Every person sooner or later experiences toothache. It does not occur on its own, but is a consequence of diseases of the teeth or gums. If you immediately consult a doctor, he will identify the cause and cure the tooth. However, some people are afraid of dentists and put off the visit until the last minute. Untimely treatment leads to serious complications in the maxillofacial area, as a result of which the tooth can no longer be cured with conservative methods. It has to be removed. In advanced cases, it is necessary to remove several teeth at the same time to prevent the spread of infection and pathology. The dentists at Dr. Granov's clinic resort to this only in extreme cases, when other treatment methods are impossible.
Removal of wisdom teeth due to caries
Why are wisdom teeth most often affected by caries?
Most often, caries of wisdom teeth develops due to the fact that they are located far enough away and do not participate in the act of chewing.
And if the teeth are not involved in the act of chewing, then it is extremely difficult to clean them due to the fact that the teeth are cleaned not only during hygiene, but also during each meal - on their own. On the picture
– what caries looks like on the bottom eight.
You can see how the lower wisdom tooth is removed due to caries HERE. By the way, there, in clinical cases, you can see how the removal of an upper wisdom tooth occurs.
Often the patients themselves neglect these teeth, brush the eights less carefully and caries develops quite quickly, the wisdom tooth begins to hurt, so it will be easier to remove such a tooth than to treat it.
Can caries cause wisdom tooth removal?
Should wisdom teeth with caries be removed? Yes. Removal of the figure eight, if there is caries, is carried out due to the inappropriateness of its treatment.
In most cases, we do not chew with these teeth, and treating wisdom teeth is quite difficult and problematic. And most importantly, this makes absolutely no sense.
Removing the bottom eight can be seen HERE
There is also a situation when the wisdom tooth is strongly inclined, “lying” and covered with caries. In this case, there is also absolutely no point in treating wisdom teeth.
.
If your wisdom tooth gets injured: chipped or cracked?
Should it be removed? A chip, crack, or injury to a wisdom tooth is a 100% indication for removal
wisdom tooth There is absolutely no reason to fight to save him.
How many teeth can be removed in one visit?
Most often, the surgeon removes only one diseased tooth at a time. The patient will have an appointment 1-2 weeks later to have the other units removed. This is necessary so that the wound has time to heal and does not bleed. Sometimes, for example, when the affected teeth are located nearby, they can be removed at the same time. The reason for this is the local action of the anesthetic.
Due to the fact that extraction is a very traumatic process, multiple operations are highly undesirable. As a result of such a serious intervention, a wound that is too large may form, which will heal over a long period of time and cause a lot of trouble for the patient.
However, in children, tooth extraction takes place with less effort, so the resulting hole heals much faster. This makes the dentist’s task easier, since in one visit he can pull out 2 or 3 temporary teeth at once. Of course, a lot will depend on the baby’s well-being and behavior; he must be diligent and patient.
Wisdom teeth during orthodontic treatment
Removal of wisdom teeth before orthodontic treatment
During the period of orthodontic treatment, when the bite is being corrected, the figure eights are also most often removed. Why?
Before orthodontic treatment, we need to remove teeth that are preventing all the remaining teeth - 28 teeth - from moving into place. As a rule, wisdom teeth do not provide freedom for such activities. We remove them and then perform orthodontic treatment.
In what cases are wisdom teeth not removed during orthodontic treatment?
In the case of large jaws, when the wisdom teeth are in an absolute row and they close correctly, in the correct occlusion, we do not need to remove them. We can leave them, we can also treat them, take care of them, like other teeth.
How to choose treatment according to your money
Still, dental care is not cheap, and there are many private clinics and their prices vary greatly. Which clinic should I go to so that the treatment goes well and is not too expensive?
It seems to us that the question “why is it so expensive” is most often associated with a lack of understanding of the essence of the proposed treatment and mistrust, so we recommend looking for a doctor who will clearly explain what needs to be done and draw up a treatment plan that is acceptable to you. He will tell you where you can save money and where you shouldn’t do it.
It is better to implement a less expensive treatment plan than to start treatment and not complete it due to its high cost.
Start your treatment by finding your doctor. We invite you to a consultation at the IdealDent clinic.
Impacted and dystopic wisdom teeth
Impacted wisdom tooth
- this is a tooth that has not erupted; it is located in the bone tissue, in the gum. The general practice is that few dentists decide to remove an impacted figure eight, since it is a complex procedure.
In the clinics of the German Implantology Center, removal of impacted wisdom teeth is carried out as planned; our experience allows us to perform surgery of this level.
Why don't wisdom teeth erupt?
