Wisdom Teeth Extraction and Braces

[student]

Currently, I'm confused as to whether I should get braces and if my wisdom teeth should be extracted. My teeth are too crowded and the wisdom teeth arent' helping. In addition, one of them is growing at an angle that is hitting the other molar. Maybe it should be extracted along with the one above? I have been to see about 5 orthodontists about getting braces. Overall conclusion is that I should get braces but the cost varies. Treatment is about 2 years but the fee ranges from $5k - $7k and might not include the retainers and after retainer treatments.

I guess it is hard to clean my teeth since I always get these brown stains. I just went to a new dentist a few days ago to get a cleaning and the hygentist didn't actually get rid of the stains on the back of one of the crowded tooth. In addition, she scraped too hard and removed some of the enaml I think, since I see this white spot on my yellowish teeth.

Two say that I should have the wisdom teeth extracted along with four other ones.

Two say they could do braces without extracting the wisdom teeth. They'll wait and see. One actually said the wisdom teeth problem might be corrected.

One actually said that if I do not get braces, I should at least extract my wisdom teeth. He give me the name of an oral surgeon I just saw recently. The cost for 4 extractions plus general is ~1.6k. Currently I have dental insurance that will cover the extractions so I wonder if I should just get them done and over with. Later on, I might have to pay out of my own pocket.

However, they are not currently hurting me but the one that is tipped might cause problems in the future. In addition, it'll be hard to clean the wisdom teeths so I might have gum problems in the future.

I wonder if I should get them extracted now or not? Then if I do get them extracted shouldn't I consider getting braces? But if I go away for 6wks in the summer shouldn't I wait on the braces else I wouldn't be able to eat anything. If I do need them extracted it is better now then later and the same applies to braces.

But with braces comes complications with cleaning and what you could eat. Possible root absorption and white spots. However, it would be easier to clean and maintain later on. But you'll have to wear a retainer else they shift again.

Different orthos have different suggestions for retainers but most like to opt for a fixed metal wire but that makes cleaning difficult. Some would like to use a fixed one along with the clear ones. Some have the option of getting a plastic one with a metal wire. Which works best and last longer?

Why does everything have to be so complicated? With everything there are clear disadvantages. How should you decide which ortho to go to? Is the cheapest one good or is the expensive one the best? Is it good that the ortho does all the work themselves or uses hygenists? The same question applies to general dentist. The one I'm seeing is saying I should get the wisdom teeth extracted and consider braces. But he is suggesting that he does them himself. Is it safe or is the oral surgeon better? All the oral surgeon did during the consult was look at my mouth and the x-ray and suggested I get all four removed. Is that all it takes.

If I get the extractions, what if I get an infection? How long will I actually be out?

[nyrz]

Two say that I should have the wisdom teeth extracted along with four other ones.

If you do this, do you still need braces?

[setell]

My sister had her wisdom teeth removed before starting her braces. She's not experiencing pain now but since the way that it's pertruding/growing it will be painful later on. Well that was what the orthodontist said and it might affect how her teeth will look to if she didn't remove it. Plus my mom's plan covered it too so that was a good thing. She had her's taken out before getting braces even though the orthodontist said she can remove it in the middle of her orthodontic treatment.

My suggestion, did you look at a x-ray as to how your wisdom teeth is growing in? If it's in such a position that will make your teeth shift (if you straighten it with braces) than I'll say get rid of them. I wouldn't pay all that money for braces to have the wisdom teeth cause you more problems later on when it could be corrected earlier.

[LordofthePing]

I'd get them extracted.

Then I'd get the braces. I just had my braces come off in October (2.5 years approx) and got them due to crowding, a bad bite (malocclusion), and to help prevent gum problems (hereditary). About 5k, spread over the 2 years. Now I where I plastic retainers at night.

You're supposed to watch out for and not eat certain hard foods. I never bothered, and just ate what I normally ate. You'll get use to cleaning them and wearing them. I had no complications with my braces, and only had to visit the dentite about once every 4-8 weeks for adjustments (new wires). You might have some discoloration or notice a loss of enamel after the braces come off.

I see lots of people in their 30-40s with braces, but its better to get them when your young (teenie bopper-teen) while your mouth is still forming. But I get mine when I was 19 and had no problems.

[rupert]

What a coincidence that you just posted this. I just had two wisdom teeth extracted a little over a week ago. I went to an oral surgeon for this because it is actually a not so simple surgery especially for the bottom ones if they are close to nerves. I know of someone that had one of their nerves knicked during the extraction now part of his face is paralyzed. I do not want to chance this and paid as much as I could.

