Wednesday, May 13, 2009

I am having 4 wisdom teeth extracted on thursday..?

My ? is that the DR told me to take 2 motrin and zantac the night before surgery (I am being sedated), I am just wondering why? has anyone been told to do this before? I have always been told NOT to take any thing containing ibuprofen 7 days prior to getting put under...confused?? thanks

I am having 4 wisdom teeth extracted on thursday..?
take no vitamin C a day or two before surgery (it's not as crucial if they are sedating you, but it still makes the local anesthetic only last 10 mins per shot, so it will still stress the body if you take C that day or the night before, eventhough you won't be aware of it at the time). no food or drink after 10pm the nite before, except small sips of water is what we tell people. the motrin can make you sick, so take if you want, just warning you. zantac i am sure they are trying to keep stomach acids down, but never heard of telling people to take it before surgery. i have also never heard of the not taking ibuprofen for a week, either. later, go to a biologic dentist and have the cavitations done (see below).



Bite on the gauze for about 30 minutes after your surgery. Do not bite too firmly, just enough to keep the gauze in place. After the blood clot forms it is important to protect it especially for the next 48 hours to avoid dry socket. Drainage for a few days is normal. To minimize swelling and bleeding, keep head elevated (use extra pillows when sleeping). You can brush your teeth the day of surgery. Avoid brushing the surgery site. Any stitches will come out on their own in a week

Rinse your mouth with warm salt water after meals and before bed. Begin a very gentle warm salt water rinses (1tsp. salt for every 8oz. of water). The first day or so, do not swish the water around in your mouth; Instead, move your head side to side to rinse. Do not spit; Let the water flow out of your mouth. If you are watching salt intake in your diet, you may substitute the salt water rinse with a peroxide and warm water rinse. Use a 50/50 peroxide and water solution

NO smoking for 2 days

NO drinking through a straw for 2 days

NO mouthwash for a week

NO excessive spitting

NO vigorous rinsing for at least 48 hours after your surgery

AVOID alcoholic beverages

AVOID greasy foods

AVOID high acidic foods and drinks such as tomatos, orange juice, etc....

DO NOT over exert yourself. It is ok to ride in a car or on a plane

For Pain:

Advil (Ibuprofen) or Aleve (Naproxin Sodium) or Extra-Strength Tylenol (Acetaminophen). Take with food. NO aspirin or aspirin products

For Swelling:

Place an ice bag on side of face where your surgery was, for 30 minutes on, then 30 minutes off. Repeat for 6 hours. After 48 hours, use warm compresses as needed for swelling

Eat soft foods. No chips, pretzels, peanuts, etc.... Stay away from crunchy, chewy or small hard foods, to avoid food particles becoming lodged in the socket. Suggested foods are clear broth, pasta, potatoes, yogurt, baby food, smoothies, pudding, cream of wheat, 7up, Ginger Ale, apple juice



Extractions have to be done well. Normally they pull a tooth out, stick a piece of gauze in there and say bite on it. After the tooth is removed, the socket has to be completely cleaned so that complete healing can occur. If tissue such as torn pieces of ligaments or periosteum is left in the socket and covers the bone, the bone will tend to heal over the top, leaving a hole in the bone, and new bone cannot form. This hole can persist for the rest of the patient's life. It is a chronic infection that is called an alveolar cavitational osteopathosis or cavitation. This means that there is an infected cavity in the bone. These bone infections are only now being seriously researched. If they are fairly easy to prevent by proper socket cleaning, why is this not being done? But many if not most dentists have never heard of cavitations.


A cavitation is an unhealed hole in the jawbone caused by an extracted tooth [or a root canal or an injury to a tooth]. Since wisdom teeth are the most commonly extracted teeth, most cavitations are found in the wisdom tooth sites. Please see the graphic and photo below to get a glimpse of what may be in your mouth and the effects it is having. The photo and diagram demonstrate the destructive and pathologic consequence of a routine tooth extraction. Dentists are taught in dental school that once they pull a tooth, the patient's body heals the resulting hole in the jawbone. However, approximately 95% of all tooth extractions result in a pathologic defect called a cavitation. The tooth is attached to the jawbone by a periodontal ligament which is comprised of "jillions" of microscopic fibers. One end of each fiber is attached to the jawbone and the other end of the fiber is attached to the tooth root. When a tooth is extracted, the fibers break midway between the root and the bone. This leaves the socket (the area where the root was anchored in the bone) coated with periodontal ligament fibers.

There are specialized cells in the bone called osteoblasts. Osteoblasts make new bone. The word "osteoblast" means bone former. They are active during growth and maintenance. However, the periodontal ligament prevents the osteoblasts from filling in the tooth socket with bone since the periodontal ligament fibers lining the socket act as a barrier beyond which the osteoblasts cannot form bone. In other words, an osteoblast "sees" a tooth when it "sees" periodontal ligament fibers. Since there are billions of bacteria in the mouth, they easily get into the open tooth socket. Since the bone is unable to fill in the defect of the socket, the newly formed "cavitation" is now infected. Since there is no blood supply to the "cavitation" it is called "ischemic" or "avascular" (without a blood supply). This results in necrosis (tissue death). Hence we call a cavitation an unhealed, chronically infected, avascular, necrotic hole in the bone. The defect acts to an acupuncture meridian the same way a dead tooth (or root canal tooth) acts. It causes an interference field on the meridian which can impair the function and health of other tissues, organs and structures on the meridian. Significantly, the bacteria in the cavitation also produce the same deadly toxins that are produced by the bacteria in root canals (see Root Canals). These toxins are thio-ethers (most toxic organic substance known to man), thio-ethanols, and mercaptans. They have been found in the tumors in women with breast cancer.
Reply:i had the same thing done but my dr didnt tell me to do that sorry im no help but i think you should talk to someone, that doesnt seem right
Reply:That is weird. I just had my wisdom teeth removed last year and I could not take anything the night before. I was completely sedated during my procedure because they had to cut through bone on both sides. After the surgery, I was given oxycodone, an antibiotic and told to take Claritin-D because the extraction also involved part of my sinus cavity and the doctor wanted to prevent a sinus infection. I would call your doctor to clarify that you understood correctly, because that sounds really weird.
Reply:he is telling you too take it before so you dont hurt as bad... (cuz its gunna kill, specially 4 at once, that is crazy) i would defiently listen to your psyhcian or even call your doctor if your really worried about it and ask what he thinks.

umm when i got my wisdom teeth removed i didnt have to do that, but after they gave me a perscription for pain killers aka vicodin
Reply:Hmmm. I had my 4 wisdom teeth out at the same time, and my oral surgeon didn't tell me to do that. However, I was completely asleep because they were impacted. Are yours erupted? There might be a difference based on how difficult the procedure will be. You may have actually heard not to take aspirin, because it is a blood thinner as well as a pain reliever. Ibuprofen is not quite the same in that way. Good luck, and I hope your procedure is uneventful.
Reply:It is so when you come off sedation, a pain reliver will all ready be working, to assist in relieving any / minor pain...

Follow the Doctors orders...


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