Can you have 2 upper molars and a lower molar all pulled at the same visit?!


Question:

Can you have 2 upper molars and a lower molar all pulled at the same visit?


Answers:

There are varied opinions on whether of upper and lower third molars (commonly called wisdom teeth) on both sides can be removed on each side.

The issue in this matter revolves largely around the questions of being able to eat properly after the surgery and whether the patient will have a hard time during the post operative healing.

Let's first tackle the issue of eating. Needless to say there will be limitation of ability to eat due to the discomfort brought about by the fresh surgical area. In my opinion, it would also be difficult to eat even if only one tooth was removed. After all, it is impossible to open only on side of your mouth. For this reason, the surgeon prescribes a soft diet. A soft diet is not a slimming diet. It's nutritious food that is prepared in such a way that it will require minimal chewing or even allow direct swallowing. For example, if you want to take meat then mince it first, mix it with soup.

On the issue of difficulty of post-operative healing, one individual differs from other individuals. One fact is sure! The healing time when one tooth is removed is the same as when four teeth are removed. The advantage is that you go through one healing period for all four if they are removed simultaneously. It would be quite agonizing to think that you will be going through a healing process for four times when you have one tooth removed at a time.

Certain factors should be considered if simultaneous removal of all four wisdom teeth is being contemplated. First and foremost is the skill of the surgeon in removing these teeth. Obviously it will take considerable skill to remove all four within a reasonable amount of time.

Second is the difficulty of the case. Each case presents a cetain degree of difficulty. Suffice it to say that if all four cases are assessed to be difficult cases, it may not be advisable to removed them under an ordinary clinical set-up. It may still be manageable under general anesthesia.

Third is of course the health of the patient. the patient must be of relatively good physical condition to withstand the procedure. The patient must also be emotionally prepared to accept the viability of the procedure.

You must keep in mind that even if you agree to have all for removed initially, it is perfectly your choice to discontinue removal of all four if you feel that the procedure is too difficult for you as you actually experience the procedure. In the same manner if your surgeon believes that removing all four might be too difficult for you he will suggest to defer removal of the rest.

Don't be afraid to ask your surgeon questions about your procedure. It's your right to know. In fact it is his duty to inform you about everything concerning you proocedure.




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