Page 1 of 2

Teeth removal with braces on

Posted: Fri Oct 01, 2010 10:38 pm
by ckdramas
I've had my metal braces on for a little over a month now, I'll be getting 2 lower wisdom teeth and 1 upper tooth removed in 3 days.

I did a bit of research and get the idea that liquid food should be taken after the extraction. Puddings and ice cream are the highly recommended ones. However, with braces on, is that feasible? I mean, wouldn't brushing be painful after the teeth extraction? With sweet food and braces, I'd have to keep my teeth extra clean too. Any help is appreciated.

I am nervous about the extractions. It'll be performed under sedation. I'm not too certain what the difference is between sedation and general anesthesia. I think I'm going to be sleeping throughout the process. As long as I don't hear/see what's being done to me and don't feel the pain, I'm good.

Posted: Sat Oct 02, 2010 1:16 am
by BraceFace2o1o
I had 3 wisdom teeth removed in November (two uppers and one lower). I had an injection in the back of my hand (some type of sedative) and that was just to make me a little 'out of it' but not asleep, I was awake the whole way through (well, it actually only took them 10 minutes!) and could walk afterwards (with a little help :lol:). After it was administered into the back of my hand, they then numbed the areas in my mouth with oral injections.

General anesthesia is when you are completely knocked out and don't know anything during the procedure.

After mine were removed I would eat things like ice cream, scrambled eggs, soups, mashed potatoes, yoghurt etc. You could also drink protein shakes if you wanted to. After about a 7-10 days I started to experiment with other foods, still quite soft but not too chewy. I just didn't want food getting caught in the extraction gaps (mine were not stitched). I didn't have any problems! pretty much 0 pain from the day they were removed, it really was an ok experience for me.

Brushing, I could brush like normal... I just didn't go to close to the extraction holes.

Posted: Sat Oct 02, 2010 11:36 am
by bbsadmin
I remember when I got my wisdom teeth extracted (this was years before I had braces), they put in dissolving stitches. I do remember that I could only eat soft food for about 10 days until the stitches totally dissolved. I remember it being rather uncomfortable.

I also had 4 bicuspids extracted about 6 months after having my braces put on (this was years after the wisdom tooth extraction). That was no problem at all. The only caveat was that I couldn't drink through a straw for a number of days.

So my advice to you is: definitely stay on soft foods and just do the best you can with your oral hygiene until your mouth recovers. Warm salt water rinses are terrific; you can do it several times per day. If you can't brush, you can rinse with plain water and then salt water. It won't be long before you'll be able to get back to you regular oral hygiene routine. As long as you're mindful of what you're doing, you'll be OK.

Posted: Mon Oct 04, 2010 3:52 am
by .melski.
I am due for the same thing at some stage of my treatment (removal of both lower wisdom teeth and one upper - for some reason I only have three!) and I have to say, it's the only thing about the braces/orthodontic treatment that I find really daunting. I am worried about the same things - taking care of my braces with giant holes in my mouth - as well as the idea of being put under to have them out (I have never, ever, had any kind of surgery and to be honest the idea freaks me out immensely!)

Has anyone had them out in the chair instead of under general anesthesia? I'm wondering if this might be easier for a control freak like me (lol).

Posted: Mon Oct 04, 2010 4:15 am
by BraceFace2o1o
.melski. wrote:I am due for the same thing at some stage of my treatment (removal of both lower wisdom teeth and one upper - for some reason I only have three!) and I have to say, it's the only thing about the braces/orthodontic treatment that I find really daunting. I am worried about the same things - taking care of my braces with giant holes in my mouth - as well as the idea of being put under to have them out (I have never, ever, had any kind of surgery and to be honest the idea freaks me out immensely!)

Has anyone had them out in the chair instead of under general anesthesia? I'm wondering if this might be easier for a control freak like me (lol).
Like I posted above, I had 3 of my wisdom teeth out in the chair (not with general anesthesia - I had some sedation to make me a little drowsy, but was awake and could walk straight after).

