Wayward “eights”: remove or treat a wisdom tooth?

• When is it necessary to remove the lower wisdom tooth?
• Tooth eruption problems. Wisdom teeth removal in advance
• Features of wisdom teeth removal
• Indications and contraindications
• Preparation for the procedure
• Removal steps
• Possible complications after removal
• Pain after removal of lower wisdom tooth
• Recommendations and prevention to reduce the risk of complications
• Time and prices for the procedure
• Advantages of treatment at Aurora

Removal of a wisdom tooth on the lower jaw

Most people of conscious age go to the dentist because of problems with their lower wisdom teeth.
They often interfere, put pressure on neighboring molars, and cause discomfort or pain after eating. Most often, wisdom teeth in the lower jaw appear between the ages of 20 and 25, although the timing varies from person to person; for some, they may appear at the age of 16, for others closer to 40 years.
In most cases, the appearance of figure eights is accompanied by various complications that require their removal. Malocclusion, difficulty in teething, tumors and trauma to the mucous membrane and much more.

When it is not necessary to delete

There is no need to remove a normally developing, healthy and complete tooth. Usually, eights on the upper jaw have a chance to become this way. Here are the cases in which you can save a tooth:

• there is no interference with normal teething;
• the need to use an evenly grown figure eight as a basis when carrying out certain types of prosthetics. But in modern medicine, this approach is increasingly being abandoned, because the roots of these teeth are weak and cannot withstand the load;
• It is possible to carry out high-quality treatment measures that guarantee a long life for the wisdom tooth.

When is it necessary to remove the lower wisdom tooth?

Eighth teeth are removed in two cases: when they have not yet sprouted or are already protruding from the gums. In the first case, the operation is performed if the patient feels discomfort, and during an external examination the doctor does not see diseased teeth. The appearance of pain means that the molar in the gum is pressing on its neighbor and disturbing him.

If the wisdom tooth has erupted incorrectly - that is, not straight up, but with a deviation, at an angle to the jaw and neighboring teeth, then removal is also a mandatory procedure. The slope of the figure eight is:

• distal - when the “eight” is tilted back, away from the “seven”. In this case, there is a risk of injury to the gums and damage to the roots of the adjacent tooth;
• medial - when the “eight”, on the contrary, is inclined towards the neighboring tooth. This increases the likelihood of damage to the crown part of the “seven” and the development of caries on both teeth;
• buccal – in this case, the wisdom tooth is turned towards the cheek and constantly touches the mucous membrane, causing irritation and hardening of the tissues. This condition can eventually lead to the formation of a tumor on the mucosa.

The removal of the lower wisdom tooth is definitely necessary in the following cases:

• Caries on a wisdom tooth.
• Lack of space in the row for teeth. The last molars put pressure and cause discomfort.
• Pain in the gum where the wisdom tooth is located, at any time of the day, even after sleep.
• Incorrect growth sideways towards the tongue or larynx. This phenomenon is called dystopia.
• It interferes with implantation.

A tooth can erupt without causing pain once it appears; it will still be removed because it is not growing properly. The dentist makes an accurate diagnosis. To make an appointment, leave a request on the website or call one of the numbers: +7-924-444-05-45 - administrator

Removing a wisdom tooth in the lower jaw is a more complex procedure than removing an upper tooth. The bottom eights have a more powerful root system, and the jaw bones are denser and thicker. To remove a lower molar, it is necessary to perform a complex operation with dissection of the gum. In some cases, the surgeon has to remove part of the bone, divide the root into several parts and extract them separately.

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Tooth eruption problems. Wisdom teeth removal in advance

Many patients think that if the wisdom tooth is not visible on the gum, then there is no need to worry. However, over time, this molar increases in size and begins to interfere with the others. Waiting until the wisdom molar appears can lead to the following problems:

• pain in the tooth and gum;
• caries between molars;
• curvature of the roots of a healthy chewing tooth;
• infection in the place where the molar erupts because it grows incorrectly;
• curvature of the bite.

It is easier for a doctor to pick up and remove a tooth that has not yet come out. So while there is no pain, it is better to have surgery in advance.

Content:

• Peculiarities
• Indications
• Contraindications
• Operation
• Removal methods
• Difficult removal
• Stages
• Diagnostic value
• Does it hurt to remove
• Possible complications

Wisdom teeth or “eight” teeth, located at the edges of the jaw, erupt much later than their counterparts. Moreover, this often happens in adulthood, causing a person many unpleasant moments. The fact is that the structure of the human jaw does not provide enough free space to comfortably accommodate an additional pair of teeth. Therefore, “eights” often put pressure on “sevens”, they grow at an angle, their roots become curved, and it can be difficult to provide them with proper hygienic care, as a result of which caries develops. The peculiarities of the location do not allow for high-quality treatment of the wisdom tooth, and the optimal solution is its removal, since it bears neither a functional nor an aesthetic load.

