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Old 15.06.2015, 00:39
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Wisdom teeth removal Urgh!

So at some point this year my dentist has advised before I get too old that I should have all 4 wisdom teeth removed.

I am so afraid of dentists that a general check up can have me in tears. So the thought of going and sitting in a chair to have them removed in two sessions makes me want to vomit or have a heart attack. Ridiculous I know!

Does anyone know how or if its possible for me to to arrange to have all 4 removed at the same time under a general anesthetic. I'd rather be knocked out I think.

Is this possible here? And also anyone done this and know the cost??
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Old 15.06.2015, 01:26
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Re: Wisdom teeth removal Urgh!

It is possible, but definitely not at an ordinary dental practice, not even a big one. That's because it needs the whole extremely expensive kit and kaboodle normally only found at real clinics (not the one-man shows as e.g. in the USA that call themselves clinics just because they have more than three parking spots). What's more, it also needs a fully trained anesthesiologist.

Before a final decision, I'd get a second opinion. Some dentists seem to believe that wisdom teeth have to be removed no matter what. In the USA, that's practically the norm; not so much here, fortunately, but that kind of thinking is on the rise here too. After all it's a money-maker.

I'm not saying that's the case with your teeth, but my experience gathered in more than 40 years in oral and maxillofacial surgery tells me that the real need to extract all four wisdom teeth is relatively rare.
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Old 15.06.2015, 08:42
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Re: Wisdom teeth removal Urgh!

I second that second opinion. The dentists I know say that removal of wisdom teeth is usually only indicated if they're actively causing problems. Even then, my son was advised to have two removed. He had the first one done and the second has resolved itself without the need for root canal.
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Old 15.06.2015, 08:58
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Re: Wisdom teeth removal Urgh!

Like most people, I have always dreaded the dentists chair - but that stems from the days of NHS school dentists in the 60's and 70's.

I'm not into meditation mumbo-jumbo but have learnt to relax much more, by just trying to shut everything down. In fact on at least one occasion, my dentist got a bit niggled, because I (literally) kept nodding off, whilst she was doing something delicate and fiddly.

I had to have one tugged just the other week - didn't fall asleep, but it wasn't such a big deal, even though it had to be done in stages: first crown, then side filling, then each root, one by one (which had undergone root treatment a long time back).

Pity - I had a lot invested in that tooth ..... although there wasn't much left, that was actually 'me'.

Regarding wisdom teeth, I can't really comment, because, I think, that mine never came through ..... which would explain a lot.


Just make sure that when you make an appointment, the time isn't 2.30.
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Old 15.06.2015, 10:54
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Re: Wisdom teeth removal Urgh!

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He had the first one done and the second has resolved itself without the need for root canal.
The OP is talking about removal only, not root canal therapy. Those are two different matters.

Removal may be necessary because the tooth has only insufficient space, is trying to erupt in a wrong direction, is causing recurrent infections of the surrounding soft tissues and / or bone, is deeply decayed, has a severe problem of its pulp that cannot be solved by a root canal treatment due to very difficult access or inaffordability (that's the only possible connection!), or because the dentist wants a swimming pool.

A root canal therapy, on the other side, may be needed because of said decay that is causing or may soon cause inflammations inside the live or dead pulp or because the dentist wants a Porsche.

Dentists often say a wisdom tooth must be extracted because it is very difficult to clean, so it will decay quickly and then be all the more difficult to extract. Honestly, I've seen thousands and thousands of wisdom teeth, and I'm still waiting for the one that is difficult to be extracted due to decay.
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Old 15.06.2015, 10:57
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Re: Wisdom teeth removal Urgh!

There is always a debate whether the wisdom teeth should be pulled out early or not. Couple of things to consider.

1) Are your wisdom teeth healthy and how is your dental health in general. After all, don't forget that wisdom teeth are way at the back of our mouth and are pretty hard to clean. So if you have tooth decay, gum problems, or cysts, you should remove them.

2) Have your wisdom teeth fully emerged? If they are all out fully-emerged and there is space for them, well, pretty easy decision to leave them until they start bothering you. BUT, if they are partially emerged then it is best to remove them before you get into more complications. And if they have not emerged yet, can they be growing at an angle or sideways, or are they being completed crowded out from the jaw? How close are they to the nerves? If they are starting to grow sideways near nerves then it is best to remove them quickly before they are fully-grown.

These are just talking points to discuss with your dentist. Obviously you can't make the decision on your own without first doing x-rays.
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Old 15.06.2015, 13:48
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Re: Wisdom teeth removal Urgh!

Ok I had x Rays done last year.

1 wisdom tooth is fully emerged and has been for 7 years or so now. Straight and in the correct possible. Both bottom ones impacted. The other top one started growing out sideways but downs cause any problems. So far my dental hygiene has been very good. No fillings or work done to my teeth but annual check up and clean. Maybe that's why I'm so afraid. I have had no experience of teeth pulling.

