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Saturday, January 20, 2007

wisdom tooth extraction

http://www.flowerpod.com.sg/forums/index.php?showtopic=863

I read up on most of the information i know about wisdom tooth here. i had 4 of my wisdom tooth plucked.
Here's my story:

I was told by my neighbourhood dentist aka private dentist that i need to remove my wisdom tooth as it's known as impacted. I read up and found out from internet and my collegues that most ppl actually removed it when it's decayed and painful.

i think this way is not advisable as you will not have a freedom of where to get your tooth removed. As it's painful and you cannot wait. Have to go to the private dentist and may have to pay a lot. Therefore i done a lot of research as in where is the best to have my wisdom tooth extracted.

My dentist quoted me $500, my collegues their is quoted as 300-400. *per tooth basis* very expensive
There are posts here that recommend polyclinic referral. I called up the nearby polyclinics and told them that i have to make an appointment to get referral letter for wisdom tooth extraction at NDC/AH(whichever you preferred). Get the appt with the nearest date. After making the appt with poly clinic, call NDC/AH and tell them you wanna book appt for wisdom tooth extraction. I got mine as the same day as my polyclinc appt. One in the morning and one in the afternoon.

On that day, I went polyclinic and get referral letter. The doctor at NDC check my teeth and ask me to do a x-ray. So as to see how's my wisdom tooth growing. The ending is that my two bottom wisdom tooth are both impacted. I asked the doc if i could just extract out the bottom 2 and spared the top ones. The doc said that the top ones will grow and irritates the bottom gums. But i do get a choice of either left/right or both sides.

I discussed with my friend. What if i do it one side at a time using LA (local anesthsia), that maybe painful and i may not have that courage to go for the second side. I had heard from my collegue that the doc will inject you with just enough and ask if you can feel pain. If you can, the doc will just inject you with more. That equals to lots of injection wounds on your gums, AKA pain. I got low tolerance of pain too.

In the end, the doc also advised me to get all four out since i wouldn't be able to eat no matter i remove 2 or 4. I chosen 4 under GA. Remember to plan the recovery period so that it will not crush with important days. Trust me, you won't want to be less than 100% on those days. I planned one month recovery period prior to chinese new year.

On the day of surgery, I went to NDC, the nurse give me a hospital gown to wear. i walk into the operation room with the company of on staff nurse there. They tell me to sit down on the op table (not metal, btw). They strap me down, then one doc is going to insert the needle on the back of my hand for IV start set. I told the nurse that i'm scared of the pain. One nurse offer to hold my other hand so as to divert my attention from the iv-ed hand. But the pain was minimal after inserting the needle provided you don move that hand. ***Keep it on the relaxed mode, you can tense the other non-IV hand if you want.

Then the doc told me that she's giving me the anesthesia, and tell me to breathe the oxygen mask. My first thought was that why is my short sightness getting so serious. I'm seeing doublesss.... Then i realised that it's the anesthesia working. I just got the time to blink 3-4 times before i got fully knocked out.
**my first time on op table, a bit nervous

Next i knew was i'm out of op theater, i couldn't open my eyes. but can moved my body. I slept for quite a while so that my body can process off the anesthesia. I felt no pain from the wound but there are graze in my mouth. I remember hearing someone mentioned that it's not the graze that stops the bleeding but the pressure that we applied on it.

There is also something about the doc will inject 2 LA on your gum so that when the GA wores off, you won't be in much pain.. I kinda remember that and ask the nurse if i can have pain killer. The nurse told me that i had to get my mum to get all the med prescribed to me at the pharmacy including the pain killers. I was like huh? I'm staying in a ward, why don they have painkiller in their med box for emergercy purposes. Luckily my mum didn't go far, she came back. I'm back to my bed within 2 hours.

She went to get the pills and i pop them asap. slept somemore due to the painkiller.
**word of advice: do try to swallow your saliva or blood, do not attempt to spit them out as i tried. I think the blood clot get dislodged, very pain...

It was when the doc come and then i know that i have to swallow all blood and saliva for the first 2 days. *too late*
1. soft diet for 1st few days.
2. gargle the mouthwash provided
3. etc (cannot remember)

Now had been 5 days since my op....
This is what i had concluded:
1. can only drink. so no soft diet, only liquids on 1st day :zipped:
2. don dare to open my mouth big. but can see the stitches. (really don know how to eat with them inside)
3. i almost mistake them as the mushroom when i tried to chew the button mushroom from the campbell cream of mushroom. Heng heng, i never pluck and see later...

