[MERGED] Impacted Wisdom Teeth

[Ira]

Sorry, I have no idea. Any dentist on board? Rita_rits, you there?

[Meiji]

My wisdom tooth is growing/appearing/developing and it hurts a lot. i'm having difficulty eating. is it normal for the gums (where the tooth is growing) to swell? how long does it take before the tooth becomes fully developed? is it normal for wisdom teeth to grow then stop then grow again? it seems like my wisdom tooth does not grow continuously. it seems like forever and my wisdom tooth is not complete yet, only a part of it has grown or is revealed.

Thanks :)

I haven't visited my dentist yet, but i plan to do so just haven't found the time yet.

[Dokman]

Hmm... hindi rin ako dentist pero ang alam ko there is really swelling of the gums around the erupting wisdom tooth. The problem is, baka walang space para maka-erupt yung wisdom tooth, i.e. baka may normal tooth na nakaharang, and this would cause displacement or abnormal growth nung wisdom tooth, and this can cause a LOT of pain. You should see either an oral surgeon or a Dentist who does oral surgery. The wisdom tooth may need extraction.

[Misa Hayase]

Hindi pa ako dentista..nag-aaral pa lang...i'll try my best to answer some of the questions...
yes, swelling and soreness is normal.
The wisdome teeth /3rd molars usually erupt at around 18-21... with the lower teeth erupting earlier than the upper wisdom teeth... sometimes other people have congenitally missing wisdom teeth. (In fact, ako nga eh, isa lang meron ko.)
If you do have them, they're usually fully formed by the time you're 15... you might have to take an X-ray to see if they're there.
Re:"it normal for wisdom teeth to grow then stop then grow again? "-->; I don't think it's really noticeable whether the growth stops and starts back. If it's really taking a lonnnng time, maybe it's not going to fully erupt (with the crown visible, like normally erupted teeth)... baka it's not erupting upright (and pushing on your other molars) or your jaw bone did not develop fully enough to accomodate your wisdom teeth. Go see a dentist para sure.

[Leigh]

what am i to do with my wisdom tooth?

it kinda hurts and it's starting to "grow" what am i to do?

am i to have the dentist take it out or...can i leave it lang?

skanky question. sori. :(

[Ira]

See your dentist. You may have an impacted wisdom tooth and you'll need to be treated for that. The dentist will not automatically extract your 3rd molar. He or she will prescribe you antibiotics and painkillers to fight infection and swelling, as well as ask for panoramic x-rays to see the nature of the problem. Treatment would be based on what he sees in both dental evaluation and xrays. Sometimes, creating a larger opening thru excision of soft tissue would be enough to let the 3rd molar grow painlessly.

[neptune]

Masakit bang magkaroon nyan? Kasi 18 na ko, di pa rin ako nagkakaroon.:confused:

[powerpuff]

doc ira...is it possible na magkasabay sabay yung tubo ng wisdom tooth ko? kasi sometimes i can't chew on my left side minsan naman sa right masaket. my gums are bleeding n its scary. i know na its starting to/ already erupting.

[Ira]

Guys, I'm not a dentist--I only know the basic human physiology in regard to dentistry, so I'm not in the position to really answer more in-depth questions about dental problems. Any dentist is welcome to answer your questions, though. My personal experience with wisdom teeth is that it never caused any pains when it was erupting. I suggest you see a dentist if there is pain and bleeding, since I'm pretty sure that your teeth and gums need to be personally checked before a definite diagnosis can be made.

[Misa Hayase]

Originally posted by neptune
Masakit bang magkaroon nyan? Kasi 18 na ko, di pa rin ako nagkakaroon.:confused:
Normal eruption period ng wisdom tooth 93rd molar) is mga 18... lower molars first before the upper ones. Pero sa ibang tao, minsan congenitally missing sila. i'm 23 and isa lang yung tumubo sa akin.

[neptune]

My friends told me na 4 yung wisdom tooth.

[Misa Hayase]

Originally posted by neptune
My friends told me na 4 yung wisdom tooth.

yes--2 sa taas, 2 sa lower jaw.

[9ino]

importante ba tlaga ipabunot to kahit di nmn sumasakit?
kc 4 na yung tumubo sakin pero ok nmn. parang ordinaryong ngipin lang. :D
.......kailangan ba talaga ipabunot kahit wala nmn ginagawang perwisyo sayo wisdom teeth mo?

Pls reply :)

[lungdoc]

you can leave it there as long as its position is just like an ordinary molar. in cases of impacted tooth or those with abnormal position causing severe pain, extraction is recommended.

[9ino]

Thanks :)

got 1 more question.....dba ok nmn at normal position nila....
posible pa rin ba na mawala sila sa normal position?

meron bang mga tao (like yung mga matanda na), na nandun pa rin yung wisdom teeth nila 'gang ngayon?

tnx ulit...

[Misa Hayase]

Mawawala lang sila sa normal position if:
1)For example, nabunot yung tooth above it (or below it), so wala siyang tinatamaan, and it could supraerupt over time.
2)May missing ka na tooth sa same arch and baka magdrift yung tooth. Or for example, nawala yung tooth na katabi niya, the 3rd molar might tip( parang lean over) into the space.

Our teeth are designed to be with us forever (naks)... proper oral hygiene and maintenance lang... you can grow old with your teeth intact. ;)

[9ino]

:bungi:THANKS!:bungi:

[piQuAnT]

i had my wisdom tooth extracted last april. (it was the most excruciating pain ive ever felt) it was an impacted molar which has to be removed since it's useless and its gonna affect my second molar if i didnt hv it removed....

ask ur dentist or hv it xrayed. if its in a-ok position, of course no need to hv it extracted.;)

[Misa Hayase]

Piquant...masakit yung procedure? Di nagwork yung anesthetic? Or masakit siya afterwards?

[pinkrose]

Uh...like how painful exactly? May impacted ako na kelangan tanggalin this sembreak, and mukhang may isa pa uling impacted. Hayyy...:sweatdrop:

[Bea19]

Buti nga kayo 1 lang or 2. Sa akin 4 na impacted tooth e. So ayung every 6 months tig 2 yung tinangal. Actually nagkalaganat ako nung di pa sya tinatangal dahil **** sa infection. Recommend ko na dentist si Dr. Macasiray sa Mkti. Super ang gaan ng kamay at walang kasakisakit yung operation. It was over in 5 mins. Tska super alaga!

[Bea_]

Originally posted by Bea19
Buti nga kayo 1 lang or 2. Sa akin 4 na impacted tooth e. So ayung every 6 months tig 2 yung tinangal. Actually nagkalaganat ako nung di pa sya tinatangal dahil **** sa infection. Recommend ko na dentist si Dr. Macasiray sa Mkti. Super ang gaan ng kamay at walang kasakisakit yung operation. It was over in 5 mins. Tska super alaga!




5 mins>?! really?! My bf is having his wisdom tooth removed right this very minute...and the dentist says that it will take 3 or more hours to do it daw, and we're talking about a single impacted tooth here...bakit kaya ganun?

[saywhat]

Nakakatakot naman. I'm scheduled to have my wisdom tooth extracted more than a week from now. 5 minutes lang? Ang bilis naman. Ba't sabi nung iba matagal din daw... :unhappy:

[Misa Hayase]

Bea19..you got lucky with your 5-minute procedure. ;) Anyhow, the length of time varies depending on how complicated each case is. There are lots of reasons why a case becomes more complicated... ex: Kung nakahiga ba yung tooth in question, whether the whole tooth ba is embedded in bone (in which case the dentist has to shave the bone off), whether the tooth is close to any important nerves, or kung malapit sa part ng jaw where it's prone to fracture (the jaw can fracture if bara bara ang paggawa ng procedure sa area na yon).
Also, di naman lahat masakit eh. (Don't listen to other's "pain episodes" because everyone's case is not always the same. There's anesthesia ALWAYS. An anesthetic however can be less effective if to start with, namamaga na yung area na iyon from an abcess. Usually, it's the aftermath that's painful, kasi magwewear off na yung anesthetic. So before that happens, inom na kayo nung pinaprescribe na analgesic.

[Bea19]

Ako kse if i can remeber correctly, pinanainom ako ng ponstan **** 30 mins before para daw umeefect na agad, then pinahidan muna ng betadine yung gums ko, then iniject ng anesthesia. Then after mag effect yung anesthesia, dun na hiniwa yta yung gums kse nga impacted then pinull out na yung tooth. Tpos pag tingin ko tinatahi na. Tiananong ko pa nga kung kelan mag stastart kse nangangalay na ako. Tapos sabi nung mga assistant na tapos na nga daw. Kakagulat I guess depende na rin sa galing ng dentist. KSe ako bawal ako masugatan dahil matagal ako mag heal kayo yung nakuha kong dentist parang yun ang specialty nya. So kayo choose your dentist wisely kse yung ortho ko na dentist, yung magaling na dentist nirecoomend nya na gumawa nung procedure.goodluck:D

[AimmEMaN]

off topic...

uh oh... this thread reminds me of this dream n natangal daw mga wisdom teeth ko... :unhappy: i couldn't believe it kasi feeling ko i lost wisdom... hehehehe.... just kiddin...

naalala ko tuloy yung mga pamahiin n pg nbunutan ka ng ngipin sa panaginip mo eh may masamang mangyayari sa isang relative... nah... ndi nmn siguro...

[saywhat]

Originally posted by Bea19
hiniwa yta yung gums kse nga impacted then pinull out na yung tooth. Tpos pag tingin ko tinatahi na.

Lalo naman akong natakot dun. Talaga palang hinihiwa 'yun. Karaniwan, gaano ba katagal bago gumaling/mag-heal? I have to know para makapag-file ako ng leave in advance. Thanks. :)

[cheddar]

what will happen if i won't have my wisdom teeth removed? sbi ksi ng dentist ko 2 years ago na kelangan tanggalin yung 2 lower wisdom teeth ko ksi di ok ang position. eh sobrang takot ako sa injections, blood and stuff like that so di na ako bumalik ever since. wala na namang pain sa teeth ko eh. yung 28-year old cousin ko di rin "normal" ang wisdom teeth niya pero she didn't have it removed. wala naman siya problems sa teeth niya ngayon.

[Misa Hayase]

When a tooth is impacted, it's usually partly or totally under the gums, so pag hindi ginawan ng incision, there's no tooth structure exposed na makakapitan ng forceps or ma-elevate out. If it's really embedded in bone, the bone has to be sectioned as well.

I think you can go to work the next day or.. sige na nga, the day after. :D. It's not like a major operation parang appendectomy where you have to confine yourself for a few days. Just don't do anything strenuous. Usually you get chipmunk cheeks from the swelling.. and if you don't want anyone to see you with chipmunk cheeks...then file your leave.

cheddar... if a tooth is impacted and you don't take it out... usually it's harder to clean, maraming maeembedd na plaque, bacteria sa area....you get cavities, blahblah... Or like bacterial infections can set in under the gums (lalo na kung flap-py yung gums sa area over that tooth), called pericoronitis. Also some cysts can form that are associated with impacted teeth. Hmmm what else... some impacted teeth try to erupt that in doing so, it harms the tooth beside it, either by exerting pressure on it, or dahil impacted nga siya, crowded sa area na yon... harder to clean nga.. that whole bit.

[saywhat]

Originally posted by Misa Hayase
When a tooth is impacted, it's usually partly or totally under the gums, so pag hindi ginawan ng incision, there's no tooth structure exposed na makakapitan ng forceps or ma-elevate out. If it's really embedded in bone, the bone has to be sectioned as well.

I think you can go to work the next day or.. sige na nga, the day after. :D. It's not like a major operation parang appendectomy where you have to confine yourself for a few days. Just don't do anything strenuous. Usually you get chipmunk cheeks from the swelling.. and if you don't want anyone to see you with chipmunk cheeks...then file your leave.

Ah okay. That was.. uhm, comforting to know. :D Hey thanks!

[88888888]

how much does wisdom tooth extraction usually cost?

[Bea19]

Ako naman the next day nakapsok na. Di naman sya masakit para ka lang binunutan ng tooth. Don't be scared! Kaya mo yan! Kaya nga you have to choose your dentist carefully, para ma guide ka sa procedure at care after the operation. Di mo naman ma fefeel na hiniwa kse may anesthsia. Gawin mo sya **** saturday para you can rest the next day!

[blue17]

sakin kakaibang case.

i have a lymph node more than a year now kc linsyak na wisdom tooth yan, ayaw lumabas...

na-xray na sya and sabi ng dentist ko inguya na lang daw lagi para lumabas...hindi kasi pwedeng bunutin kasi nde nga lumalabas...

ang siste eh nasakit minsan *** lymph node ko.... sobra :(

[Misa Hayase]

blue17... lymph nodes are normal body parts. We all have 'em. ;)

[88888888]

no one answered my question.... :depressed:

[Misa Hayase]

8+: maybe the others who've gone through it can help you. I don't have any idea how much it costs sa private dentist.

[rors]

a very timely thread for me... hehe...

i just had my impacted molar extracted last friday, mga 5 days ago lang yon. tama si mise hayase... magkakaron ka ng chipmunk-like swelling, hehe! i looked really funny. wala na ngayon. di na namamaga cheek ko.

the process of extraction itself wasn't painful at all coz of the anesthesia injections. or maybe i just have a high tolerance for pain. usually kasi di ba pinupukpok yung tooth kaya nakakatakot tingnan, tapos tatahiin afterward to close the wound? ok lang ako the whole time so di kami nagtagal masyado.

i also had 2 wisdom teeth extracted kasi nagpa-brace ako. yun, madali lang yon. mga 5 minutes lang, tapos na. absolutely painless.

question is, i play badminton... when can i play again? di naman siguro matatanggal yung stitches ko when i play?

[Bea19]

Rest ka muna for 1 week to be on the safe side. Ako yata P4500 inabot yung procedure ko that was around 2 years ago. 2 wisdom tooth yung tinnagal.

[Ikari]

OKay so here's the thing....

I went to the dentist the other day and I found out that I have 2 impacted teeth. My dentist advised me that pulling out my 2nd molars would be easier because then my impacted teeth would have room to grow. She said ot would be easier on me because the operation would be much simpler and she wouldn't have to cut me open.

What do you guys think? What are my pros and cons?

Thanks a bunch! :)

[smilewarrior]

Happy New Year Ikari!

Your dentist is right in saying that having your 2nd molars removed would make removing your 3rd molars easier. The thing is, once your second molars are removed, there won't be any teeth to replace them anymore.

If your second molars have very big cavities and cannot be saved even by root canal therapy, perhaps it would be OK to remove them together with your impacted third molars.

If your second molars do not have any cavities, or even if they have cavities yet they can still be "saved" using dental fillings or "pasta", removing them might not be the best option to make the removal of your third molars easier.

Perhaps it would a good idea for you to go to another dentist, preferably one with training in Oral Surgery, for a second opinion.

If you are looking for a cheaper alternative, may I suggest you visit the Hospital Dentistry Section, Out Patient Department, University of the Philippines, Philippine General Hospital (UP-PGH) located at Padre Faura, Manila for consultation.

You may also wish to consult with Misa Hayase. Her thread is posted here in the What's up doc section.

Good Luck. :)

[Misa Hayase]

smilewarrior...yes, YOU with the license! hahaha. Shempre the best pa rin opinion mo noh. :)
ANyway, i think what Ikari's dentist is saying, the the impacted teeth will be able to erupt in place of the extracted 2nd molars. Is that feasible?

[smilewarrior]

Hey Misa! Your right, good thing you pointed that out, I must have interpreted it differently.

Removal of second molars might lead to the favorable eruption of third molars, as long as the third molars have roots preferably one third in development and that the orientation of the teeth are more or less upright.

Orthodontist have varying opinions as to whether removing the 2nd molars to allow distalization of 1st Molars is good practise. Some have claimed that if timed correctly, the third molars would eventually erupt in good position and take the place of the extracted 2nd molars. This is claimed to be particularly true for Upper second molars. The amount of root completion is an important consideration.

I'm sure you're familiar with the Nolla Stages of Tooth development. If I remember correctly,at around stage seven, when one third of the root of any tooth begins to form, that's the time the tooth starts erupting. It is therefore imperative to consult the panoramic radiograph and check whether the roots of the third molars are one third, two thirds or completely formed.