The wisdom tooth does not erupt due to the fact that it is dystopic: there is a neighboring tooth in front of it, which is in the way.
This wisdom tooth is usually tilted. Or there is absolutely no room in the jaw, it is located at the corner of the jaw: there is no place for it to cut through, there is no way.
Dystopic tooth
A wisdom tooth is a tooth that is erupting or has erupted incorrectly. Or it cannot erupt and occupies the wrong position in the jaw.
Typically, such teeth displace other teeth, deforming the jaw. It is impossible to treat them, and straightening them is also extremely difficult. In these cases, we remove the dystopic wisdom tooth. As a result of dystopia, cheek injuries may also occur due to chronic biting. Therefore, it is better not to postpone the removal of the dystopic eight “for later”.
Removal of wisdom teeth in pregnant and lactating women
Removal of wisdom teeth in pregnant and nursing mothers
Is it possible to remove wisdom teeth during pregnancy? Pregnant and lactating women can have their wisdom teeth removed only in case of exacerbation of one of them or necessity, when it is impossible to solve this problem conservatively. In a planned manner, it is better to remove wisdom teeth after the end of the feeding period.
Are there any special features of removing wisdom teeth during pregnancy?
We try to perform tooth extraction on all our patients as carefully, comfortably, and carefully as possible. Therefore, as a rule, there are no technical features. But if any intervention in the form of wisdom tooth removal is urgently required (because there is no other alternative), we must consult with the attending physician - a gynecologist and, accordingly, coordinate all our actions.
What anesthesia is used when removing wisdom teeth in pregnant and lactating women?
In pregnant and lactating women, after consultation with a gynecologist, we, as a rule, perform anesthesia with a reduced level of adrenaline, so as not to provoke the onset of labor in the later stages, and not to provoke a miscarriage in the early stages.
Removal of a wisdom tooth near the maxillary sinus
If the wisdom tooth is located near the maxillary sinuses, there is a certain difficulty in such removal. Why?
If a wisdom tooth is located close to the maxillary sinus, there is a risk that during removal the tooth can be pushed into the maxillary sinus. If you make incorrect technical movements when removing a tooth, or work roughly in some way, you can harm the person and, accordingly, you will then need expensive long-term treatment to remove this tooth.
Content
- There are two types of extraction
- How many teeth can be removed at once?
- Conclusion
A diseased tooth cannot always be treated. Patients often put off going to the dentist for various reasons. Such actions trigger destructive mechanisms in dental tissues.
Due to lack of treatment:
- Caries transforms into pulpitis;
- Further - into periodontitis, which is accompanied by cysts, fistulas and granulomas;
- The likelihood of developing periostitis of the jaw increases.
In case of high risks, the only correct solution is tooth extraction.
Such an outcome is always undesirable for the patient, because the next stage becomes another problem - the need for prosthetics.
Doctors always make every effort to save teeth, but this is not always possible. It happens that several teeth must be removed at once.
PROMOTION
Inexpensive tooth extraction
from 1000 rub.
Are there any specifics to removing wisdom teeth?
Of course, there are some peculiarities when removing wisdom teeth. The doctor’s task is to make the removal process as accurate as possible, as atraumatic as possible - in principle, like the rest of the teeth. But in the case of a wisdom tooth, there are some peculiarities of anatomy.
The peculiarities are that the figure-eight tooth is located quite far away and quite well hidden. But at the same time, using modern equipment, modern materials and having experience, you can remove wisdom teeth quickly and accurately enough without consequences or injuries.
How does private medicine differ from public medicine?
We figured out that with limited financial resources, the issue of high cost of dental treatment can be resolved by contacting a state dental clinic under the compulsory medical insurance policy.
But if you want to feel more concerned about your health, undergo diagnostics and treatment using modern equipment, technologies and materials, then you need to go to a private dental clinic.
Commercial medicine is created for patients who are more demanding of their health and quality of life.
Doctors at private clinics are ready to devote as much time as necessary to their patients to provide highly qualified medical care, so they always offer a comprehensive approach to dental prevention and treatment.
Competent removal of wisdom teeth
How to remove a wisdom tooth in the least traumatic way?
The wisdom tooth is removed atraumatically after carefully evaluating the computed tomography scan, talking with the patient, and assessing his clinical case. The tooth is separated - divided into parts if it has any bends, slopes, or several roots. And, accordingly, with the help of elevators, luxators - special dental instruments, it is carefully and carefully dislocated.
There is no need to worry about the appearance of some blood after wisdom tooth removal. The removal is carried out under the full supervision of a doctor; the wound after tooth extraction is sutured and sutures are applied. What follows is a standard rehabilitation protocol without any surprises for the patient. The only thing is that after the removal of a wisdom tooth (wisdom teeth), swelling of the mucous membrane is possible.
