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Wisdom Tooth Extraction

Wisdom Tooth Extraction

The third major molar teeth located at the back of the alignment are called as wisdom teeth. These teeth, which are expected to appear at 20 years of age, may partially erupt or even stay buried. There is no need to remove the fully erupted wisdom teeth. But, the wisdom teeth that are buried or partially erupted should be removed. In this case, the likelihood of caries is increased because these teeth cannot be completely cleaned. Wisdom teeth may erupt partially because of lack of space and they may put the neighboring teeth at risk for decay. For these reasons, wisdom teeth extraction application is performed to remove these possibilities.

How to Remove Wisdom Teeth?

The wisdom tooth can be removed applying the regular tooth extraction process if it has erupted just as other teeth. Surgical procedure is required if there is an abnormal condition (buried teeth or horizontal tooth root). Before deciding on extraction, X-ray of the impacted wisdom tooth is taken. The doctors firstly diagnose to what extent the wisdom tooth is buried and the extent of curvature of root and then they determine how the surgical operation will be performed. Fully erupted wisdom teeth are removed applying normal tooth extraction process, while partially erupted or buried wisdom teeth should be removed through surgical operation. Local anesthesia is applied to the patient in both applications. If the teeth are half-buried, extraction operation is completed sectioning the tooth. If the teeth are fully buried, a small incision is made in gum tissue to reach the tooth. After sufficient space is provided for extraction, the extraction process is completed through sectioning the tooth. Incision is closed with stitch when necessary. In upper jaw (maxilla) extraction operations, sinuplasty application may be required if the root of teeth coincides with sinus cavity.

What To Do After Wisdom Tooth Extraction?

Medication can be necessary after tooth extraction (especially when the incision is stitched) to prevent inflammation. During first 30 minutes after extraction, the patient should bite firmly on the gauze to stop bleeding. Pain and swelling after extraction is fairly normal. The resulting swellings disappear completely within a few days. After tooth extraction, cold compresses should be applied at frequent intervals especially in summer. The patient should consume sufficient fluid and avoid very hot or cold foods. Alcohol and cigarette should also be avoided during the recovery process. A few days after the operation, the patient may gargle with salt water unless the doctor says not to do so.

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