If the roots of the third molars are fully formed, removing the second molars won't have the effect of "giving room" for the third molars to erupt. The only way to make them erupt is by surgical exposure and forced eruption utilizing orthodontic mechanics.

Aside from root development, the orietation of the roots is also important, whether they are vertical or horizontal in orientation.

[rAiNeDaNcE]

Do all wisdom teeth have to be removed? :(

I have one growing I think, but it isn't hurting in any way and I think it has its own space to grow. (I don't feel it pushing aside other teeth or anything like that.) Would there be a problem later on if I just leave it as is? I'm really scared of blood and operations kasi... as in really, really scared... :( I even ran off once when I was scheduled to take a blood test and ended up not having it done in the end...

[smilewarrior]

Good day rAiNeDaNce. Despite the many reasons that can be stated as to why wisdom teeth should be removed, there are instances wherein you can leave them in the mouth without any untoward effects.

For those who prevoiusly had some of their back teeth removed ( such as premolars or molars), leaving the wisdom teeth untouched can be beneficial. Due to the extra space (because of the lost teeth) there is enough room for them to grow. They actually help in chewing food as they "take the place" of the removed teeth.

Some individuals have either generally small teeth or a very wide jaw (panga) such that all the teeth, including the wisdom teeth, can fit. Leaving them in place would be fine.

The abovementioned reasons apply to wisdom teeth that have emerged from the gums and are visible in the mouth. It is also assumed in the above reasons stated that the wisdom teeth have erupted upright ( meaning the top part of the tooth meets the tooth on the opposite jaw).

There are instances wherein wisdom teeth emerge in mouth in a slanted or even a horizontal fashion. in such instances, they are removed should they be the cause of cavities or gum disease.

Sometimes, even if all the teeth including the wisdom teeth fit, the jaw of the individual is small. this complicates matters particularly when the wisdom teeth develop cavities or gum disease that is difficult to treat. The lack of space for the dentist to properly work on the teeth, as well as the lack of space for the patient to clean the teeth properly by BRUSHING and FLOSSING may necessitate removal of the teeth.

Sometimes, wisdom teeth do not emerge and remain hidden inside the bone. They are what are termed as impacted teeth. When a tooth is still embedded in bone, it is covered by a sac. Sometimes this sac undergoes a transformation wherein fluid begins to build up. This would latter affect the surrounding bone and perhaps the other teeth close by. In order to prevent this, these hidden or impacted teeth are removed.

It is possible for an individual to be 60 years old, have all impacted teeth present and untouched, and have no signs of any untoward effects on the bones and the teeth. It is also possible for an individual to be only 18 years old and have symptomatic wisdom teeth.

The long and short of it is, deciding whether or not to remove wisdom teeth depends on the conditions present in the patient. It is a CASE TO CASE basis. What dentists do is compare the advantages and disadvantages of retaining or removing wisdom teeth and determine which outweighs the other.

For your piece of mind, may I suggest you visit a dentist and have your wisdom teeth evaluated. The dentist would request that you have x-rays taken of your wisdom teeth in order to evaluate properly.

Good luck and Happy Holidays.:D

[rAiNeDaNcE]

Thanks for the detailed explanation...

Can I know more about the upright tooth (Tama ba? -_-; )

Uhm... kasi when I meant the tooth is growing, it's actually growing like a normal tooth na, actually out of the gums already. So ibig sabihin pag wala siyang kapartner na tooth sa ilalim (since it's at the top), then that's good? (Ganun pagkainterpret ko sa sinabi mo hehe.)

Ayoko nga pumunta sa dentist kasi I'm almost sure sasabihin niya ipabunot... :( Kasi dati nun nagpa Xray me sabi niya dapat daw eh but I'm not having any problems with the tooth naman now. Also, is it better to bunot (uhm, extract ba tawag?) the tooth while it's in its growing stage palang, when it's fully grown, or anytime else?

Thanks so much...

*takot na sobra*

:( :( :(

[smilewarrior]

Hello Again.

What I meant was, if it is an upper third molar, dapat may partner siya sa ibaba na lower third molar para magamit mo siya sa pagkain.

Our teeth have the tendency to emerge or "erupt" from the gums continuously throughout life. If the upper tooth does not have a lower partner, it would erupt so much that you would already be biting on the gums of the lower panga.

When we say that the tooth is upright, it means that the crown portion of the tooth is facing a vertical direction. If it is an upper tooth, it should be facing downwards.

When it comes to third molars it is easier to remove them once they have fully erupted (meaning lumitaw na talaga) from the gums, assuming that the tooth is coming out. Kung lumalabas naman siya, maaaring hintayin mo muna hanggang sa lumitaw na siya talaga tulad ng iba mong mga bagang. Mas madali kasi siyang tanggalin pag lumitaw na siya.

The technical term for "bunot" is "extraction", a term which is sometimes shortened to "exo".

Since I cannot physically see your teeth, I can only make assumptions based on the features you have stated here. Kaya lang, dahil di ko nakikita ipin mo, di talaga kita mabibigyan ng konkretong payo hinggil sa ano ba talaga dapat ang gagawin.

Maaaring may rason *** dentista mo kaya niya sinabing dapat tanggalin *** ipin. Kung nagdadalawang isip ka, ang maipapayo ko ay kumnsulta ka sa ibang dentista, bibit *** x-ray ng wisdom teeth mo. Puwede namang magkonsulta ka muna, di ibig sabihin ay gagamutin ka na. Ganon kasi ang gagawin ko kung ako ang nasa kalagayan mo.

Kung nais mong mapanatag and loob mo hinggil sa pagtitiwala sa isang dentista para sa pagtanggal sa wisdom tooth. Maari mo siguro tanungin sa kanila kung sila'y kumuha ng dagdag na pagsasanay sa "Oral Surgery" pagkatapos nilang kumuha ng lisensya. Kung mayroon silang additional training, mas mabilis at mas ligtas nilang matatanggal *** wisdom tooth. Mas matatansya din nila kung dapat ba talaga o hindi tanggalin *** ipin. Maari mong itanong sa kanila kung papaano mapapadali ang pantanggal ng ipin.


Sabi nila, ang kalusugan ay kayamanan. Kailangan mong tanstahin ng mabuti kung mas mabuti bang iwan o tanggalin ang ipin mo.

Gaya ng sabi ko una, kung nais mo'y kumunsulta ka muna, kahit sa dalawa o tatlo pang dentista, huwag ka muna magpagamot.

Bilang isang pasyente, karapatan mong piliin kung sino ang gagamot sa iyo at kung kailan ka gagamutin. Paalala lang, pagisipan mabuti ang payo ng mga kinunsultang mga dentista ( maaring 2 o 3) bago mo desisyunan kung nais mong ipatanggal o hindi ang ipin.

Maligaya at Ligtas na Paglakbay sa Iyo :D

[Misa Hayase]

Smilewarrior, i learned a lot! :) Galing ng Tagalog ha! (learned more Tagalog as well, hehehe). :) Keep 'em coming! :)

[smilewarrior]

:bounce::bounce2::redsmile::brush::wave:

Happry to be of service.

P.S. the word "bibit" in my previous post is supposed to be "bitbit" as in bring.

[smilewarrior]

Ooops, I meant "Happy". Sorry for taking up extra space.

Wisdom teeth can either be boon or bane depending on the conditions present in the individual. I had to have mine removed surgically by a fellow dentist ( its hard to operate on yourself) since my jaws could not accomodate them.

My face swelled for two weeks. After that, things went back to normal. *okay*

[rAiNeDaNcE]

Oh no, eh so far kasi 1 lang yun teeth na tumutubo, so ibig sabihin la siya partner, so ibig sabihin dapat ibunot...? :( Or antayin ko pa baka sakaling may tumubo sa baba hehehe (okay pilit na tawa na yun... -_-;)

Bakit naman kasi binigyan tayo ng mas maraming ngipin kaysa sa magkakasya ng bibig natin diba!!! :mad: :mad: :mad:

Masakit ba talaga pabunot? As in maraming dugo? As in sure na may swelling afterwards? (malapit na mahimatay)

So it's better if antayin ko nalang tumubo nang buo bago pabunot, given na di ko nakakagat gums?

Sorry sa Taglish medyo nahilo ako nun sa dalawang reply mo na magkaiba pa language :D sabay ko lang kasi nabasa ngayon.

[smilewarrior]

Hello again,

1. Yes, it's ok to wait
2. Man's jaw got smaller because of the change in our diet. before the discovry of fire, everything was raw and unprocessed. Eating food involved a lot of effort. Nowadays, we don't have to exert as much force as our ancestors to eat. Our jaws got smaller but we still have the same number of teeth. I'm sure you've heard of the phenomenon of EVOLUTION.
3. Whether or not an open (a cut is made, some bone removed, tooth taken out) or a closed (ordinary bunot) would depend on the degree of difficulty involved in the removal of the wisdom tooth.

A dentist is the individual best equipped to access whether or not the removal of your wisdom teeth would be difficult or not. Please see a dentist. You may also wish to have x-rays taken of your wisdom teeth to evaluate them.

Good luck.:up:

[smilewarrior]

Sorry again, I meant "assess" not access.

It is possible for you to have all your third molars removed all at once and you won't feel anything at all. You would be put to sleep using GENERAL ANESTHESIA. This is best done in a hospital setting such as UP-PGH. Prior to anesthesia, a complete medical evaluation of the patient is needed for safety reasons.

If you want something less drastic, you may opt for CONSCIOUS SEDATION, also best done in a hospital such as UP-PGH. A "swero" will be inserted on the back surface on 1 of your hands. You will be given medication that will make you feel relaxed and drowsy, but not asleep. Again, a thorough medical evaluation is needed prior to this.

:D

[rAiNeDaNcE]

:( Takot talaga ako with anything sharp that has to go into the skin... (at kasama na dun yun swero!) Sorry if I sound maarte, pero talaga takot lang ako dun... Malamang yung first method na sinabi mo (yung anaesthesia) may kasama ding injections noh. Hay... sana meron nalang gas-based na sedation process.

Anyway, thank you talaga for all the info. and advice! Pero sana if nag-evolve tayo eh di nag-evolve din yung teeth para kumonti naman sila. Hehe, sounds stupid ba? ;)

[smilewarrior]

QUOTE]Takot talaga ako with anything sharp that has to go into the skin... (at kasama na dun yun swero!) Sorry if I sound maarte, pero talaga takot lang ako dun... Malamang yung first method na sinabi mo (yung anaesthesia) may kasama ding injections noh. Hay... sana meron nalang gas-based na sedation process.[/QUOTE]


Who knows? Perhaps in the distant future, we would have lesser teeth.

:bounce2:

Speaking of evolution, there is a field of medicine called genetics that studies the chromosomes of man. These tiny chromosomes, found in our cells, determine the characteristics expressed by our bodies. Examples of such characteristics such as size of the jaws, the number of teeth, hair color, eye color, height, and our susceptibility to certain diseases. Advances in this field could change the practise of medicine and dentistry in the future.

I'm sure you've heard the terms "genome mapping", "genetic engineering" and "cloning" in the news. Such procedures deal with the field of genetics.

It is possible in the distant future, through the use of genetic manipulation of the human body, problems such as having a small jaw and excess number of teeth would be eliminated. Certain deformities and disease susceptibilities would also be addressed.

Perhaps our physician pexers can give you a more detailed explanation regarding the abovementioned genetic medicine. Perhaps we have a geneticist pexer

:D

If you've watched foreign movies that depict dentist's offices, you would notice a "pig-snout"- like shaped gas mask connected to two tanks containing gas. Such a set-up is needed for Nitrous Oxide or "Laughing gas" sedation.

For as far as I know, though I could be wrong, nitrous oxide sedation is not routinely used in dental offices because the equipment is very expensive. :)

[smilewarrior]

:hiya:Here I go again. I think the "edit" function of our post is not working since I can't proofread and correct the gramatical inconsistensies of my earlier post.


Anyways, when I said dental offices, i meant dental offices in the Philippines.

There is a field of dentistry that deals with children called Pedodontics or Pediatric Dentistry. Specialists of such field undergo extensive training in in-office sedation. They need to be skilled in sedation in order to manage unruly, uncooperative or special children. I'm not sure if any of the Philippine practitioners of such field offer nitrous oxide as a means of sedation in their dental offices. Perhaps the Philippine Pediatric Dental Association can comment on this.

[rAiNeDaNcE]

Hehe, nakakahiya naman ako kung pumunta pa ako dun para sa mga children dahil sa kaduwagan! Hehe... and ang weird nga tignan pag asa dentist ka lang tapus papagamit ka pa ng mask mask. ^^;

[Misa Hayase]

Ehem... smilewarrior and raindance... incidentally, alam niyo ba na may theory that people who have congenitally missing wisdom teeth are "more evolved" than those who do? Hehehe. *ehem ehem* (guess niyo kung tinubuan ako ng wisdom teeth or hindi... hahahaha. *ducks to avoid being hit with flying shoes*)

[kath001]

my wisdom teeth hasn't grown yet:( I only have 28 teeth, what should I do?

(¯`·.__ (¯`·.__(* kath001*)__.·´¯)__.·´¯)™

[rAiNeDaNcE]

Originally posted by Misa Hayase
Ehem... smilewarrior and raindance... incidentally, alam niyo ba na may theory that people who have congenitally missing wisdom teeth are "more evolved" than those who do? Hehehe. *ehem ehem* (guess niyo kung tinubuan ako ng wisdom teeth or hindi... hahahaha. *ducks to avoid being hit with flying shoes*)

Ganun?! How old are you na ba? May certain age lang ba para tumubo yung wisdom tooth?

[smilewarrior]

Hello Everybody:D Hey Misa, your as bubbly and as witty as ever.:bounce:Hello raindance and kath001.

Teeth erupt usually when 1/3 to 2/3 of the root part or the bottom part of the teeth begin to develop. Dentists can verify this through the use of x-rays.

Sometimes, they do not erupt. It is possible that their emergence into the mouth could be hindered by bone ( which either does not resorb or "get eaten" or their is not enough space), the gums (if the gums are very very thick) or because of another tooth (another tooth got in the way). If they do not come out, they are called Impacted teeth. When wisdom teeth do not come out and are present inside as seen in x-rays and the patient is above 18 years old, they may be called impacted third molars.

By the way, the reason why third molars are termed as wisdom teeth is because they usually erupt at the age of 18. At this age, an individual is recognized as an adult and is supposed to have the "wisdom" necessary to face the challeges of the modern world.

Sometimes teeth do not erupt because they were never there to begin with. They are called missing teeth which is the condition of Misa's third molars. For her specific situation, since she has a nice set of teeth (of course, since she's a soon-to-be-dentist), having missing third molars would mean not having to go through the required surgery to remove them. Lucky her.

When it comes to the development and emergence of the teeth, this can vary from individual to individual. Just because your calendar age is 18 years old, it does not mean that your is physiologically 18 years old. The physical state of your body can be older and younger than your calendar age depending on certain factors, such as whether your body matures early or late.

It is possible for an individual to be 20 years old and yet, as seen in the x-rays, less than 1/3 of the roots of the third molars have formed. Given enough space and assuming that the root continues to develop, the wisdom teeth could erupt later in life.

As I have been stressing earlier, if you want to have your wisdom teeth evaluated, please consult a dentist. (Ang kulit ko no:hiya:). The dentist will view a series of special x-rays of your mouth and predict whether or not there is a chance for your third molars to erupt, should your third molars be removed and if it is fine to just leave them alone.*okay*

[smilewarrior]

Correction please: Just because your calendar age is 18 years old, it does not mean that your BODY is physiologically 18 years old. Marming Salamat.:D

[rAiNeDaNcE]

Ouch tinamaan ata ako nun ah... *looks at totally curveless childish body* :D gyaaah...! Ohwell hehe.

I so envy you Misa!!!

Anyway, sa tingin nyo ba mas ok if I look for a dentist for children if pasurgery? Would they be as competent as the ones for adults? Will they even accept cowardly old me as a patient? LoL. At mas mahal ba?