Why is atraumatic tooth extraction more preferable?
With this removal, the doctor takes care of the health of the patients. So that the healing takes place as comfortably as possible, so that there are no consequences after this, so that the patient in the near future, after 7-10 days, forgets that he had his wisdom tooth removed. It is after this time that possible swelling and pain after removal are completely removed.
Pain after wisdom teeth removal
How long does pain last after wisdom tooth removal?
Pain after the removal of wisdom teeth lasts differently, depending on the sensitivity of the person and how the healing proceeds in general. It hurts after removing the figure eight from several days to, maximum, 7-10 days. Naturally, all pain, all painful symptoms from wisdom tooth removal subside over time.
What should you do if the wound hurts for a long time after wisdom tooth removal?
If you experience prolonged pain after wisdom tooth removal, you should contact your doctor as soon as possible, and he will adjust his prescriptions. If any problems arise, he will solve them.
Contraindications to multiple removals
There are several contraindications, most of which can be removed through additional medical treatment. Some contraindications may be so serious that extraction should not be performed until they are resolved.
Essentially, contraindications can be divided into local and systemic. Local ones include:
- The removal site was exposed to radiation
- The removal site is in the area of the malignant tumor.
- The tooth is in an area of acute inflammation.
Systemic contraindications (general medical):
- Anticoagulation, bleeding diathesis or hemophilia. In these cases, the attending physician should resort to additional blood clotting tests.
- Acute phase of cardiovascular diseases.
- Lesions of the central nervous system, as well as traumatic brain injuries.
- End-stage kidney and liver diseases.
- Pregnancy. It is a relative contraindication in the first or last trimester.
When should wisdom teeth not be removed?
What can serve as a contraindication to wisdom tooth removal? A contraindication to wisdom tooth removal may be a person’s health condition, as a result of which we cannot subject him to such a surgical intervention.
For example, if the patient suffers a heart attack in the near future, within six months. Or he has some kind of uncompensated disease. In these cases, we first prepare the patient, consult with related specialists, and after that, as planned, we carry out removal procedures.
Is it possible to find a clinic where treatment is affordable?
If you are determined to receive services in private dentistry, then you have the opportunity to choose, compare, seek advice and draw up a treatment plan and estimate at different institutions. There are many commercial organizations today.
Who and how can get a quota for free prosthetics? Details in the feature article on the website.
As for prices, the variation within one city, as a rule, is very small, so the key point should not be the cost of treatment, but the choice of your doctor. The specialist must be a professional in his field, have good reviews from other patients and a portfolio, be personable and be able to easily explain all the points that are incomprehensible to the patient.
Complications after wisdom tooth removal
What may be the cause of complications after removal of figure eights?
Complications after removing the figure eight - yes, they exist. Complications are different: they occur directly during the removal procedure, there are delayed ones, blood vessels may be damaged, and bleeding may occur. There may be a fracture of the jaw, a breakage of a section of bone tissue that is located in close proximity to the wisdom tooth.
Long-term complications – for example, wound infection in the case of unsterile instruments. If the doctor did not warn the patient that he needs to take antibiotics prophylactically for an impacted wisdom tooth.
What are the complications after wisdom tooth removal?
After the removal of a wisdom tooth, there are complications of different etiologies: they can either arise immediately or be delayed. Bleeding may immediately occur, your jaw may break, a piece of bone may break off (both small and large) - then your jaw will begin to hurt. You can tear the mucous membrane, injure a neighboring tooth, break a neighboring tooth, etc. Your gums or throat may begin to hurt.
Delayed complications are oral infection, periostitis, alveolitis, inflammation of bone tissue.
Can the temperature rise after wisdom tooth removal?
After the removal of a wisdom tooth, the temperature may rise in people who are very nervous or have suffered a lot of stress. This will be a vegetative-vascular reaction, and once the temperature can rise to 38.5-39 degrees. Once. It can be brought down by the use of antipyretic drugs and, accordingly, it should no longer be present. There may be a low-grade fever of 37 degrees, 37.1-37.2, for several days after removal. This does not have any consequences, this is normal, but you should, of course, inform the doctor about this so that he takes this fact into account and adjusts his prescriptions.
Can gumboil appear after wisdom tooth removal?
After wisdom tooth removal, gumboil may appear. This can happen as a result of a wound becoming infected. For example, the use of non-sterile instruments, non-sterile materials. This can also be a result of the removal of an impacted wisdom tooth, for example, if the doctor “sutured it in tightly”, and there are a lot of bacteria in our oral cavity, and did not prescribe antibiotic prophylaxis. In this case, flux is likely to occur.