Indications and contraindications

The attending physician (therapist) or orthodontist directs the removal of a molar in the lower jaw. In any case, the patient is sent for a panoramic photo, where the location of the teeth is visible. This procedure facilitates the work of the surgeon who has to deal with a complex operation. Contraindications for removal are as follows:

• Pregnancy and breastfeeding. After such a complex removal, the mother will have to stop breastfeeding, because antibiotics and painkillers can get into the baby along with the milk.
• People of the older generation with a diseased heart, hypertension of the 2nd or 3rd degree should be attentive to their health and not rush into surgery, but it is better to refuse it altogether.
• Malignant formation in the tooth growth zone.

Wisdom tooth removal is also done as a preventive measure in advance, so that later they do not hurt and do not interfere with others.

And it also happens...

... that wisdom teeth block the neighboring teeth and prevent them from erupting normally. In such cases, patients are referred to a surgeon by an orthodontist.

Of course, the germ of the eighth tooth needs to be removed. This is a fairly simple and relatively comfortable operation.

Look at the pictures on the right. There is a difference of three weeks between the top and bottom. It is clearly visible from them that after removing the rudiments of the eights and “unblocking”, the seventh teeth immediately began to grow.

Wisdom tooth removed. The patient is satisfied. But the fun is yet to come. Namely, the postoperative period.

Preparation for the procedure

Before removing a tooth, it is necessary to undergo a computed tomogram (CT ). The device allows you to illuminate the teeth and see the location of the crowns and roots in the gums. CT will make the surgeon’s work easier and save him from a long and complex operation. The procedure is painless. Done quickly.

The choice of tooth extraction technique depends on several factors:

• the presence or absence of inflammation of the soft tissues surrounding the tooth,
• duration of the process,
• location of the third molar in the bone,
• contacting a doctor during periods of exacerbation or remission of the disease,
• degree of tooth crown destruction.

Types of anesthesia

Performing surgical interventions is impossible without high-quality anesthesia. During extractions, the following types of anesthesia can be used:

• infiltration anesthesia – provides a local effect. Injected with a syringe into the gum or intraosseously. This is the most common option for dental procedures;
• conductive - has a more powerful effect and is used when operating on particularly complex cases. The injection is carried out to the branches of the trigeminal nerve;
• intraligamentary - used to anesthetize one tooth. The medicine is injected with a syringe into the ligament that holds the tooth in the alveolus.

Expert opinion: Some patients want dental surgery to be performed under general anesthesia. But this type of anesthesia is not as harmless as it is described in advertising articles. It has been proven that it negatively affects the patient's health. An operation to remove teeth, even such complex ones as the “eight”, is not a direct indication for the use of general anesthesia (with rare exceptions). Surgery is painless with the correct selection of local anesthetic. Therefore, you should not strive for general anesthesia and put unnecessary drug burden on the body.

Removal steps

The procedure can be divided into three stages:

1. preparatory;
2. The operation itself;
3. After surgery.

Preparatory stage.

At this stage, the doctor visually examines the patient's oral cavity. Then a computed tomography is done to look at the length and shape of the roots, the depth of the tooth, etc.

Surgery

Complex wisdom tooth removal is divided into several stages. Let's consider a generalized operation scheme:

• A painkiller is given. To do this, a needle is inserted into the lower jaw to the nerve bundle so that the patient does not feel pain. Lips, chin, tongue are numbed. If sensitivity does not disappear, an additional injection is given. After anesthesia, the course of a complex extraction procedure depends on the location of the tooth.
• An incision is made with a scalpel.
• The tooth is sawed down to make it easier to remove.
• Take out the crown and roots.
• The wound is treated and sutured.

This completes the surgical stage.

Postoperative stage

This stage is very important, its duration is 7 – 10 days. During this period, the surgical wound heals, and a clot first forms in the hole and then resolves. Patients must follow our doctor's instructions exactly to avoid post-operative complications.

How long does the procedure take?

With a simple type of extraction, the procedure is carried out in 10 - 20 minutes. The process of complex removal lasts from 30 minutes or longer, depending on the specifics of the operation. For example, removing a horizontal tooth can take up to 2 hours or more. At the same time, sometimes additional preparatory procedures are necessary, which also take time.