*runs off in shame*

[Misa Hayase]

raindance, how old are you na ba? mukhang di ka naqualified as a pediatric patient. :) A dentist practicing general dentistry is qualified naman to remove impacted wisdom teeth, diba smilewarrior? For more complicated cases, or kung gusto niyo sa someone na may more experience, you may also want to look for a dental/oral surgeon. He/she's a dentist with extra special training in oral surgery. :)
Sabi ni Uncle Ben ni Peter Parker sa Spiderman,..."With great power comes great responsibility"..(naks!) so I'm sure na with greater knowlege and specialization, comes higher fees. :D Hehehe, labo! :) Good luck! :)

Smilwarrior..ikaw talaga, grammar conscious! hahaha. :) *poink!*

[angst]

I think I need to have my wisdom tooth extracted. Sad to say, wala akong masyadong kilalang dental surgeons. And this procedure is not covered under my HMO. So, can you guys suggest a good dental surgeon? Yung tipong reliable talaga?

[smilewarrior]

Dr. Gigi Estrada is a consultant at the Hospital Dentistry section, out patient department, Philippine General Hospital, University of the Philippines, Padre Faura, Manila. She could either treat you at PGH or at her private clinic in Makati. I don't know the number of her clinic but I do know the contact number of the dentistry section at PGH: 5218450 local 5220. Office hours are 8 am to 4 pm M, T, Th and F. Half-day during Wednesday.

She is one of the most competent oral surgeons I know. She charges reasonably and is very approachable.

[talipandas9]

Originally posted by smilewarrior
Dr. Gigi Estrada is a consultant at the Hospital Dentistry section, out patient department, Philippine General Hospital, University of the Philippines, Padre Faura, Manila. She could either treat you at PGH or at her private clinic in Makati. I don't know the number of her clinic but I do know the contact number of the dentistry section at PGH: 5218450 local 5220. Office hours are 8 am to 4 pm M, T, Th and F. Half-day during Wednesday.

She is one of the most competent oral surgeons I know. She charges reasonably and is very approachable.

Can Dr. Estrada also handle cases of adults with extreme dental phobia? I'm still having a hard time looking for dentists who can handle patients with dental phobia.

[smilewarrior]

Why not set an appointment with her and find out. I have to inform you that she only performs oral surgical procedures (biopsies, removal of third molars, tooth extraction, etc) at PGH. I think she performs general dental procedures at her private clinic.

Whether or not she can extinguish your dental phobia is something I cannot guarantee. Please be reminded that you also have to take an active role in overcoming your apprehension with dental treatment.

No matter how good a dentist is, some degree of discomfort will always be involved. It is up to you whether or not you would opt to tolerate the minor discomfort in order to get better or allow yourself to be hindered by your fears.

Be honest with her and tell her immediately all your concerns and doubts with dental treatment.

Good luck.:brush:

[sweet_angel79]

I went to my dentist two months ago...
I think they're just trying to rip me off...
After I had my Xray exams, my dentist told me that I should get rid of my three wisdom teeth...I was hesistant, so I told them that I will think about it and then if it will bother me, then I will get rid of it without any doubt...

it was also expensive...$1200

then after a week, I went to have my regular cleaning, the dentist again reminded me that it will be better if I go on and have then extract my teeth...

For the second time, I told them HECK NO!


I am wondering if it's really necessary for us to get rid of our wisdom teeth......

[piQuAnT]

my bro is a dentist and he said that it isnt necessary to extract the wisdom tooth if it's well aligned with the second molar. the only time that it has to be extracted is when u feel pain or when it's impacted (theres always a tiny bit of fudie stuck in between the 2ndmolar and the wisdom tooth and oftentimes it's hard to get rid of it by just brushing ur teeth)

and oh..nagiging cancerous din daw kapag nga impacted tapos nde mo pa pinatanggal.

$1,200??? duh, ang mahal naman (sa 4wisdom teeth ba yun?). sa pinas kase alam ko nagrerange yan from P5k-6k each, depende sa kung mahirap ba bunutin o ano.

ur right, $1200 is a rip-off!!!

[heymikey]

I also thought there was nothing wrong with wisdom teeth, but my dentist too told me that I should remove mine. Since my parents have dental insurance for the whole family, I actually had mine removed for reasons I still don't know.

[sweet_angel79]

piQuAnT
I know! it's a rip off!
$1200 for three wisdom teeth... I'm still missing the other one, I wonder when it will show up? :lol:
there's nothing wrong with my teeth nor the alignment of whatsoever.... they said it is partly bony so that's why they need to get rid of it... and I really don't understand the idea of being partly bony????.

heymikey
I have my insurance, too but it doesn't cover it...unless my primary physician, notifies the dentist that it is necessary because it will affect my health. I heard one guy that he had this kind of extraction, and he didn't work for few days and it was infected... darn! that made me so scared! I mean more scared... because I have this thing about dentists.... I hate going to the dentist's office...

[smilewarrior]

$1,200? Are you based in the united states? Will an oral and maxillofacial surgeon do the procedure?

[smilewarrior]

To sweet_angel79: I'm not sure if you are based in the states, but if you are, you should note that the disparity in dental fees between the Philippines and the United states is simply because of the disparity of the economic conditions between the two countries.

The United States is a first world country while the Philippines is a third world country. The disparity in dental fees is the reason why some filipinos who reside in the states have their dental treatment done when they visit the Philippines as it is much cheaper here.

If in case your being treated here in the Philippines, you should note that Philippine law allows dentist who have completed specialty training to charge more than their general practitioner counterparts.

The fees are not only determined by whether or not technologically advanced equipment will be used on you. What you are actually paying for is the opportunity to be treated by a highly trained, clinically proficient dentist.

There is a big difference between the clinical proficiency of a newly graduate dentist who has had only one third molar removal case and an oral surgeon or an oral and maxillo facial surgeon who has completed two to five years of specialty training and has performed hundreds of third molar removals.

I know of several specialist here in the philippines who charge the same amount that you previously quoted for the same number of teeth for Filipino patients who reside here in the Philippines.

For your inquiry as to why wisdom teeth should be removed:

Long , long ago, our ancestors ate raw food since they did not have the benefit of utilizing fire for cooking their food. They needed powerful jaw muscles and large jaws. With the discovery of fire and all the technological advances that went into the preparation of food, large and powerful jaws were no longer necessary.

We have smaller jaws than our ancestors yet we still have the same number of teeth. Because of this, there are times when all the 32 teeth can’t fit in the jaws. This is one of the reasons why third molars become impacted. Depending on how they are positioned, they could cause tooth decay, gum disease and yes, the epithelial lining covering the unerupted third molar could , though not always, develop into a cancerous mass later on.

It is also possible that one, three or all four third molars don’t develop at all. In some individuals , they were never in the mouth to begin with. This condition is what is termed as being congenitally absent.

If you are going to undergo orthodontic treatment (braces), the orthodontist might ask for you to have your wisdom teeth removed.

I think what your dentist means by “partly bony” is that a part of the crown portion of the tooth is covered in bone. If this is so, there is a chance that it would not come out of the gums completely.

[sweet_angel79]

smilewarrior
yeah.. I'm based in the US...

now I understand, coz I remember the day when I took my xray exam, I told him that I want to get braces....no wonder he recommended to have my wisdom teeth extracted... and he also noted that it will be easier for the dentist to do his regular cleaning and even for me, too as I brush my teeth...

but I think, I still need to talk to him though and asked for more info...
and I also need to save money if ever I will be convinced to do it.... :)

[Chase_Meridian]

OH MY GOD I will have my IMPACTED wisdom tooth extracted this coming Thursday. I'm taking antibiotics right now para di daw masakit. I am just wondering why do they have to x-ray it when they are going to extract it anyways.

[heymikey]

Originally posted by Chase_Meridian
OH MY GOD I will have my IMPACTED wisdom tooth extracted this coming Thursday. I'm taking antibiotics right now para di daw masakit. I am just wondering why do they have to x-ray it when they are going to extract it anyways.
They need to x-ray it to know where it is, I guess. Anyway, you won't feel anything. I remember when I had mine taken out, the dentist injected anesthesia to my gums so that it won't be painful.

[Misa Hayase]

They have to take an xray to see if it's close to any important structures.. like major nerves, or the angle of the jaw, which can fracture if the dentist is... you know... working blindly, :)

[smilewarrior]

To Chase_Meridian: As Misa said, an x-ray is taken in order to determine the exact location, orientation of the third molar and the possible difficuities associated with it. Think of it as a treasure map needed for determining the exact location of the objective. X marks the spot.

Without the x-ray would probably be guessing as to where the exact location of the tooth is. You wouldn't want that to happen, would you?

To sweet_angel79: As a patient, it is your right to know these things:

a. what academic institution/hospital the dentist who will perform the third molar removal got his surgical training?

b. the number of years that the dentist spent in the academic insitution for training?

c. how many third molar removals your dentist has performed in the past?

d. are there any forseen complications or difficulties involved in the removal of third molar and how the dentist plans to deal with them?

It is not at all unethical, nor is it rude to ask your dentist these questions. Most likely, they would expect that you would ask these questions and have the appropriate answers ready. It's not like your questioning the clinical skill of the dentist, you just want to know them better.

You don't need to twist the dentist's arm to know the abovementioned details. You'd be surprised with the amount of information you can get from a dentist with a friendly and polite approach.

Good luck. We all have issues and apprehensions to deal with. We all have our crosses to bear. Third molar removal just happened to be yours.

[Chase_Meridian]

Does third molar removal have any effect on the shape of your face/jawline?

[smilewarrior]

Depending on how difficult and how long the third molar removal/odontectomy took, effects on the face and the jawline may or may not be noticed.

Swelling (pamamaga) of the area of the face where the thir molar was removed could occur. The peak of swelling is seen two to three days after the surgery. Swelling lasts usually for two weeks, after which it will gradually subside.

Please prepare ice / cold compress which you will use immediately after the surgery. The ice will help keep the swelling down and aid in the control of bleeding. You can wrap the ice with a wet towel and place it on the cheek which correspnds to the side of the face where the third molar was removed. You don't place the ice inside the mouth. Usually, the cold compress is used for 24 hours after the surgery, 20 - 30 minutes every hour.

Bruising (pasa) is sometimes seen on the cheek which correspnds to the side of the face where the third molar was removed. It has a purplish hue. If it happens to you , don't worry. Bruising, like swelling is only temporary and will eventually disappear.

Warm compress ( warm water placed in a bottle or a warm water bag)will help remove the bruising. Please remember that the warm compress should only be used two days after after the surgery or on the third day. It is always preceded by the cold compress and not the other way around.

If the warm compress is used immediately after the surgery, profuse bleeding might occur, so please remember: COLD BEFORE WARM.

Again:

1st day: Cold compress (24 hours/ 20-30 minutes every hour)
2nd day: Cold compress or none at all
3rd day: Warm compress ( should only be warm, not hot)

There are other post-operative instructions or things to remember after the surgery.

Talk to your dentist and ask him or her to give you a copy of these instructions so you would know what to do in the one to two weeks that you would be resting after the procedure.

[sweet_angel79]

If ever.. this procedure will be the first "surgery" that will happen to me....

so that's why I'm scared... and I don't want to do it! :(

[smilewarrior]

As a patient, it is your right to refuse treatment. It is your tooth to begin with. You have the final say as to whether the procedure will be done or not.

You should inform your dentist of your apprehensions with the surgery so that he could reassure you and alleviate your fears if possible.

I had four third molars removed from me by a fellow dentist, two at a time. My face did swell, I did have difficulty eating for about a week, my speech was affected and the area does become tender from time to time. After two weeks, my face went back to normal. I guess it helps that I'm a dentist and that I already know what to expect beforehand.

Your decision will have a big impact as to whether orthodontic treatment or other dental related treatment would be successful later on, as they may be affected by the presence or the absence of the third molar.

[bogli]

hi doc.I'm having my wisdom tooth extracted this coming friday as well as a supernumerary (whats the right term again?) - an extra tooth sa pallate ko. Natatakot din ako..I dunno how it feels . See, I havent had any tooth extraction whatsoever. Are antibiotics necessary prior to treatment , as what i read in the above post?

tnx.

[Chase_Meridian]

When taking antibiotics, what will happen if I didn't follow the exact time indicated in the prescription? It says there 6am-2pm-10pm, but since I have an erratic schedule due to my nightshift work, there were times when I would take a capsule 4 hrs later than the prescribed time. But I make sure that I take the next capsule not earlier than 8 hours. Do we have to strictly follow the 8 hour-interval between taking antibiotics, and up-to-the-minute at that?

[piQuAnT]

my impacted tooth was extracted 1.5 yr ago..and ngayon di ko maimagine kung baket buhay pa ko! hehheh...sobrang sakit, pag-uwi ko bahay tlaga nagwearoff na yung anaesthesia kaya iyak ako ng iyak. halos patayin ko kuya ko (who happened to be the dentist who extracted my tooth)...ayun.meron din syang hiniwa na bone kase nakabaon kalahati nung ngipin kaya ...d@mn tlaga...that was the most excruciating pain ive ever felt...every second na pawearoff yung anesthesia at patakbo pa lang kme sa drugstore to buy a painkiller....pamatay grabeh! :p

4 days ata ako hindi pumasok sa work non.

[sweet_angel79]

piQuAnT
kakatakot naman.... ang sakit sakit pala niyan...

[smilewarrior]

Bogli: You can either take the antibiotics prior to treatment or after the procedure. What is important is that you take the antibiotic at least 3 times a day , for a minimum of 7 days. It will be your dentist who will prescribe the necessary antibiotic for your case. Follow his or her instructions to the letter.

Regardless of whether or not you took antibiotics prior to the procedure, you will definitely need antibiotics after the procedure

Chase_Meridian: What is important is that you take the medication thrice a day. If you take only one or two capsules in a day, there won't be enough antibiotic in your blood to fight infection. It would be better if you follow the exact prescribed time interval, if you can't just make sure you approximate it.

piQuAnt: Ice Compress helps a lot. I should know, I had four third molars removed, two at a time. You can take an analgesic 1 hour before or 1 hour after the procedure.

sweet_angel79: It's not THAT painful, though I must admit I have a very high tolerance for physical pain.

[Chase_Meridian]

My god is it that painful??? Sheesh... can't i go back to work afterwards? Coz if i cant then i would have to schedule my sick leave...

[smilewarrior]

Hindi po siya ganoon kasakit. Manhid naman iyong lugar dahil may anesthesia.

Hindi po ito katulad ng panganganak. ;) Wala kayong dapat ikabahala basta't alam ng dentista ninyo ang ginagawa niya.

Maari lamang kayo makaramdam ng matinding sakit kung may impeksyon iyong wisdom tooth o di kaya'y malapit iyong ipin sa isang major nerve bundle.

1 hour prior to the procedure, you can already start taking your analgesics. This will help reduce the pain afterwards.

You may want to take several days off work. The surgery is not debilitating but it would be a good idea for you to rest for a couple of days.

Pasensya na kung ako'y makulit at ilang ulit ko na ito sinasabi pero makakatulong ang paglagay ng yelong binalot ng twalya sa labas ng pisngi kung saan tinanggal ang third molar. Halos wala kang mararamdaman pagtapos ng operasyon kung may yelo na nakalagay sa labas.

You can start taking your antibiotics and analgesics 1 hour after the procedure.

Have someone accompany you when you go to the dentist. This would make getting home and buying your medication afterwards so much simpler.;)

As dentists, our purpose in life is not to cause you pain. Though we may cause you discomfort, at the very core of our being, we will always have your best interest at heart.

[Chase_Meridian]

By the way, I counted how many lower teeth i still have -- 16. So yung third molars, eto ba yung nasa pinaka-dulo? If that's the case, the third molar on the right side of my mouth is just ripe for extraction -- I think. It used to be one whole teeth, pero napansin ko, naupod siya ng naupod, hanggang what's left of it now is about 1/4 of the whole teeth. Hindi ba ito simpleng dental extraction lang? Would it still take a surgery to remove this teeth? Infected siya eh, that's why I'm taking antibiotics. Would the extraction still be painful kahit na nag-antibiotics na ako one week before the procedure? Medyo sumasakit pa nga rin siya hanggang ngayon eh. I am scheduled for third molar extraction first thing in the morning later!! And I'm honestly nervous. Mukha kasing fresh grad pa yung Medicard dentist. I really want to get this over and done with. Problema, holiday pa this weekend. Walang dentist.

