Dr. VadivelSpecial Report By Dr. Vadivel

YOUR WISDOM TEETH


“I was referred to Dr. Vadivel by another dentist I had gone to see about extracting my wisdom teeth. The whole experience was easy and completely stress free! Other dentists were either too expensive or not willing to pull my teeth "due to risk".

Dr. Vadivel is an amazing specialist with wisdom teeth. I decided to get all 4 wisdom teeth pulled and the procedure was done in 15 minutes. They are very willing to work with your financial situation (especially since I just graduated college and do not have much money).

Follow up and post procedure went great and smoothly as well. I am healing great and happy that I will never have to deal with wisdom teeth hurting every again!”

Dear Friend,

Do you love your wisdom teeth and have a high regard for them?

The reason why I ask is because a while ago when I first became a dentist, I realized that many people never fell in love with their wisdom teeth. They ignore them as if these teeth are only in their mouth for the “ride”.

It’s only when they start experiencing the pain of an impacted wisdom tooth that they start to pay attention to them. And then they rush as fast as they can to get to the dentist to extract them.

Yet it’s possible that this may not be necessary.


The Purpose of Wisdom Teeth

A full set of teeth includes the first molar and a second molar. These are the teeth in the back of the mouth. They are found in every quadrant of your mouth – the top right side, the top left side, the bottom right side and the bottom left side.

The purpose of these molars is to help you chew your food. As the food is chewed, your salivary glands are adding saliva to the mix to help break down the food further. Then the food goes on to be processed by your GI tract, much like a factory will stage out different things that need to be done in the creation of a product.

Between the ages of 15 and 25, a new set of molars will appear. These are called the third molars - or wisdom teeth – and they may appear in every quadrant. Interestingly, these new teeth may not appear in some people. The purpose of the wisdom teeth is to give you the extra chewing power you’ll need throughout your life.

Dentists still don’t understand what triggers the “budding” of the wisdom teeth through the gums. And more important than that, dentists wish there was something that could have been done so people didn’t experience wisdom tooth impaction. This is a situation where the wisdom tooth is so crowded in the jaw underneath the gum line that it can’t bud forth to say, “I’m here! Brush me and love me!”


Why Wisdom Teeth Get Impacted in the First Place

Decades ago, there was a dentist named Weston Price who traveled around the world to visit the “uncivilized” cultures. While he was there, he evaluated the teeth and health of the people in these tribes. What he discovered was quite shocking.

The people in those tribes had big beautiful pearly whites, all lined up perfectly with no cavities, no gum disease, and third molars that came in without impaction. They had full smiles and also had good health. All this was true for the tribes that continued to eat their traditional diet.

A traditional diet means eating what is available in the natural surroundings (This doesn’t include grocery stores!). For example, if the tribe lived near the sea or ocean, they ate fish and vegetables. If the tribe was inland and they grazed cattle or sheep, they ate dairy products, meat and vegetables. If any tribe found nuts and fruit in their environment, they ate those nuts and fruit.

Just so you understand, the big point here is there were no dental problems when people ate the traditional diet their ancestors did.

However, you can’t live long in Paradise before the devil challenges you, can you? Well… trade routes opened up and people from around the world visited these civilizations, bringing with them civilized foods such as sugar, chocolates, and pastries, cakes and cookies – foods that these people never tasted before.

The food gifts lit up the primitive people’s taste buds, just as they do ours today! And who can say no to sugar? Scientists find now that sugar is THE MOST ADDICTIVE SUBSTANCE in the world.

The primitive people gave in to their sweet tooth. And when they did, Dr. Westin Price recorded the health changes. He found that when people did NOT have sugar and sugary delicacies in their diet, there were NO teeth problems. But once the sugar came into the diet, the cavities showed up. This led to loss of teeth. But here’s the real kicker: when the sugar consumption occurred in the next generations, the situation got much worse.

Their babies were born with nutritional deficiency diseases. They cried all the time and the happy babies of the past were gone. As those children were growing up, there were changes in their faces and jawline. Their jawline wasn’t wide any more and their teeth became crowded.