After tooth extraction in the lower jaw antibiotics to prevent the entry and spread of infection. Such complex manipulations are contraindicated for pregnant and nursing mothers. Painkillers are prescribed to reduce pain after the procedure.

For complex removal, the patient is asked to come back again in five days or earlier if a fever appears. If the tooth has come out halfway (semi-retinated tooth), removal is carried out in the same way, but it is easier to pull it out, since part of the molar is on the surface.

Anesthesia

Before the operation, complete anesthesia of the required area of ​​the jaw is carried out. The most commonly used is local anesthesia, which is carried out using a carpule syringe and an anesthetic. Anesthesia of the lower jaw occurs 8-10 minutes after the injection. The duration of the analgesic effect depends on the drug used and is 2-4 hours. The operation itself is completely painless, but after the anesthetic wears off, the patient begins to feel pain. Therefore, after the procedure, the specialist gives prescriptions about the need to use medications (painkillers, anti-inflammatory, antimicrobial agents).

Possible complications after removal

Complications after surgery arise due to violations of doctors’ recommendations. Patients begin to rinse their mouth, go to the bathhouse, play sports, or do not take medications that were prescribed. It is absolutely IMPOSSIBLE to do this for 5 days, because the place where the tooth was located is easily inflamed. Pain after removal is normal. Because the anesthesia wears off and the gums heal. Taking painkillers reduces pain.

Without taking antibiotics, inflammation and suppuration may begin. This situation arises due to the fact that food often accumulates at the end of the gums, which is difficult to remove with a brush, and along with it remain microbes that cause suppuration.

If bleeding occurs after removal, you should press the wound with a cotton pad for 15 minutes. If the bleeding does not stop, you should consult a doctor.

For reference! For high-quality and rapid healing, it is necessary that the wound heals well, so you should not eat hard food for at least 5 days and clean the hole.

Prevention after surgery

After the last molar is removed, the specialist gives instructions that must be strictly adhered to. This is done to prevent complications, speed up wound healing and restore the body. The doctor recommends:

• Do not eat food for several hours after surgery;
• On the first day, you can apply a cold compress to reduce swelling and inflammation;
• For the first two days, you should not rinse your mouth, so as not to remove the blood clot from the hole from which healing will occur;
• Hygienic care can be carried out as usual; teeth in the surgical area should be brushed very carefully;
• Take painkillers and other medications prescribed by your doctor;
• From the second day, the mouth can be rinsed with antiseptic solutions, decoctions of medicinal herbs, and mouth rinse;
• It is recommended to eat soft foods, avoid too hard, spicy, hot foods;
• Bad habits (smoking, drinking alcohol) should be eliminated;
• During the week you cannot visit the sauna, bathhouse, or gym.

Pain after removal of lower wisdom tooth

Pain after wisdom tooth removal is the body’s protective reaction to external intervention. This is absolutely normal, since an open, fresh wound remains in place of the figure eight. Gradually, a blood clot forms in the socket, acting as a “protective cushion” that prevents pathogenic microflora from entering and multiplying. That is, the pain syndrome appears due to damage that occurred during the operation:

• injuries to bone tissue or gums;
• damage to nerve fibers or blood vessels;
• inflammation of the gums.

In addition to pain after removing the figure eight, there are a number of other symptoms that should be taken into account:

• in the first few hours it hurts to open your mouth;
• soft tissue swelling;
• pain radiating to the temple;
• increased temperature (37-37.5°C);
• feeling of ear fullness;
• bad breath;
• swelling of the cheeks or lips.

The listed symptoms are considered normal if they begin to subside after 1-2 days.

If the pain intensifies and does not go away within a week, it is possible that a pathological process is developing. Severe pain at the site of the removed wisdom tooth may be associated with one of the common complications of the operation:

1. alveolitis is an inflammatory disease affecting the tooth socket. May occur as a result of a blood clot being washed out or absent, a violation of the rules of oral care, infection entering the socket during or after surgery, etc.;
2. damage to small blood vessels;
3. allergic reaction to drugs

If symptoms such as swelling, bruising, increased body temperature, general deterioration in health, etc. appear, in this case you should definitely consult a doctor.

After removal of the lower figure eight, jaw pain . This may be due to several factors:

• during the removal process, blood vessels, ligaments, nerve endings, and tissues that supported the adjacent tooth were ruptured;
• The doctor applied pressure to the jaw to gain access to a distant tooth.