So my question is, what makes third molar extraction different/complicated from a simple dental extraction?

What kind of analgesics should I take before the procedure? Sabi kasi wag daw aspirin, coz it might cause profuse bleeding.

Puwede ko rin bang i-delay pa ang extraction ko mamaya? I want to consult another dentist who has a clinic near our place. My current dentist is in a Medicard clinic here in Makati. Tapos I have to go home in Muntinlupa -- BY MYSELF!

If ever I re-sched the procedure, should I continue taking antibiotics, say, for another week?

[smilewarrior]

Iyong sinasabi namin sa itaas na kakailanganin ninyong magpahinga ay para sa mga "impacted" na third molars. Ibig sabihin nito ay nakabaon ho sila sa ilalim ng gilagid ninyo at sa ilalim ng buto. Kung minsan, nakalitaw nga iyong third molar, kaya lang ay may parte itong natatakluban ng buto, kaya't kailangan pa rin ng operasyon.

Kung minsan, sadyang nakalitaw na talaga iyong wisdom tooth. Kung baga, ang pagtubo niya ay tulad ng ibang bagang. Kapag ganito ang sitwasyon, maaring hindi ninyo na kakailanganin ng operasyon at para lamang siyang simpleng bunot lang.

Sinabi ba sa inyo ng dentista na wisdom tooth ang tatanggalin sa inyo? Baka kasi 2nd molar at hindi 3rd molar ang tatanggalin. Hindi ko lang matiyak dahil hindi ko nakikita ang inyong x-ray.

Kaya kayo pinaiinom ng antibiotics ay di kayo gaano tatalaban ng anesthesia kapag may impeksyon. Ilang araw na ba kayo umiinom ng antibiotics? Isang linggo na ba? Ilang capsules na ba ang naiinom ninyo?

Kung sumasakit pa ngayon ang ipin ninyo, makabubuti kung iinom kayo ng analgesic bago kayo bunutan. Wala ba kayong allergy sa gamot? Kung wala kayong allergy, pwede kayong uminom ng Mefenamic acid (Ponstan) o Ibuprofen (Advil) o Paracetamol (Biogesic). Kailangan ho ay 500 mg kung kayo ay lagpas sa idad na 14. Ang paracetamol ay iniinom kada 4 na oras. Ang Mefenamic acid at Ibuprofen ay iniinom kada 6 hanggang 8 oras.

Tama ang dentista ninyo, hindi maghihilom ang sugat kung iinom kayo ng aspirin.

Kung hindi ninyo itutuloy iyong pagtanggal ng 3rd molar at nakainom na kayo ng mahigit na 21 capsules ay sayang ang antibiotic na ininom ninyo. Mas maganda kayong gamutin habang may gamot pang nananatili sa inyong dugo.

Nasa inyo kung kaninong dentista ninyo ipabubunot iyong ipin. Walang masama kung gusto ninyong kumunsulta sa ibang dentista.

Para mapanatag ang loob ninyo, ba't hindi kayo makipagkwentuhan muna duon sa dentista. Isingit ninyo sa inyong pag-uusap kung ilang wisdom teeth na ang natanggal niya at kung nakapag-aral siya o nag-aaral siya ngayon ng post-graduate training sa oral surgery. Kahit bata pa ang dentista ninyo, maari namang nakapag-aral siya o kasalukuyang nagpapakadalubhasa sa oral surgery. Baka naman simple lang kasi iyong pagtanggal ng ipin ninyo at nagaalala tayo para sa wala.

Wala ba ho puwedeng sumama sa inyo? Kahit kasamahan ninyo sa trabaho? Kung simpleng bunot lang ang gagawin ay hindi ninyo kakailanganin ng kasama.

Kung gusto ninyong hindi ituloy inyong pagtanggal, kakailanganin ninyong ituloy ng antibiotic hanggang susunod na linggo. Huwag sana ninyong patatagalin iyong pagtanggal nang higit sa susunod na linggo dahil hindi naman pwede kayo palaging umiinom ng antibiotic.

Ligtas na Paglakbay sa Inyo.

[Chase_Meridian]

Hay nako, sinubukan kong kausapin siya pero mataray ang lola. Hehehe. :) Joke. Aktwali, di ko pa talaga alam kung simpleng bunot lang ang gagawin sa akin. Malalaman ko pa yan pagkatapos ng x-ray na gagawin din sa akin mamaya. Wala rin may pwede sumama sa akin kasi wala namang nagmamahal sa akin. Joke lang. Puwede ako magpasama sa mommy ko pero kailangan sa weekend at doon sa malapit lang sa amin na dentist kasi tamad siya maglakbay ng malayo para lang samahan ako magpa-bunot. Tsaka maski ako ayoko rin magpabunot sa malayo kasi ayokong umuwi galing ng Makati pabalik sa Muntinlupa na namamaga ang mukha at malamang kung meron man akong ice bag na nakalagay sa pisngi eh natunaw na yung ice.

Di ko alam kung 2nd or 3rd molar pero tingin ko third molar kasi binilang ko at pangatlo naman siya. Ita-try kong i-scan yung x-ray at ipo-post ko dito para na rin sa impormasyon ng iba.

Pang-21st capsule ng amoxicillin ang naiinom ko. Wala naman akong allergy sa analgesics na na-mention nyo so sige, iinom ako bago ako magpabunot. Sana lang bukas na ang botika mamayang 8am dahil naubos na ang Ponstan ko. O kaya hihingi na lang ako pala sa clinic namin dito sa office.

Ipinagdadasal ko lang na sana hindi siya impacted tooth kasi hindi ako puwedeng mag-leave ng isang linggo dahil malapit na ang birthday ko at naka-leave din ako nun ng isang linggo din.

Anyway, maraming salamat po doctor at nalinawagan ang mga nakakapagpabagabag sa aking pag-iisip ukol sa pagbubunot ng third molar at iba pang ipin.

[sweet_angel79]

smilewarrior
seems ur so knowledgeable bout this topic...are you a dentist? :)

[pinkrose]

Waaah, I went to the dentist kanina and he told me that I need to have two wisdom teeth extracted. Tapos risky daw yung isa kasi malapit sa nerve talaga, kaya may risk daw na ma-numb permanently yung part na yon ng jaw ko kung matamaan yung nerve. To the dentists out there...ganun ba talagang ka-risky? Kasi sa panoramic x-ray ko, malapit nga talaga sa nerve yung tooth ko. Pero sabi ng dentist ko, it's better to take it out na while I'm still young kasi eventually kelangan din tanggalin yon kasi impacted and tumatama na sa 2nd molar ko and may risk daw na magka-cavity and gum disease ako pag di ko pinatanggal...gagamit nga din ng anesthesiologist kasi may bone na babawasan. How big is the risk na permanently ma-numb yung part na yon ng jaw ko? Ganun ba talaga? Sorry ang kulit ko, kakatakot kasi eh.

[smilewarrior]

To sweet_angel79: I'm a dentist ;)

To pinkrose: You're having lower third molars removed, right? It's the probably the Inferior Alveolar Nerve(IAN) that your dentist is referring to.

Please read my previous post to this post , it might prove helpful.

Your dentist will try as best he can to avoid IAN so as not to damage the nerve, but sometimes the nerve does get affected.

Paresthesia is a condition wherein your lower jaw or panga gets numb because the nerve supplying it got affected. The "pamamanhid" could disappear in 6 months...or you could have it for life. Hindi po ito palaging nangyayari. Hindi ko kayo tinatakot, katulad ng sinabi ko, hindi ito katulad ng panganganak;).

Mag-iingat naman siguro ang dentista ninyo habang ginagawa and pagtanggal.

[smilewarrior]

Pahabol lamang. Nauna sa akin dito sa PEx ang aking kaibigan na si Misa Hayase sa pagbibigay ng dental advise.

May sarili pa nga siyang thread dito sa PEx na tumatalakay ng lahat ng mga bagay na tumutukoy sa panggamot sa bibig.

Mahirap nga lang mahanap iyong thread niya dahil hindi gumgagana ngayon ang "search function" ng PEx. Pero napakahaba niyon at halos lahat na yata na nais ninyong maitanong tungkol sa dentistry ay naanduon.

Maari din kayong sumangguni sa kanya.

[sweet_angel79]

smilewarrior
no wonder... :)

how long have you been a dentist?

[Misa Hayase]

Aha... but the difference is, smilewarrior already has the license to practice ;)

Guys, hanapin niyo na lang yung thread buried somewhere along the folder... para yung ibang Qs hindi paulit-ulit, may posts din si smilewarrior dun, sweet_angel79, *wink wink* :)...and other dentists din yata chipped in ;)

[Chase_Meridian]

THE RESULT OF MY DENTAL X-RAY IS IN!

* Yes, the affected teeth are two wisdom teeth (a.k.a. third molars), and one 2nd molar.

* The dentist confirmed that it is not going to be just a simple extraction, as one of the wisdom teeth is slightly impacted.

The thing is, I have decided to postpone the extraction until Monday this coming week. Medyo di kasi ako gaano kampante sa dentista, especially when she said, "Kapag nahirapan ako, magdadagdag ako ng fee ha." Tinanong ko siya about her experience with third molar operations, medyo malabo sagot niya. Sabi niya di siya nagbubunot kapag ang patient ay Amoxicillin lang ang ininom na antibiotic, coz yung iba daw hindi tinatablan ng anaesthesia. Ginawa niya, she changed my antibiotic to Clindamycin HCl and I'm going to take it for 5 days.

Na-confuse lang ako kasi iba yung sinabi naman nung isang dentista rin sa clinic nila. Sabi isa lang daw ang bubunutin. Ang labo nga eh. So I have decided to go to my mom and sister's trusted dentist, Dr. Ed Abesamis. OK lang kahit medyo mahal, but I really trust his expertise.

[smilewarrior]

Clindamycin is a stronger antibiotic than amoxicillin and much more expensive. I don't really know why she shifted you to clindamycin, I can only guess that it is because it will help fight the infection better.

Go with your gut.

If I were you, I'd also go to the trusted dentist of your mom and sister. Don't mind the price, your peace of mind is worth it. Is he the Dr. Abesamis who owns several dental clinics? If he is , I know his daughter, she was 1 batch younger than me at my dental school.

[Chase_Meridian]

Dr. Abesamis has a clinic in Festival Mall, Alabang. I am not sure though if he has other clinics. He's really good. He's been my brother's, sister's, and cousins' dentist for over a decade. So there is no question about his experience and expertise. He also uses the latest in dental technology. His clinic in Alabang is just like a spa. Nice interiors, relaxing music. That is why I have resolved to entrust my third molars in his able hands. I have set an appointment with him on Monday.

May I know which dental school is this dr. smilewarrior?

[smilewarrior]

I'd like to tell you, but it is to my understanding that chit chat is to be minimized in this forum as Dr. Ira wants to keep it strictly formal.

She has good intentions , as she wants to protect the privacy of the health care professionals posting here at PEx. I hope you understand.

[Chase_Meridian]

OK, no problem.

[bogli]

hi again! i just had my wisdom tooth removed..as in this afternoon ***! Oh boy...it was painful! bat ganon..sbe sken kc wala ***..

my dentist said it was one of the hardest cases he encountered, apparently the root of my impacted wisdom tooth was "baliko",nahirapan **** sha! it lasted abt 1.5 hrs, unusual na daw yun sa kanya. Coz he takes around 10-15mins *** daw, sken nabigo sha!

doc, ano po ba pde ko kainin? im so hungry na kc! soup ako pero di ako nabubusog.

[smilewarrior]

Don't eat anything hot. Magdudugo iyong sugat.

Don't eat anything hard. Don't drink soft drinks yet.

You can eat food cooked by boiling such as the boiled chicken in tinola and rice, Lugaw, Mashed potato, Champorado, Boiled meat as in sinigang or boiled fish (sinigang na isda) and rice.

If you're eating beef, fish or chicken, cut them up into teeny tiny pieces with a knife before you eat them.

If you have difficulty chewing, try eating softer foods such as ice cream or cold yoghurt. As the days pass, you'll gradually be able to eat more and more solid foods.

YOUR FOOD NEEDS TO BE COLD, IT CAN'T BE WARM AND DEFINITELY NOT HOT.

CHEW VERY, VERY SLOWLY, the sutures might tear.

Drink your medicine regularly and don't forget to put an ice pack on the side of your face where the third molar was removed.

If it was your right wisdom tooth that was removed, you have to eat on the left side to avoid the wound.

Good night. After you eat, go to sleep. The rest will do you good.

[Chase_Meridian]

Why is it that in some cases like bogli's, you can still feel the pain even if there's anaesthesia? And why do some dentists tell you that the procedure is going to be painless, even if it's not?

Another thing, the first dentist who I consulted regarding my third molars said that i could immediately go back to work about 20 minutes after the operation. Or an overnight rest would suffice, she also said. I also asked her if there would be a need to bring an icebag. She told me that i didn't have to, as she'll prescribe preventive medicines for bleeding and pain. All in all, it's going to be a painless procedure (except for the injection of aneasthesia) according to her. If I were to believe her, then she must be THAT good, considering that she looks like a fresh grad. And it also came from her that mine is NOT going to be a simple case of extraction.

Anyway, again, I have decided to go to Dr. Abesamis instead. So I'm pretty much at peace now. I'm just quite confused with all the different statements coming from different dentists.

[smilewarrior]

The local anesthetic given by dentists is a form of regional anesthesia. It can remove the sensation of pain but not the sensation of pressure. You can still feel the pressure exerted by the dentist.

Pressure and pain are different. The only way you won't feel pressure at all is if you are under general anesthesia. There is a big difference between the two. If the third molar is easily removed, you will hardly feel any pressure at all. If it so happens that the root of the third molar is very curved or the bone surrounding the tooth is very dense, more effort would be needed to remove it. This effort translates to pressure, which patients sometimes mistake as pain.

Sometimes , a third molar lies on top of a major nerve trunk. This more often occurs when third molars are located at the lower jaw. Even if an anesthetic is placed, if this nerve bundle is somehow disturbed by a dental instrument or the mere act of removing the tooth causes this nerve to be displaced, pain is felt. The pain does not last and gradually subsides.

Odontectomy refers to the surgical removal of impacted third molars. This involves making an incision (cut) on the gingiva, reducing the bone surrounding the tooth with a surgical bur(drill bit) and removing the tooth. After the operation, the gums are sutured. If you engage in strenuous activities such as lifting heavy objects, running, jumping, there is a chance that the sutures might break and the wound would then open up and bleed. To a patient, there is nothing more stressful than a surgical wound that doesn't seem to stop bleeding. It's really a good idea to rest, assuming your third molars are impacted.

If your third molars are not impacted and a simple dental extraction (bunot) is done , usually no incisions or sutures are involved. After an hour, the bleeding would have stopped. You may not necessarily need ice, but you'll be thankful you have ice after the procedure. Usually, dental clinics have refrigerators. There are dentists who give their patients an ice compress after a difficult extraction or after a surgical procedure.

How do I know you need to rest and require ice? Such things are part of basic undergraduate training for surgical removal of third molars. Its part of standard protocol, here in the Philippines and everywhere else in the world. Its definitely something dentist who have had experince training at a medical hospital follow.

Have you watched any american movies with dentists in them? You'll notice several things common to these movies, such as how the dentist always tell their patients to use dental floss and how they always give ice after a surgical procedure, even after a mere extraction.

Since you have internet access, may I suggest you look up topics such as surgical removal of third molars/impacted third molars/odontectomy. Added information would always be helpful in allowing you to make informed decisions.

Good luck.

[smilewarrior]

Just a thought.

I'm not really sure if the lady dentist chose to ignore protocol or she was never taught that protocol at her dental school. Such is very unlikely as the curriculum of all the 20 dental schools in the Philippines are standardized.

