I was been referred to Alexandra Hospital from Polyclinic... I went for my appointment - x-ray and consultation... Finally it's fixed! There are a total of
4 wisdom tooth and I would be removing all 4!
The operation is scheduled on 3rd April 2009; 11 am @ Ambulatory Centre (Ward 1, Level 1)
According to the doctor, I would be given general anaesthetic - she mentioned that due to removal of 4 wisdom tooth together it would be better to have general then local
The charges are as follows:
1. Surgery - S$920.00
2. Bed / Day Ward facilities - S$50.00
3. Surgical consumables - S$80.00
4. Anaesthetic consumables - S$100.00
Total cost: S$1150.00
Here are the instructions I am being given:
1. Wear loose fitting clothes and slippers
2. Remove make-up, jewellery or nail polish
3. Allocate some time for your day day surgery stay - 6 hours for general anaesthetic
4. Do not eat or drink (including water) for 8 hours before reporting for surgery
5. Do not wear contact lenses
6. Arrange for someone to accompany you home after the operation. Do not drive.
7. Reschedule your appointment if you have a cold, cough or fever
Before I left the clinic, she say this "Happy Birthday to you in advance!" Ha-ha!
I had also gotten a brochure for Wisdom Tooth Surgery from AH...
About the operation:
The impacted wisdom tooth may be removed either under local anaesthesia, whereby an injection is given in the gums near the operation site to numb the area; or under general anaesthesia in which a state of deep sleep is induced. The choice of anaesthesia will depend on several factors, amongst which are the health of the patient and the level of anticipated surgical complexity.
During the surgery, the gum overlying the tooth is lifted and the bone covering trimmed away with a drill to expose the tooth to facilitate its removal. Upon completion, the gum is sutured back to its original position and a piece of gauze placed over the tooth socket to control the bleeding.
What to expect after the operation and wound care:
A slight oozing of blood from the operation site can be expected in the first 2 to 4 hours after surgery. The mouth should not be constantly or rigorously rinsed during this period as doing so may disturb the wound and encourage further bleeding.
Immediately after the surgery, a swelling will begin to develop in the cheek and lips on the side of the surgery, gradually reaching its maximum size in 3 days. Swelling is the normal body response to surgery, and the degree varies in different people as well as between two sides of a person's jaw. There may also be some bruising or discolouration of the skin over the jaw, first appearing bluish black and turning greenish yellow before fading away in 1 to 2 weeks.
There will be pain, stiffness of the jaws and restriction of full mouth opening for about a week following the surgery. This can be reduced with medication that will be prescribed. Gentle brushing of teeth is encouraged despite the discomfort felt, as oral hygiene is important for good healing. Smoking should be avoided for a couple of days.
A soft diet is advised. It is not uncommon for particles of food to be lodged in the tooth socket. Gentle rinsing after meals will help to clear the debris. At the subsequent appointment for review and removal of stitches, instructions will be given on the technique of wound care.
Possible complications of the surgery:
Wisdom tooth surgery is commonly performed, but as in any surgical procedure, there are risks and complications, which differ in people varying ages, health conditions, bone structures and teeth positions.
- The jaw joint may ache after prolonged opening of the mouth during the surgery. The pain would diminish over time but occasionally medication and physical therapy may be required.
- Infection, sometimes delayed can occur and the symptoms may include fever, re-appearance of a swelling and yellowish pus formation.
- Adjacent teeth, particularly those weakened by decay or large fillings may fracture or the filling dislodge, necessitating additional or re-treatment.
- The roots of the lower wisdom tooth are often situated close to the nerves responsible for providing sensation to the lower lip, chin and tongue. During the process of tooth removal, these nerves may be bruised, resulting in numbness of the lip, chin or tongue. A return to normal sensation will be expected in a few weeks, though occasionally taking up to 3 months. Rarely, permanent numbness can occur if there is nerve damage. The doctor will discuss this possibility with you based on local experience and radiographic findings and advise you accordingly.
It seemed so scary for the operation!