These are normal symptoms as long as you do not have difficulty opening your mouth or there is severe swelling of the face or soft tissues in the mouth.

It is worth considering that if a molar is pulled out the first time, the damaged area will hurt intensely for at least 3-5 days. By the end of this period, the damaged area will be almost completely healed.

If the removal was difficult, the healing time increases to 2-3 weeks. And soft and hard tissue will hurt for at least a month. The intensity of sensations will decrease every day.

When to see a doctor

If you experience the following symptoms, you should consult a doctor:

• the pain intensifies every day, painkillers do not help, or help little;
• the pain does not go away or decrease a week after tooth extraction;
• the pain is not aching, but pulsating, it radiates to the neck, eye, temple, and interferes with sleep. Such sensations are a sign of an inflammatory process; you should consult a doctor immediately;
• swelling does not disappear on the 2nd–3rd day after surgery, but, on the contrary, increases;
• there is a high temperature that does not fall even after 2-3 days;
• an allergic reaction to medications prescribed by a doctor occurs;
• alveolitis (inflammatory disease) occurs in the socket;
• your health worsens on the 2nd–3rd day after the procedure.

Important! If initially the pain was not intense immediately after surgery, but after 12-16 hours it intensified, this is a normal condition. The local anesthesia simply stopped working. If, after the removal of a wisdom tooth, the pain returns and becomes stronger after 5-7 days, then this is a sign of the development of a complication.

When to carry out the procedure and when to refrain from it

Indications for the procedure:

• strong pain;
• the appearance of putrid odor from the mouth;
• discharge of pus from the gums;
• swelling, bleeding and soreness of the gums;
• general weakness, elevated body temperature, dizziness and nausea (such symptoms are a sign of intoxication of the body).

Contraindications:

• mucosal infections (stomatitis, herpes, gingivitis, periodontitis);
• infectious diseases of the upper respiratory tract (sore throat, pharyngitis, laryngitis, etc.);
• exacerbation of chronic diseases.

Recommendations and prevention to reduce the risk of complications

To avoid complications, you must follow all doctor's recommendations. It is important to take the medications that will be prescribed. In addition to this, you cannot :

• rinse your mouth;
• warm the damaged area, despite the pain;
• exercise, go to the gym;
• go to the bathhouse, sauna;
• eat food until the anesthesia wears off;
• clean the damaged area with a brush.

During the postoperative period, ice is applied to the cheek every hour for 15 minutes to relieve pain. It is not recommended to overexpose this time, so as not to chill the lymph nodes.

Time and prices for the procedure

This complex operation takes about an hour. The duration of the procedure depends on the complexity of the figure eight position and the degree of neglect.

The consultation is free of charge. The final cost can be found out after consulting a specialist.

A detailed price list can be found on the website.

Make an appointment for lower wisdom tooth removal

Byshlyaga Dmitry Yurievich
Byshlyaga Dmitry Yurievich Orthopedic dentist

Extensive practical experience. Regularly undergoes internships and advanced training courses.

Working hours: from 9.00 to 20.00, daily, seven days a week, by appointment

Make an appointment

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Asatryan Alexander Aramovich

Asatryan Alexander Aramovich Dentist therapist - orthopedist - surgeon

Extensive practical experience. Regularly undergoes internships and advanced training courses.

Working hours: from 9.00 to 20.00, daily, seven days a week, by appointment

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Advantages of treatment at Aurora

Removing the lower wisdom tooth is a complex procedure that requires high specialist competence. Due to the inconvenient location and improper growth of the last molar, neighboring teeth suffer. Highly qualified specialists of our center easily and quickly carry out complex operations of this level. In addition, Aurora dentistry has other important advantages over its competitors:

• the possibility of receiving installments from Pochtabank or Renaissance Credit;
• individual approach;
• work on weekends, including for residents of the region by appointment;
• The doctor is assisted by an assistant, which allows him to carry out manipulations 2 times faster;
• modern, 100% high quality, imported materials.

Our dentistry offers the following promotions for the removal of the lower wisdom tooth:

1. If you found out about us through 2GIS, we provide 5% on services;
2. 10% discount on your birthday and the next 3 days
3. For pensioners there is a “Golden Watch” promotion - a 10% discount on tooth extraction from 9-00 to 11-00

In case of complex and long-term treatment, an individual discount policy and flexible payment schedule are provided

To make an appointment, just call. On the appointed day, the doctor will see the patient and tell him how the lower wisdom tooth will be removed without pain after the procedure and fear.