Why is dental implantation so expensive and what affects the price?
Professional doctors say that implantation cannot be cheap. Do not forget that treatment in this case is not limited only to the installation of implants. This is a whole complex of procedures that requires a high level of preparation and the elimination of the slightest risks.
Let's look at what affects the price of implantation, and you will understand why dental implantation is expensive:
- preparation: it includes sanitation of the oral cavity, removal of decayed teeth and professional hygiene to eliminate the risk of infection of the operated tissues and rejection of implants. At the preparatory stage, the patient needs to undergo tests and have a computed tomography scan, and the doctor needs to work out a treatment plan in a special computer program,
- Additional treatments: You may need additional treatment for tooth decay or anti-inflammatory gum therapy. A number of patients have an acute deficiency of bone tissue, so bone grafting or sinus lift is required before implantation,
- anesthesia: as a rule, local anesthesia is included in the cost of the operation, but some patients, according to indications, require sedation or anesthesia, for which you will have to pay separately,
- implant model: high-quality brands tested by many clinical studies (for example, Nobel and Straumann) cannot be cheap, as they have unique features, the highest survival rate and biocompatibility with the body, reduce the time of engraftment in the jaw bone, and are suitable for the most complex clinical cases (with diabetes and periodontitis, with a lack of bone tissue). But on Israeli and Korean models you can save a little, but they consist of titanium with impurities that slow down the engraftment process, and are suitable for a limited number of clinical cases,
- components for implants: abutments, gum formers. To ensure that implants and prostheses do not fail after installation, the components must be original, that is, from the same manufacturer as the implants themselves,
- implantation method: for example, with classic two-stage implantation, you will have to visit the doctor many times and split the stages of implant installation and prosthetics over time. The two-stage protocol places strict demands on the quality of bone tissue, which means that in most cases it has to be augmented. If the patient prefers one-stage methods, then the number of visits to the doctor is reduced to a minimum, costly bone grafting can be avoided, and fixed dentures can be placed in 3 days,
- prosthetics: the type of prosthesis (removable and fixed), the number of artificial crowns and the material from which they will be made are taken into account,
- use of innovative tools and equipment: for example, 3D scanners, CAD/CAM technologies. This is expensive equipment that dentists take out on lease or credit, and working on it also affects the price,
- payment for staff work: to make quality teeth, you need the participation of at least 4 specialists (dentist therapist, implantologist, orthopedist, dental technician). Also, do not forget that the price also includes the activities of other employees (clinic administrators, managers, assistants).
Dry socket syndrome during wisdom teeth removal
Dry socket syndrome in wisdom teeth
The wisdom tooth refers to the concept of dry socket, or more precisely, dry socket syndrome. A dry tooth socket is alveolitis. Dry socket syndrome after the removal of figure eights can occur in this area, especially in the area of the lower wisdom teeth due to the fact that as a result of swallowing, as a result of opening the mouth, muscles tense, which aggravate the occurrence of alveolitis.
What can dry socket syndrome lead to and what to do?
A dry socket after the removal of figure eights can lead to very severe pain that radiates to the temple and ear. This is a very great torment: a person cannot, even if he is not sensitive, he cannot tolerate it, he will definitely take painkillers 4-5 or 6 tablets. And as a result of this, he will still go to the dentist. A dry socket, if it has formed after removal, will not go away on its own. Alveolitis can only get worse - up to inflammation of the jaw. There may be dire consequences.
Recommendations after wisdom tooth removal
What medications should you take after wisdom tooth removal?
The following medications are used after wisdom tooth removal: painkillers, mouth rinses - special, with a strong antiseptic content. Often, an antibiotic is prescribed as therapy after the removal of the figure eight, and we also prescribe probiotics to restore the intestines after taking antibiotics.
Recommendations after wisdom teeth removal
In general, the recommendations are the same as in the case of removing simple teeth. But they should be performed more carefully.
Physical exercise
–
exclude
. Try not to disturb the extraction site, because the wisdom tooth is located in an awkward/unfortunate area where swallowing and opening the mouth will affect the surgical site.
Of course, wisdom tooth removal is incompatible with subsequent alcohol consumption for several days. Smoking is also strictly not recommended.
Brushing your teeth after wisdom tooth removal
Is it necessary to brush your teeth after wisdom tooth removal or can you wait a few days? You should definitely brush your teeth after removing a wisdom tooth. This needs to be done quite carefully, but at the same time carefully. It is not recommended to rinse your mouth after wisdom tooth removal. That is, the question “what to rinse your mouth with” in this case disappears. Using an irrigator is also not recommended.
