Hello and thank you for your question.
should ALWAYS take a radiograph on an infected tooth esp wisdom teeth. I find it unethical to extract a tooth without taking a radiograph to see where it is in association to the inferior alveolar nerve
(the nerve that gives you feeling in you lower jaw and lip) or to the maxillary sinus
. If there is an infection present he/she does not know the extent of it. Based on ADA code of ethics, you must have proper diagnosis of disease before treatment can be rendered. For instance, you can't determine if there is an acute abscess
, chronic abscess, acute apical periodontitis
or chronic apical periodontitis or how much tooth structure is actually remaining without a radiograph. A panoramic radiograph is standard of care when it comes to extraction of wisdom teeth. Most oral surgeons I know will refuse to extract wisdom teeth without an up-to-date pano in their hands. Fillings and root canals on third molars is typically not advisable but it depends on position and if they were involved in orthodontic therapy. Such has you had one or both premolars extracted and your wisdom teeth are in full functionality.
You should get both extracted at the same time. This is one period of surgery, one period of healing, one period for pain and swelling and feeling lousy.
What to do for post op:
-bite on the gauze firmly for one hour. Do not chew it
-do not suck on anything for a week
-do not forcefully spit, let it ooze out of your mouth and catch it with a napkin or paper towel
-take NSAIDs and narcotics prescribed without missing a dose, stay ahead of the pain.
-first 24 hours you can ice your face. 20 minutes on 10 minutes off for 1 hour 3 times a day
-next 5 days: warm moist heat 20 minutes on 10 minutes off for 1 hour 3 times a day
-clear liquids for the first two days then gradual soft foods. PROTEIN PROTEIN PROTEIN! Eat high calories you need them to heal
-Absolutely no: carbonated, alcoholic, caffeinated, hot or acidic beverages
-after the first 24 hours you can swish and spit warm salt water: 1/2 tsp salt 10 ounces warm water - swish and spit the whole glass 4-6 times a day esp after meals.