Wisdom Tooth Removal

Wisdom Tooth Removal

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Wisdom teeth are the last of the permanent teeth to appear. They are the third molars and erupt anytime between the ages of 16 and 25 yrs. When they erupt normally just like the other molars, there is usually never any problem. But, if it dont erupt normally, then it gives lot of problems. Most of the cases, wisdom tooth wont come normally because of not enough space to come to the surface of oral cavity.

So it comes either forward/back word/ in sleeping position so that it causes

Angular growth in the back of the mouth

Angular growth next to the second molar

Grown lying down in the jaw bone

Trapping inside the jaw bone

Impacted wisdom teeth if not extracted eventually can cause the following problems:

Persistent pain

 Periodontal disease or gum disease infection of the gums

Food and debris are trapped at the back

Decay of partially appeared tooth

Damage to adjacent tooth and bone

Cyst or fluid-sac formations surrounding the wisdom tooth

Problematic orthodontic treatments which may require straightening of other teeth

It is always better to get rid of wisdom tooth which is not in normal position before even the pain starts as a preventive measure.

Evaluation before surgery

Number of wisdom teeth to the removed

The type of anaesthesia that may have to be administered

Evaluation of medical and dental history of the patient

Thorough oral examination of the teeth, jaw and mouth

X-rays of the wisdom tooth / teeth along with the adjacent teeth

Procedure

Anaesthesia is first administered in either one of the three ways:

Local anaesthesia the area is numbed with an applicant and an injection is then administered

General anaesthesia special situations where medication may have to be administered through an IV line in the arm or nose or inhale medications

Incision is made in the gum tissue

The tooth and bone are exposed

Create space between tooth and bone

The tooth is divided and removed in sections

Site is cleaned of any debris

The wound is closed and sutured

Authored By DR. SUDHAKAR REDDY – Implantologist, Bangalore