Imagine for a moment what it must have been like for people in these tribes to be faced with tooth pain for the first time in their life – and have no one to go to for help. (Since there was no need for dentistry, they did not have dentists.)


The teeth became crowded at the same time that their wisdom teeth became impacted.

The points here are three:

  1. How you eat determines the structure of the teeth for you and for your progeny to come.
  2. What your parents ate three months before you were born determined your jaw structure and whether or not your wisdom teeth would become impacted. This is a possibility.
  3. By including processed foods and sugar in your diet as a child, you unknowingly impacted your own jaw development. This type of diet also impacts your dental health for your entire life.

Most of us have jaws smaller than they used to be.

It’s not from evolution! No… it’s because the diet we eat doesn’t let the jaw develop as it should. For example, vitamin K2 is a key nutrient that puts calcium into the bones and lets the jaw develop properly. But if you aren’t eating liver and other organ meats or meat/dairy products from grass fed animals, you are missing this key nutrient.

Look around you and you’ll see a lot of people whose lower part of the face never developed. All your ancestors that didn’t eat the modern diet had jaws that developed so all 32 teeth could come in straight.


What Happens When Wisdom Teeth Go Awry

Your dentist can take x-rays to determine whether or not your jawline is wide enough to accommodate your wisdom teeth. He’s the best to determine whether or not they should come out.

One of the main reasons why wisdom teeth should come out is because they can grow in slanted. Slanted teeth always affect your bite negatively; other healthy teeth can end up getting broken just because of other teeth that aren’t fitting together in a healthy smile. You are at a risk of developing gum disease, cavities on the wisdom teeth and the surrounding teeth.


Who I Am – Your Dentist Nearby

I just realized I never introduced myself. I’m Dr. Kumar Vadivel, your friendly dentist at Implants & Gumcare. You may already be familiar with my Carrollton and Grapevine offices where we specialize in providing dental services for the entire family.

I’ve been in practice for over 24 years. I’ve seen thousands of patients over the years for wisdom teeth evaluation, and many for wisdom teeth extraction.


What Symptoms Happen When the Wisdom Teeth Become Problematic?

Once the wisdom teeth become problematic, symptoms usually follow:

• Pain

An impacted tooth can be painless for a while. However, once the tooth then tries to break through the gum, the gum may become swollen and inflamed. This is painful and sometimes results in pain in the surrounding teeth, the jaw, ear on the same side of the face, and even headaches.

• Tooth Decay and Gum Disease

The third molar area is difficult to clean because you have to have good dental flossing technique. As food and particles become trapped in between the teeth, this invites tooth decay and gum disease.

• Periodontal Disease

This is gum disease with infections along the gumline and even underneath the teeth. Decay and infections always lead to bad breath and conditions such as pericoronitis. That’s a big word, and it means that there’s inflammation of the soft tissues around the crown or a partially erupted tooth. This inflammation extends to the gums and the dental follicle. If you’d like to see a picture of this, check out this photo: https://en.wikipedia.org/wiki/Pericoronitis The bad thing about these infections is that they can be persistent and progressive.

• Stiffness in the Jaw

These are the primary symptoms. As time goes on, these may occur:

• Destruction of the bone support around the surrounding teeth

• Development of a fluid-filled sac (cyst) around the wisdom tooth.

Wisdom teeth start their growth from a sac just beneath the gum inside the jaw. When a wisdom tooth become impacted, fluid can fill the sac. As the cyst grows, it can cause nerve damage and nerve root injuries. Cysts usually occur in 2.8% of people with impacted wisdom teeth.

• Wisdom teeth may also cause complications with current orthodontic treatments to straighten other teeth.


Myth Busted Right Here

You may have heard a myth from your friends or a dentist that the main reason why you want the wisdom teeth pulled out is because of the pressure of erupting teeth which causes crowding of the anterior teeth. This is a myth, and has not been found to be validated in the medical journals. Actually, the studies show that the opposite is true.

