What To Expect When Getting Your Wisdom Tooth Removed

What To Expect When Getting Your Wisdom Tooth Removed

Wisdom teeth certainly don’t make you smarter or wiser. However, they can give you serious headaches if you do not pay due attention to them. In order to avoid complications, it is important to know if wisdom teeth should be extracted or not, what complications can occur if you ignore certain symptoms, what extraction surgery involves and how you recover after such a procedure.

The decision to remove a wisdom tooth is not always an easy one to make. It is recommended that you discuss it with a dentist or a dental surgeon to examine the position and health of the molars, so that they can decide what is best for you, depending on the situation you are facing.

When a wisdom tooth should be removed

The problems that can arise in the case of wisdom teeth relate, in particular, to the position in which they develop and how they erupt. From this point of view, the following situations are serious reasons why extraction could be recommended or even mandatory:

  • Partial eruption (part of the mass remains in the gums). Because the tooth erupts in the back of the mouth, it’s hard to see exactly what’s going on there, and brushing isn’t easy either. Therefore, partially erupting teeth can be open corridors for food retention. They can lead to gum disease and other oral infections
  • They do not have enough space to grow. When the teeth do not have enough space to develop normally, they can force adjacent teeth to make room. Basically, they push into the molars next to which they grow and cause a domino effect.


Specialists recommend the extraction of wisdom teeth if certain symptoms or manifestations appear in the area, such as:

  • gum pain;
  • bleeding gums;
  • cysts, swelling in the molar area;
  • repeated infections of the soft tissue behind the brain mass;
  • tumors;
  • damage to nearby teeth;
  • gum disease;
  • extensive tooth decay.

What does the extraction involve?

The extraction is a surgical procedure to remove one or more wisdom teeth. Most such interventions do not involve high risks or long-term complications, but it depends very much on the technique used. In the case of teeth that grow in the gums, an incision and removal of the bone may be needed. Very rarely, the complications that can occur are infections caused by bacteria or food debris not cleaned properly, or damage to neighboring teeth, nerves, sinuses or jaw. The duration of the procedure depends on its difficulty.

Before the treatment, the surgeon will opt for a type of anesthesia, depending on the complexity of the extraction and your level of comfort. The dentist will use local or general anesthesia.

During the procedure, the dentist will:

  • perform an incision in the gum tissue to reach the tooth or bone, in the case of included or semi-included molars;
  • remove the bone that blocks access to the root of the tooth;
  • cut the molar into two sections if it is easier to cut it into pieces;
  • remove the tooth;
  • clean the extraction site of any tooth or bone residue;
  • suture the wound;
  • apply sterile dressing. They are very important in the recovery process because they prevent excess bleeding, protect the wound from infections and exposed bone, and help grow new tissues.

Recovery after an extraction

The recovery process could be outlined as follows:

  • the first 24 hours – blood clots form;
  • 2-3 days – swelling of the mouth and cheeks should diminish;
  • 7-10 days – stiffness and pain in the jaw should disappear;
  • 2 weeks – light bruises on the face should heal.

Recovery can take up to two weeks, but this varies from patient to patient. Swelling and pain may occur after the extractions; sometimes there is infection or bleeding. Postoperative care is very important and helps you recover faster. We recommend that you keep in touch with your doctor during the entire process and maintain constant communication. You will be advised about what you should eat/drink, how to perform oral cleaning, which physical activities are recommended and which are not, and what medication you should take.

At Pacifica Dental, Dr. Fatemeh Karimi is performing oral surgeries such as complicated wisdom tooth extractions. Dr. Karimi a dedicated professional with 22 years of experience. As a team, we endeavor to make any wisdom tooth extraction as easy and painless as possible, and make sure that the recovery process is fast and without any complications.

If you have any questions about removing your wisdom teeth don’t hesitate to contact us and schedule an appointment at Pacifica Dental.

Pain therapy – endodontics and/or extractions

Pain therapy – endodontics and/or extractions

Have you ever had a toothache that has kept you up all night? Not to worry- you can be pain free by the end of the day so you can have a good night’s sleep. Call us right away and you can have a same day emergency visit.

