Impacted Wisdom Tooth Removal

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Impacted Wisdom Tooth Removal

Impacted Wisdom Tooth Removal

Impacted Wisdom Tooth

If the impacted tooth is totally embedded in the jaw bone, or if the partially erupted wisdom tooth has no discomfort and doesn’t cause any issue to adjacent tissues, it may not be necessary to get rid of it. However, one should keep good oral hygiene to prevent any bad issue. On the opposite hand, if the impacted molar causes frequent discomfort or causes severe problems, it may need to be extracted.

• Severe problems associated with wisdom tooth

o Frequent inflammation of gingivae covering the molar inflicting recurrent Pericoronitis

o Suffered from severe Pericoronitis

o Severe decay, gum disease, pulpitis or periapical infections of wisdom tooth

o Impacted wisdom tooth causing root resorption of adjacent teeth

o Cyst around the wisdom tooth will harm the structure of jawbone.

(If there's a cyst formation, the cyst along side the compact wisdom tooth must be extracted.)

• Prior to the following treatments

o Extraction of mal-positioned wisdom tooth prior to treatment

o Radiotherapy

o Jawbone reconstruction surgery

Procedures on surgical removal of impacted wisdom tooth :

It has to take balance between the risks and advantages of the surgical extraction of tooth. In some cases, the impacted molar is deeply embedded in the jaw bone and its roots are close to main nerve, surgical extraction may impose risk of damaging the nerve, leading to numbness of the mouth. Therefore, the decision on removal or not or when to get rid of the molar relies on clinical situation. 

Wisdom Teeth Removal

The dentist will take radiographs to verify the position and shape of the wisdom tooth, and enlighten the patient on the situation, procedures and any risks. Usually, the procedures are done under local anaesthesia (numbness of mouth only), but in some cases, it's going to be done beneath general anaesthesia or beneath sedation. The procedures should be painless.

There are 5 main steps:

1. Raise the gum flap

2. take away the covering bone

3. If needed, cut the tooth into few elements

4. Rinse and clean the wound

5. Close the wound with sutures, and stop the hemorrhage

One week after extraction, take away the sutures by the dentist who will check the healing of the wound. If the suture is of self dissolve type, then it's not necessary to remove the sutures by the dentist. However, it is still necessary to let the dentist to examine the healing of the wound. In general, the wound will heal inside two weeks.

To avoid hemorrhage from the wound after the surgical extraction of the wisdom tooth, you should pay attention to the followings :

• On the same day after surgery

o Do not disturb the wound, rinse the mouth or brush the teeth

o Take soft diet for a couple days and use the teeth of the opposite side of the jaw for mastication

o Do not perform heavy work or strenuous exercise

o Do not smoke or drink alcoholic beverages

• On the following day after surgery

o Resume gentle toothbrushing and chew normally

Reduce discomfort after surgical extraction of wisdom tooth

Wound pain, facial swelling and difficulty on mouth opening are common once surgery

• On the day of surgery, apply ice pack to minimize facial swelling to the affected part of your face

• On the second day, apply a warm towel to the swollen area to reduce discomfort

• Maintain good oral hygiene to prevent wound infection

• On day three or four, continue to take soft diet. If there's pain from these wound ,take analgesic as prescribed by the dentist

Normally, any discomfort will slowly subside in a week after surgery. Meanwhile, consult your dentist if you have any queries.

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