You see, the wisdom teeth develop from the spongy interior cancellous tissue of bone with no firm support. They aren’t Superman! They can’t push 14 other teeth with roots implanted vertically like the pegs of a picket fence so that the incisors (front teeth) in the middle twist and overlap!

Wisdom teeth don’t possess sufficient force to move other teeth! If the incisors are crowded and start to overlap, it’s because of other reasons, not because of the wisdom teeth budding forth. That’s what Dr. Jay W. Friedman, DDS, MPH reported in his American Journal of Public Health 2007 report on the Prophylactic Extraction of Third Molars.

The truth is that even dentists are taught some myths and the American Association of Oral and Maxillofacial Surgeons tells their dentist members some too once in awhile. But other dentists catch the mistakes!

Here’s another myth, this one taught to the dentists in that organization:

“Pathologic conditions of impacted third molars are generally more common with an increase in age.”

What this is saying is that if you wait to have your wisdom teeth pulled (that is – in cases where there’s no medical necessity), then you’ll have a greater chance of complications as you get older.

This was disputed in a study of 1758 patients who had not done anything about their wisdom teeth impactions for an average of 27 years. Only 0.81% of them had the condition develop into a cyst. Thus, there is no evidence of a significant increase in wisdom teeth pathology with age.

What’s the bottom line? If your jaw is not wide enough, wisdom teeth can cause problems so extraction may be necessary. If there are persistent problems or problems seen on the x-ray with the wisdom teeth, then the surgery may be necessary. But in other cases, it’s possible that you may not need the surgery. This is why it’s always best to get a second or third opinion!


The Stats on Wisdom Teeth Extraction

You may be surprised to find out that over 10 million wisdom teeth are extracted from the mouths of people in the U.S. each year. Usually, when someone has a wisdom tooth problem, there are two wisdom teeth that have to be removed.

That means that at least 5 million people were stuck with parents that didn’t eat right because of lack of funds or other reasons, and their jaws didn’t develop right. It’s because of the nutritional problems in our culture with a processed diet. In fact, you may even have three or four family members or friends that have had their wisdom teeth pulled because of impaction, infections, or coming in crooked.


I Heard There Were Controversies About This Procedure

Some of your family members or friends may have warned you about getting the surgery to have your wisdom teeth extracted. That’s because there have been reports in the news stating the risks of this type of surgery.

All surgeries carry a risk to the patient undergoing the surgery. The anesthesia could go wrong, you could develop an infection after the surgery, and you could have a lot of pain while your mouth is recovering.

In one National Institutes of Health medical report published in the American Journal of Public Health in September of 2007, the researcher disclosed that after surgery, a patient will have pain, swelling, bruising, and fatigue for four or five days. Of 11 million patient days, one of every thousand of the patients experienced numbness of the lip, tongue and cheek that never went away. This is a very low percentage, but it does  appen. The problem in these cases is that a nerve was cut during the surgery.

The dentist that wrote the article may have exaggerated when he said that the preventative extraction of wisdom teeth were a public health hazard. Public health hazards usually apply to a lot more people at the same time.

However, when you read the medical report more thoroughly, the dentist explains that it’s standard care to remove impacted wisdom teeth EVEN THOUGH THERE’S NO MEDICAL NECESSITY TO JUSTIFY THE REMOVAL.

He states, “In fact, 50% of upper third molars classified as impactions are normally developing teeth, most of which will erupt with minimal discomfort if not extracted prematurely. Only 12% of truly impacted teeth are associated with pathological condition such as cysts or damage to adjacent teeth. Most discomfort of eruption of wisdom teeth is equivalent to teething and disappears on full eruption.”

He goes on to say, “Infection occurs in fewer than 10% of molars, most of which can be treated without antibiotics, oral rinsing, or removal of excess tissue around the tooth, without requiring removal of the tooth itself.”

What this tells us is that if you are considering wisdom tooth extraction, get a second opinion.

Don’t get me wrong; I’m not saying that no one should have their wisdom teeth removed. There are many cases I see where the removal of them is the only option. Wisdom teeth don’t need to be removed if they are not impacted and causing persistent pain.