The first step is coming into the office so we can determine the cause of the pain. Our team at Pacifica Dental will gather information about your medical and dental history, as well as an accurate description of the pain. A certified dental assistant will take care of the required diagnostic aids and tests, such as radiographs, photographs, study models, and digital scanning. The dentist will perform a dental examination including an extra-oral evaluation as well as an intra-oral evaluation of soft tissue and dentition. You can expect questions such as “when did the pain start?”, “is it spontaneous?”, “is it lingering?” “did it wake you up?, “how would you score the pain, on a 1-10 scale?”, “are there any factors that make the pain worse or reduce it?”, and “is it triggered by temperature changes?”. In most cases, additional specific examinations are required in order to come up with an accurate diagnosis.  Ice and heat will be applied to your teeth and you will be required to grade the level of the pain/sensitivity. Percussion and palpation will also play a role in diagnosis. A bite test might be performed, if a cracked tooth is suspected. If necessary, referrals will be made to specialists at the dentist’s recommendation.

A diagnosis is made from the review of the data that was collected and recorded during the clinical examination, supplemented by the necessary radiographs and/or study models and/or the results of any tests or consultation. The dentist will provide you with a treatment plan consisting of urgency and order of treatment, the options for materials and methods,  alternatives (including no treatment), all recommendations, instructions and advice, risks and complications associated with each treatment, financial implications, and arrangement for payment options.

Once you have made a decision with respect to the choice of treatment and informed consent has been obtained, we will proceed with treatment.

Dental pain is most often due to tooth decay, or an inflammation or infection of the pulpal tissue. Performing endodontic treatment can significantly reduce the pain.

Studies have shown that pulpotomy and pulpectomy treatments alleviate pain and can restore the health of the tooth.

During a pulpotomy, a dentist/endodontist removes the coronal pulp (the pulp above the gum line, within the main part of the tooth). A pulpotomy can only be completed on a tooth that is still alive, meaning that it responds to temperature and has sensation and vascular flow. For this procedure to be successful, it is important there is no abscess in the area. In approximately 90% of cases, pulpotomy treatment reduces pain symptoms within a day.

A pulpectomy is a procedure that entirely removes the pulp from all parts of a tooth, including the root system. The main goal of the procedure is to clean the entire root canal, protecting it from further infection and to prevent it from spreading the infection into the surrounding apical bone. Root canal treatment can sometimes be combined with an incision for drainage and occlusal reduction. All these procedures are performed under local anesthesia.

Once root canal therapy is completed, your tooth should be examined periodically (the time between appointments will be recommended by your dentist). This allows us to ensure that the tooth has healed and/or is healing properly. Since an abscess may take 2 or more years to heal, the tooth should be re-evaluated once a year for at least a few years after treatment.

In many cases, patients come to us only when the tooth is too damaged to be saved. Then we   need to perform an extraction. The extraction can be non-surgical or surgical, depending on the tooth’s roots, surrounding bone and how badly damaged the tooth is.

One of the various tooth extraction techniques is called alveolotomy. An alveolotomy involves removing part of the alveolar and cortical bone in some complicated cases. It is performed whenever there are elements of difficulty and involves a minimal, controlled loss of supporting bone, avoiding uncontrolled fractures and accidents during extraction.

At Pacifica Dental, we believe in providing our patients with access to the best dental technology available. Platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) have been clinically proven to help patients heal faster with fewer complications after dental surgery and other procedures.

Did You Know?

PRP and PRF can help you:

  • Heal faster and get back to work and other activities quickly after a surgical dental procedure.
  • Reduce your need for strong pain-medication and anti-inflammatories following dental surgery.
  • Greatly lower the risk of infection after oral surgery.

Best of all, PRP and PRF are 100% natural.

In general, after a simple extraction, the recovery period is 5-10 days, until the resorbable sutures are dissolved. After a surgical (more complicated) extraction, the recovery is within 2 weeks,  however, the nonresorbable sutures and membranes will be removed after a month during a follow up appointment. We highly recommend that patients do not smoke, drink alcohol, swish, suck, or rinse the mouth on the day of the extraction. Icing is recommended for 2 days in order to avoid swelling and decrease bruising.

If you are in any kind of dental pain, don’t waste any time and schedule an emergency appointment with Pacifica Dental. We will take care of you as soon as possible and we will make sure you have a quick and successful recovery.

Oral health – one of our New Year resolutions

Oral health – one of our New Year resolutions

Oral health contributes both to the general health of the body and maintaining an emotional balance. Poor oral hygiene can cause cavities, gum disease and has also been associated with heart diseases, cancer and diabetes.

Maintaining good oral health should be one of your constant new year resolutions and a commitment for a lifetime. If you conscientiously apply good oral hygiene practices (such as proper brushing of the mouth, flossing and limiting sugar), you will avoid costly dental procedures and long-term health problems.