I do not remember much of the procedure probably because of the IV sedation. After the extraction it didn't hurt too bad, actually with some ice packs there was hardly any pain at all. I couldn't eat solid foods until the 4th day. Other than the problem with eating and swollen face, there wasn't other trouble at all.

It's been a week and a half now and everything is fine, I just need to clean the hole after every meal until it heals totally.

[Gloaming]

OP, you are questioning the treatment plans of specialists that have a MINIMUM of 10 years of University, a hands on look at your mouth, xrays, models and years of experience by going onto an anonymous message board filled with blowhards and idiots for a second opinion?

The reality is this- there is ALWAYS more than one way to do ortho- the premolar extraction method tends to be MUCH faster than just simple archwires, and tends to result in a more ideal finished product.

The wisdom tooth extraction has NOTHING to do with ortho- It is a preventative measure that can reduce the likelyhood of an abscessed tooth or a cavity to the adjacent molar that the wisdom tooth is pushing up against. Without headgear or miniimplants there is now way that the remaining molars can be pushed back into the space provided by the wisdom tooth extraction site.

My advice is to think about what orthodontist came across as less of a douche-bag and follow their treatment plan.

[themagekiler]

I've gone through both before so here is my non professional opinion.
If you have insurance that covers your wisdom teeth then do it, it's painless and free since you have insurance. In fact I went to work the next morning after sleeping 14h after the operation. You prevent problems in the future if you do. FYI I did this after my braces were done because my wisdom teeth were not grown yet.
My estimate was about 1.6k for all 4 as well.

For my braces I did it for about 4 years and costed about 5k with retainers after the operation and everything covered. Not sure about procedures now a days but I've had mines about 5 years ago and it wait painful and annoying to have, needless to say they best day of my life was getting them off.

[Eyies]

Pull wisdom teeth now, go with the specialist if its covered. I had to do mine with a specialist because of the extreme angle of the wisdom teeth.. which requires more surgery and careful avoidance of nerve endings.

In the meantime you can rethink and consider braces. (then, proceed to do the braces - pick whichever ortho you feel you are most comfortable with and has the plan you like the most)

[Azxster]

You should get your wisdom teeth extracted asap, especially if covered under insurance. It does not hurt (I only took 1 Tylenol after surgery).

If you are in Toronto, I highly recommend:

Dr. Allan Moon, Oral and Maxillofacial Surgeon, Kennedy & Sheppard
- he uses IV anesthesia

Dr. Perry Lui, Orthodontist, Kennedy & Steeles
my overbite cost $4.2K to correct, was provided 2 sets of retainers (essix [clear] and hawley)
insurance didn't cover braces, so he allowed me 20 equal, interest free payments.

gf's underbite cost $4K, was also provided 2 sets of essix retainers

[student]

If you do this, do you still need braces?

Yes since my teeth are somewhat crowded. I think it just doesn't make it get worse. Looking at the xray, you'll see the wisdom teeth are pretty crowded as is right now.

If I get them pulled, I wouldn't get full coverage, I'll probably have to pay about half of that.

The orthodontists and dentists have their own opinion but they might be swayed by other factors. And even with their long education, you could still question do they really know what they're doing. Doctors, GP, goes through quite a long time to get trained but that doesn't mean they know what they are doing. My ankle has been hurting me for at least 6 months now and each time I go to see the doctor she asks me would I like more painkillers, sleeping pills, and whatnot.

With braces, the cleaning seems like it is a lot of work and I'll need to floss which I currently don't do. Is it really all that good to have a fixed metal retainer in your mouth for the rest of your life after your braces. Braces and extractions are like mini surgeries to the body and there are always pros and cons to them. You wonder if you should avoid them at all cost due to the complications you could get.

The oral surgeon I went to said there was 5% chance that the nerve on the lower jaw could have temporary damage. As should you loss feeling in the jaw and mouth for a year. If it doesn't go away after a year, it'll be permanent damage - 1% chance of that happening.

[angekfire]

I count myself incredibly lucky, I have never had a cavity, my wisdom teeth have grown in flawlessly, and I have never needed braces, my teeth are straight. Only thing that happened is I needed crowns on my 2 front teeth after an accident, because they ended up cracked in half. But nobody can tell, my dentist did a phenominal job.

[student]

If you are in Toronto, I highly recommend:

Dr. Allan Moon, Oral and Maxillofacial Surgeon, Kennedy & Sheppard
- he uses IV anesthesia

Dr. Perry Lui, Orthodontist, Kennedy & Steeles
my overbite cost $4.2K to correct, was provided 2 sets of retainers (essix [clear] and hawley)
insurance didn't cover braces, so he allowed me 20 equal, interest free payments.

gf's underbite cost $4K, was also provided 2 sets of essix retainers

Why is it that you have two sets of different removeable retainers? Which do you prefer? Have you tried the fixed ones?

