Extracting wisdom teeth

In order to protect the Patient from constant inflammation, complications, and other serious issues in later years, early extraction of wisdom teeth is indicated. Surgical extraction of a wisdom tooth may be faster if the tooth has not been destroyed by caries yet.

• gingivitis affecting an impacted wisdom tooth, causing persistent and painful swelling of mucosa of the cheek and the gum, causing problems eating,
• caries in second molars,
• osteitis around the impacted wisdom tooth,
• development of a cyst, bone destruction,
• improper eruption of the second molar,
• exerting pressure on adjacent teeth (second molars) leading to malocclusion and other occlusal anomalies,
• susceptibility of mandible to fracture in the area of the angle,
• such position of wisdom teeth that makes it impossible for them to be cleaned/brushed properly, which increases their susceptibility to caries, as well as susceptibility to caries of adjacent teeth, and, at the same time, to development of inflammation and other serious problems,
• improper alignment and improper direction of wisdom tooth growth, which may cause crowding of other teeth,
• chronic pain in the posterior region of the oral cavity, if the tooth does not perforate the gum or erupts only partially,
• extraction of wisdom teeth may be necessary if pulpitis develops in these teeth and if they cannot be treated endodontically,
• deep caries within the wisdom tooth, with no chances for endodontic treatment and prosthodontic restoration (a crown),
• preparation for treatment before implantation procedures are performed.

Third molars, also called as wisdom teeth, erupt usually between the age of 17 a 25. Sometimes, the eruption process is pathological, and the tooth erupts in an unfavourable location or remains unerupted.

If there is no place for the tooth to erupt, the teeth are covered by gums, bone, other teeth. Also, wisdom teeth are more frequently affected by infections and caries, and if unerupted, they often lead to cyst formation. Gingivitis develops due to retention of food, bacteria under the gum around the crown of the tooth. This leads to inflammation accompanied by halitosis, pain, swelling, and trismus. Infection may spread and cause swelling within the cheeks and the neck.

In such situations, the dentists at the Dental Clinic perform the procedure of extracting impacted wisdom tooth. Surgical extraction of third molars – wisdom teeth, is performed in cases in which the teeth are:

• Impacted and anteriorly positioned.
• Impacted and horizontally positioned.
• Impacted and vertically positioned.
• Impacted and distally positioned.
• Impacted and buccally or lingually positioned.

The decision concerning whether to extract the wisdom tooth or not to a large extent depends on the Patient’s age and the problems caused by these teeth.