With this in mind, let’s look at the procedure of wisdom tooth extraction. Here’s what happens during the extraction process:


What Happens During Wisdom Teeth Extraction?

A dental extraction (also referred to as tooth extraction, or informally, tooth pulling) is the removal of tooth/teeth from the dental alveolus (socket) in the jawbone.

Here’s the basic procedure:

  1. Always let your dentist know the medications you are currently taking, and any illnesses you have prior to the surgery.
  2. An X-ray or 3D CAT Scan of your mouth is taken to locate the precise location of the wisdom tooth. In some offices, the intraoral camera may allow the dentist to see exactly what he is doing and where the surgical action is taking place.
  3. Depending on the complexity of the extraction, it can be a simple and a quick process or a difficult one. For example, if the wisdom tooth is angled in the jawbone, it may be more difficult to extract the tooth. However, your dentist will use all his dental tools to get the tooth out.
  4. Before your tooth is removed, you will be given one or two of several types of anesthesia to numb the pain. After your body shows signs that the anesthesia is working, the procedure will be given.


What are the Complications of Wisdom Teeth Extraction?

When a wisdom tooth is impacted or diseased, usually the opposing wisdom tooth is also removed to keep the alignment of the teeth in the mouth. In a way, this means double trouble if something goes wrong.

There are some potential complications to surgical removal of wisdom teeth:

  • Dry socket – This is called a cavitation.
  • Secondary infection in the soft tissue, or sinuses
  • Paresthesia – This is numbness or tingling that occurs in the tongue, jaw or cheek that is either temporary (4.4%) or permanent (1%). It can cause problems with speech, feeling during kissing and/or drooping of the lip. The risk of this depends on the angle of the tooth that is impacted. The greater the angle, the greater the risk; but still the risk is less than 1% for permanent issues.
  • Hemorrhage (Bleeding)
  • Jaw pain and stiffness
  • Fracture of adjacent teeth, the mandible or the maxilla
  • Injury to the temporomandibular joint (joint that helps you chew food) (1.6%)

You might never experience any of these. The first three complications are more likely to occur in those aged 35 to 83 years old than in those aged 12 to 24 years old. The lowest risk of complication is in those between 17 to 35 years old.

Even the possibility of any complications is a potential problem, says the British National Institute for Clinical Excellence. They are extra cautious.

They state, “The practice of prophylactic removal of pathology-free impacted third molars should be discontinued… There is no reliable evidence to support a health benefit to patients from the prophylactic removal of pathology-free impacted teeth. The conditions in which extraction is justified include nonrestorable dental cavities, pulpal infection, cellulitis, recurrent pericoronitis, abscesses, cysts and fractures.”

Wow, that’s a mouthful! What it says is dentists have to stop doing routine wisdom teeth extractions unless there’s a true medical reason for them.

And remember from Dr. Westin Price’s research on the dental health of those primitive societies? It wasn’t until sugar and processed food was introduced that procedures like cosmetic surgery and wisdom teeth extractions became necessary.

If your family history is wracked by the health-destroying effects of these unhealthy foods, you may still fall into the category of needing a wisdom tooth extracted.


Why Should You See Me at Implants & Gumcare

I agree wholeheartedly with what the Brits are saying. I don’t ever want to perform any surgery unless it is absolutely essential. As of matter of fact, I am British trained Dentist too and did my Oral Surgery training in England for 5 years.

Do you see why I always want my patients to get a second opinion? I want to be your dentist for life… the one you always can trust and depend on, and send your children and grandchildren to go to for dental care. This means more to me than a one-time surgery just because it sounds feasible.

At Implants & Gumcare, we have embraced some of the latest technologically-advanced equipment to help me detect what’s really happening in those third molars of your mouth. We offer a free 3D CAT scan and consultation exams, too.

And you have my word about not recommending wisdom tooth extraction unless it is absolutely necessary for your mouth.

We are located at two locations and always available for consultation. Also, not only are we concerned about your health, but our professionals provide health tips to our patients. We actually pride ourselves on the fact that our professional staff is friendly and very compassionate. Our goal is to take care of you and your family for life.


