Source: http://www.teethremoval.com/complications.html
Timestamp: 2019-04-23 03:53:29+00:00

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This information on wisdom teeth removal complications is based on authoritative medical resources, numerous articles found in medical journals, and information provided by dental professionals and medical doctors. See the References below for a complete list of sources.
Wisdom teeth removal is a traumatic experience. Check out the links and articles sections for more information.
"For the Lord gives wisdom, and from his mouth come knowledge and understanding."
What are the risks of an operation to remove impacted wisdom teeth?
All operations have risks, and the surgeon performing the surgery should discuss some things that could go wrong. It is important to remember that the standard of care (in the U.S.) is not to go through all of the possible side effects and complications that can occur.
Some of these complications below are common whereas others are quite rare and some dentists and oral surgeons may not even know they have occured after wisdom teeth removal. The incidence or amount of time one would expect a complication to occur is not well known for many of these complications. Do not be misled to believe that all of these complications can occur with any sort of equal probability. A few of these complications occur much more frequently than others.
It’s hard to say exactly how often problems happen with surgery to remove wisdom teeth. About 1 in 10 people get problems during or after an operation to take out their wisdom teeth. These problems aren’t always serious or permanent. More serious problems may occur for those older than 25 and/or have deeply impacted wisdom teeth.
If you are looking to minimize risks please discuss your medical history with your physician, dentist, and surgeon and postpone (as in delay) any potential scheduled extraction(s) if you have any severe upper respiratory symptoms such as cough and cold. You may also consider 3-D cone imaging.
This page is not for for the faint of heart so please do not read any further. No discussion below is made of those who have succesfully had any wisdom tooth extracted with no complications and problems. Many complications that can potentially occur are the result of unfortunate mistakes without intent to harm. In very rare instances deliberate intentional harm can occur which is not a complication but still an unfortunate risk and discussed below.
If you have a problematic wisdom tooth or wisdom teeth you should seek medical treatment and NOT continue reading.
Millions of people have succesfully had wisdom teeth removed without problems. Many of the complications below are highly unusual and extremely rare. In addition a few of the case descriptions described did not occur in the U.S. Further some of the complications occured many many years ago and would clearly not be representative of the care one would reasonably expect to receive today.
Dry socket is when a throbbing pain occurs after removing a wisdom tooth when a blood clot does not form properly in the socket. When a blood clot is not present the jaw bone and pain receptors in the jaw bone are completely exposed.
The extraction site will become irritated and pain occurs due to the bone lining the tooth socket becoming inflamed. The symptoms are made worse when food debris trap in the tooth socket. A dry socket presents as a sharp and sudden increase in pain which usually starts around 3 to 5 days after a wisdom tooth extraction. It may start at night and you may first notice a dull throbbing ache in your ear which radiates towards your chin.
You could experience drowsiness, nausea, and/or vomitting from the medications provided. In addition medications could cause itching, rashes, and/or hives.
You could also experience a reaction to a medication provided known as angioedema. Angioedema is rapid swelling of tissues and could lead to an anaphylactic reaction or a life-threatening airway blockage if swelling was to occur in the throat.
I encourage you to learn more about the differences between anaesthesia and sedation as you have a choice/input in the medications provided if you elect to have any of your wisdom teeth removed.
See the Death section below for descriptions of cases where people had asthmatic reactions while under anesthesia to remove their wisdom teeth and died.
The upper wisdom teeth roots are very close to the maxillary sinus and some people even have roots that go into the sinus. An opening into the sinus after the removal of wisdom teeth occurs once in a while which is known as a mouth sinus-hole or an oral-antral communication. If this occurs it is likely that bacteria can prevent healing and get into the sinus. The infection that results is called sinusitis which does not respond well to antibiotics and may require additional surgery in order to drain the sinus.
