wisdom teeth removal delray beach

Wisdom Teeth Removal in Delray Beach

Not Always Wise

Extraction of wisdom teeth is generally recommended when:

  • Wisdom teeth partially erupt
  • There is a chance that poorly aligned wisdom teeth will damage the adjacent teeth
  • A cyst forms, destroying surrounding bone or tooth roots
  • You experience pain, swelling, jaw stiffness or general illness

At the Spodak Dental Group, we are committed to helping you keep your teeth for a lifetime. At times, however, an extraction is deemed the best course of treatment. Whether you are facing a simple extraction or the removal of wisdom teeth, we have the skilled specialists, facilities, and technology to perform your procedure safely and comfortably.

Your comfort and safety are of paramount importance. If fear or anxiety is a concern for you, ask us about Sleep Dentistry, performed under the administration and supervision of a board certified MD anesthesiologist in the comfort and safety of our state-of-the-art surgical suite. Sleep Dentistry is a very practical option for those who dread the removal of their wisdom teeth.

We Gladly Accept

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For your convenience we gladly accept:

  • Cash     Check
  • Debit     Credit   
  • Apple Pay         

Long term financing options:

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Provider for most PPO
Dental Insurances:

  • Aetna
  • Cigna
  • Florida Combined Life
  • Guardian
  • Met Life
  • Dha
  • Assurant
  • Comp Benefits
  • Fortis
  • Humana
  • Principal
  • United Concordia
  • Blue Cross Blue Shield
  • Delta
  • Geha
  • Lincoln Financial
  • Solstice
  • United Health Care

If your PPO dental plan is not listed, please contact us as we may be able to electronically file your claim with your insurance company and file for your reimbursement.

In-office Insurance:

No insurance? No problem. We offer in-office insurance for your convenience.

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We take the time to review all recommended treatment fees, and will help in any way we can so all patients are able to receive the necessary treatment they deserve.

Our facility was designed with your healing in mind

Bi•o•phil•i•a

noun a scientific movement linking human health and responsiveness to natural environments

Life loves life. It may seem like common sense to some, but it’s actually real science. Recent studies in biophilia have shown that people actually heal faster and perform better when surrounded by nature and natural light, which is why we designed every inch of this facility based on this principle.

Each operatory has floor-to-ceiling windows and live plants, which allow for a calming and healing environment for the patient. Doctors and team members also benefit as natural lighting lowers the occurrence of human errors.

Access to Natural Light
Absence of harmful chemicals
Clean air and filtered water
Lush healing gardens

Wisdom Teeth Removal care Instructions

We are looking forward to seeing you for your upcoming appointment. In an effort to ensure you have the most positive and beneficial experience possible, please consider the following suggestions as to how you can prepare both yourself and your home for the day of treatment:

  • Please do not EAT or DRINK eight hours prior to your sedation. Midnight the night prior to surgery is usually a good cut-off point.
  • If you take medication, the Oral Surgeon will direct you as to which ones to take preoperatively with a sip of water.
  • If you are diabetic, please call the office at least one day prior to surgery for instructions on how to modify your medications.
  • You must have a designated driver to escort you to and from the office. While you are taking post-operative pain medications, refrain from driving or engaging in any activity that requires fully-functioning reflexes (bicycling, walking up steps, operating electrical/battery powered cutting instruments, etc.) until the following day.
  • We suggest you stock your refrigerator and pantry with plenty of soft foods such as protein shakes, Jell-O, yogurt, ice cream, cottage cheese, mashed potatoes, and soft meals. Low sugar items are preferred.
  • Tea bags can be a useful tool in controlling any post-operative bleeding. We recommend you have a few on hand, and black tea bags are recommended. Make sure pressure from tea bags or gauze is directly over and on the surgical site with moderate pressure. Specific instructions for their use will be given at the time of your appointment.
  • You should avoid all excessive physical activities immediately following your treatment.
  • Please advise the surgical team when taking any blood thinners, including: Aspirin, Ibuprofen, Coumadin, Plavix, Lovanox, Xarelto, Eliquis, Pradaxa, gingko, fish oil, ginseng, or any related products.

In addition to your home preparation, listed below are a few items that will make your time in
our office more comfortable:

  • We have blankets on hand in case you get cold, but we recommend you dress in layers for your comfort and for body access for our monitors.
  • Dress in loose, comfortable clothing. Please do not wear long sleeved shirts, jewelry or dark nail polish. Wear minimal makeup and flat, close-toed shoes.
  • If you wear contact lenses do not wear them the day of your surgery- please wear your glasses.