Even your decriptions make me want to feint! I'm pretty useless at this. Hence why I thought it best to knock me out have them all out and never worry. As for cost then of course this could even be a deciding factor.

I've had two kids and I would happily go into labor again rather than sit in that dentist chair. Now how do I get over that. Not sure blocking it out will be possible when it's so close to your face.
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Old 15.06.2015, 14:26
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Re: Wisdom teeth removal Urgh!

Then why do you need all 4 removing?

At the risk of laying-in to Capt. Greybeard's (former, I believe) profession, dentists often have trigger-happy fingers (as pointed out Porsches are not getting any cheaper).

Remember when sealants were all the rage? Then a few years later, they were bad and should all be removed...

Let's take all your teeth out and put in implant/dentures - do it sooner that way you'll get more use out of them...

I have been told by members of the profession, that serious intervention is often only really needed when something is wrong (and pain is a good sign). Stay away from any dentists who use the word "prevention", or " just in case" or "possibly"...
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Old 15.06.2015, 14:30
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Re: Wisdom teeth removal Urgh!

My biggest problem, with dentists, used to be negative anticipation, prior to the appointment, which was often a lot worse than the procedure itself. Even if it wasn't, it's soon over and done with, so it's pointless having days or even weeks of worry.

If you get over that, then half the battle is won. Don't get in a tizzy or panic in advance, just turn up and just say to yourself that in an hours time you'll be walking out again, but with maybe a bit of unpleasantness in between, but no big deal.

What has also helped me develop a nonchalant, fatalistic attitude, is having two roller-coaster mad daughters, who, despite being tall enough to ride them, still need to have an adult mug to accompany them, over the last 10 yrs.
Prior to that you could count on one hand how many times this angst häse had got white knuckles - now, I just casually wait in line, without letting the screams and squeals and wobbly legs of others worry me (although, now the oldest can do all rides by herself, I've still got to man up to Silver Star and a couple back home).

Maybe a trip to Europa Park, a couple of days before the dentist, could help.
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Old 15.06.2015, 14:37
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Re: Wisdom teeth removal Urgh!

I'm not a dentist and neither an expert, but I generally use the principle "if it isn't broken, don't fix it".
Things that don't bother you or are not unhealthy should not be fixed.
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Old 15.06.2015, 16:36
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Re: Wisdom teeth removal Urgh!

Oh, come on, comparing pulling a tooth to childbirth is crazy, even if you are choke full of epidural! If your dentist knows you are so faint-hearted, s/he will likely use only levers to wiggle the tooth out (if possible) or will do a micro-surgery to open the gum, cut the tooth in pieces and remove the pieces. All with local anesthetics. You will feel slight pinching, that's about it. If he happens to be muscular and you are afraid he will get too eager and rip half your face apart, obviously you need to discuss this with him, but it is far more likely your dentist will realize you are worried, will explain the procedure and be very gentile.


You are obsessing too much about it. If your dentist advises you the wisdom teeth need to be removed, then there is a likely good reason. If you want to be absolutely sure, seek 2nd opinion from another dentist you trust. If both are of the same opinion, heed there advice.


This procedure has a 100% survivability rate. You will be just fine. In standard cases you will be done in 30 min, 2 teeth at a time. Don't obsess about it, schedule the next open appointment, preferably the same day (the sooner you get in, the less time you will have to drive yourself crazy), and have one of your kids bring you in (kids are best at giving courage). You can even do a sing-along of Lion King's Hakuna Matata song!
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Old 15.06.2015, 16:39
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Re: Wisdom teeth removal Urgh!

I'd definitely ask "why?"

I had my upper ones removed due to lack of space when I was 16 I think, and apart from being a pretty weird feeling having them pulled out with pliers the local anaesthetic did the job. There was no need for surgery, they effectively snap them off.

I had my lower ones removed when I was about 30 because of decay, and was amazed that he did it with minimal local anaesthetic and what looked like a dental spatula. Can only assume he levered them out, but I didn't feel and thing and thought he was just prepping when he showed them to me!

The latter set were full of holes from decay with being under the gum, but if they hadn't been I wouldn't have had them removed.
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Old 15.06.2015, 22:23
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Re: Wisdom teeth removal Urgh!

Mine gives me valium, or something similar.

He sees me sitting in the waiting room and goes into his special locked cupboard to get the happy no freak out pills out!!
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Old 16.06.2015, 02:25
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Re: Wisdom teeth removal Urgh!

My wisdom teeth were situated such that they were difficult for the brush to reach. Not able to clean a few teeth causes bad breath. This was suggested to me by 2 dentists.
I had them removed. It was relatively quick, easy and painless. The healing took like a week and was relatively painless too. I found the whole process very worth it.