Here are what that are most recommended:

milo-high carbo, give energy
yoghurt-choose non low fat like meji-for protein source and carbo(energy giving and body building)
porridge- just the rice water, no rice cos it gets every where when i attempt to swallow..
canned baked beans-protein and iron, diff taste too
mash potato from kfc.
mashed bananas if you have it..

it cost 2,223.01 for full cost. less govt grant -1,405.01 equals to 818.00
GST of 40.90 not included as there is GST grant too.

Total 818.00 medisave is 752, i pay only 66.

the full cost will be applicable for those who go there as private patients.

22 Comments:

  • At 9:21 AM, Anonymous Anonymous said…

    Hey,

    lovely read about your experience. I would request that you either copy your post or write a shorter one at MySingaporeDentist.com to share with the rest of Singapore your experience.

    Thanks little cow!

     
  • At 7:51 PM, Anonymous Anonymous said…

    Hi,

    Just want to thank you for sharing your experience. I've just had my wisdom teeth extraction at NDC last week. Before that, i've read your posting and it really helps. I even print it out and read it for my mom so she won't worry too much. Everything OK, i had 3 wisdom teeth removal plus 1 normal tooth, all under GA. Experience almost like yours, the only thing that i have to wait quite long, since morning 9am to 13pm for the operation but the nurse is friendly.. thanks again for your sharing.

     
  • At 1:56 PM, Anonymous Anonymous said…

    Hi!I've read ur story it's a very good information.I extract all my wisdom tooth.The right side I did at private clinic,never knew that it'll cost a bomb for me.Two teeth extract abt $600+.As it was too pain for me to make another appointment at NDC.

    The dentist explain that he only knew how to extract the right side of wisdom tooth the other side he said that I have to come again&be extracted with a different dentist.I was kind of shock at that time.As it was my 1st time extracting my wisdom tooth.

    I did not come to that particular dentist again as it was too expensive for me.Lesson learnt.

    I went to the nearest dentist clinic at my home but what a disappointment experience I have.All this while I thought that having a young dentist means that they have brighter eyes&fresher knowledge on extracting tooth but what I was hoping for the pain gone had bcome worse as he extracting the wrong tooth.I ask the dentist to extract the that was hurting me.As a dentist u should have known which is already decayed&had to be removed but instead he remove the healthy tooth.What bothers me more was that I was suspicious that he wouldn't want to show my tooth that had been extracted.

    The previous&1st clinic I went to,he showed it to me&even gave the tooth to me & he was an old man.

    But this clinic was different.He did an x-tray of my teeth.But I can see from his face that he wasn't sure which to plug out.
    As he was the dentist I just followed what he was doing.
    After the extraction of the tooths he was like a bit surprised&scrared that he was actually had extract the wrong tooth.Hence he did not show it to me nor gave me the tooth.

    I was charged around the same amt as the previous clinic.
    I know that I was sooo ignorant.

    And now the pain still there&it got worse day by day.I took panadol like as if I am a drug addict.I ate the the panadol like every day.Ppl say if you took panadol too much it will make you hair fall really badly.

    Hence I decided to do extraction at polylinic as I think it's just a normal tooth extraction.So could anyone pls advice me on how to do appmt with the dental poyclinics here&what I am not really sure was that if had make an appmnt with the dentist do I have to wait for another 6 mths to do the extraction or they will let me extract ASAP b4 the 6 mths waiting?I am soo confused.

    My friend had this kind of experience.That she had to wait for 6 mths just to do scaling for her the teeth after make an appmnt.

    This is what I don't like abt the policlinics although it's cheap.

    Pls do help me on this asap as I was planning to extract my tooth this coming days,as it pains alot.Getting worse.
    Help!

     
  • At 2:54 AM, Anonymous Anonymous said…

    hi. just like to say..ure doing God's work posting this blog.

    Thank you. My mind now is now at ease.

    Happy New Year.

     
  • At 2:01 PM, Blogger Sherry said…

    thanks for your story. phew... thank God I never really went through this. they grew quite perfectly :) my dad is an orthodontist.

     
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  • At 10:08 AM, Blogger Unknown said…

    Is the ops the same day as the first appt at NDC?

     

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