What you need to know about oral health

Cavities and gum disease are very common. According to the World Health Organization:

  • between 60 and 90% of schoolchildren have at least one cavity;
  • almost 100% of adults have at least one cavity;
  • between 15 and 20% of adults aged between 35 and 44 years suffer from severe gum disease;
  • about 30% of people around the world, between the ages of 65 and 74, no longer have natural teeth;
  • in most countries, out of every 100,000 people, there are between 1 and 10 cases of oral cancer.

Fortunately, there are many ways you can maintain your oral health. For example, oral conditions can be prevented by:

  • brushing the oral cavity at least twice a day, using a fluoride paste;
  • flossing at least once a day;
  • limiting sugar;
  • eating fruits and vegetables;
  • avoiding tobacco;
  • fluoridated water consumption;
  • regular visits to the dentist.

Most frequent symptoms of dental problems

We recommend not to postpone the visit to the dentist until the onset of symptoms. Two consultations a year are enough to detect a problem in the oral cavity, before symptoms appear.

If you experience one or more of the following signs that may indicate oral health problems, make an appointment with your dentist in Victoria, as soon as possible:

  • ulcers or wounds of the oral cavity that do not heal in a week or two;
  • bleeding or swelling of the gums after brushing or flossing;
  • bad breath;
  • sudden sensitivity to hot and cold temperatures;
  • toothache;
  • moving teeth;
  • retracted gums;
  • pain in chewing;
  • swelling of the face;
  • noise when opening/closing the mouth (during the chewing process);
  • cracked or broken teeth;
  • dryness of the oral cavity.

If the symptoms you experience are accompanied by fever and swelling in the face or throat, we recommend that you immediately call a dentist.

Causes of the most common diseases of the oral cavity

The oral cavity collects all kinds of bacteria, viruses and fungi. Some of them are part of the flora of the oral cavity. In small quantities, they are generally harmless. But a high-sugar diet creates conditions in which acid-producing bacteria can multiply uncontrollably. This acid dissolves tooth enamel and causes cavities.

Bacteria near the gums grow into a sticky mass called plaque. If it is not removed by brushing and flossing, plaque builds up, hardens and migrates along the length of the teeth. This can lead to inflammation of the gums and can cause a condition known as gingivitis.

The inflammation causes the gums to begin to retract, gradually moving away from the teeth. This process creates pockets that can collect pus. Here we are talking about an advanced stage of gum disease, which is called periodontitis or periodontal disease.

There are a number of factors that contribute to gingivitis and periodontitis, such as:

  • smoking;
  • insufficient and/or incorrect tooth brushing;
  • a high-sugar diet;
  • diabetes;
  • use of drugs that reduce the amount of saliva in the oral cavity;
  • family history or genetic background;
  • certain infections, such as HIV or AIDS;
  • hormonal changes that take place in women’s bodies;
  • gastroesophageal reflux and heartburn;
  • frequent vomiting due to acid.

Most common dental conditions

Even if you take proper care of your oral cavity, you will experience, at least once in your life, an oral health problem.


They are areas of the tooth that have been permanently damaged. These occur when bacteria, food and acid cover the teeth and form plaque. The acid on the surface of the teeth will begin to degrade the enamel and dentin and may even reach the connective tissue.


Gingivitis is an inflammation of the gums and usually occurs as a result of a large amount of plaque on the surface of the teeth. This is due to poor oral hygiene. Most often, people with gingivitis notice that their gums become inflamed and bleed during brushing and flossing. Untreated gingivitis can lead to periodontitis, a more serious infection.


As periodontitis progresses, the infection can spread to the jaw and bones. The condition can also cause an inflammatory response throughout the body.

Teeth with cracks or fractures

A tooth can crack or break as a result of an accident, during chewing or when we grit our teeth. Cracked or broken teeth can be very painful and dangerous, so it is recommended to consult a dentist as soon as you notice such a problem.

Dental sensitivity

If you suffer from tooth sensitivity, you will feel pain or discomfort when eating hot and cold food or drinks. This condition can be temporary, caused by a canal filling or the application of a filling, or caused by factors such as gum disease, cracked or broken teeth, withdrawn gums etc. Dental sensitivity can also be permanent, especially in people with thin enamel.

Oral cancer

The dentist is usually the first specialist to recognize oral cancer. The use of tobacco products poses the greatest risk of developing this type of cancer.

The link between oral health and general health

It seems that good oral health can help maintain optimal overall health. Inflammation and bacteria in the oral cavity can be associated with:

  • heart disease;
  • endocarditis or inflammation of the heart lining;
  • premature birth;
  • low birth weight.

