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Tmj + Pulling Out Wisdom Teeth=???

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breezyRain

New User, Becoming EHEALTHy
Joined: 04 Dec 2005
Posts: 1
Location: Canada
Tmj + Pulling Out Wisdom Teeth=???
Posted: 12-04-05 22:32pm

Hi everybody!!

I'm going to pull out all my wisdom teeth (4) in a couple of months!!
I can only see one of them coming out (the tip) but the other three are still in my gum. The teeth specialist told me to pull it all out...The younger the better. (i'm 17 right now) and i'm soooo scared!!!!

Another problem is...I have tmj. Which really sucks, because I know a ton of ppl who got their wisdom teeth out (they were all fine) but I know no one with tmj plus had their wisdom teeth taken out.

Soo please...Anyone in the same situation as I am..Please reply and tell me your experiences...Etc

and I have some quick q's :
1) ppl with tmj, after pulling wisdom teeth, do their jaws/cheeks swell more than normal people?

2) will pulling out the wisdom teeth make tmj worse?

3) how long did it take to heal? (i know for "normal" cases w/o tmj, it would be around 4-6days.) how about with tmj? Ahh don't wanna go to school looking like a chipmunk

4) i'm gonna be put into full sleep. Is that the best choice?

Man..I'm soo scared. I hate my tmj problem, especially when I go to the dentist to clean my teeth. Once, I couldn't even close my mouth (after opening for soo long). Also, many ppl think clenching/grinding teeth causes tmj...I think so too. But do you think it's also caused by braces? (since braces realignes your jaw etc.) and all my friends who have tmj also had braces...

Well gonna do more research now.

Bye!!

O_o soo scared!!
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portis26

New User, Becoming EHEALTHy
Joined: 05 Dec 2005
Posts: 2

Posted: 12-05-05 01:35am

Hey breezy .... Listen im a 25 year old male that is scared to death of the dentist. I had my wisdom teeth pulled about 7 months ago and still to this day do not know how I did it! I do not have tmj and my recovery was quick as can be, I was 100% fine the night of the procedure. What you have to remember is its different for everybody.

My wife just had her's done friday. She has it way worse then me and she does have tmj, she did swell more than me, but that is not always the case with tmj, her's were just more impacted then mine. It totally depends on the person, just as long as the dentist know you have tmj, you will be fine.

Good luck
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mg6782

New User, Becoming EHEALTHy
Joined: 07 Feb 2006
Posts: 2
Location: UK

Posted: 02-07-06 14:41pm

Hi

i also suffer from tmj and had three of my wisdom teeth removed last week.

First of all, it is definitely a good idea to have general anaesthetic with tmj. I've had similar experiences to you at the dentist with just routine treatment so having wisdom teeth out under local anaesthetic is not a good bet! It's a good idea to let the surgeon and anaesthesiologist know you have tmj before the operation, but surgeons will be gentle with the way they position your jaw in theatre regardless.

I had a chat with my surgeon before the op about implications for my tmj. Clearly, the operation will cause it to flare up in the short term given the length of time the jaw is kept open during surgery, but your tmj should ease back to "normal" within a few weeks (one bad point is that you can't wear your splint at night for the first couple of weeks). The key point he emphasised is that the severity of pain/swelling is mainly determined by the specifics of the wisdom teeth themselves - so a heavily impacted wisdom tooth will cause more pain/swelling after the operation (as a general rule lower wisdom teeth tend to be worse than the upper teeth)

as yours have not fully erupted they may take a little longer to remove and lead to a bit more swelling than normal, but given you are quite young the roots of the teeth won't be very deep so should cause less stress to your jaw.

I had a good experience after the operation in that I was able to get normal movement back into my jaw within a week (although it was still a bit stiff and sore - similar to after having a filling, under local, at a dentist).

So just to sum up your quick q's:

1) severity of swelling is mainly down to the specific attributes of the wisdom tooth (how deep/impacted it is)

2) unfortunately it will a bit, in the short-term, given the length of time you have your mouth open in theatre. But this should calm down after a few weeks.

3) my swelling went down within a week, although your gums will inevitably still feel sore and a little swollen.

4) definitely - plus after they put you to sleep, they will inject your mouth local anaesthetic (as though you were having it done by your regular dentist) which means they do not have to put you asleep for too long so the effects of the general anaesthetic (and the immediate pain after the op) won't be so bad.

Hope this helps and let me know if you have any other queries!

Matt
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