All 3 of mine were out of the gum (well, the lower one was only half way out of the gum). I have one left (lower right) that will need to be removed before or during my braces treatment, but this one is totally under the gum and growing at an odd angle. I will see my Dentist on Thursday to see if he can refer me to the same oral surgeon as before and have it out without being put to sleep like before, but I am not sure if they will agree to it.

Posted: Mon Oct 04, 2010 4:38 am
by lu lu
don't worry i had 2 wisdom teeth out in june (upper i's) & had never had a tooth out in my life.

I was so scared! I was sedated (still awake just wasn't too with it - knew what they were doing though)

Don't know what all the worry was about to be honest.

As for eating soft food - I never. I had burger & chips from the chippy few hours after lol & never watched what i ate.

Yes there was SOME pain but nothing some pain killers couldn't see to.

Ony annoying thing is that food get's stuck in the gaps & i have to pick it out lol.

don't worry though it's not as bad as people make out

x

Posted: Mon Oct 04, 2010 5:43 am
by VA5
Honestly, I had a worse experience w/extractions than many here. I was bleeding for half the day, and even overnight I bled so much (really just drips but that's a lot if overnight) that the next morning I felt sick and vomited! So, the first day I ate NOTHING. I wish I had ate a lot before the procedure b/c I thought I'd be okay to eat something. But, with the bloody gauze in my gums all day, it would have been completely gross to eat something. I don't think I even drank anything b/c it was just so gross.

So, in the case that something like that happens to you (sorry to scare you, but trying to give you perspective with the advice I'm giving to you), I would eat and drink as much as you can and then if you feel yucky after, just don't eat anything, lol.

And then, the next day start with soups and just completely liquid things like ice cream. Trust me, brushing your teeth after liquid things will be much much easier than attempting to eat anything less sweet but harder or chewier that might stick all over your teeth.

Posted: Mon Oct 04, 2010 6:16 am
by BraceFace2o1o
Even though I didn't get totally put under, I was requested not to eat anything after 12am the night before. But I am sure the surgeon will notify you of this.

I think if they are just numbing you with oral injections you are ok to eat prior, but if you have some sort of sedation to make you a little drowsy then I think they don't like you to eat, incase you are sick during the procedure.

I think wisdom teeth can be a little more tricky to remove (more so the lowers) that regular teeth, so I should imagine they will use some sort of anesthetic, to at least make you a little drowsy, like I did. But like I said, your oral surgeon will tell you about all this anyway.

I was told wisdom teeth can sometimes be a more painful etc etc... so I was expecting to have a horrid time (my mum did), but all 3 of mine were removed within 10 minutes (I even think the surgeon was a little surprised) and I had very minimal pain afterwards. My mum had quite a lot of pain and some swelling (she didn't have dry socket though).

I mainly would eat soft foods to avoid hard bits getting stuck in the extraction holes. You should be careful when rinsing your mouth, don't suck through a straw, and be careful when spitting, as you may remove the clot, which can lead to dry socket.

Posted: Mon Oct 04, 2010 6:03 pm
by KatieGee
I went in last week to fix the bracket on my lower right molar that had gotten knocked off by my upper molar and was presented with the question "so how would you feel about getting your wisdoms out?" I'm 36 and my ortho said that one of them was impacted and would have to be extracted after braces anyway plus the impacted tooth seemed to be getting in the way of one of the molars being banded. So I'll be going for a consultation with my oral surgeon next week to remove all four wisdoms and according to my ortho I will probably be placed under general anaesthesia. To be honest, the thought of GA scares me more than the thought of 4 extractions. I have morbid thoughts of not waking up plus the loss of control really terrifies me. I keep telling myself that it's like falling asleep and waking up naturally. Does anyone have any advice about GA?

