Impacted tooth removal is a surgical procedure, and some level of discomfort and pain is to be expected after the procedure. However, the level of pain can vary depending on the individual, the type of impaction, and the method of anesthesia or sedation used during the procedure.

Most patients experience some level of discomfort and pain in the days following the surgery, but this can usually be controlled with over-the-counter or prescription pain medication. Swelling and bruising around the surgical area is also common and can be managed with ice packs and over-the-counter anti-inflammatory medication.

Dr. Aakash Arora (Oral & Maxillofacial Surgeon) will give you instructions on how to manage pain and swelling after the surgery. He might recommend you to take the pain medication before the anesthetic wears off and to continue taking it as directed until the pain subsides.

It's important to follow the post-operative instructions provided by the Oral & Maxillofacial Surgeon, including taking medication as directed, avoiding hard or crunchy foods, and avoiding smoking or using tobacco products for at least 24 hours after the surgery.

It's also important to keep in mind that every person has different pain tolerance levels, and some may experience more pain than others. If you experience severe pain or any other symptoms that concern you, it's important to contact your oral surgeon or dentist for further advice

The choice between local anesthesia and general anesthesia for impacted tooth removal depends on the individual case and the patient's preference.

Local anesthesia is a numbing medication that is injected directly into the surgical area. It is used to numb the area and minimize pain during the procedure. This type of anesthesia allows the patient to be awake during the procedure and is generally considered safe for most patients.

General anesthesia, on the other hand, is a type of sedation that puts the patient to sleep during the procedure. This type of anesthesia is typically used for more complex cases or for patients who have a high level of anxiety or fear about the procedure.

The decision between local or general anesthesia is often made after a consultation with the Dr. Aakash Arora (Oral & Maxillofacial Surgeon). He will take into account the patient's medical history, the complexity of the impaction and the patient's preference.

It's important to note that general anesthesia carries more risks than local anesthesia, such as a reaction to the medication, and that it is usually more expensive. It's always best to have a clear understanding of the risks and benefits of each type of anesthesia before making a decision.

It's also important to follow the pre-operative instructions provided by the Dr. Aakash Arora and to inform him of any changes in your health status or of any medications that you are taking.

The procedure for removal of an impacted tooth typically involves the following steps:

1. Anaesthesia: The first step is to administer either local anaesthesia (numbing medication) or general anaesthesia (puts the patient to sleep) to minimize pain and discomfort during the procedure.
2. Incision: The Oral & Maxillofacial Surgeon will make an incision in the gums to expose the impacted tooth.
3. Bone removal: Depending on the position and depth of the impaction, the surgeon may need to remove some of the surrounding bone to access the tooth.
4. Tooth sectioning: The tooth may be divided into smaller sections to make it easier to remove.
5. Extraction: The tooth is then gently rocked back and forth to loosen it from the surrounding bone and ligaments before it is removed.
6. Stitching: After the tooth is removed, the incision is closed with sutures (stitches) to promote healing.
7. Post-operative care: Dr. Aakash Arora (Oral & Maxillofacial Surgeon) will provide instructions on how to care for the surgical site and manage pain and swelling after the procedure.

The whole process of the extraction of impacted tooth can take from 30 minutes to an hour.

It's important to note that the procedure and recovery time may vary depending on the type and severity of the impaction and the patient's overall health. It's always best to consult with Dr. Aakash Arora (Oral & Maxillofacial Surgeon) for more information and to get an understanding of the procedure and recovery time for your individual case.

It's also important to follow the post-operative instructions provided by Dr. Aakash Arora (Oral & Maxillofacial Surgeon), including taking medication as directed, avoiding hard or crunchy foods, and avoiding smoking or using tobacco products for at least 24 hours after the surgery.

Removal of impacted teeth is generally a safe procedure, but like any surgery, it can carry certain risks and complications. Some of the possible complications include:

1. Infection: there is a risk of infection in the surgical site, which can cause pain, swelling, and fever. This risk can be reduced by maintaining good oral hygiene and following the post-operative instructions provided by the oral surgeon.
2. Nerve damage: in rare cases, the procedure may damage the nerves of the jaw, which can lead to numbness or tingling in the lower lip, chin, or tongue. Dr. Aakash Arora is experienced Oral & Maxillofacial Surgeon, who has done thousands of impaction in last 15 years and has been lucky enough that he has not encountered any case of nerve damage during impaction surgery. Yet, possibility of nerve damage is highly specific to relation of tooth with the nerve. You can discuss about possibility of nerve damage in your case with Dr. Aakash Arora (Oral & Maxillofacial Surgeon).
3. Dry socket: this is a painful condition that occurs when the blood clot that normally forms at the extraction site is dislodged or dissolved. It causes severe pain and exposed bone.
4. Sinus opening: If the tooth is located near the sinus, it may open a hole in the sinus cavity.
5. Bruising and swelling: this is common after the procedure and can be managed with ice packs and over-the-counter anti-inflammatory medication.
6. Excessive bleeding: it's normal to experience some bleeding after the surgery, but excessive bleeding should be reported to the oral surgeon at the earliest.
7. Delayed healing: in rare cases, the surgical site may take longer to heal than expected.

It's important to inform Dr. Aakash Arora (Oral & Maxillofacial Surgeon) of any changes in your health status or of any medications that you are taking, and to follow their pre-operative and post-operative instructions. If you experience any symptoms that concern you, it's important to contact Dr. Aakash Arora at Dental Park, Ghaziabad for further advice.