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TOOTH TRANSPLANTATION

General Information

DEFINITION-Replacement of an injured or diseased first or second molar with a third molar (wisdom tooth).

BODY PARTS INVOLVED-Mouth; teeth; gums.

REASONS FOR SURGERY-Restoration of normal tooth function.

SURGICAL RISK INCREASES WITH

  • Recent or chronic illness.
  • Smoking.

What To Expect

WHO OPERATES-Dentist or oral surgeon.

WHERE PERFORMED-Dentist's or oral surgeon's office, outpatient surgical facility or hospital.

DIAGNOSTIC TESTS

  • Before surgery: Blood and urine studies.
  • After surgery: Blood studies.

ANESTHESIA

  • Local anesthesia by injection.
  • General anesthesia (sometimes) by injection and inhalation, with an airway tube placed in the windpipe.

DESCRIPTION OF OPERATION

  • A wisdom tooth is pulled.
  • Sometimes, the root of the pulled tooth may be shortened for better fit.
  • The socket where the tooth will be transplanted is enlarged.
  • The wisdom tooth is inserted in the socket and secured to neighboring teeth. This provides support during healing.

POSSIBLE COMPLICATIONS

  • Excessive bleeding.
  • Surgical-wound infection.
  • Rejection of transplanted tooth (rare).

AVERAGE HOSPITAL STAY-0 to 1 day.

PROBABLE OUTCOME-Expect complete healing without complications. Allow about 1 month for recovery from surgery.


Postoperative Care

GENERAL MEASURES

  • Do not rinse your mouth, spit, smoke or use drinking straws for 24 hours after surgery.
  • Beginning 24 hours after surgery, rinse your mouth with a solution of 1/2 teaspoon salt in 8 oz. lukewarm water every 1 or 2 hours.
  • Brush your teeth with a soft toothbrush in the area of the mouth not affected by surgery. A clean mouth heals faster.
  • Do not bite down on the affected tooth until healing is complete.

† You may use non--prescription drugs, such as acetaminophen, for minor pain.

ACTIVITY--Avoid vigorous exercise for 3 weeks after surgery.

DIET-Resuming your normal food and fluid intake will promote more rapid healing. If you find that your regular diet is too difficult, try a high--protein liquid diet (see Appendix) for 2 or 3 days. Avoid alcoholic beverages until healing is complete.


Call Your Doctor If

† Pain, swelling, redness, drainage or bleeding increases in the surgical area.

  • You develop signs of infection: headache, muscle aches, dizziness or a general ill feeling and fever.
  • You experience nausea and vomiting.
  • New, unexplained symptoms develop. Drugs used in treatment may produce side effects.
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