Posted: Tue Oct 05, 2010 11:48 am
by ckdramas
I had my 3 teeth removed this morning. I dont even know what procedure they took. I was too nervous to ask. They put me on chair and gave me laughing gas & oxygen to breathe in. After few minutes, it became difficult to breathe as there was some weird odor. At that time, they injected me on my arm with something to put me to sleep. I was woken up by a nurse asking me for my dad's phone # so that he can come pick me up. That was about 45 minutes later and I realized that I was in another chair, in another room, lol. I wonder how I got there :lol:

So, was I sedated or given general anesthetia? My lower lip and chin are still numb. I had trouble taking my pain medication as I couldn't feel where the tablet went in my mouth. Water kept spilling down my shirt too, haha. I haven't eaten anything today, a bit hungry but my mouth taste like gauze and I'm not sure if I'll be able to get anything in my mouth because of the numb state.

Posted: Tue Oct 05, 2010 12:30 pm
by KatieGee
I'm not 100% sure, but I think laughing gas leaves you in a conscious state where you can still THIS IS SPAM REPORT TO ADMIN THIS IS SPAM REPORT TO ADMIN THIS IS SPAM REPORT TO ADMIN THIS IS SPAM REPORT TO ADMIN with those around you. I think you may have been given laughing gas followed by a GA injection which I believe is common for surgeries.

I had 2 injections for a filling and a crown before I got my braces and couldn't drink afterwards without water dribbling down my chin.

Glad to know your extractions went well!

Posted: Wed Oct 06, 2010 12:27 pm
by ckdramas
thanks. so far so good. it's been over 24 hours already. no pain or swelling. hopeit keeps up that way. :D

Posted: Wed Oct 06, 2010 12:30 pm
by BraceFace2o1o
ckdramas wrote:thanks. so far so good. it's been over 24 hours already. no pain or swelling. hopeit keeps up that way. :D
I am glad it went ok and you are doing fine.

There are far too many 'horror stories' on the internet to worry people about wisdom tooth removal (I was one of those worried people once... teaches me not to Google absolutely EVERYTHING! LOL).

Posted: Fri Oct 08, 2010 4:29 pm
by ckdramas
Chrystal wrote: I am glad it went ok and you are doing fine.

There are far too many 'horror stories' on the internet to worry people about wisdom tooth removal (I was one of those worried people once... teaches me not to Google absolutely EVERYTHING! LOL).
I have a question. i never really checked out the holes in my mouth until today (3 days later). i see white thread and black stuffs. It seems to me that the black stuff is the hole that either wasn't sultured properly or the thread dissolved in advance. Is that a concern? So after I eat, is simply rinsing with warm salt water sufficient to clean that hole? or should I go on an absolute liquid diet for a few days?

Posted: Mon Oct 25, 2010 11:37 am
by KatieGee
I just had my 2 wisdoms removed this morning. During a prior consultation, the oral surgeon mentioned that he would use self-dissolving stitches but I don't see anything, just 2 black holes. lol. I think though that the stitches dissolve in a few days so maybe your stitches have done their job?

Fyi for anybody who is still interested in the whole GA vs laughing gas vs sedation thing, I know for a fact that I did not go under GA today. The oral surgeon said that if you need GA an anaesthesiologist has to perform the anaestheia. What I got was an oxygen tube in my nose and an injection up my arm which made me really sleepy. I was asleep/sedated in less than 30 seconds. I was not awake or aware of anything during the procedure although he told me beforehang that he would also be injecting the two spots of extraction with local anaesthesia. Next thing I knew, the surgeon's assistant was waking me up. I felt groggy but could walk. It was pretty anti-climactic after all the worrying I put myself through! I even had a dream last night that they kept injecting me over and over but could not put me to sleep so they decided, what the heck, let's just do it with her awake. Not the most comforting dream to have the night before!

My list of instructions says no rinsing and brushing teeth for the first day. I'm really not experiencing much pain yet and most of the numbness from the local anaesthesia has worn off. Keeping my fingers crossed!