Is it safe to extract my third wisdom tooth before full healing?

Question

Hello doctor,

I hope you are well. I am writing to ask for your guidance regarding the timing of my remaining wisdom tooth extraction in the context of my medical history.

I have lupus and am currently taking CellCept (mycophenolate) and Plaquenil (Hydroxychloroquine).

Approximately two months ago, I had my first wisdom tooth surgically removed; it was vertically impacted. I was advised to hold CellCept for two weeks following the procedure, and healing was uneventful with no complications.

Three days ago, I had a second wisdom tooth extracted. This was a simple extraction, and I am currently experiencing no pain, swelling, or discomfort.

I am now considering proceeding with the extraction of my third wisdom tooth in two days. This tooth is horizontally impacted and would require surgical removal. My rheumatologist has indicated that this would be acceptable, with holding CellCept for two weeks and using antibiotics as prescribed. My anesthesiologist also has no concerns, as this would still allow more than two weeks before my planned total hip replacement, which is scheduled in approximately three weeks.

My primary question is whether it is medically appropriate to proceed with surgical extraction of the third wisdom tooth before the second extraction site has fully healed, given that the second procedure was uncomplicated and is healing well.

My goal is to minimize infection risk and ensure optimal healing prior to my hip surgery. I would greatly appreciate your professional opinion on whether this timing is reasonable or if waiting would be the safer option.

Thank you very much for your time and guidance.

Answer 1

Hi,

Welcome to icliniq.com.

Understandably, you would like to have everything addressed before your hip surgery. Given that your second extraction was straightforward and is healing well, it is generally reasonable to proceed with the third extraction at this time, particularly since both your rheumatologist and anesthesiologist are comfortable with the plan.

The main consideration is that surgical removal of an impacted tooth is more complex, and healing may take longer than with the recent simple extraction. Holding CellCept and using antibiotics as advised does help reduce the risk of infection.

Ultimately, the decision comes down to balancing the benefit of removing the tooth before your hip surgery against the small but real possibility that healing could overlap with your surgical recovery. If you are feeling comfortable, your dentist or surgeon is confident, and you are monitored closely, proceeding now is a reasonable option. If you prefer maximum caution and complete healing of one site before addressing another, waiting a bit longer would also be appropriate, especially if the impacted wisdom tooth is not causing symptoms and the procedure is elective, with no immediate risk in delaying it.

I hope the information helps.

Kindly revert so I can assist you further.

Thank you.