What I am sure of is she has never had her third molars surgically removed. If she had, she would certainly recognize the importance of placing ice compress for patient comfort after an odontectomy

[bogli]

Thanks doc smilewarrior for enlightening us every so often. It's my second day and I'm a bit more swollen than yesterday. Eating is difficult and my hunger pangs just wouldnt stop. Having a hard time brushing too.

I did feel pain while he was drilling me (not sure hows dat called), kaya my dentist added pa more anesthesia. Afterwhich, i didnt feel anything more except for the stiching part. My eyes were closed the entire time coz my whole body was covered , only my mouth was visible. I couldnt see what they were doing, just hearing them.

Doc, since my wisdom was a bit diff to remove, my dentist did exert a lot of pressure (as in!) ,hurt my right jaw tremendously. I'm a bit worried if it has any effect,say a possible jaw disorder (TMJ or something?) . My bite is not the same kc, nakakangawit, i dunno if its bec of the swelling or im bit paranoid ***.

Is it okey to use ice compress for more than 20 minutes?
Also, I feel light numbness pa, doc is that normal?

[pinkrose]

I'll be attending a seminar this coming Friday to Sunday. But I'm also scheduled to have my wisdom tooth extracted this week, as I mentioned in my previous post. What day next week will it be safe for me to have my tooth extracted and at the same time be able to attend the seminar? If I schedule the operation for this coming Tuesday, will it still be ok for me to attend the seminar? Btw, I think my operation will be a bit difficult (according to the dentist) because the tooth is very close to a major nerve and a part of my bone will have to be drilled in order to get to the tooth.

[smilewarrior]

To Bogli:

The height of the swelling is on the 2nd and 3rd day after the procedure. What you are feeling now is normal.

You can use the ice compress this Sunday morning, from 6am when you get up to about 12 lunch time. It is used 20 to 30 minutes every hour. You can't use it continuously from 6 to 12 without any breaks in between as this would not allow the blood to flow properly.

On Monday, you can use warm compress the whole day. Wrap a wet towel on a warm water bag or a warm water bottle. It should be hot and not sizzling hot. Follow the same interval as that of the cold compress.

Don't forget to drink your medicine regularly.

To Pinkrose:

Its better to have the procedure done on Monday, if possible.

You won't be able to speak easily, much less deliver a lecture on Friday. If you are the resource person for the seminar, may I suggest you postpone the third molar removal for next week.

[smilewarrior]

It should be hot and not sizzling hot

To Bogli:
Sorry, I meant warm, not hot. It should just be enough to feel warm on your cheek.

If when you place it on your cheek and it hurts, its probably too hot. If its just warm enough that you can still touch it with your bare fingers, that would be enough.

Good Luck.

[Misa Hayase]

Originally posted by Chase_Meridian
THE RESULT OF MY DENTAL X-RAY IS IN!


Na-confuse lang ako kasi iba yung sinabi naman nung isang dentista rin sa clinic nila. Sabi isa lang daw ang bubunutin. Ang labo nga eh. So I have decided to go to my mom and sister's trusted dentist, Dr. Ed Abesamis. OK lang kahit medyo mahal, but I really trust his expertise.
Sinong Ed Abesamis? From Abesamis Dental in Alabang/Las Pinas? If he's the one na medyo mid-late 20s...kilala ko yan *thumbs up*

[Misa Hayase]

Originally posted by Chase_Meridian
Dr. Abesamis has a clinic in Festival Mall, Alabang. I am not sure though if he has other clinics. He's really good. He's been my brother's, sister's, and cousins' dentist for over a decade. So there is no question about his experience and expertise. He also uses the latest in dental technology. His clinic in Alabang is just like a spa. Nice interiors, relaxing music. That is why I have resolved to entrust my third molars in his able hands. I have set an appointment with him on Monday.

May I know which dental school is this dr. smilewarrior?

Oops... here's my answer na pala. Hehehe... yung kilala ko pala is his son. :) He's good din. :)

[Chase_Meridian]

Hi everyone!!!

Isa na akong ganap na operado... hehehe... at may tahi pa. ;)

At last, I had my impacted third molar surgically removed yesterday afternoon by the great Dr. Ed Abesamis. I can not recommend him enough. He's really great. It only took him more or less 30 minutes to pull out the affected tooth.

I'm so thankful I have finally ended the agony of bearing the frequent toothaches, finding the right dentist, and getting anxiety pangs over the probable things that might happen during the procedure.

Surprisingly, I did not feel a single tinge of pain during and after the surgery, unlike some of my friends who underwent the same thing. I haven't even been taking pain killers up to now. It really helps when you have a good, experienced dentist. Before the procedure, I asked Doc Ed Abesamis if it was going to be painful, and he assured me that he'd try his best not to traumatize tissues and nerves. He said that the post-surgery pains that some patients feel are caused by tissues and nerves na masyadong "nabugbog." Well, depende rin siguro kung ano yung kaso ng pasyente, kung may nerve bundles, etc. as what our PEx dentists explained previously.

The only discomfort I had is the bleeding part. The taste of blood is really disgusting. It's super bloody it's like having oral menstruation.

Here are some first-hand tips you might find useful especially those who are yet to undergo the surgery:

* EAT plenty prior to the procedure. Believe me, I was so starved after the procedure because I only ate crackers. But I could not eat anything afterwards, not even soft food because I had to bite the gauze firmly inside my mouth and the taste of fresh blood oozing from my gum wasn't very appetizing. Also, having a full stomach allows you to take pain killers and antibiotics before or right after the procedure.

* TALK to your dentist and let him explain how the procedure will go about.

* DON'T get intimidated by the gadgets being shoved into your mouth. Better yet, just close your eyes. Relax. May maririnig kang drilling and cracking sounds (like bones getting crushed) but that's normal. Maririnig mo rin yung dentist mo na manghihingi sa assistant niya ng kung ano-anong gadgets like "elevator" (hope i heard it right), etc. but dont let that make you nervous.

* RELAX. Wag matakot kung dala-dalawang assistant ng dentist mo ang nakahawak sa panga mo habang yung hinihila ng dentist yung ipin mo. Mukha siyang straight out of a horror movie but it's totally painless.

* HUWAG matigas ang ulo. Follow your dentist's instructions. ICE BAG really helps. Also, as much as possible, avoid moving around too much. Ako naging matigas ang ulo ko... I went shopping pa after my surgery (nasa loob kasi ng mall yung clinic ng dentist ko), maybe that explains why I bled a lot. I also forgot to bite the gauze firmly every time I opened my mouth to talk (I couldn't help talking to my parents about the experience).

* AVOID doing strenuous activities. This includes carrying heavy stuff, running, sex... anything that involves exertion of force.

* HAVE extra sanitized gauze handy -- the gauze can only absorb too much saliva and blood. You have to replace it at least once. You can ask some from your dentist.

* SLEEP -- when you are asleep, your mouth dries up and it makes the bleeding stop more quickly.

Anyway, I'm on my second day pa lang. My gum is a bit swollen, but it isn't obvious. I can now eat sotanghon soup, unlike yesterday when I only ate ice cream the whole evening. I am raring to report back for work but I am afraid na matanggal yung tahi. Nga pala, the string used to stitch my gum back together is the metallic one (yung hindi nalulusaw) kaya I have to go back to Doc Ed Abesamis next week para alisin.

The operation cost me a lot financially (buti na lang puwede installment and Doc Ed gave me a discount) but the peace of mind is so worth it. Nagulat nga ako sa presyo coz it's much, much more expensive than a simple extraction. But I really couldn't imagine myself going to another dentist than Dr. Ed Abesamis that I'd be willing to pay the whole fee even without the discount.

Before I forget, I want to thank our very own PEx dentists in the house -- Dr. Smilewarrior and Misa Hayase and all those who shared their experiences and tips. You are all such a big help. :)

When I related the story of my surgery to my teenage sister, she just smiled and said: "You guys are such sissies when it comes to physical pain. That's nothing compared to dysmenorrhea which we girls experience every month!" Hehehe... true, true.

[smilewarrior]

Misa and I are always glad to be of service.:)

[Misa Hayase]

Chase...thanks for that update! (LOL: Re:" Oral menstruation). what a very obedient patient you are! Sana lahat katulad mo hehehe.

I bet you have chipmunk cheeks :) ANyway, don't brush the area (like you normally would) just yet, because you don't want to disrupt the blood clot that's there. However, do keep the area clean of food debris by not chewing on that side, or you can gargle (not vigorously, and don't spit with force, patuluin mo lang) with an oral rinse. Remember that you have sutures on that area and we don't want it to become a source of infection. :)

Be mabait ulit and don't forget your appointment to have the sutures removed...di yan pwedeng maiwan ng sobrang tagal :)

P.s. I think your sister is right ;)

[XetraDAX]

naku..... sana wag na ako tubuan ng wisdom tooth! (haha, pwede ba yun!)
ayoko tlaga bunutan!

waahh!!! 16 pa lang namanako eh..... pero kahit na.


waaaaahhhh!!!!!!!!

[smilewarrior]

There is a way to determine if you do have wisdom teeth or not. You can have a PANORAMIC X-RAY taken of your mouth. From the x-ray, the dentist can determine which wisdom teeth are present.

[bogli]

hi! ako ulit..read chase's post..wow ur lucky! its my 6th day, and still havent been eating properly. My jaws are stiff and can't even insert spoon inside. It pains me to open my mouth. Plus, I have "singaw" all over including where the tooth was pulled out and the entrance of my mouth has one big stomatitis too.

My dentist advised me to increase my dosage of antibiotics up to 1000mg.. Gudness! take note it costs P87 ++ for a 625mg Augmentin. Namumulubi nako ha..


I dunno if what happened to me was just because my tooth was difficult to pull out or if my dentist failed to deliver. Ano po sa tingin ko mga Docs?

Btw, he's a reputable dentist...impressive actually, from his clinic,dental equipments (very modern! ),
all the way to his list of clientele..mejo artistas kc.

[XetraDAX]

Originally posted by smilewarrior
There is a way to determine if you do have wisdom teeth or not. You can have a PANORAMIC X-RAY taken of your mouth. From the x-ray, the dentist can determine which wisdom teeth are present.


is this available only to hospitals?
how much po ang mag-paganito?

[smilewarrior]

To bogli: I wasn't there when you were operated on. There is no objective way for me to assess whether the dentist performed well or not.

Not all third molars are created equal. Some are really difficult to remove.

PS: This isn't necessarily a commentary on your dentist's skill as I don't know him personally, but having artistas as clientelle does not guaranntee competency.

To XetraDAX: Yes, panoramic x-rays are available at some hospitals. They are also available at so-called dental diagnostic centers found at malls such as Lapid's dental center or at places such as Tan dental x-ray services. You'll have to go to a dentist and ask for a referral. Price? ranges from P500 to P650.

[smilewarrior]

bogli: Are you using the warm compress now?

[bogli]

Originally posted by smilewarrior
bogli: Are you using the warm compress now?



yes, im still using warm compress. my swelling has subsided but not the discomfort of my jaw. how long ba dapat gamitn yun?

okay *** **** sken yun recovery part as long as i can eat, i feel undernourished na, i was asked to drink ensure(drink supplement). so far so good, pero i wait for the day i could eat normally.

Kaya lagi ako and2 sa forum na ito, coz it calms me down . Tenk u po ulit for always listening khet paulit-ulit .
:)

[smilewarrior]

You can use the warm compress for 2 - 3 days at most. After 2 days, you can choose to discontinue it.

After 1 more week, you'll gradually be able to eat regularly again.

You can drink milo or ovalteen if you wish. For variety, try the fruit flavored yoghurt drinks ( medyo maasim-asim pero masarap) You can probably eat champorado. Mashed potato and baked potato are also good choices, but more of the mashed potato. Ice cream (without nuts) is definitely a good dessert choice. Bananas and mangoes are good fruit options.

Try eating: nilagang baka with rice, chicken tinola with rice, chicken curry with rice, meat or chicken embutido with rice, corn beef with rice, tadtarin with rice, pancit, baked macaroni, carbonara, fresh lumpia without the nuts, boiled bangus with salted egg and rice, sweet and sour fish and rice, sausage and rice, canned tuna and rice......

Tip: Imagine you're eating at a five star restaurant. Always have a knife available when you eat. Cut everything into very small pieces and eat very slowly. Avoid all fried and crunchy foods. Don't despair, there are actually a lot of foods you can eat.

I am especially partial to the embutido (masarap kasi);)

[Chase_Meridian]

Hello!

Hi Misa, my mom confirmed that Doc Abesamis indeed has a dentist son. :) Thanks for the reminders! I'm trying my best... :)

I am now on my third day (post-surgery) and have reported back for work, although as much as possible, I try to move and walk slower than usual. I can now eat most of the normal food (I had longganisang Lucban, chicken macaroni soup, fried rice, and chocolate cake for dinner) but I only chew with the left side of my mouth and still stay away from hard stuff. The affected gum is still a bit swollen but painless (not numb, though). Fortunately, I have chubby cheeks, so the bulge isn't that noticeable.

I haven't used the warm compress, though, because of sheer laziness (wag nyo ko gayahin, pls). So I'm expecting to develop a bruise in the next few days.

Bogli, your case must be a really difficult one. I wouldn't know, though. But I'm sure you will recover from that. Try the food mentioned by Dr. Smilewarrior. Don't dwell on self-pity, instead, be thankful that the main event is over and you are now on your way to recovery. We all have to go through some pain in order to gain wisdom... not the tooth, though.

[sweet_angel79]

Chase
wow!!! at least you're done...
while I'm still thinking and saving money before I undergo your very "descriptive" procedure... :)

[ThAHuStLa]

Hi doc Ira..

I just had my impacted wisdom tooth extracted 5 days ago, but the thing is, the area inside my mouth (where the tooth was extracted) is still very swollen. I'd like to go back to the dentist who extracted it but unfortunately he wont be back to his clinic until mon. Another thing is that the area where the tooth was extracted (at least the way i look at it in the mirror) looks infected. There are some traces of pus. I ve been taking amoxicillin and mefenamic acid a day before the operation up to this day 3x a day. I also make sure that every meal, i brush my teeth and gargle with Betadine Oral Wash. But it seems my condition just keeps on getting worse.

Any suggestions doc? should i just take a "stronger" anti biotic? Or can u also recommend an oral wash that would do the job?

thanks a lot doc and have a great day!

[bishop]

i had four third molars extracted also through surgery before, but i never experienced this.

you should probably go to another clinic since your dentist is out.

[Misa Hayase]

Can't anybody else in the clinic (like the associate dentist) check it out? It does sound like an infection. Is there any pain? dull and throbbing ba?

Medyo hinay hinay lang sa pag gargle, kasi frequent spitting dislodges the blood clot needed in the healing of the wound.

Please check out if somebody can attend to you, your dentist needs to check if there are any tooth fragments (or the like) left in the socket that might have caused the infection (or if it's caused by something else).

[smilewarrior]

Aside from what Misa said, you could probably have an x-ray of the area taken, but you certainly need to have your mouth examined if there is pus.

Swelling after third molar removal usually lasts for 2 weeks. The peak of swelling is 3 days after removal. From then on, the swelling will subside.

For the meantime, continue taking the antibiotics your dentist gave you. You can switch to another antibiotic after consultation with your dentist.

It may not be a good idea to poke and prod the area with your fingers, just leave it alone for the meantime.

If you notice a seemingly increasing volume of pus, you may need to consult with another dentist.

Good luck.

[ThAHuStLa]

Thanks a lot guys for the reply. I really appreciate your willingness to help.

I was advised by our company doc to just take cloxacillin instead.

Ms. Hayase - yes. i cant close my mouth up to now and the wound is really painful..

Anyway, ill go to another dentist this sat pm to have it checked.

[bee_tin]

wow...grabe...i'm planning pa naman to have my wisdom tooth extracted kasi impacted nga..

nyway,,just want to ask the doctors/dentists here if i should push through with my plan..the last time i had a check-up w/ my dentist, he said that it has to be extracted. however, when i consulted with another dentist, she said i should not consider having it removed unless it is really painful...that time, it wasn't really painful so i just let it be..

but just this week, it started to ache..i don't know if it's just due to the gums that's surrounding the tooth. another thing i noticed is that some food particles get caught b/w the wisdom tooth and the one beside it..

so what do you think? it really is painful now but the pain is still somehow manageable..thanks for the help..

