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NFT: Teenager Wisdom Teeth Extraction

AnnapolisMike : 7/25/2017 10:38 am
Looking for past experiences with children having wisdom teeth extracted. Dentist recommended extraction of all 4 teeth for my 16 y/o son. Fairly straight forward...the teeth are coming in straight. Dentist recommended an oral surgeon.

Looks like the total will come to about $500/tooth and $600 for anesthesia (general). Do these costs seem reasonable? Is general anesthesia necessary? I don't recall being put under for either a root canal or wisdom tooth extraction.
I was 17/18  
UConn4523 : 7/25/2017 10:41 am : link
and mine was a breeze. Was put under and not very sore after 24 hours. Can't speak to costs since I was under my parents insurance, but I'd recommend paying for the anesthesia, might as well make it comfortable for your kid. Also, definitely go with an oral surgeon.
i had the same procedure at that age  
mattlawson : 7/25/2017 11:02 am : link
not sure the cost. was a total breeze.
Dumb question  
Bubba : 7/25/2017 11:12 am : link
Can I ask why this is being done? My dentist told me it is routine now for children. I understand there MAY be problems done the road. My parents, my brother myself and my sons all have their wisdom teeth and never had a problem. WebMD dos not consider it a necessity. Is this just a fast buck scheme for dentists?
I  
AcidTest : 7/25/2017 11:24 am : link
also had mine done at 17. Use an oral surgeon and general anesthesia. You don't want to be awake. There are crater like holes that you must flush out with water to prevent bacteria from entering the wound. My cheeks were yellow and sore for a few weeks.

Some people never have any problem with their wisdom teeth, but mine were impacted.

Best wishes to your kid.
2 of my 3 kids had this done recently  
Eli Wilson : 7/25/2017 11:31 am : link
One of them did not need her teeth pulled, her mouth had room and they were growing in just fine.

Before insurance, the cost you mention seems reasonable.

Both my kids had the anesthesia. Tons of pain for about the next week.

Also make sure you have them follow all the recommended procedures for the next week. My niece ended up going back in for surgery due to a pretty bad infection.
My son had all 4 of his pulled at 16  
ZogZerg : 7/25/2017 11:35 am : link
The insurance covered a bunch and I thought we paid about $500 out of pocket. But, I could have that wrong.

RE: Dumb question  
steve in ky : 7/25/2017 11:37 am : link
In comment 13538239 Bubba said:
Quote:
Can I ask why this is being done? My dentist told me it is routine now for children. I understand there MAY be problems done the road. My parents, my brother myself and my sons all have their wisdom teeth and never had a problem. WebMD dos not consider it a necessity. Is this just a fast buck scheme for dentists?


I still have mine as well, but I think it is supposed to be more dangerous to have removed once older, so I guess it is a precaution to get it done early
If there is room and they are coming in fine  
Mike in NY : 7/25/2017 12:38 pm : link
I do not see the need to rush into it. I have all of my wisdom teeth even though my dentist says that in all likelihood I will eventually need them pulled because my teeth have deep grooves which will cause cavities to form at a depth that current technology cannot reach and he would rather pull them if a cavity is spotted rather than filling.
I worked for oral surgeons  
Berrylish : 7/25/2017 12:40 pm : link
for years. That price is accurate.
and bubba  
Berrylish : 7/25/2017 12:41 pm : link
NO MORE WEBMD!
Does anyone know  
Mike in Marin : 7/25/2017 12:42 pm : link
what they typically prescribe for pain for this for a teenager ?

My daughter may need this done and I am a bit worried about them prescribing (and it being bad enough for her to need) opiates.

Or do they get by with the max level ibuprofin or similar ?

Thanks !
depends on the doc  
Berrylish : 7/25/2017 12:46 pm : link
Mine were easy. I used one tylenol with codeine one time, day of and that's it. Some will rx percocet, vicodin, maybe rx ibuprofen which is a waste of $$ because you can jsut take 4 advil to equal the 800 mg they rx. You can ask for whatever you want, generally but with bony impacted teeth I would recommend percocet and augment with advil in between doses. You monitor the consumption but don't deny. The bony impacted teeth (either part bony or full bony - as they are called medically) really cause discomfort. If your cheeks swell up... no good.
Thanks Berry !  
Mike in Marin : 7/25/2017 12:59 pm : link
Makes sense.
thanks guys  
AnnapolisMike : 7/25/2017 1:04 pm : link
good info. feel better about the cost. Should have been an oral surgeon.
I had mine removed at age 40.  
WideRight : 7/25/2017 1:08 pm : link
No big deal. Three has cavities and were going to require root canal, so I just had an oral surgeon take them out.