Treatment of dental diseases

Impeccable oral hygiene includes two annual visits to the dentist, during which the doctor will perform a professional cleaning and, if there are dental problems, will recommend the right procedure. Therefore, the most common dental treatments include:

Maintaining optimal oral health

Oral health does not only affect the oral cavity. Poor oral hygiene can contribute to problems with self-esteem, pronunciation and nutrition. Comfort and quality of life will therefore be affected. It is good to know that many oral conditions develop without symptoms. Therefore, regular visits to the dentist are the best way to detect a problem before it gets worse.

A Tooth Extraction Primer – First In A 2-Part Series!

Women places fingers on lips due to pain from dental trauma

As a dentist in Victoria, BC, at Pacifica Dental, a tooth extraction is one of the most common procedures we do besides regular dental hygiene care and thorough oral health checkups. And while we’ll always do our best to treat your tooth to save it, there are many reasons why pulling one or more teeth may be necessary, depending on your individual needs.

But why do we extract teeth instead of saving them?

For children and young adults, a tooth extraction is most often done to make room for adult teeth, to prepare for orthodontics treatment, or to prevent crowding, tooth damage, or jaw issues. Because everyone is different, we also have different dental needs. Here is a quick primer on some of the reasons that a tooth extraction may be your best course of action. Of course, this is only a guideline. If you’re concerned you may need a tooth removed, give us a call for a consultation of your unique dental needs.

Early Orthodontics

When there isn’t enough room in your child’s jaw, we may recommend extracting a tooth or teeth to allow for orthodontics treatment to move the teeth into their desired positions. The result is a balanced, functional smile that may not be possible with a full mouth of teeth – one that allows your child to smile and speak with confidence. This missing tooth or teeth become unnoticeable after orthodontics care.

Wisdom Teeth

If they haven’t been removed already for early orthodontics, wisdom teeth are commonly extracted to prevent dental health issues. Often our jaws are too small to accommodate these teeth that erupt in young adulthood. If they become impacted (stuck below the gumline), come in on their side or some other unusual position, or threaten your child’s oral health in any other way, we will often recommend extracting these third molars. Interestingly, not all people have four wisdom teeth (one at the back of each quadrant of your mouth) – some have none at all, and others just one or two.

Dental Trauma

Rough play, sports, or accidents can damage a tooth beyond repair. We will always do everything we can to prevent this type of tooth loss – fabricating custom-made mouthguards, for example. Preventive techniques also include root canal treatment and a dental crown, which is often the preferred treatment, but sometimes a tooth extraction after dental trauma is unavoidable.

Extensive Decay

At Pacifica Dental our focus is on prevention and treating dental disease as soon as possible – when issues are smaller and easier to treat. But sometimes, dental decay is so extensive that it travels right through your tooth to the sensitive root below and causes a painful infection. If root canal therapy cannot clear the infection or the infection is too severe, a tooth extraction is your only option.

Damaged Restorations

Sometimes, if your bite is off or you clench or grind your teeth, your teeth can crack or break. If your bite is strong enough, and for many people it is, then old restorations could fail, while damaging your tooth so much that there is no way to bond a new restoration.

Periodontal (Gum) Disease

Your gums have an important job in protecting the ligaments and bones that keep your teeth firmly in their sockets. When gum disease progresses too far, your teeth loosen because your ligaments and bones are unable to hold them. A tooth extraction is sometimes the only solution when gum disease has progressed too far.

Tooth Extraction Aftercare

After your appointment, we’ll give you take-home instructions to help your extraction site heal. You can count on needing a few days to recover after having a tooth pulled. For the first 24 hours you’ll want to take it easy, avoid drinking through a straw, rinsing or spitting forcefully, and smoking. Take your painkillers as prescribed to help prevent pain and follow our aftercare instructions carefully. Enjoy a diet of soft foods such as soup, pudding, yogurt, and applesauce on the day of and after your extraction. Continue your oral homecare of brushing and flossing to prevent infection – but avoid the extraction site.

At Pacifica Dental, we have many services to help you prevent dental issues in Victoria, BC – and repair them if they do arise. Our kind and compassionate team is dedicated to creating an experience that puts you in control of your care and treatment options. If you’re in any kind of dental pain at all, let us help you get out of pain. And if you need a new dentist in Victoria, BC to help you stay healthy and prevent dental issues, or rejuvenate your smile with cosmetic options, we’re here to help you make your unique smile dreams come true. Call us today – and let us help you gain control of your oral health and love your smile.