[smilewarrior]

Please click the link below:
I need a dentist's advise (Wisdom Teeth) (http://www.pinoyexchange.com/forums/showthread.php?s=&threadid=147454)

[piQuAnT]

thou shalt not spit too hard. yan ang reminder saken ng kuya ko after nung extraction nya sa tooth ko. in 2 wks nagcclose na *** wound saken and kusa na lang ntanggal yung surgical thread..

the extraction was terribly painful but it was well worth it than having to deal with tinga every meal...:D

[ako si..]

i really don't know what impacted really means but yesterday yun wisdom tooth ko sa lower right jaw ko tinaggal din kse i have braces and kelangan daw yun tanggalin para magmove yun mga ipin ko..

yun wisdom tooth ko nasa loob pa ng gums ko sa a minor surgery was done and today as in mukha akong may beke.. i called up my doctor and he said na natural lang daw yun.. kung wala naman daw masyadong bleeding its okei.. basta kain lang daw lagi cold food plus cold compress and yun antibiotic ko 3x a day, cefalexin cefalin a ginagamit ko (but of course m not prescribing this ha.. just sharing :) )

so ayun.. i don't know kung impacted nga ang tawag sa ipin na tinggal sakin :)

[smilewarrior]

Yes ako si, your tooth was impacted.

An impacted tooth is a tooth that failed to emerge from within the bone and gums into the mouth because of thick gums on top of it , thick bone on top of it or because of another tooth.

Sorry for being makulit, but please click the link below:
I need a dentist's advise (Wisdom teeth) (http://www.pinoyexchange.com/forums/showthread.php?s=&threadid=147454)

[ThAHuStLa]

U know wut guys.. i think the reason why the socket (where the impacted molar was extracted) is very swollen the past couple of days is because of the gauze that was inserted inside it...

I had it checked with another dentist yesterday, they removed the gauze and flushed out the wound with povidone-iodine. Now the wound doesnt hurt anymore and now i can fully close my mouth! The swelling also subsided as well. I also had it checked via x-ray and good thing there are no fragments left inside the socket.

Now i can eat whatever i want again! Im sick of eatin all those pansit and oat meal! hehe

[ako si..]

thanks smilewarrior.. as for me naman.. nde pa nagsu-subside you swelling.. pero nde naman sya lumalaki.. chaka nde rin ganun kasakit. i think ill go to my dentist tomorrow.. sabi naman nya normal lang daw pero since saturyday pa to eh.. baka mamya pag pinatagal ko lalong lumala

[bee_tin]

hi! i just want to ask kung magkano *** usual fee for extracting an impacted wisdom tooth...kasi last year, i asked my dentist sabi nya Php 6,000 daw per tooth..ngyay!

also, can u recommend a good dentist/ortho na hindi masyadong mataas mag-charge kc student pa lang naman ako...i live in mandaluyong city..

thanks so much!!!

[smilewarrior]

Bee-tin, yes that's a fair price for third molar removal ( per tooth).

I've said this before, I'll say this again, if you're looking for qualified orthodontists, try looking up the website of the Association of Philippine Orthodontists ( APO). It has a directory of all practising orthodontists here or abroad.
The rates they charge are very fair, reflecting the true charges of orthodontists.

Try:
Dr. Eleanor D. Chan-De Guzman,
Dental Specialists' Center
LG-56 Cityland Pioneer Condo.
Pioneer St., Mandaluyong City
637-7560

or

Dr. Ma. Laarni P. Serraon
Dentista, Inc., Unit 525-C, Level 5
Shangri-La Plaza Mall, EDSA cor. Shaw Blvd.
Mandaluyong City
638-9244 to 45

If you're on a tight budget and still want braces, your best option is going to a training school for Orthodontics such as the UP Graduate Program in Orthodontics at UP Manila, Padre Faura near Padre Faura entrance of Robinson's Ermita. Fees are significantly less and treatment is subsidized by the government (NOTE: It's NOT free).

[bee_tin]

thanks smilewarrior!!! i think i'll try going to UP Manila because it's just a jeepney away fr. my school...thanks so much for all the help!!

btw, i know this might sound funny pero hindi ba ako gagawing guinea pig ng students dun? hehe..thanks again!!

[smilewarrior]

Hi Bee tin.

The orthodontics program of UP is a graduate program. This means you will be treated by licensed dentists who have either 1 year work experience to as much as 10 years work experience prior to undergoing orthodontic training.

Since it is a learning institution, being treated there is similar to being treated at a teaching hospital ( have you ever been treated at a teaching hospital such as UP-PGH, St. Lukes or UST?, the experience would be similar).

Treatment would be supervised by licensed , established orthodontists ( the faculty) who have trained either here in the Philippines or abroad ( USA, Japan, etc.)

All payments go to the government as UP is a government institution.

Whether you would be comfortable with being treated by a resident or an established practitioner is up to you.
You could always go to the two orthodontists I've mentioned above and inquire regarding their fees ( I don't know exactly how much they charge but I do know they are very competent orthodontists).

Don't let the cost determine where you will have your orthodontic treatment, even if you spend a little more, the outcome will be worth it.

There are those who charge much less yet cannot offer satisfactory results.

We usually end up correcting the mistakes made by untrained , unqualified dentists (they're not orthodontists) who place braces. The patients end up having no improvement or end up being in a worse condition than they were before.

If money is really tight, then go with a teaching orthodontic institution like UP Ortho.

Choose wisely, good luck.

[bee_tin]

thanks for all the info...i think i've become more choosy sa mga dentists because i don't want to waste money anymore...kasi i have a dentist talaga since i was a kid...i also had braces twice (by the same dentist) na but both were unsuccessful...[this dentist nga pala naging teacher and prof sa CEU or UE and he has his clinic sa bodyplace sa galleria]

ayun, so i want to find a dentist who is competent, and who doesn't charge too high...and preferably someone who can correct the problem areas in my mouth...

i'll start calling up the dentists you sugggested here..thanks!

[Misa Hayase]

Bee Tin.... very competent si Smilewarrior and his colleagues doon, don't worry. :)

[twonavels]

A dentist from the province told me to have my impacted wisdom teeth checked here in Manila. Growing horizontally na daw ang wisdom teeth ko on both sides hitting my molars directly. I don't feel any pain naman so I keep putting off yung pagpapa-check. Sabi na it's going to be a major operation which will involve the disconnection of my jaws pa, parang di ko yata kaya yun ah. Plus, it's going to be expensive. Baka di ako makakain ng isang taon nun and the thought of surgery scares me.

[ThAHuStLa]

disconnect ur jaws? Wow thats scary..hehe..
Dont worry coz i just had mine extracted... Just be sure to take mefenamic acid evry 4 hrs and of course antibiotics 3x a day....The swelling will be gone in less than a week (supposedly, unlike in my case where it got infected)

[smilewarrior]

twonavels, may I suggest you visit the dental department of the outpatient department of the UP-PGH at Padre Faura.

No, your jaw will not be dislocated. If the horizontal angulation is not so severe, the procedure can be done under local anesthesia.

Hi Misa ;)

[bry619]

twonavels...dont worry hindi naman masakit magpa-extract ng wisdom teeth. May anesthesia naman just be sure nagwowork. Yung sa akin horizontal din pero hindi naman kailangan idisconnect yung jaw.

saw a site about impacted wisdom teeth:
http://www.animated-teeth.com/wisdom_teeth/t1_wisdom_tooth.htm

HTH!

[neptune]

my wisdom tooth started to "come out" last weekend. sobrang sakit nung gums ko surrounding the tooth and hindi na ako makakain dahil mejo inflammed na yung back portion ng mouth ko. i tried using betadine as an antiseptic and mejo nawala na yung pain pero yung "maga" andun pa rin. do i still need to see a dentist? i'm worried kc mejo namamaga n rin *** cheek ko.
pls. advise. thanks!

[smilewarrior]

I need a dentist's advise ( wisdom teeth) (http://www.pinoyexchange.com/forums/showthread.php?s=&threadid=147454)

The explanation you are looking for is found on the second post of the link above. Please click the link and read it thoroughly.

[xiv]

hello,

last month pinatanggal ko yung wisdom tooth ko, tapos ngayon napansin ako na "parang" may tumutubo kaso parang hindi pa siya makalabas ng maayos...

may konting nakalabas na pero parang embedded/nakalubog pa yung iba...

ano po ba dapat gawin dito ???

ngipin po kaya ito ???

[Misa Hayase]

Most likely it's a root fragment, from a broken root when your wisdom tooth was extracted. The wisdom teeth or third molars are the last to erupt, so there's no new tooth growing there. :) To confirm, have an x-ray taken to see if it's indeed a root fragment. :)

[chocoLatte12]

Hi guys..

Have you had this tooth removed ? (for the impacted tooth cases for some of you there.. ) What are your experiences? During and after the surgery? How long was your healing time?


To mods: if this thread has been posted before.. please merge it. I can't seem to find related post as this one. Thanks1

[smilewarrior]

Please click the link below. If you have additional questions, please continue them in the linked thread and Misa Hayase and I will try our best to answer your inquiries.

Wisdom Teeth (I need a dentist's help) (http://www.pinoyexchange.com/forums/showthread.php?s=&threadid=147454)

[froshie1]

yup I had it removed. saket eh. hehehe. di ko na matandaan iyong details iyong during and after the surgery. lam ko lang masaket.

[wallace]

yes i had it removed last july 31.
Di masyado masakit as long as enough yung dosage ng anesthesia.

cut lang nmn ng blade yung gum mo and martilyuhin yung bone dun and made it removed. my ginamit na elevator para ata maiangat yung unerupted then bunot n nya. in my case, pati yung second molar removed n kasi umuuga n din.

pag isip mo masakit pero mas masakit pag di pinaalis kasi magtutulakan yung 2nd and 3rd molar(impacted).

para dimasyado bloody,ask mo *** medicine inom mo before the operation, *** hemostan pinainom an hour before, then after nung optn, amoxicillin and mefenamic every four hours.after ng optn,di nmn masyado kumirot,manageable yung pain you can sleep well.

tatahiin nga *** yung gum kasi masyado malalim and pati nagcut sya,ako up to now andito p din tahi and every other day i have it checked and cleaned by my dentist.

fee is 5000.

[smilewarrior]

originally posted by wallace in my case, pati yung second molar removed n kasi umuuga n din.
How sad...
every other day i have it checked and cleaned by my dentist.
^^
This is not commonly done (ang tiyaga naman ng dentist mo).

[bishop]

i had all four third molars removed about 5 years ago. all were surgeries as they were all impacted.

[trizcie]

i just had mine removed in four separate operations (geez, i'd die kug isang operation lahat). anyway, it was painless. my ortho advised me to have it pulled off ASAP so it won't meddle with the movement of my teeth esp the molars, also para efficient daw ang braces.

[periwinkle sky]

Yes, even though they were not impacted. It's standard procedure here in the US.

[loytecson]

Originally posted by periwinkle sky
Yes, even though they were not impacted. It's standard procedure hre in the US.

oh yeah? that's interesting. i wonder why that is so...

anyway, ako, yup, i had one of mine removed na din kase nga impacted. that was 3 years ago, i think. i paid 3500. okay naman, di naman ako na-trauma, haha. tolerable nga ang sakit, nag-commute nga lang ako pauwi e :)

[periwinkle sky]

loytecson: If I remember it correct, my dentist here said that wisdom teeth are surplus teeth, you really don't need them for everyday chewing. Plus they are the major culprits in the accumulation of bacteria in the back of your mouth (they are so far back there that it's very difficult to effectively clean them), so it's much better to have them removed.

[smilewarrior]

Not all wisdom teeth are removed out-right. It depends on the scenario at hand. If they are indeed "surplus" teeth and offer nothing but accumulating dirt at the back of the mouth then it is ok to remove them.

Some people don't even have wisdom teeth (teeth are congenitally missing).

Here in the Philippines, surgical removal of 1 wisdom tooth ranges from P5,000 to P10,000 to P15,000, depending on who does it and on the difficulty of the case.

[chillybean]

i had mine removed, yung first one last September, and the other impacted one, 3 days ago. Hindi painful yung process since may anesthesia naman. Pero extra challenge siya talaga for may ortho, naaawa ako sa kanya!!!

Then, nung first time ko, almost 1 week akong umiiyak sa pain after mag-wear off yung effect nung anesthesia, eventhough umiinom akong antibiotic and mefenamic. Pero itong latest, no pain talaga at all! *knock on wood* Sabi pa naman ng ortho ko, it's more complicated and longer to heal than the first one. I'm soooo glad I had it removed na, for my braces to be even more effective. And buti na lang din, Tita ko yung ortho ko, coz I had my operation for free. :bungi:

[smilewarrior]

@chillybean: As a token of gratitude, why not give your tita dentist a small gift (cake, new dress, etc.) for her rendering of free service.

Money doesn't fall from trees.

Considering the current economic situation of our country, it's getting harder and harder for the common Filipino dentist to balance the burgeoning cost of buying dental materials whose prices seem to soar higher and higher on a monthly basis and the commitment to render quality service.

It's because of our Filipino culture that we extend acts of good will to those affiliated to us by blood. Such acts, though done without expecting anything in return, should be acknowledged even in the smallest of ways.

Peace.

[piQuAnT]

smilewarrior...ako my dentist is related to me...pano kse kuya ko sya ;)..anyways, when i had my impacted molar removed, i gave him 2500bux just to show him that i can pay a regular dentist but of course i would prefer that that money goes to him instead....(yun nga lang di nya nishare dun sa 2 fellow dentists nya who assisted him in the operation) :D

[woofers]

I had to get my impacted wisdom teeth extracted to pass the physical exam for San Miguel. Was prescribed antibiotics and painkillers.

[Ice Burn]

It was a nightmare to have them removed!!!

I had my lower ones removed because they were horizonatally positioned. It took 3 hours a tooth. I had my left tooth done first Had to schedule the right one at a different time. It was a really difficult procedure. My dentist literally had to drill and drill to break the teeth because they were wedged horizontally against my molars. I hated the experience!!!

The bad thing was, after my right wisdom tooth was removed, I kept wondering why it didn't seem to be healing even 3 months have passed na and I went back to my dentist and lo and behold there was an small extra tooth which was completely covered by the wisdom tooth that was removed hence it wasn't seen in the x-ray.

So I had to schedule another surgery!!! Buti na lang sandali lang yung extraction nung extra tooth.

[chillybean]

Originally posted by smilewarrior
@chillybean: As a token of gratitude, why not give your tita dentist a small gift (cake, new dress, etc.) for her rendering of free service.

That's actually what I ended up doing coz ayaw niya talaga tanggapin yung payment ko. Gave her something she can use din sa clinic niya.

One week na after my operation, hindi talaga ako nakaramdam ng pain. Sooo happy! :bungi:

[kennster]

yep, removed both lower impacted kasi eh and also kelangan sa brackets eh.. regarding the operation, SOBRA SAKIT, it's NOT painless! :D

[smilewarrior]

@chillybean: Wow.

@kennster: It's not always extremely painful. For your case, I suspect the wisdom teeth were sitting on top of the Inferior Alveolar Nerve/IAN (the main nerve trunk that supplies the sensation to the lower jaw).

Even if anesthesia was placed, you'd still feel discomfort whenever the third molars are being manipulated since every time they are moved, the main nerve trunk gets impinged. This doesn't happen all the time though, particularly when there is sufficient distance between the main nerve trunk and the tooth.

[Sattelite_kid]

tol nakita nyo ba yung sa imbestigador yung maestro daw plice ata ginagamit pang bunot ng teeth

[smilewarrior]

Plies?

I wasn't able to watch the umbestigador episode, but the instrument dentist's use to remove teeth (it's called a Forcep) looks like a silver plier.

If an ordinary hardware pier was used, that's another story.

[toron]

wala pa akong wisdom teeth pero yung sa kapatid ko.. she had to take antibiotics for a week tapos namaga ng husto yung mukha niya

[XetraDAX]

lumabas na mga wisdom teeth ko, pero i think i wotn have them removed. im scared!

