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Oral Surgery

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Oral Surgery in Harley Street

Wisdom teeth are usually the last teeth to develop and commonly appear in your late teens or early twenties.

Not all wisdom teeth need to be removed but as a result of their late arrival they often do not have enough room to come through and may require removal. These impacted wisdom teeth may need removal if there are symptoms or signs such as pain, swelling, infection or decay.

Wisdom teeth can be removed under local anaesthetic. Sedation may also be used to help you to relax. The technique used to remove the wisdom tooth varies from case to case depending on the degree of impaction. Usually any stitches placed are ones which will self dissolve over a period of days.

Following wisdom teeth extraction it is best to use over the counter pain killers should you need them. Rinsing the mouth should be avoided for 12-24 hours as this may disturb the blood clot in the socket. Softer foods should be eaten for the first 2-3 days and it is best to try and avoid touching the socket. Gentle warm water salt mouthwashes should be commenced after 24 hours. It is possible to have a degree of pain, swelling and bruising after an extraction.

As with any Surgery there are always potential risks. Wisdom teeth removal is a common procedure and generally safe. Examples of possible risks include, pain, numbness to your lip, chin and /or tongue and jaw stiffness. The Surgeon will explain the risks particular to your case if they apply.

Lichen planus is a inflammatory condition that can affect many areas including skin and oral cavity. It is of unknown cause. It is non-infectious. It is said to affect 1-2% of the population. In the mouth, it may present as a lacy white pattern or a mixture of red and white patches normally on the inside of the cheeks. Occasionally this may be sore. It is important to obtain a correct diagnosis of lichen planus and your surgeon can help to do this. Your surgeon may recommend a small biopsy to confirm the diagnosis. Treatment, if symptoms such as pain are present, may include topical ointments, steroids and other drugs.

Burning mouth syndrome (BMS) is a condition that has been described by some patients as feeling like their mouth has been scalded. It is more common in women. It may also present as a bitter taste or general sore mouth. Many conditions have been implied as contributory to BMS such as nutritional deficiencies, menopause, dry mouth, diabetes, fungal infections, acid reflux and even depression or anxiety. For these reasons, your surgeon may suggest having a blood test. Treatment may involve a combination of things including nutritional supplements, diet modifications, medication and rehydration.

Oral ulceration is one of the most common oral conditions. There are many causes of Oral Ulceration and thus it is worthwhile speaking to your surgeon as to the possible cause. Recurrent ulcers can be attributed to vitamin deficiencies, immune conditions, infections or as part of a syndrome. A blood test may be needed to aid with the diagnosis. An ulcer that has been present for more than 3-4 weeks MUST be seen by a clinician URGENTLY.