With a mouth-sinus hole, a material called gelfoam is typically placed in the extraction site to promote clotting and serve as a framework for granulation tissue to accumulate. If this does occur patients are often given antibiotics, decongestants, should avoid certain activities, and should see an Ear, Nose, and Throat (ENT) Doctor.
A 31 year old male had all 4 wisdom teeth removed and developed a headache 2 weeks after surgery. His dentist told him that his sinus cavity had been penetrated during surgery. He was prescribed pain relievers and antibiotics which were not effective. He responded to a survery on teethremoval.com and says he continues to have severe headaches everyday and at the time of his survery response it had been 3 months since his wisdom teeth were extracted.
Unfortunately, a finding of sinusitus after having an upper wisdom tooth extracted can pose a potential dilemma.
Nerves in your mouth may be damaged during surgery to remove your lower wisdom teeth. Your lip, chin, check, teeth, and/or tongue may feel tingly, tickly, or numb (paresthesia).
The branch of the trigeminal nerve, called the mandibular nerve, and it's branches are the nerves most likely to be damaged during wisdom teeth removal. The 2 most common nerve's damaged are the lingual nerve and the inferior alveolar nerve. In some cases the nerve damage is temporary and the nerve heals itself where as in other cases the nerve is left permanently damaged.
The lingual nerve is the nerve that helps you sense pain and temperature in your mouth. If it is damaged it could affect your ability to taste. Dentists and surgeons often use an instrument called a lingual nerve retractor to move the nerve out of the way during surgery. But this can actually increase the risk of damage. If the lingual nerve is damaged it could cause tingling, tickling, or numbness of half the lower lip and chin on the affected side.
The inferior alveolar nerve supplies sensation to the lower teeth on the right or left half of the dental arch and the sense of touch to the right or left half of the chin and lower lip. If the inferior alveolar nerve is damaged it could cause tingling, tickling, or numbness on a side of the tongue.
Other nerves can be damaged as well so I encourage you to learn about nerve damage more in depth! See the dental malpractice page for numerous case reports of nerve damage occuring after wisdom teeth removal.
Infection following the surgical removal of wisdom teeth happens to about 1 or 2 out of 100 people and is called a secondary infection. Signs of infection include fever above 100 degrees, abnormal swelling, pain or a salty or prolonged bad taste, with or without evidence of discharge from the surgical site.
Infection can continue to occur several weeks after wisdom teeth removal if plaque becomes trapped in any extraction site(s). If you have an infection you may need antibiotics and may need drainage performed as well.
A root can sometimes fracture during the extraction of a wisdom tooth. If this does happen the surgeon will usually see it and remove it. In other cases it can become displaced.
Teeth and tissue next to (adjacent) the wisdom tooth extracted can be damaged during surgery and so can any fillings, crowns, and/or bridges (known as restorations) that were previously done. Hence a previous dental carie (cavity) that may have been restored through the use of porcelain, dental amalgam, gold, or composite resin in a second molar next to the third molar that is being removed could be damaged. This could require additional treatment and a new restoration to be placed.
It is possible for a root fragment to be displaced which means removed from where it should be but still inside the person's body. You might need to have the fragment removed if it causes problems. Usually the fragment is close to a nerve or adjacent sinus such as the maxillary sinus. Removal of the root tip could jeopardize adjacent structures. The oral surgeon uses his clinical expertise to determine the benefit to risk ratio of removing a root tip. The fragments can be monitored using x-rays.
Learn more about TMJ dysfunction after wisdom teeth removal.
See the Death section below for a description of a case of a man who bled to death after oral surgery.
You could develop a headache. This headache could be temporary or could be chronic and permanent. As stated above under the mouth-sinus hole complication (#5 above), a sinus infection due to penetration of the maxillary sinus cavity during widom teeth removal can potentially cause a long lasting headache.
The website's owner developed a 24/7 headache which causes him severe pain every day. See the about me page if you haven't yet seen it.
Make sure you also see wisdom teeth removal stories shared by others for additional case reports on headaches occuring after wisdom teeth extractions.