We welcome the opportunity to answer any other questions or concerns you might have
regarding your procedure, so please don’t hesitate to contact us.

***PLEASE READ ALL OF THESE INSTRUCTIONS CAREFULLY***

Sometimes the after-effects of oral surgery are quite minimal, so not all of the instructions may apply. Common sense will often dictate what you should do. However, if you have a question, follow these guidelines or call our office or Dr. Torres for clarification.

DAY OF SURGERY

FIRST HOUR: Bite down gently but firmly on the gauze packs that have been placed over the surgical areas, making sure they remain in place. Do not change them for the first hour unless the bleeding is not controlled. The packs may be gently removed after one hour. If active bleeding persists, place enough new gauze to obtain pressure over the surgical site for another 30 minutes. The gauze may then be changed as necessary (typically every 30 to 45 minutes). It is best to moisten the gauze with tap water and fold for more comfortable positioning. EXERCISE CARE: Do not disturb the surgical area today. Do NOT rinse vigorously or probe the area with any objects. Do NOT spit forcefully as this may disrupt the formation of a blood clot. PLEASE DO NOT SMOKE for at least 48 hours, since this is very detrimental to healing and may cause a dry socket. Avoid bending or exercise as well for 48 hours.

OOZING: Intermittent bleeding or oozing overnight is normal. Bleeding may be controlled by placing fresh gauze over the areas and biting on the gauze for 30-45 minutes at a time.

PERSISTENT BLEEDING: Bleeding should never be severe. If so, it usually means that the packs are being clenched between teeth only and are not exerting pressure on the surgical areas. Try repositioning the packs. If bleeding persists or becomes heavy, you may substitute a tea bag (soaked in very hot water, squeezed damp-dry and wrapped in a moist gauze) for 20 or 30 minutes. If bleeding remains uncontrolled, please call Dr. Torres.

SWELLING: Swelling is often associated with oral surgery. It can be minimized by using a cold pack, ice bag or a bag of frozen vegetables (such as peas) wrapped in a towel and applied firmly to the cheek adjacent to the surgical area. This should be applied twenty minutes on and twenty minutes off during the first 24 hours after surgery. If you have been prescribed medicine for the control of swelling, be sure to take it as directed. Sleeping with your head slightly elevated may accelerate the resolution of swelling.

PAIN: Unfortunately most oral surgery is accompanied by some degree of discomfort.You will usually have a prescription for pain medication. If you take the first pill before the anesthetic has worn off, you should be able to manage any discomfort better. Some patients find that stronger pain medicine causes nausea, but if you precede each pain pill with a small amount of food, it will reduce the chance that nausea will occur. The effects of pain medications vary widely among individuals. If you do not achieve adequate relief at first, you may supplement each pain pill with an analgesic such as ibuprofen. It is not uncommon to need pain medication for several days. If you take the medication prior to the pain getting severe it will be more effective. If you find you are taking large amounts of pain medicine at frequent intervals, please call our office.

NAUSEA: Nausea is not uncommon after surgery. Sometimes pain medications are the cause. Nausea can be reduced by preceding each pain pill with a small amount of soft food and taking the pill with a large volume of water. Try to keep taking clear fluids and minimize dosing of pain medications, but call us if you do not feel better. Coca Cola or ginger ale may help with nausea. If you have continued nausea please call Dr. Torres as he may be able to prescribe medication to help.

DIET: Eat any nourishing food that can be eaten with comfort. Avoid extremely hot foods. Do not use a straw for the first few days after surgery. It is recommended to confine the first two day’s intake to liquids or pureed foods (soups, puddings, yogurt, milk shakes, etc.). If you had wisdom teeth extractions, dental implants or bone grafting surgery you should maintain this diet for 7 days. It is best to avoid foods like nuts, sunflower seeds, popcorn, etc., which may get lodged in the socket areas. Over the next several days you may gradually progress to solid foods. If you are a diabetic, maintain your normal eating habits or follow instructions given by your doctor.

SHARP EDGES: If you feel something hard or sharp edges in the surgical areas, it is likely you are feeling the bony walls which once supported the extracted teeth. Occasionally, small slivers of bone may work themselves out during the following weeks. If they cause concern or discomfort, please call the office.

