Wisdom tooth ermoval

Wisdom teeth, or third molars, are the last teeth of the permanent dentition and usually erupt between the ages of 17 and 25. In some people, their eruption is not associated with any problems; however, in most cases these teeth become a source of pain and various other dental complications.

The decision to remove a “wisdom tooth” is always made on an individual basis. In some situations, it may remain functional and not require intervention, while in others, preserving a wisdom tooth creates a risk of infection, damage to adjacent teeth, or bite disturbances.

Wisdom teeth have no predecessors in the deciduous bite. They often lack space in the jaw and grow abnormally.

Indications for wisdom teeth removal are:

• abnormal location of the tooth;
• partial eruption;
• pressure on the adjacent molar;
• purulent inflammation of the gums;
• periodontitis or pulpitis, which is not amenable to conservative treatment;
• deep dental caries of the eight or seven tooth;
• constant pain;
• trauma to the gums or cheeks;
• absence of third molar on the opposite jaw;
• planned orthodontic treatment (bite correction with braces).

In each case, the dentist makes a diagnosis and individually decides whether the tooth needs to be extracted. For diagnosis, an X-ray, CT, or orthopantomogram may be required - this is a panoramic picture of the gums, which allows you to visualize the full scope, including teeth that have not yet erupted.

The wisdom tooth removal technique depends on its location (in the upper or lower jaw, normal or abnormal) and the presence of complications. Depending on this, the removal of a wisdom tooth can be considered:

• simple - the tooth has completely erupted, there are no complications, and there is no need to dissect the gum;
• complex - the tooth is impacted or partially erupted, atypically located, requires gum dissection, etc.

In any case, the removal of wisdom teeth requires caution since branches of the trigeminal nerve pass near their roots. As a rule, removing the upper wisdom teeth is more accessible, as they have a typical configuration, and the jaw bone is less dense.

Procedure steps:

1. Diagnosis - the doctor examines the oral cavity, if necessary, prescribes an x-ray or an orthopantomogram (can be done immediately at the clinic);
2. Anesthesia - as a rule, local anesthesia is used (anesthetic is injected into the gum);
3. Tooth extraction with special tools;
4. Treatment of the wound, if necessary, suturing.
5. Re-examination in a few days or a week.

Difficulties in removing the lower wisdom teeth are associated with a greater density of the jaw bone tissue and the curvature of the roots. Also, the removal of atypically located and impacted teeth is related to specific difficulties.

Atypical, as a rule, is the removal of impacted or incorrectly located wisdom teeth, as well as with a severely destroyed crown. They can remain uncut, grow into the gum or maxillary sinus, lie horizontally, and pressure adjacent teeth. In such cases, the help of a maxillofacial surgeon may be required.

Stages of complex wisdom tooth extraction:

1. Diagnosis - examination, x-ray, CT, or orthopantomogram;
2. Anesthesia - carried out under local anesthesia or sedation;
3. Dissection of the gums and its separation from the bone tissue;
4. Gradual removal of tooth elements;
5. Treatment of the wound;
6. Suturing;
7. Reexamination and removal of sutures (if non-absorbable material was used).

The surgery takes more time than a simple tooth extraction. Therefore, some patients are advised to do it under sedation (medicated sleep). It helps to avoid any discomfort and stress. To prepare for sedation, you need to pass tests and undergo examinations.

After an atypical extraction of the third molar, antibacterial, anti-inflammatory, and analgesic drugs are prescribed to relieve unpleasant symptoms and prevent complications.

After the removal of a wisdom tooth, it is recommended:

• Within 30 minutes to hold a cotton swab that closes the hole;
• Within 2-3 hours do not eat or drink anything, and do not rinse your mouth;
• apply a cold compress to the cheek for 10 minutes every few hours (as prescribed by a doctor);
• take drugs prescribed by the dentist;
• do not rinse your mouth so as not to wash out the blood clot;
• do not clean the hole by yourself;
• refuse from heavy physical exertion and thermal procedures (hot bath, sauna, sunburn), so as not to provoke bleeding;
• do not open your mouth wide, so as not to provoke suture line disruption;
• do not smoke, do not drink alcohol.

You must follow similar rules until the wound heals. In case of severe fever, heavy bleeding, and the appearance of other alarming symptoms, it is recommended to contact your doctor immediately.

The cost of wisdom tooth removal is determined individually and depends on the clinical situation. The price is influenced by the position of the tooth, the degree of its eruption, the complexity of surgical access, and the chosen method of anesthesia. Simple removal is usually less expensive than complex or atypical procedures.

If you need to have a wisdom tooth removed in Kyiv, you can review the prices in advance here. More detailed information about the specifics of the procedure and its cost is provided by the dentist during the consultation.

The dental clinic “Oxford Medical” in Kyiv offers a full range of oral surgery services. Procedures are performed by experienced doctors in accordance with modern clinical protocols, ensuring the safety of the intervention and a predictable outcome.

To schedule an appointment, please contact the call center or use the online booking form on the website.