Other Specialized Services are Available

I do want you also to know that I don’t only specialize in wisdom teeth extractions. I offer almost every type of dental procedure that patients need in my office. Most of your dental needs are ones I treat, and include the following:

Gum Therapy - This includes using dental lasers, plastic surgery for your gums to make them look right, regenerative surgery using bone grafts to rebuild missing bone, and specialized antibiotics to treat resistant gum disease. All these methods are making huge strides in dentistry.

Advanced 3-Dimensional X-Rays – These are definitely one of the advancements of modern dentistry. The ability to see your teeth in three dimensions is a way of insuring that nothing is missed.

“I absolutely cannot express how awesome my dental visit was! The office staff was AMAZING! Dr. Vadivel was so patient and explained everything to me in full-detail! My extraction was done before I knew it! I couldn't believe it! I will forever be a patient to Dr. Vadivel and will refer all my family and friends!! Very affordable!! GET THERE FAST!!! “ – India S.

Bone Grafting – In cases of bone loss, usually from periodontal disease, adding small pieces of bone stimulates the rest of the bone to remodel itself. As a result, the bone is built up by the latest techniques dentistry offers.

Cosmetic DentistryTeeth whitening, correcting crowding or alignment problems, applying veneers or crowns to craft a more uniform-looking, bright smile. Achieving your best possible smile is the goal.

• Same Day Dentures for Missing Teeth Replacement

• Emergency Dental Treatment

“Same day emergency service, folks. Great experience and healed up quickly.” – Alicia F.

Laser Gum Treatment – Laser gum treatment gives results that are similar, if not better than root planning and scaling according to medical studies. It’s used to treat periodontal disease (gum disease).

Oral Cancer Screening – Your medical doctor generally won’t check your mouth for mysterious sores, spots, lumps or bumps that could be cancer. Finding cancer early on is much better than finding it in the later stages. We screen for oral cancer.

Sedation Dentistry – Fear and anxiety about dental procedures is understandable when you have had a history of pain experienced in the dental chair. However, dentistry has advanced light years and knows now how NOT to cause pain. If you fit in this category, we have different levels of sedation we can choose from, ranging from minimal sedation where you are relaxed and conscious to IV sedation.

“I had a major surgery done here and was a little scared at first. Dr. Vadivel and his nurses made sure I was comfy and ready. I had no issues with the surgery and almost no pain after. I've already handed out his card to multiple people and would recommend him to anyone. My surgery went great and in no time I'm gonna have my smile back. Thank you, Dr. Vadivel and all your nurses.” – John T.

All-on-Four Dental Implants – This has been explained in this special report. You don’t always need bone grafting with dental implants. With this technique, you won’t. The benefits of these are decreased cost, same day teeth, ease of maintenance, drastically improved aesthetics, potential for eating steak and other difficult foods after the procedure, and great clinical results.

Pin Hole Surgery – This type of surgical treatment for Gum Recession is done without scalpels, stitches and grafting. You have less discomfort during the procedure, and can expect faster healing time.


Here are some of the many testimonials from our happy patients:

“Overall, my experience with taking my wisdom teeth out was pretty calm and an aware-like environment. Dr. Kumar Vadivel and his staff makes sure you know everything that is going to happen during the operation and specifically makes you feel comfortable about everything that will happen, especially before, and then after the process. Also, during our consultation for the removal of our wisdom teeth, they managed my family greatly with flexible appointment times and financial expenses. HIGHLY RECOMMEND THIS PLACE TO EVERYONE! Lastly, I would personally like to say thank you so much Dr. Kumar and your staff for making my family's experience with you guys as easy as any dental work office should be! Keep up the great work!” – Zein A.

“They perform excellent work and are very friendly, professional, and informative. I highly recommend their services.” – Nicholas P.

“Dr. Vadivel is very professional! He takes time to talk to you and tells about all the imperfections in your mouth, and recommend the specialists who can take care of certain issues that are beyond his scope of practice. I was happily surprised to hear about some options he gave me about my teeth that my general dentist hadn't told me about.” – Jyoti S.