Wisdom teeth removal is different for every person coz of the way the teeth might be positioned. Then , for some people it hurts a bit, for some there's absolutely no pain.
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Old 16.06.2015, 18:47
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Re: Wisdom teeth removal Urgh!

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Oh, come on..... You are obsessing too much about it.....
Clearly you have no understanding of how someone with a phobia about dentists feels, and the procedural snapshot, or pull yourself together phrasing is hardly likely to help.

I was/am phobic, but my UK dentist I trust and he helped me to keep a handle on it, but the ones I tried here and the beast is out of the box again. OP, try a dentist who offers narcosis dentistry, worked for me. The angst of going it won't help with, but when you get a few puffs and the fear does ease, and the treatment doesn't seem so bad.

Good luck.
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Old 16.06.2015, 18:54
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Re: Wisdom teeth removal Urgh!

I'm with the "captain" on this one. I would think that unless your teeth are moving around, causing you pain, or your mouth is overly crowded, I don't see the need. On the other hand, I had all four of mine removed at once. It wasn't that bad. It was my first "real" surgery and all the meds were a load of fun! Really, I'm not being sarcastic, I promise. Still, I'd definitely get a second opinion. I wish I hadn't had mine removed. All my teeth were perfect and perfectly straight until the wisdom teeth came out. Now, it looks like I didn't ever have braces. Although, my teeth are probably still better looking than they would have been if I'd never had braces at all or had, god forbid, been born British! hehe, sorry about that last joke. I couldn't help myself....
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Old 17.06.2015, 02:30
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Re: Wisdom teeth removal Urgh!

My Dentist here 18 years ago wanted to removed mine.. while back home a good friend is a dentist and took care of me before and I always visit him to say hi, I told him several times about they always want to remove them. He said why? unless they are causing problems leave them alone. Why remove them if they are not bothering me. Was just reading of the poor 13 year old girl that died this week for getting her wisdom teeth removed for no other reason as having them removed..So sad for her to go in and not come back out, went in cardiac arrest and was alive for one week afterwards,, senseless death
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Old 17.06.2015, 03:24
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Re: Wisdom teeth removal Urgh!

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I told him several times about they always want to remove them. He said why? unless they are causing problems leave them alone. Why remove them if they are not bothering me.
Well, that is probably a bit over-simplified. Actually, there may be very good reasons for removing certain wisdom teeth way before they start causing troubles that are noticed by the patient, because some damage to other structures may already have been done by then. However, I am among those who think way too many wisdom teeth are extracted just because they are there and look like money easily earned.

It's a bit more complicated than just "As long as they don't hurt, just leave them alone." There are many more factors that must be considered than just pain. And not every dentist that wants to extract your painless teeth in reality just wants to extract some dough from your wallet. That's why I suggested getting a second opinion.
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Old 17.06.2015, 09:06
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Re: Wisdom teeth removal Urgh!

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Oh, come on, comparing pulling a tooth to childbirth is crazy...
Indeed. Tooth pain really hurts.

If you want to avoid decay and minimise dentist time, get a decent electric toothbrush, and use interstitial brushes or floss. Last time I saw the dentist he said "wenig" plaque... then correct himself "gar nichts" plaque. I.e. not just a little, but no plaque at all. Still had to have a filling replaced, but that's been on the cards for a few years and already been discussed.
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Old 03.07.2015, 20:21
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Re: Wisdom teeth removal Urgh!

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So at some point this year my dentist has advised before I get too old that I should have all 4 wisdom teeth removed.

I am so afraid of dentists that a general check up can have me in tears. So the thought of going and sitting in a chair to have them removed in two sessions makes me want to vomit or have a heart attack. Ridiculous I know!

Does anyone know how or if its possible for me to to arrange to have all 4 removed at the same time under a general anesthetic. I'd rather be knocked out I think.

Is this possible here? And also anyone done this and know the cost??
Ok, just though I'd update the trauma of the Zug dentist is now receding, thank's to an angel in Zürich, and narcosis.

I was there for the 2nd time last week were she completed the root canal on the real problem tooth totally pain free, still some trepidation though, but a few puffs and all was rosy and the normal numbing injection I barely felt. When she said "all done" I was genuinely stunned.

It did still leave the wisdom tooth though, but she said that now the problem tooth was sorted, the wisdom tooth may settle down and not need a root canal or extraction. Sure enough, it has and I'm delighted.

I'm not sure how it would be cost wise for 4 wisdom extractions, or if it necessary or not, but from an emotional point of view the 2 visits with gas was the best CHF 30 I've spent in Switzerland.

From one dentophobe to another, I hope you find a way to the chair that works for you.
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