INSTRUCTIONS FOR THE SECOND AND THIRD DAYS

MOUTH RINSES: Keeping your mouth clean after surgery is essential. Use 1⁄4 teaspoon of salt dissolved in an 8 ounce glass of warm water and gently rinse with portions of the solution, taking five minutes to use the entire glassful. Repeat as often as you like, but at least two or three times daily. If you were prescribed chlorhexidine (Peridex) you should use it morning and bed time and saltwater throughout the day.

BRUSHING: Begin your normal oral hygiene routine as soon as possible after surgery. Soreness and swelling may not permit vigorous brushing, but please make every effort to clean your teeth within the bounds of comfort.

SWELLING: You may continue the use of ice packs on the day after surgery for 20 minutes on, 20 minutes off to help minimize swelling and for comfort. It can take two to three days for swelling to reach its peak, so do not be alarmed by this. Remember, sleeping with your head slightly elevated may accelerate the resolution of swelling. If swelling increases after the third day please notify our office.

HOT APPLICATIONS: You may apply warm compresses to the skin over the areas of swelling (hot water bottle, hot moist towels, heating pad) for 20 minutes on and 20 minutes off to help soothe tender areas. This will also help decrease swelling and stiffness and should be started 48 hours after surgery.

HEALING: Normal healing after tooth extraction should be as follows: The first two days after surgery are generally the most uncomfortable and there is usually some swelling. On the third day you should be more comfortable and, although still swollen, can usually begin a more substantial diet. The remainder of the post-operative course should be gradual, steady improvement. If you don’t see continued improvement, please call our office. If you are given a plastic irrigating syringe, DO NOT use it for the first five days. Then use it daily according to the instructions until you are certain the tooth socket has closed completely and that there is no chance of any food particles lodging in the socket. It is our desire that your recovery be as smooth and pleasant as possible. Following these instructions will assist you, but if you have questions about your progress, please page Dr. Torres at (954) 803-5221.

*** POR FAVOR LEA CUIDADOSAMENTE ESTAS INSTRUCCIONES***

A veces los efectos de la cirugía son mínimos, por lo tanto, no todas las instrucciones aplican. El sentido común dictará lo que usted debe hacer, sin embargo, cuando tenga dudas con alguna de estas instrucciones, llámenos o el Dr. Torres para aclararlas.

DIA DE LA CIRUGIA

PRIMERA HORA: Muerda firmemente la gasa que se ha puesto sobre el área de la cirugía. No las cambie durante la primera hora, a menos que el sangrado no se haya controlado. Las gasas pueden ser removidas después de una hora. Si aun persiste un sangrado constante, coloque otra gasa nueva que mantenga presión en el área quirúrgica por 30 minutos. Después la gasa puede ser cambiada conforme se necesite (cada 30 a 45 minutos). Es preferible humedecer la gasa con agua y doblarla para que sea más cómodo posicionarla.

CUIDADOS GENERALES: No toque el área de la cirugía el día de hoy. No se enjuague vigorosamente ni moleste el área con ningún objeto. POR FAVOR NO FUME por lo menos durante 48 horas, porque esto no ayuda a la cicatrización y puede causar un alveolitis. Evite agacharse y ejercicio por lo menos 48 horas.

SANGRADO: Sangrado intermitente en poca cantidad es normal durante el primer día o noche. El sangrado puede ser controlado colocando gasa nueva sobre las áreas quirúrgicas y mordiendo la gasa por 30 – 45 minutos cada vez.

SANGRADO CONSTANTE: El sangrado nunca debe ser severo. Si lo hubiera, usualmente significa que la gasa esta siendo masticada entre los dientes solamente, sin poner presión en el área de la cirugía. Trate de colocar la gasa en el lugar correcto. Si aun después de esto el sangrado persiste o es severo, coloque una bolsa de té negro(remojada en agua muy caliente y luego exprimida y cubierta en una gasa húmeda) y muerda por 20 o 30 minutos. Si el sangrado severo persiste, por favor llámenos.

INFLAMACIÓN: La inflamación esta asociada con la cirugía, puede disminuirse usando una bolsa con hielos, compresa fría o una bolsita con frijoles o vegetales congelados envuelta en una toalla y poniéndola junto a la mejilla, esto se debe aplicar continuamente durante 20 minutos y removiéndola por otros 20 minutos, durante las primeras 24 horas. Si le han recetado alguna medicina para controlar la inflamación, asegúrese de tomársela como se le indicó.