“Went in today with my son after a weekend of tooth pain related to his wisdom teeth and we encountered Ms. Angela who was both pleasant and professional. We feel safe with their care and upcoming appointment.” – Chandra B.

“Had my wisdom teeth removed here they did a great job. Didn't feel a thing.” – Nolan P.

“The staff was very friendly. All my concerns were put to ease when I came in to get my wisdom teeth removed. I would say come in for the consultation and see what they can help you with!” – Farhan H.

“Great experience. Removed all 4 wisdom teeth and did not have to take off any days from work. I was initially concerned based on what I have read online regarding recovery time, but can say their specialty in removal is top notch. A summary of what was completed and any complications would have been appreciated (one of my other teeth broke during cleaning they did not report), but other than that it was great.” – Bryan K.

“My visit was great!!! The entire staff were very friendly and warm. I was very nervous but Katie & the front desk receptionist keep reassuring me everything would be fine. Katie wears many hats & was suppose to be doing something else at the time of my surgery, which bummed me out a little, but someone else took care of it for her & she was there with me from beginning to end!! And Dr. Kumar was the absolute best from beginning to end explaining what I needed & making sure I understood everything. He even called me personally to see how I was doing after the first visit! I would recommend him (and his staff) to anyone!!!” – Temika B.

“I waited for years to get my Wisdom teeth removed for no other reason than I was simply terrified of general anesthesia. As soon as I came to Dr. V's office, I just knew that I would be in good hands...so I decided to take the ultimate plunge and allow him to remove my wisdom teeth using local anesthesia only! During my surgery, Dr. V was so gentle, kind, and quick...and he removed all my 4 teeth in less than 10 minutes. Best of all, I didn't have any swelling because of his technique. And he even called me the next day to check in on me. Truly Dr. V is the best oral surgeon that you will ever come across in your life!!!” – Farah B.

“Excellent professional efficient service! Definitely recommend!” – Jason J.

“Let me begin by saying, that every dentist visit is extremely traumatic for me. That is partially because anything that can go wrong with my teeth has. Multiple dentists and treatments later, I found out that I had impacted wisdom teeth and all four needed to be removed! I was very nervous coming into Dr. Vadivel's clinic. This experience has completely changed my perception about going to a dentist! “The staff here is extremely friendly and caring. They made me feel very comfortable right from the start. They explained the procedure to me very well and helped me a lot with all the insurance related paperwork. Dr. Vadivel was great and I am proud to say I am no longer scared. My surgery lasted less than 15 minutes and I felt no pain. The medicines helped a lot and I had a very speedy recovery. I highly recommend Dr. Vadivel's

office and services for any extraction procedures.” – Vidula B.

“Dr. Vadivel was great. I had been in pain from an impacted wisdom tooth for a very long time. Within a week after my consultation the problem tooth was out and i could never have been happier. I will recommend this office to everyone!” – Artecha C.

“I was extremely nervous to have my four wisdom teeth removed, but he did an amazing job talking me down, remaining very professional and doing a great job at the procedure itself. I was shaking like a leaf as he was getting my IV administered, but he tried to calm me in a sweet manner and kept me very comfortable through the whole thing. As far as scary experiences, this one was great.” – Bethany T.

“A+++ Goes out of your way to make sure you're happy. Does an amazing job!” – Nicholas H.


FAQ

Q. Do I need my wisdom teeth removed?

A: This is an excellent question that is answered on an individual basis at the consultation. After a dental examination and health history, we will explain what’s happening in your mouth and whether or not wisdom tooth extractions are necessary.

Q. How much time does it take to heal?

A: The answer to this is determined by the type of anesthesia chosen, your overall nutritional status, and how well you follow instructions for healing.

After the procedure, you will experience some discomfort such as mild pain and swelling of the cheek for two days. The recovery period may vary between days to a week, and during this time we will give you a list of activities that you should stop during the downtime of 24 to 37 days.

Q: What types of anesthesia are available?

A: 1. Local anesthesia: During the procedure, you are awake. You will feel some pressure but no pain. Local anesthetic is given with injections near the site of each tooth being removed. This type of anesthesia gives you the fastest recovery time.