Removing 2 wisdom teeth at the same time
Removal of two wisdom teeth from one side of the jaw. Pros and cons of this approach.
Two teeth at once on one side is a very good technique. In this case, we immediately remove two teeth and the healing process takes place only once. Accordingly, the pain also disappears once. The healing is in no way burdened by the fact that we remove two of them at once. It’s a good, even excellent approach, and that’s what we do in most cases if the patient doesn’t mind.
An example of removing two wisdom teeth at once - HERE
Implantation in the wisdom teeth area
Is implantation performed in the area of wisdom teeth?
In the area of wisdom teeth, implantation is not performed in any cases. Due to the fact that there is no space in the jaw to install implants in this area. And, if we look at the jaw, it opens more in the anterior section, and in the posterior section it opens least. If we place an implant, we will not be able to make a normal-sized crown and, accordingly, use these implants for chewing.
During implantation, in case of bone tissue deficiency, the tubercle of the upper jaw or the retromolar space in the lower jaw is used to fix the outermost implants. If there is an impacted eighth tooth in this area, it is removed regardless of the complexity of the operation, since it interferes with the installation of the implant.
If the reason is only price, then there is always an alternative
Let's list what alternatives are possible.
Receiving services in a public clinic instead of a private one
As you know, it is expensive to treat teeth in Russia or any other country in the world only in those dentists that are private. But if price is a fundamental issue for you, then you can legally receive the service for free at a public clinic. All you need for this is to have a compulsory medical insurance policy with you.
On a note! The public medical institution does not practice an integrated approach, as is done in private clinics. There is no high level of comfort, advanced technology, innovative equipment or imported materials, and you will have to make an appointment with doctors long before the date of your visit. However, the listed disadvantages are not an obstacle to free treatment under the compulsory medical insurance policy.
Selection of inexpensive materials, prostheses and implants
Remember that a good dentist should offer you at least several solutions to your problem. For example, if this is prosthetics with crowns, then to reduce the cost, you can choose those made from inexpensive metal-plastic or metal composite.
To correct malocclusion pathologies, it is not necessary to choose expensive aligners, but you can limit yourself to inexpensive and effective metal braces. If you are missing teeth, then the most budget-friendly option would be to install removable dentures made of acrylic or nylon. When implanting, you can give preference to inexpensive brands of implants from Korean and Israeli manufacturers, the main thing is that they are installed by a professional doctor and they are used according to the treatment protocols for which they are suitable.
Choosing a budget option is better than long periods of inactivity and worsening dental problems.
Timely prevention of diseases
Remember that preventing dental diseases is much cheaper than the treatment itself. The same initial caries can be treated inexpensively in a private clinic or completely free of charge in a public clinic - the scale of work will be small, and the manipulations will not require the help of highly specialized specialists and complex (and expensive) equipment. But if you put off solving the problem for years, dental diseases will progress, and treatment prices will seem prohibitive.
What can be concluded? Don't look for reasons not to see a doctor. Even to the state, if the question is only about finances. It’s easier today to put in a small filling without compromising your budget and nerves, than to wonder later why, for example, dental prosthetics are so expensive.
Cost of wisdom teeth removal in Moscow
The price of removing one wisdom tooth in Moscow clinics, if we talk about low-traumatic removal of both lower and upper wisdom teeth, can start from a price of 15 thousand rubles
and higher. The fact is that when removing a figure eight, the cost of bone material, which is used for small bone grafting, can be added to the price of the removal itself, since after removing a deep-lying figure eight, a void may form, which, you see, needs to be eliminated due to fears of the development of atrophy bones in this area.
But many doctors, both in Moscow and in the regions, neglect bone grafting and simply suturing the wound, thereby reducing the cost of wisdom tooth removal to 8-10 thousand. The choice of price always remains with the patient, but the patient also needs to evaluate the risks of such removal, look a little into the future and understand that saving 5-10 thousand rubles at this step may result in future problems with the 6th and 7th chewing teeth ... But this is a completely different story.
How does an integrated approach differ from solving obvious problems?
Let's take a break from dentistry and imagine that you are going on a long trip by car. You are going on vacation.
Proper preparation of the car for travel means diagnostics at a service center and elimination of all detected faults, as well as potential problems that may manifest themselves during a long trip.
Sometimes we doubt: does the problem really exist or do they just want to make extra money off of me? But this is just a matter of trust in specialists and you will trust them if you periodically ask for help and are satisfied with the cooperation.
As for the trip, if you convince yourself that there is no point in spending money on something that hasn’t broken yet , then a breakdown on the road can ruin your vacation.