[smilewarrior]

@toron: that reaction is expected, swelling lasts for 2 weeks then subsides.

@XetraDax: Not all wisdom teeth need to be removed.

[Ladydredd]

my lower wisdom teeth need to be removed as both of 'em are badly-decayed already. actually, half na lang yata ng each tooth ang makikita mo. and since impacted sila pareho, i have to undergo surgery.

question, pwede bang isahang surgery na lang, meaning sabay ko na sila ipatanggal? hindi pa nga lang ngayon kse kulang pa ipon ko. ang mahal pa naman per tooth...

[smilewarrior]

@Ladydredd: Yes, they can be removed at the same time.

It would be easier for the patient if teeth are removed from 1 side first so that the patient can chew on the other side.

Depending on the patient, if the patient decides to have the impacted wisdom teeth from opposite sides to be removed at two separate appointments, some patients are ok with a 1 week interval, some want a 1 month interval.

Whether you have 1 or 2 wisdom teeth removed, you can expect the following to happen right after the surgery:

1. Swelling of the face at the side of the surgery. Peak of swelling is at the 2nd or 3rd day after surgery then gradually subsides. Swelling lasts for 1 to 2 weeks. Amount of swelling depends on how long and how difficult it was to remove the third molars.

2. Bruising of the face at the side of the surgery (it doesn't always happen though).

3. Limitation of jaw movement. For a week, you might have difficulty chewing, speaking and swallowing.

* It might be a good idea to rest in bed and not work for at least 3 to 5 days so as not to disturb the healing wound.

*We are all unique, some heal faster than others, not all patients experience the same after-effects.

*Everything depends on how long and how difficult it was to remove the third molars.

[Ladydredd]

thank you very much for the info, dr. smile!

matanong ko lang, san po ba clinic nyo? parang mas ok sa inyo magpa-surgery eh...


thanks!

[smilewarrior]

@Ladydredd:
Surgical removal of 1 wisdom tooth costs P5,000 to P10,000 depending on the difficulty of the case.

I'm an Orthodontist (I put braces and align people's teeth). Oral surgery isn't really my field despite the fact that I had surgical training a few years back prior to my orthodontic residency.

Trust me, it's better if I refer you to someone else. Tell me where you live and I'll refer you accordingly.

Also, at the moment I'm currently, shall we say...indisposed. The two of us meeting is an unlikely possibility.

[cybernaut]

ngek! ako sabi ng ortho ko dati, patanggal ko daw yung wisdom tooth ko pag tumubo na! eh b4 i had braces, tinanggalan na ko ng apat na nigipin, tapos patanggal ko pa *** apat ko na wisdom tooth ko. :mecry:

[smilewarrior]

@cybernaut:
Don't worry, if needed, removing 4 wisdom teeth and 4 premolar teeth is sometimes (though not always) really done to facilitate fixing the orientations of the teeth.

[loytecson]

i guess i am lucky kase di traumatic yung extraction ng wisdom tooth ko years ago. the only disconfort i can recall is yugn parang clicking sound sa jaw ko which was normal naman sabi nung dentist. true enough, nawala naman sya after a coupla days.

[lawrencety13]

I had that couple of years ago.... when my dentist told me that i need to wear braces... I was adviced to go on minor operation and they need to remove all my wisdom tooth... can you imagine that...4 all in all... grabe!!! I was drogy though... may anesthesia sya hahahaha half awake-half asleep though you know its bleeding.... yikes

[ako si..]

i have braces and my wisom teeth should be removed kse nakahiga sya sa loob ng gums and they're the cause kung bakit sungki ipin ko..

ano ba ginawa sa akin?

first, yun spray na anesthesia (tama spelling) then yun injection na.. two vials of anesthesia yun ininject.. grabe ang kapal na ng pakiramdam ko.. tapos hiniwa na yun gums ko, buti nga nde masyado nagbleed. pinapanood ko habang ginagawa nya yun kse nde naman masakit as wala lang parang ibang tao yun pinapanood ko dahil wala talaga pakiramdam. and then yung barena, para umangat ata yun ipin tapos chaka na binunot ng paunti unti.

after two hours chaka ko lang naramdaman yung sakit, kaya dapat inom kaagad ng pain reliever. naging swollen din yun gums and pisngi ko (parang may siopao sa gilid ng pisngi ko, tapos mas konting pasa)

pero okei lang mahirap lang yung paggaling, dapat magaling yun antibiotic na iniinom mo para speedy ang recovery.

nobela na ito.. adios.. :)

[pakshet101]

ako rin nabununtan ng wisdom tooth sumama pa nag yung buto eh...


http://emilandobautista.tripod.com/6.jpg


grabe kung hindi lang namin family friend yung mga dentista dun dinemanda ko na sila....

[avonlea]

uy, i had my wisdom tooth pulled out this afternoon at hindi siya masakit... an OA ko nga pero walang pain talaga... galing ng dentist ko, cutie pa :D

[regptrp_md2b]

Hi guys..

Have you had this tooth removed ? (for the impacted tooth cases for some of you there.. ) What are your experiences? During and after the surgery? How long was your healing time?

i had this tooth removed.. on my left lower jaw.. due to horizontal impaction w/ my 2nd molar (of course sa left lower jaw din).. the pain was so excruciating, severe.. the dentist had to remove both teeth and the gum was sutured (of course done w/ local anesthesia).. after the surgery, i had a hard time eating because of the pain and i gained weight because of the ice cream.. hahaha!.. just took a week for it to heal..

[avonlea]

hay naku! after yesterday's almost painless extraction of my upper-right third molar, my dentist operated on my lower-left wisdom tooth... it was impacted daw (based on the x-ray) so surgery ang drama niya... it really hurt and it took him about one hour to remove it... i paid 30,000 won or about $30...

[skuidward]

is extraction of all the wisdom teeth always the case if one has had braces?

[Misa Hayase]

is extraction of all the wisdom teeth always the case if one has had braces?
Nope... extracted lang sila usually if they are impacted.
Kung for braces naman... usually it's the 1st or 2nd premolars that are extracted if jaw space is not enough. :)

[smilewarrior]

As Misa said, if the front teeth are crowded, it's usually the 1st or 2nd premolars that are extracted. Sometimes, however, if the problem resides more at the back teeth, the wisdom teeth are removed to make pushing the molars back possible and to make fixing the alignment of the teeth more effective. Sometimes none of the teeth are removed.

The decision of removing or not removing teeth prior to or during orthodontic treatment comes after a comprehensive assesment of the case.

[ms_dinx]

sakin 2 na nabunot, parehong namamaga nung binunot, grabe ang sakit lalo na yung pag-inject ng anesthesia angat ang puwet ko sa upuan, at binunot nya ng parang nagbubunot lang sya ng ordinaryong ngipin. sinadya kong ipabunot ng namamaga kasi di ko kaya magpabunot kapag di sumasakit. pero after mabunot parang nabunutan ako ng tinik sa lalamunan.

[markpaul]

off topic:


I have dreamed the other day that my tooth was removed.

the next morning, at school, i told my friends about my dream.
then suddendly my friends were shock. kasi ayon sa kasabihan, if u dreamed of a tooth extracted is a curse daw. may mamamatay daw. dapat daw if I wake up in the morning, I immediately bite a hard wood or a tree to break the curse.

Alam mo naman ako, I am so unaware of this pamahiin thingie. I was worried about my family. I texted my Tita in Australia tapos she called me and scolded me that I should have biten a tree.

the rest is history. none died.

[smilewarrior]

Our teeth were only meant for cutting/ biting/chewing food.

Our teeth should never be used to open plastic bags, grasp knives, open soda bottles or for removing bark from a tree. If you've ever experienced a toothache,you'd know that while it pales in comparison to childbirth, it's still a very excruciating, mindboggling experience.

Don't abuse your teeth.

[mysticrain]

ohmy gosh!wish me luck...i have one impacted tooth and will have it removed one of this days ...this year..its not painful cause it is just small but i can't take of it very well since it is underneath my cheek skin...i cant brush it that well

[mysticrain]

guys can you recommend a dentist in makati or anywhere in the malls(megamall, sm north, and robinsons)..thank you

[smilewarrior]

Removal of third molars:

For Quezon City:

1. Dr. Melanie Karganilla Frange or 2. Dr. Cynthia del Castillo

For Megamall:

4. Dentista, Inc. SM Megamall Clinica Manila
(another branch) -
5. Dentista, Inc. Shangri-la Plaza

[livid]

Magkano magpa-x-ray bago magpa-extract ng wisdom tooth na nasa lower right?

Also, kindly recommend a really good dentist ('yung magaan ang kamay). Thanks.

[livid]

Nakapagpa-panoramic x-ray na 'ko last night sa Megamall for only 500 pesos.

Here it is:

http://xe5.xanga.com/130894176253321993781/b15640609.jpg
http://x4e.xanga.com/9ee880e227d3321993863/b15640665.jpg
http://xfe.xanga.com/797881e33143221993964/b15640733.jpg

To all the dentists in here, I need your assessment, please. Next week pa kasi 'yung appointment ko sa dentist ko.

Thanks.

[smilewarrior]

Your wisdom teeth is tilted 90 degrees. Removal is moderately difficult.

[Misa Hayase]

At least it's not that adjacent to the 2nd molar. Malabo yung picture, di kita yung nerve canal that's supposed to be near the wisdom tooth.

[livid]

Thanks, docs. :)

I've been digging up and reading old threads here regarding 3rd molar/impacted tooth extraction. And I must say I'm more scared now than I already was. :(

I've been in pain for almost a week now. I can hardly eat without taking Mefenamic acid first. However, I'm still undecided on which dentist to go to for oral surgery. I have rescheduled a consultation with our family dentist. I'll be seeing her tonight instead of next week. Medyo hesitant ako sa kanya kasi parang mabigat 'yung kamay niya noong pinapastahan niya 'ko, at hindi ko alam kung qualified oral surgeon siya. I'm "too polite" to ask. Basta ang sabi ng nanay ko magaling daw siya gumawa ng pustiso. :D Are dentists required to secure a certification or a specific license to perform oral surgery? Sorry po, I really have no idea.

I was also able to call Dra. Gigi Estrada of PGH. I read about her in other related threads. She sounded really nice on the phone. Anyway, I was informed that the extraction will cost PHP5,000-PHP6,000 if done at the PGH. But I could also set an appointment with her at her private clinic in Makati, but that would cost at least PHP8,000. Balita ko kasi sobrang haba raw ng pila sa PGH.

There's another dentist I read about here in PEX: Dr. Ed Abesamis. I also called up his clinic at the Festival Mall-Alabang last night. I was informed that the extraction would cost at least PHP7,200. Unfortunately, Dr. Abesamis has no available sked until Dec. 23. Ang dami pala niyang pasyente.

A friend is recommending a certain Dra. Cabero in Alabang. Sobrang gaan daw talaga ng kamay. I have yet to contact her, tho. Kilala niyo po ba siya?

I might visit other dentists tomorrow, including Dra. Estrada.

Hay naku, sana matapos na 'to. This impacted tooth is ruining my peaceful life, and my budget... :depressed:

[smilewarrior]

Dr. Ed Abesamis is the father of one of my friends. I hear he's good though we've never met personally. I don't know Dra. Cabero personally.

Corrective orthodontics is not part of the undergraduate dental curriculum, but third molar removal is. All dentist here in the Philippines have actually been trained as to how to remove third molars. The advantage of having post-graduate oral surgery training ( such as that given by PGH) or oral and maxillofacial training ( such as that given by Universities abroad) is being exposed to faster, more efficient techniques in third molar removal.

Misa makes a good point, one important factor to consider is how close the third molar is to the main trunk of the inferior alveolar nerve.

If the tooth is sitting right on top of the nerve, even with anesthesia, you'd still feel moderate discomfort as the tooth is removed (I'm speaking from experience as this was what I experienced when I had my lower third molars removed).

I mostly do orthodontics (braces) so Misa is in a much better position than me to give you advise with regards to third molar removal. Personally, I'd rather you have Dr. Estrada or Dr. Abesamis remove your wisdom tooth. Their fees are worth it, you're paying for their expertise.

Good luck.

[Misa Hayase]

I personally don't know Dr. Ed Abesamis, but he is my classmate's father. I think another PExer in the What's Up Doc threads has already experienced surgery through him,as you have already read.

Re: Dr. Estrada, she is very good. And she is even nicer in person.If you have any concerns at all, it is very easy to ask her questions. I sometimes assist her during surgery and I notice that she has a calming way about her. If you are planning to consult with her during the week, she's not in PGH in the weekends and on Wednesday afternoons.

[DI10]

ako nung july...had 2 wisdoms removed the day after i had 2 root canals done! my face was swollen for a week. :glee:

[jaye11]

OT: ano po bang mgndang pain reliever s tumutubong wisdom tooth? kung ano anong med na tinake ko kc like alaxan, planax, ponstan.. halos lagi lagi akong umiinom ng med para dun hirap kasi magtake ng call..

[smilewarrior]

You might have operculitis ( the gum covering the third molar is called an operculum).

Please have yourself examined by a dentist. You might need antibiotics. Most likely, your wisdom teeth needs to be removed.

[wildrose]

ako po nabunutan na rin ng 4 wisdoms a few years ago. i think na-mention na po earlier that it's a standard procedure sa US na bunutin ang wisdoms, and it's the same dito sa canada.

i have to admit na natakot ako nung una when i learned that i have to get the extractions done. pero swerte ako because magaling yung dentist ko :) . binigyan nya lang ako ng anaesthesia para ok ako during the procedure. he did two at a time, upper and lower, para makakain pa rin ako. after two weeks yata un, he did the last two. *** isa kong wisdom, impacted pa...tinahi nya after yun gums ko... hindi naman namaga *** mukha ko pagtapos. i had a bit of pain afterwards, pero he gave me antibiotics and tylenol 3....and a bunch of gauze para mapapalitan ko. i also had to rinse my mouth quite often, pero i had to be careful not to put pressure dun sa area na binunutan. para nde mag- cause ng dry socket. achaka make sure not to touch it (not that u will anyway) to avoid any infections....

and then about seven months ago, binunutan ulet ako...4 ulet. kse my ortho wanted them out... *** bicuspids yata, i'm not sure kung ano tawag eh..hehehe. basta un katabi ng molars. so he sent me back to my dentist to get it done. by that time, wala na kong takot dahil ilan na ba nabunot sa kin? ...anyway, he did two at a time ulet...and like before, hindi rin namaga and kung may pain man nakaya ng tylenol 3

i've been with my dentist for how many years na kaya i trust him. and i think that's important... if you're going to get your teeth pulled, make sure you follow the dentist's intructions para nde ka mahirapan.

i'm not sure pero sa nababasa ko dito nagw-wonder ako. maybe it's different over there sa pinas..kse yung x-rays ko, *** dentist ko na rin ang kumukuha. i didn't have to go somewhere else to get it done. and nung bago ko lagyan ng braces, yung orthodontist ko rin ang kumuha ng x-ray (different set) at gumawa ng molds, etc.... i don't know baka nga iba dyan...

[smilewarrior]

It's because panoramic xray units and ceph units can cost 1 million each which is why not all of us have them, though some of us do.

A lot of clinics here in the Philippines have peri-apical x-rays (for small x-rays) but not for large x-rays.

It's common practise for First world countries like the United States, Canada or Australia to have literaly an army of assistants work for an orthodontist:

1. Lab assistants (2 or more, helps with retainers, appliances, model casts)
2. Chairside assistants (6 or more, assists the orthodontist during treatment, they sometimes do anywhere from 20% to 70% of the adjustment, they also clean the instruments and sterilize them)
3. Secretary/Office Manager
4. X-ray technician/s
5. Mainenance crew (janitors and so on)
6. Book keeper / Expense coordinator


I honestly don't know if your orthodontist has an army of assistants but trust me, if you read orthodontic books or if you attend seminars on practise management on orthodontics part of the topic deals with managing the staff.

An orthodontist in a First world country basically works as a Treatment coordinator, who plans the treatment and does the most difficult tasks but delegates simpler duties to assistants. Ang sarap ng buhay nila. Some of them even work just 3 to 4 days in a week.