Do you have any contact info about Dr. Allan Moon? Can't find anything online.

[sexpuppet6000]

Why is it that you have two sets of different removeable retainers? Which do you prefer? Have you tried the fixed ones?

Do you have any contact info about Dr. Allan Moon? Can't find anything online.

I have two retainers as well. A day time retainer and a night time retainer. The first thing you'll notice is that the day time retainer is thinner and, some would say, more comfortable. The night time retainer is thicker and less comfortable.

I've been told, that ever set of teeth requires different post-treatment procedures. ie. Night time only, day time only, 24 hours, etc.

[mingyang]

Allan Moon FTW, i didn't feel a crap when he pulled 2 out, one of the wisdom was like 80 degree off.

[GemInite]

getting my wisdom teeth out was the best decision ever. 2 of em were impacted and if I didn't get them out there was a good chance it would have ruined the work braces did for me earlier.

If your insurance covers it, I'd get the wisdom teeth out first.

I was put under when I had them taken out and I woke up with 4 teeth missing. It really wasn't that big of a deal in the end. The swelling after sucks but I'd rather have that for a week that have me teeth get messed up again.

[Musiq Soulchild]

I had the exact same problem, my wisdom teeth were coming in at an angle. Got all 4 out at the same time, good thing I didn't need braces though :)

[Azxster]

http://www.yellowpages.ca/bus/Ontario/Scarborough/Moon-Allan-Dr/2417620.html?adid=&tabSelect=&dymList=&origWhat=true

IV Anesthesia FTW! I went to him twice (because insurance wouldn't cover everything in the same year). You go in, pay for your treatment, then enter the room, sit in the chair, prepare for the IV sedation, watch Mr Bean for 10 seconds, and then wake up with two nurses helping you walk to a room to rest for a bit.


GF and I were given two sets of retainers. Perhaps it was because we are young adults. The clear essix retainers (something like InvisAlign) is to be worn during the daytime, and the ugly wire retainers is worn during sleep.

[student]

I wonder if it is too late to go and see Dr. Allen Moon? I went to see a Dr. Robert Klein at Yonge and Sheppard. I'm suppose to pay for everything then the insurance will reimburse me for it. They wouldn't take the money from the insurance itself but they'll file it electronically for me. Currently, I have a schedule with him for the end of the month but if someone else might be better should I go to see him?

[Azxster]

http://www.redflagdeals.com/forums/showthread.php?t=265067&highlight=allan+moon+wisdom

[mingyang]

I wonder if it is too late to go and see Dr. Allen Moon? I went to see a Dr. Robert Klein at Yonge and Sheppard. I'm suppose to pay for everything then the insurance will reimburse me for it. They wouldn't take the money from the insurance itself but they'll file it electronically for me. Currently, I have a schedule with him for the end of the month but if someone else might be better should I go to see him?

well if u already spoke with him, then a fee of consultation already been charged so its kinda too late.

im really surprised Allan Moon is this famous, hes definitely good. after the surgery i took taxi home and played Warcraft 3

[student]

Now I wonder if there is an ortho that is about as famous as Dr. Moon is in his field.

Does it seems irresponsible that Dr. Moon didn't make sure you weren't going home by yourself. I know with Dr. Klein he said that I would need to have a designated driver with me that day.

Is IV sedation better than general anastasia.

[student]

If only the bottom one is at an angle does the top one which is fine really need to be removed?

[icebar]

If only the bottom one is at an angle does the top one which is fine really need to be removed?

don't... if it's not causing any problem, don't take it out... my doctor also said that

[student]

But won't it seem odd that the other teeth doesn't have something to rest upon.

[Azxster]

Dr. Moon's staff will require that you have someone to accompany you. You cannot drive/take the bus home alone. You can try asking dentists for recommendations to an orthodontist.

I've been to Dr. Perry Lui (at Market Village) because my gf referred me, but many of my friends went to him as well. You should book a consultation with him. Keep in mind, you will need to have MONTHLY visits for the next 2+ years, so find an orthodontist that is convenient for you.

[student]

I got all four pulled today at Dr. Klein -> didn't feel a thing then and don't feel a thing now besides the small discomfort will the gauze (still quite bloody after 3 hours). No swelling yet -> will I swell up tomorrow. Could I return to work or should I just take the day off to rest?

[GemInite]

dude you should be taking at least 3-4days off then see how you are.

You don't feel anything now because you're still high on the drugs they gave you.

It'll hurt tomorrow.

[student]

What does feeling high feel like? What should I do once I run out of those gauzes?