I'm pretty sure the recommendation to remove them early is a money thing
wisdom  
go-big-blue : 7/25/2017 1:31 pm : link
FYI, I am a dental surgeon...pain is not normal after extractions as long as the teeth are not impacted in the bone. Bony impaction necessitates some drilling of the bone for access so that's what can cause discomfort. Nothing works better than ibuprofen. Narcotics are overkill, if anything they may be OK just to knock you out so you can get a good night sleep. Antibacterial mouth rinse for a week tends to be adequate to keep the wounds clean. The mouth heals very fast.

As for necessity, it's impossible for anyone here to make that determination without seeing xrays or clinical photos. I will say this, it's much easier getting them out at a young age before other issues arise. It's also much easier to keep the other more important molars clean and healthy with wisdom teeth out of the way.
sedation  
go-big-blue : 7/25/2017 1:32 pm : link
Sedation has nothing to do with pain, it's all about getting in and out quickly. I prefer not to sedate because of all the pre-op prep but it is quicker to perform the procedure without the patient squirming.
Had mine done very recently (was a month away from turning 32)  
Mike in Long Beach : 7/25/2017 1:38 pm : link
Did a local anesthesia as I didn't want to be knocked out.

I'd say my first day was probably worse than most experiences. Felt throbbing pain all day. But my next 3-to-5 days was probably better than most experiences. I recovered as far as pain goes very, very quickly. Was basically fine after 1 night's sleep.

Best of luck.
And worth noting  
Mike in Long Beach : 7/25/2017 1:38 pm : link
I was prescribed some pretty weak stuff. Just a little tylenol with a Codeine kick. Might explain why day 1 was so rough on me.
My surgeon did not put me under general anesthesia  
Scyber : 7/25/2017 1:39 pm : link
It was a horrible experience. No pain during the surgery (due to novacaine), but my teeth were so tough to extract that the surgeon had to put his foot on the chair to get enough leverage. so I'm wide awake and this surgeon is using his full weight pulling on my teeth. Probably the most horrifying medical experience I ever had.
I had mine done at 18 - about 30yrs ago now  
mgreenie03 : 7/25/2017 3:16 pm : link
I was put under. I dont remember the cost. I was prescribed percocet 3 times a day or as needed. I had stitches removed about a week later.

Worst part was when my dad rented Bill Cosby Himself that day. Remember this was 1987, I had never seen it and wanted to watch it. I had my dad shut it off after 5mins because I was laughing so hard and started bleeding again.

I was fine after about 3-4 days.
one bad, one good  
haper : 7/25/2017 3:47 pm : link
My son had his taken out at 19 and had no problems at all. My daughter had her's taken out at 18 and she was in a good deal of pain, fainted in the bathroom later that night (thankfully I was there to catch her) and ended up with dry socket (i think that is what it's called) a few days later.
berry  
Bubba : 7/25/2017 4:30 pm : link
OK girl. Hope all is well!!
ok, I come from a crazy family  
NYDCBlue : 7/25/2017 7:36 pm : link
Not really. Just old school black folks....
Anyway, why are you doing it just because one doctor recommended it? Dude, doctors always recommend whatever procedure they can justify at the ti.e to get their daughter's tuition paid, or that new deck built....

What metro area do you live in? Look up the TOP rated professionals in your area and ask for a second opinion.

I was told I needed to schedule an emergency surgery TOMORROW to get ALL 4 of my wisdom teeth probably around 18 to 21 years ago. Pretty much the halfway point between my birth and now. No problems with any of the teeth I,"had to have out that minute!!!!!🤢🤕😷!!!, or else I would die on the spot"!

Since then, like an idiot, I allowed a dentist to pull one of my wisdom teeth for no reason, and have regretted it ever since! It reduced how quickly I can complete mastercating a meal 😕. Worst of all, I never even went to the doctor about my wisdom teeth.... I was worried about one of my front teeth after just going through my first time ever being mugged/assaulted. Thank god they did not get my wallet that i should have had in my pocket to begin with, but who ever punched me from behind sent my designer corrective eye wear to the abiss, where i never found them again, and rocked my front toot straight out the socket (Was able to slip back into proper place.)

Long story short, dude, always get second opinions, especially for those you love. The pros do not care about you. Sometimes you are no more than a potential dollar sign. It is an unfortunate side effect of our very poorly unstructured healthcare system.
Ehh  
UConn4523 : 7/25/2017 7:54 pm : link
I get being skeptical but it's wisdom teeth, not back surgery. That's not to take being put under lightly but there's boatloads of research on why it's recommended. My friend didn't do his as a teenager and had to do it when he was 28 because they were causing his mouth a lot of problems and jeopardized the rest of his teeth.

My good friend is a dentist, he wouldn't recommend it unless a patient needed it. Can't speak to the ethics of all dentists but there are medical professionals out there who give a shit, in fact I think most do.
They very well may prescribe opiates  
BSIMatt : 7/25/2017 8:24 pm : link
For pain, they did for my son. Which of course they give way more than necessary.
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