DOLOR: Desafortunadamente la mayoría de las cirugías se acompañan de molestias. Usualmente recetamos un medicamento para el dolor. Si usted toma la primer pastilla antes de que la anestesia pierda su efecto, su molestia se podrá controlar mejor. Algunos medicamentos fuertes para el dolor pueden causar nausea, pero si come un poco antes de tomar la pastilla, la nausea se puede reducir. Los efectos del medicamento para el dolor varían mucho entre las personas. Si el dolor no se controla, puede suplementar la pastilla para el dolor con un analgésico como ibuprofen. Algunos pacientes requieren dos pastillas para eldolor juntas. Recuerde que el dolor más severo es dentro de las primeras 6 hrs. después de quitarse el efecto de la anestesia, después de este periodo requerirá menos medicamento para el dolor. Si usted esta tomando demasiada medicina para controlar su dolor en intervalos frecuentes, por favor llame a nuestra oficina.

NAUSEA: Nausea es común después de la cirugía. En ocasiones el medicamento para el dolor es la causa. Se puede reducir tomando una pequeña ración de alimentos blandos y mucha agua. Trate de tomar líquidos claros y tome la dosis mínima del medicamento para el dolor, pero llámenos si no se siente mejor. Coca cola puede ayudar con la nausea. Si la nausea sigue, por favor llame al Dr. Torres, que es posible que le haga falta un medicamento para el tratamiento.

DIETA: Coma alimentos nutritivos blandos, evite comida extremadamente caliente. No use popote o pajilla los primeros días después de la cirugía. Es recomendable tomar solo líquidos y alimentos en puré los primeros dos días (yogur, pudín, sopas, batidos.) Si tuvo una cirugía de cordales o implantes dentales o injerto de hueso es recomendado seguir esta dieta de 5 a 7 días. Es preferible evitar comida como nueces o semillas que pudieran atorarse en el alveolo. Durante los próximos días, gradualmente puede progresar a dieta sólida. ¡Es importante no dejar de alimentarse!, Si usted se alimenta se sentirá mejor, ganará fuerza, tendrá menos molestias y sanará más rápido. Si usted es diabético, mantenga sus hábitos alimenticios normales o siga las instrucciones dadas por su doctor.

FRAGMENTOS DE HUESO: Si usted siente zonas filosas o duras en el área de la cirugía, es probable que sienta las paredes del hueso que soportaban al diente extraído. Ocasionalmente pequeños fragmentos de hueso pueden exfoliarse durante la semana siguiente de la cirugía, si le causan molestias o preocupación, por favor llámenos.

INSTRUCCIONES PARA EL SEGUNDO Y TERCER DIAS

ENJUAGUES: Es esencial mantener su boca limpia después de la cirugía. Use 1⁄4 de cucharadita de sal disuelta en un vaso de agua tibia y gentilmente enjuague su boca, tomándose 5 minutos para usar todo el vaso. Repita los enjuagues tan frecuentemente como pueda, por lo menos 2 o 3 veces al día. Si recibió una receta para chlorhexidine (Peridex), debería usarlo mañana y noche y los enjuagues de agua salada durante el dia.

CEPILLADO: Comience su rutina normal de higiene oral tan pronto como sea posible después de la cirugía. La inflamación y molestias pueden no permitir cepillado vigoroso, pero haga todo lo posible por mantener su boca limpia.

APLICACIÓN DE CALOR: Puede aplicar compresas calientes a la piel sobre la zona inflamada (botella o bolsa con agua caliente, toallas húmedo-calientes, etc.) por 20 minutos intermitentes (poniéndolos durante 20 minutos y descansando otros 20), para mejorar las molestias. Esto también reducirá la inflamación y la contractura muscular.

PROCESO DE REPARACION: El proceso de reparación después de la extracción dental debe ser el siguiente: Los 2 primeros días después de la operación son generalmente los más incómodos y generalmente hay inflamación. Durante el tercer día usted debe sentirse mejor y aunque tenga inflamación, usualmente puede empezar a comer una dieta más sustanciosa.

Después del tercer día, su recuperación debe ser gradual y debe sentirse mejor. Si usted no siente mejoría por favor llame a nuestra oficina. Si le entregaron una jeringa de plástico para irrigaciones, NO LA USE durante los primeros cinco días. Después puede usarla de acuerdo a las instrucciones hasta que el alveolo haya cerrado completamente y no haya oportunidad de que la comida se atore en el alveolo.

Deseamos que su recuperación sea rápida y placentera. Seguir estas instrucciones le ayudará, pero si tiene preguntas sobre su progreso, por favor llame al Dr. Torres: (954) 803-5221.

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