2. Sedation anesthesia: You receive an IV of anesthesia. You are not conscious fully but are not completely out. No pain is felt. You will only have a limited, if any memory of the procedure. There is also numbing of the site with local anesthesia.

3. General (Deep) anesthesia: You’re completely unconscious with this type of sedation. There is pain and no memory of the procedure. You still receive local anesthesia at the site of the extraction. This is typically only needed for more complicated cases.

4. Nitrous and local: Nitrous oxide may be mixed with local anesthesia. IV sedation is given most of the time for the anxiety, but nitrous is just as effective, cheaper, and takes only minutes to recover from whereas the IV sedation can take several days to wear off. Nitrous oxide brings out the happy person inside you.

Q. What if I decide not to have my wisdom teeth removed?

A: If your dentist tells you to keep your wisdom teeth, it’s still important to take good care of them, cleaning and flossing the molars daily. You’ll still need a regular checkup and an annual x-ray.

Q: When is the best time to get my wisdom teeth removed?

A: Extractions are more difficult to do when the root of the wisdom teeth is fully formed than if it is partially formed. Teeth grow from the crown down to the root.

When you first get out of school for summer break, this is a great time to schedule the surgery. This way you won’t miss any school. The best time is when you will have someone available to watch over you and prepare meals for you as needed.

Q: How does the choice of anesthesia affect my recovery time?

A: If you have local anesthesia or nitrous gas, you will be able to recover faster than if you had anesthesia. Your body has to detoxify the anesthesia.

Q: What type of food is best during recovery?

A: If you eat foods such as ice cream, jello, kool-aid, and popsicles, you won’t recover quickly. Your body wants nutrients: protein, fat and carbohydrates. Smoothies are a better choice because you can add protein powder, vegetables, and avocados to them.

Q: How do I prevent a dry socket?

A: It’s important to follow all the protocols your dentist gives you during recovery. For example, you should use a straw to drink beverages. You should keep your head elevated. And you shouldn’t brush your teeth too soon after surgery.

Q: What should I expect during the first year after surgery?

A. Here’s a list of things to expect:

1. When your wisdom teeth are removed, the bone underneath it will resorb. This will end up making your face look thinner.

2. Your second molars may be sensitive to cold foods or drinks. Using a toothpaste for sensitive teeth may help.

3. Small folds may form in the gum line. This occurs when the bone remodels.

4. You may feel pain when you open your mouth or your jaw may click. This is because the TMJ – the temporomandibular joint – may have been stressed during the surgery when your mouth was open wide for too long.

Q: How do I prepare for the surgery?

A: Here are some guidelines below. You will receive more specific guidelines from me after the surgery is scheduled.

1. Wisdom teeth removal is an outpatient procedure. You will go home after the surgery has been performed. You will need someone to drive you home after the surgery.

2. Will you need a bone graft? Ask us during your consultation. Bone grafts prevent the sensitivity to cold on the remaining molars.

3. Are there any medications I should not take before the surgery? Ask us this question, as the answer varies depending on the medication.

4. What will you eat after surgery? Ask your dentist for this information before the procedure so that you can have food in the refrigerator to eat when hungry. You won’t feel like cooking for at least four days after the procedure.


“I was referred to Dr Vadivel by my dentist to get my wisdom teeth removed. The process was quick and painless and the doctor was pretty clear about the post-surgery care afterwards. Best thing was I got a personal call from the doctor as a follow-up.” – K. Kini

“They are friendly, kind and thorough! We will bring back all of our kids when it's time for wisdom teeth extraction!!!!” – Ethan M.

“The visit was for Tooth Extraction. Dr. Kumar was very patience in explaining the issue and the solutions. In fact there were multiple queries and clarification from our end. He answered very softly and friendly. After the tooth extraction, I called him multiple times asking queries, he returned the call in a very Proficient manner. Thanks a lot, Dr. Kumar!” – Palaniappan K.


We’re ready to give you a gorgeous smile that’s yours for the rest of your life
!