Being in a third world country and charging 1/5 of what is being charged in a first world country, Filipino orthodontists don't have as many assistants who work with them. (Though some of the senior orthodontist eventually develop a small army of their own).

If as an orthodontist you treat as many as 20 patients in a day ( our senior members sometimes treat a mindboggling 60 patients in a day) most of your time will be spent on adjustments. Case analysis is done at night and weekends. The rise of Diagnostic centers arouse from the need of having orthodontic records taken.

Diagnostic centers are usually found in malls, and since a lot of malls are conveniently close to clinics which is why filipino orthodontist developed the habit of just referring to diagnostic centers.

I must tell you though that part of University Orthodontic Residency is training on how to take x-rays, pictures and model casts. We all know how to take them. Some of our members who work at far flung places have no choice but to purchase expensive x-ray machines, but a lot of orthodontics who work in the city just opt to refer.

Happy holidays.

[wildrose]

It's because panoramic xray units and ceph units can cost 1 million each which is why not all of us have them, though some of us do.

A lot of clinics here in the Philippines have peri-apical x-rays (for small x-rays) but not for large x-rays.

It's common practise for First world countries like the United States, Canada or Australia to have literaly an army of assistants work for an orthodontist:

1. Lab assistants (2 or more, helps with retainers, appliances, model casts)
2. Chairside assistants (6 or more, assists the orthodontist during treatment, they sometimes do anywhere from 20% to 70% of the adjustment, they also clean the instruments and sterilize them)
3. Secretary/Office Manager
4. X-ray technician/s
5. Mainenance crew (janitors and so on)
6. Book keeper / Expense coordinator


I honestly don't know if your orthodontist has an army of assistants but trust me, if you read orthodontic books or if you attend seminars on practise management on orthodontics part of the topic deals with managing the staff.

An orthodontist in a First world country basically works as a Treatment coordinator, who plans the treatment and does the most difficult tasks but delegates simpler duties to assistants. Ang sarap ng buhay nila. Some of them even work just 3 to 4 days in a week.

Being in a third world country and charging 1/5 of what is being charged in a first world country, Filipino orthodontists don't have as many assistants who work with them. (Though some of the senior orthodontist eventually develop a small army of their own).

If as an orthodontist you treat as many as 20 patients in a day ( our senior members sometimes treat a mindboggling 60 patients in a day) most of your time will be spent on adjustments. Case analysis is done at night and weekends. The rise of Diagnostic centers arouse from the need of having orthodontic records taken.

Diagnostic centers are usually found in malls, and since a lot of malls are conveniently close to clinics which is why filipino orthodontist developed the habit of just referring to diagnostic centers.

I must tell you though that part of University Orthodontic Residency is training on how to take x-rays, pictures and model casts. We all know how to take them. Some of our members who work at far flung places have no choice but to purchase expensive x-ray machines, but a lot of orthodontics who work in the city just opt to refer.

Happy holidays.


you're right po, doc. my orthodontist has a lot of assistants...5 po yata *** parang lab assistants. they do the adjustments, do the x-rays, make the molds, etc. and then he has 2 secretaries/receptionists/bookkeepers. and i noticed that these assistants do most of the work. whenever i go in para sa adjustment ko, all my orthodontist does is look at my teeth and give instructions to them. pero in fairness naman po, he does the hard part. syempre po yun pag-isip on what to do...pero sa kumbaga "labor" work, not much ...his office is open from 7:30 am to 2:30 pm lang, after 2:30 pm po yung para naman sa mga consultations.

anyway, merry christmas din po senyo :) i've read your posts and you've been a big help to a lot of people here in pinoyexchange *okay* . i'm sure they appreciate that as well :) ... it's like having a consultation without going to the clinic :p ...

[smilewarrior]

Happy holidays wildrose :).

Sarap ng buhay ng orthodontist mo. Ganyan talaga ang practise sa First world countries. They can do that because the fees they charge can offset the expense of having many assistants. With many assistants, they can treat several patients simultaneously, which is why some of them can treat 100 patients in 1 day. Their practise is so efficient.

[livid]

I personally don't know Dr. Ed Abesamis, but he is my classmate's father. I think another PExer in the What's Up Doc threads has already experienced surgery through him,as you have already read.

Re: Dr. Estrada, she is very good. And she is even nicer in person.If you have any concerns at all, it is very easy to ask her questions. I sometimes assist her during surgery and I notice that she has a calming way about her. If you are planning to consult with her during the week, she's not in PGH in the weekends and on Wednesday afternoons.


Misa Hayase & smilewarrior: I took your advise and had a couple of my teeth (only one was impacted) removed by Dra. Estrada. Magaling nga siya! :) Thanks!

[theobroma]

my dentist removed mine to help me with my braces because most of my teeth are too big for my jaw; i've had two of mine removed already (lower left and lower right).

[MonTecarLo]

Misa Hayase & smilewarrior: I took your advise and had a couple of my teeth (only one was impacted) removed by Dra. Estrada. Magaling nga siya! :) Thanks!


magkano inabot yung surgical removal nung wisdom tooth mo? Sobrang sakit ba talga after nung surgery kagaya ng sinasabi nila?

Next year pa kasi ako magpapatanggal ng wisdom teeth. GUsto ko lang malaman yung detalye. hehehe

[MonTecarLo]

magkano inabot yung surgical removal nung wisdom tooth mo? Sobrang sakit ba talga after nung surgery kagaya ng sinasabi nila?

Next year pa kasi ako magpapatanggal ng wisdom teeth. GUsto ko lang malaman yung detalye. hehehe


sorry, forgot to scroll up. I got the answers to my questions. Thank you...

[smilewarrior]

^^
It's ok Montecarlo.

Originally Posted by livid

Misa Hayase & smilewarrior: I took your advise and had a couple of my teeth (only one was impacted) removed by Dra. Estrada. Magaling nga siya! Thanks!

You're welcome. Happy holidays.

[Misa Hayase]

Misa Hayase & smilewarrior: I took your advise and had a couple of my teeth (only one was impacted) removed by Dra. Estrada. Magaling nga siya! :) Thanks!

Aaaw:) Where did you have it done? in Makati or PGH? :)

[livid]

^ Hi. I had the extraction done at the PGH. :)

[Misa Hayase]

^ Hi. I had the extraction done at the PGH. :)

Great. :)

Happy new year!!!!

[Marimar2021]

Hi! New to this forum... can anyone provide a contact information for Dr. Melanie Karganilla? Any information will be appreciated. Have a good day to all of you!

[smilewarrior]

^ Dr. Melanie Ruth Karganilla-Frange, St. Lukes Medical Center

[cutedoc]

livid- i know dra cabero at alabang, shes my friend, shes a good dentist=)

[thebluemystery]

ei i really have no idea sa wisdom tooth.. san ba cia tumutubo? sa pinaka huling part ng gum? kasi ako wala naman dati yun.. then parang yung pinaka dulo ng gum ko meron ng teeth na tumubo yun ba yung wisdom tooth? and papatanggal ko ba yun or pa check ko muna? tapos ano ba yung difference nung surgery sa wisdom dun sa regular bunot ng wisdom? does it mean pag surgery. papatulugin ka? lolz and parang operation.. thanks for the help..

[cutedoc]

thebluemystery
-wisdom tooth are so called because the 3rd molar usually erupts within 17-21 or more, within this age wherein we gain our "wisdom", -usually wisdom tooth erupts as the last molars , unless there would be an abnormality
-it depends if you need to take them out or not, if its on a good occlusion, it doesnt disrupt or cause any problem such as TMJ problem, crowding of teeth, and it is easily cleense, then there is not need to pull it out, so have your dentist asses and check your case first
-regular extraction of tooth not only on 3rd molars or wisdom tooth, takes place if the tooth to be removes lies on the normal position, wherein tooth are on an upright direction
-surgical removal of wisdom tooth or any other abnormality is performed if the tooth to bbe removed are positioned abnormally, or the tooth to be extracted are below the gumline
-not all cases of odontectomy(wisdom tooth removal)requires patient be sedated,minor oral surgery could be rendered even if patient is awake

[MonTecarLo]

Doc smille,

I forgot to tell you something when I visited Dr. Estrada. After she discussed the surgery procedures of my lower wisdom teeth, she was asking if my ortho will be removing the two upper third molars. She suggested it to be pulled as well as it may cause something to/around (i forgot the term/s she used) my cheeks.

When I went to my ortho for adjusments, I told her what Dr. Estrada mentioned and she said that there is no need for the upper third molars to be pulled as it have erupted properly. She has to check it at the end (or within) of the treatment if extractions are necessary.

Now, how will I assess this case as two experts don't agree? Do I have to follow my ortho's advise instead?

I cancelled my surgery because of my busy schedule and my ortho also advise that it is not yet time to have it done because she wanted to see results of the sungki first.

[smilewarrior]

I guess Dr. Estrada is referring to cheek biting, a phenomenon which happens when your last molars are so far back in the mouth and have no opposing tooth.

Hmm, I guess you can follow your orthodontist for now, but ask her from time to time as to the status of your wisdom teeth.

It's hard for me to comment on whether your upper wisdom teeth need to be removed or not as to do that I'd have to physically view your teeth and your occlusion (meaning how your teeth are positioned relative to each other when you bite).

[MonTecarLo]

wow. aga gumising ni doc smile. hehehe salamat!

pag ni-reveal mo siguro yung identity mo dito doc smile andaming Pexer na pupunta sa you. hahaha

[Misa Hayase]

Doc smille,

When I went to my ortho for adjusments, I told her what Dr. Estrada mentioned and she said that there is no need for the upper third molars to be pulled as it have erupted properly. She has to check it at the end (or within) of the treatment if extractions are necessary.

Now, how will I assess this case as two experts don't agree? Do I have to follow my ortho's advise instead?

I cancelled my surgery because of my busy schedule and my ortho also advise that it is not yet time to have it done because she wanted to see results of the sungki first.

Dr. Estrada suggested that because if the upper 3rd molars have no more opposing teeth on the lower, it's usually extracted. This is to prevent supraeruption of the upper teeth, and cheekbing.
For me, I extract the 3rds based on the instruction of the orthodontist.

[smilewarrior]

Originally Posted by MonTecarLo
wow. aga gumising ni doc smile. hehehe salamat!

pag ni-reveal mo siguro yung identity mo dito doc smile andaming Pexer na pupunta sa you. hahaha

Akala ko kasi laban na ni Manny Pacquiao. Nanalo siya, woohoo!

Balitaan mo na lang kami Montecarlo sa kalagayan ng wisdom teeth mo.

Aside to Misa, Hello :).

[cutedoc]

montecarlo - it would be better to follow your orthodontist, she would suggest the removal of your 3rd molar if it may posed a problem later on=)

[Misa Hayase]

Dr. Estrada suggested that because if the upper 3rd molars have no more opposing teeth on the lower, it's usually extracted. This is to prevent supraeruption of the upper teeth, and cheekbing.
For me, I extract the 3rds based on the instruction of the orthodontist.

Correction: CheekBITING.

Sorry guys, I'm sort of anal about correct spelling. Hehehe. :p

[cRzYcHiQa]

bakit pa kasi tumutubo kung tatanggalin din naman? haaay. four of mine must be extracted. one down, three more to go.yung dalawa surgery pero yung dalawa bunot lang. the thought of hihiwain ng blade ang gilagid ko ay nangingilo ako sa takot. :rotflmao:

goodluck sa atin na mga bubunutan.

[cutedoc]

crzychiqa - dont be scared about the blade=) the area would be numb and you wont even feel the blade cutting your gums, there are pain medication to take afterwards as well=) so just hang in there=)

[metadreamerboy]

^ Hi. I had the extraction done at the PGH. :)

i need to have my wisdoms extarcted and im thinking of going to Dr. Estrada.do you have her contact number sa pgh? ganu katagal magpappointment ng extraction sa pgh? tska how much yung costs? sorry ha masyado akong madaming tanung...hehe

[smilewarrior]

PGH's trunkline is 5218450. Call local 5220 to connect to the Hospital dentistry department ( so it's 5218450 local 5220). You can call the clinic Monday to Friday (it's closed on weekends and wednesday afternoon)

Thanks, docs. :)

I was also able to call Dra. Gigi Estrada of PGH. I read about her in other related threads. She sounded really nice on the phone. Anyway, I was informed that the extraction will cost PHP5,000-PHP6,000 if done at the PGH. But I could also set an appointment with her at her private clinic in Makati, but that would cost at least PHP8,000. Balita ko kasi sobrang haba raw ng pila sa PGH.

[metadreamerboy]

thanks doc! :)

[smilewarrior]

^^
You're welcome. Good luck.

[cloud7]

i have an appointment with doc estrada of pgh next week. sana di masakit ang oral surgery. will let you know what happens.

[smilewarrior]

Magaling si Dr. Estrada cloud7. You're in good hands.

[cloud7]

Magaling si Dr. Estrada cloud7. You're in good hands.

oo nga po. all went well during the surgery. super nice, super maalaga at super galing ni dra. estrada. she is truly a blessing!

here is her contact info:

Ma. Cristina Lagaya-Estrada, D.M.D.
UP PGH
Dept. of Hospital Dentistry
524-5651; 521-8450 loc. 5230/ 5220

Lagaya Dental Clinic
7398 M. Santillan St., Makati City
844-0802

[lynrac24]

Magkano po ba *** wisdom tooth extraction? I had recently my lower left wisdom tooth removed by a dental surgeon who is our family friend. And of course, he did not charge us of anything. My parents would still want to pay him what is due.. I've read the other previous posts and some said, 2,500/3,500/5,000-10,000. I am not aware if these prices are current.. please reply to this post..

Thanks..

[smilewarrior]

Magkano po ba *** wisdom tooth extraction? I had recently my lower left wisdom tooth removed by a dental surgeon who is our family friend. And of course, he did not charge us of anything. My parents would still want to pay him what is due.. I've read the other previous posts and some said, 2,500/3,500/5,000-10,000. I am not aware if these prices are current.. please reply to this post..

Thanks..

It's P5,000 to P15,000 nowadays, with an average of P8,000.

[lynrac24]

It's P5,000 to P15,000 nowadays, with an average of P8,000.

thanks! is the P8,000 per tooth?

[smilewarrior]

^^
Yes, an average of P8,000 per wisdom tooth.

[kickers878129]

Hi guys..

Have you had this tooth removed ? (for the impacted tooth cases for some of you there.. ) What are your experiences? During and after the surgery? How long was your healing time?

To mods: if this thread has been posted before.. please merge it. I can't seem to find related post as this one. Thanks1

yeah, i had it removed last year May 2005, sa Medical Center Manila, P5,000 ang fee (2pcs impacted teeth,P2.5k ang isa). Pero mabait **** *** doctor actually 10k dapat un natawaran *** nmin dahil nireffer kami ng isang dentist malapit sa min.

That was the first time na binunutan ako, siyempre di pedeng dlwa ang bunutin sayo sa isang session, dahil babagsak ka nun.pinabalik p ako nun after 1 week. ang masakit *** is *** anaesthisia, 4 ata ang na-inject sa kin, mahirap bunutin dahil nasa dulo nga, kaya gnun kamahal, di tulad ng mga ordinaryong ngipin.

i had this surgery dahil natanggap ako sa isang call center ng isang kilalang telephone provider ** sa pinas, i have passed all my requirements including my medical, tapos sasabihin sayo ttwagan n *** for orientation, putik nasayang *** *** P5k ko,*** nmn tumatawag sa kin. :mecry:


noel_adan007@yahoo.com

[froshie1]

mga docs, ok ba itong Oral surgeon na magpoprocedure sa akin sa pagremove ng wisdom teeth ko? Name nya Dr. Bruce Richard Manlapaz, may clinic sya sa St. Lukes Hospital.

[smilewarrior]

mga docs, ok ba itong Oral surgeon na magpoprocedure sa akin sa pagremove ng wisdom teeth ko? Name nya Dr. Bruce Richard Manlapaz, may clinic sya sa St. Lukes Hospital.

I don't know him personally. If you have friends or relatives who happen to be patients of his, you can ask them for feedback.

[Misa Hayase]

i don't know him either, sorry :)