient suffers from mental disorders, is terrified of surgery, and has a gag reflex. With such anesthesia, a person simply falls asleep;
combined. Here, medications that promote relaxation and local anesthesia are simultaneously used. The patient remains conscious, but his emotional and physical levels decrease.

Is it painful to have a wisdom tooth removed? With high-quality anesthesia, you will not feel anything.

How to prepare for removal

If the process of the emergence of the third molar causes concern or is accompanied by pain, then it is necessary to show the problem unit to the dentist as soon as possible. You should not postpone a visit to the clinic, abuse painkillers or use “miracle” folk remedies - this will not help solve the problem and may worsen it.

After treatment, there are 2 possible scenarios - the wisdom tooth will be treated or removed. To properly prepare for removal, just follow a few simple recommendations.

1 - 2 days before the procedure, stop taking alcohol and anticoagulants - drugs that impair blood clotting, for example, Aspirin, Heparin, Ibuprofen.
On the eve of the operation, it is better not to practice warming procedures - go to the bathhouse, sauna, solarium, or steam your feet.
Be sure to eat 1 – 2 hours before removal.
Before visiting a doctor, thoroughly brush your teeth and mouth with a regular toothbrush and toothpaste.

Immediately before removing a wisdom tooth, it is recommended to lubricate your lips with Vaseline or hygienic lipstick - this will protect them from the formation of cracks. As a rule, in good clinics the dentists do this themselves, but just in case, it is better to take the product with you from home.

It is important to know! According to the observations of dentists, seeking help earlier guarantees a less painful procedure.

This is due to the fact that the place where the figure eight appears is not yet “exhausted” by pain, slightly inflamed, without swelling and other unpleasant symptoms. In this case, an injection of anesthesia will be sufficient to completely numb the procedure.

If you endured it for a long time, took pills, and then couldn’t stand the torment and asked for help, then you need to be prepared for the fact that, most likely, the operation will be more painful and the dentist will have to use a larger dose of anesthesia, which is not always possible.

Regardless of the time of treatment, it is necessary to understand that figure eight extraction is a rather complex process from a technical point of view, requiring the efforts of a doctor. Naturally, tooth extraction will be accompanied by unpleasant sensations. The degree of their manifestation depends on the patient’s pain threshold - therefore it is better to warn the specialist in advance about the characteristics of your body.

How much does tooth extraction cost?

Many patients ask the question: how much does tooth extraction cost and why do the prices for removal differ so much in different clinics? To answer this, we present you with a few defining points:

diagnostics
tools
doctor's experience
time allotted for the procedure

It is these nuances that determine not only the final cost of the operation, but also the positive result itself, which, if diagnosed correctly by an experienced doctor, is guaranteed.

Removal steps

If the wisdom tooth has already erupted, the dentist may not carry out any preparatory procedures. If an unerupted or partially erupted “figure eight” is to be removed, the doctor will definitely refer the patient for an x-ray. And based on the results of the image, he draws up a plan for the operation. Its duration depends on the complexity of the procedure. Simple removal will take 5 - 10 minutes, complex removal will last for 20 - 160 minutes.

Easy removal

Stage 1.
Selection of anesthetic. The doctor inquires about the patient’s allergies and asks him about chronic and past diseases.
Stage 2.
Conducting anesthesia. When removing an upper wisdom tooth, pain relief will take effect within 3-4 minutes. If you have to remove the bottom “eight”, you will have to wait 8-10 minutes.
Stage 3.
Actually, the removal or extraction of the “eight”. The doctor grabs the tooth with forceps or elevators and removes it from the socket.

If the removal was carried out against the background of inflammation, the dentist will wash the wound with an antiseptic solution and put an anti-inflammatory drug into the hole. In most cases, the operation ends with suturing the wound. This way it will heal faster and the risk of bleeding will be significantly reduced.

Simple wisdom tooth removal takes from 1 to 10 minutes. In this case, the gum is not cut, and the tooth is not drilled, but simply removed from the bone tissue.

Difficult removal

One of 3 factors makes it difficult to remove a wisdom tooth: strong branched roots, a badly damaged crown that does not allow the dentist to use forceps, or the unerupted third molar itself.

Stage 1.
Taking an x-ray . It is the x-ray that allows the doctor to understand how large-scale the intervention will be and how long the operation will last.
Stage 2.
Selection of anesthetic . This stage is no different from that of simple wisdom tooth removal.
Stage 3. Administration of anesthesia
.
Stage 4.
An incision in the gum , spreading its edges and exposing the tooth.
Stage 5.
Wisdom tooth extraction . If the roots are branched, the doctor separates them with a drill. And one by one he removes them from the hole.

The operation is completed by washing the wound with antiseptics, applying the drug and suturing the hole. After a complex wisdom tooth extraction, the patient must have a follow-up appointment. Sometimes after 1-2 days, sometimes after a week.

Complex tooth extraction takes at least 20 minutes. In some cases, the operation can last even 3 hours. But all this time the patient will not feel pain.

What does the sensation of pain depend on?

How painful it is to pull teeth, according to research, depends on several factors. In the same patient, the intensity of pain during extraction may vary depending on the following signs:

a molar or baby tooth needs to be pulled out - removal of a baby molar is almost painless, since it does not have powerful long roots, like those of a permanent one;
location on the jaw arch - frontal molars are removed with a feeling of much less intense pain, since they are smaller in size, their root system is not as developed as that of the lateral teeth. The same can be said about trauma to the surrounding soft tissues - they suffer less, especially in comparison with wisdom tooth extraction;
tooth shape and number of roots - by nature, human molars can have 1-2 or 3-4 branches of a stabilizing root system. So, tooth extraction will be more uncomfortable the more root branches the molar has.

It is necessary to clarify that whether it is painful to pull out a tooth depends not only on the listed factors, but also on the perception of the procedure by the person himself. If you experience a feeling of panic and intense fear before the extraction, this psychological state can directly affect the procedure and actually provoke intense pain. There are many stories among patients not only about how much pain is felt during extraction, but also that there is a big difference whether a molar is removed from above or below, supposedly this affects the intensity of the discomfort.

We need to figure out whether these rumors have a scientific basis. Dentists claim that, regardless of the location of the tooth, it can be removed completely painlessly if high-quality anesthesia is administered, but the jaw may begin to hurt after the end of the freezing period. The severity of the pain syndrome will depend on several points:

how much bone and soft tissue was destroyed;
is there an acute inflammatory process at the time of removal;
a frontal or lateral tooth is subjected to extraction;
the lower or upper molar is removed;
whether there is an accumulation of pus in the area of the unit being removed.

According to medical statistics, the removal of the upper incisors is less painful, since their root system is not as powerful and tortuous as that of the lower teeth.

The fact that lower units are more difficult to remove from the bed is also due to the density of the bone tissue. All these factors directly affect the degree of destruction and recovery time after the molar has been removed. Therefore, it makes no sense to say that it is painful to remove the lower teeth, but not the upper ones; the location will only affect the adaptation period after extraction.