There is some literature suggesting peripheral nerve damage causes myoclonus and body pounding symptoms/ palpitations.
A 17 year old high school boy in Kansas suffered brain injuries (partial blindness and neurological problems) as a result of a faulty medical gas system that had the nitrous oxide and oxygen lines switched while having his wisdom teeth removed. See http://blog.teethremoval.com/family-reaches-3-million-settlement-from-faulty-medical-gas-during-wisdom-teeth-surgery/ for more information.
See the Death section below for a description of some individuals who were left brain dead after having their wisdom teeth removed.
See the Death section below for a man who died from necrotizing fasciitis after wisdom teeth removal.
Symptoms of Lemierre's Syndrome vary from person to person but typically consist of a high fever, neck pain, swelling, and a sore throat. The mortality rate of Lemierre's Syndrome is in the range from 0% to 18% even if the condition is quickly treated.  Read http://blog.teethremoval.com/near-death-wisdom-teeth-removalexperience/ for a description of a 17 year old girl who was left paralyzed, suffered several strokes, and nearly died as a result of Lemierre's Syndrome while having her wisdom teeth removed.
See the Death section below for a man who died after developing Ludwig's angina following having his four wisdom teeth extracted.
Subdural empyema is a infection that has spread to the subdural space which is one of the layers of tissue between the dura mater and arachnoid matter that covers the brain. The infection causes a fluid-filled mass to form which is filled with puss which is also known as an abscess. Fever, headache, and neck stiffness typically present and if left untreated can progress to lethargy and coma and potentially lead to death.
It is possible to have an epidural abscess which is caused by an infection in the area between the bones of the skull or spine and the membranes covering the brain and spinal cord.
It is possible to have a brain abscess which is a collection of infected material within the brain tissue.
See the Death section for cases where a person died after getting cavernous sinus thrombosis from wisdom teeth removal.
A 28 year old woman had four impacted wisdom teeth removed while under general anaesthesia. Immediately after recovery from the aneasthesia she developed intense vertigo with nausea whenever she turned her head to the left. She underwent Semont's liberatory manoeuvres for treatment.  Multiple other patients which have sent emails to this website's owner have described strange feelings inside their head along with dizziness and vertigo. One such patient complained of these symptoms continuing to persist to this day which is over 12 years since the extractions.
In one case in Oklahoma dental assistants were found to be routinely administering sedation at an oral surgeon's office and lax sterilization procedures were being followed. One patient was tested positive for HIV and hepatistis C.
A woman claims to have acquired HIV from her dentist in December 1987, while having two wisdom teeth removed at the age of 19. She had no symptoms until March 1989, and was diagnosed with AIDS in January 1990. She later died at age 23. You can read more about this on Wikipedia http://en.wikipedia.org/wiki/Kimberly_Bergalis although the validity of this is questionable.
Multiple people have died as a direct result of having their wisdom teeth removed. Learn about death occuring after wisdom teeth removal.
You may also be interested in learning about other dental deaths which do not include any of the deaths included on the deaths from wisdom teeth removal page.
Although not truly a complication from wisdom teeth removal (but still a potential risk of harm), numerous women at different time periods have accused their oral surgeon or dentist or a dental assistant of sexual assault while having their wisdom teeth extracted. Please read sexual assault under anesthesia for wisdom teeth removal for more information.
Unforuntately there is a risk that you may be told after surgery that a complication or symptoms you experience after surgery is not related to the surgery to extract your wisdom teeth. This poses a problem and one should notify others where they live that they are having surgery and potentially have a backup oral surgeon or dentist to visit in case this were to occur. However, if you don't have a backup dentist you can always quickly find a dentist fast from a site like emergencydentist247.com or look through local results in Google. Remember that in the U.S. medicine and dentistry is a for profit business and the oral surgeon and/or dentist may be trying to protect themselves from a potential malpractice suit.
You may be interested to learn the risks of deciding to keep your impacted wisdom teeth.
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