The dentist answered the most common questions

Wisdom teeth removal with 20% discount

Moscow

15% of the world's population does not even have wisdom teeth. These lucky ones have no idea how much suffering and pain third molars or “eights” can cause. The vast majority will sooner or later have to face a serious dilemma: to remove or not to remove wisdom teeth. This happens between the ages of 18 and 25 – it is during this period that wisdom teeth begin to grow. In rare cases, an earlier or later appearance of eights is observed - at 15 - 16 years old or at 25 - 30 years old.

The opinions of American, European and Russian experts on this matter differ. If foreign dentists insist on the mandatory removal of third molars, then domestic dentists try to save the tooth. Therefore, if the doctor insists on removal, we can say unequivocally: there are good reasons for this!

And all the patient can do is mentally prepare for the procedure. Unfortunately, information openness in this regard is not always beneficial. Stories about torment in the dentist's chair are transmitted from one forum to another, acquiring more and more terrifying details. As a result: there is a myth about the incredible difficulty of removing wisdom teeth, and the unbearable pain that every patient will have to endure. But is this really so? And should I be afraid of removal?

Structure

Externally, the “eight” is no different from other permanent molars; its uniqueness lies in the following:

• In most cases, teething occurs between the ages of 16 and 25;
• At the moment when the third molar finally appears, the remaining teeth have already taken their places on the jaw, leaving practically no free space. Accordingly, the eighth tooth has to push away its neighbors, which is not always possible;
• Wisdom teeth are extremely difficult to treat because dentists cannot always reach them. And most often, if problems arise with the “eights”, they are simply removed.

Patient reviews

Review 1

Before describing the procedure, I want to talk about my pain threshold. I can NOT stand pain. At all! I LOVE IT!!! For example, before treating caries, I ask you to give me 2 painkiller injections. And then one day my wisdom tooth began to hurt. I endured it steadfastly! But patience has come to an end! I had to go to the clinic.

Sitting down in a chair, I, as usual, asked for 2 injections and mentally prepared myself for torture :) Instead of somehow supporting and encouraging me, the doctor said: - Nahhh... but the tooth is in an inaccessible place! You can’t even get close to him!!!

Then she asked me to open it wider, then even wider, then again and again... It seemed to me that the corners of my mouth were already torn, and the doctor kept asking me to make my mouth “wider”! At the same time, she said, “What can I do here...” and tried to pick up the tooth with pliers.. These attempts lasted about 5 minutes. There was no particular pain, it was just unpleasant that the doctor could not pick up the tooth and was scared from waiting for the outcome. In the end, I asked: – Maybe I’ll go already?!!! If she can’t pick up a tooth, then WHAT will happen next?! To my deep surprise, the doctor did not even try to persuade me to stay and complete the procedure. She simply said: “Go!”

Well, wow :) This has never happened to me before. Usually doctors persuade: - Well, be patient... If you came, then you need to be patient. And here on you - go... I ask: - And what to do now? The answer was: “Nothing!” Rinse! And don't eat anything for 2 hours. And don't drink anything hot all day. - Why??? - Because the wound should heal. - So you REMOVED my tooth??? - Yes!

Just like that! While I was preparing for “medieval torture” and many hours of torment, the specialist did her job! BRAVO!!! I was delighted! After a couple of hours, the freezing sensation began to subside and the pain returned. She was tolerable, rinsing helped. After a few days the pain went away, but the wound healed for probably a whole month! The pain was weak and dull... The gums ached a little and as if something was pulling. But everything ended well! Everything is overgrown evenly.

Review 2

One of the four teeth had grown into the gum and began to rot there. Therefore, when I came to my favorite dentist, there was only one diagnosis - the wisdom tooth needed to be removed. I honestly couldn’t even get scared when I was already given anesthesia and the fragile dentist started pulling my tooth.

From the sensations, I can’t say that it hurt, no, the anesthesia worked well, but there was a feeling, I felt the tooth being taken with forceps, how it was being pulled, and I was even surprised how my fragile doctor pulled out this chunky tooth. He fought hard to get out, but for professionals there are no problems.

After this, of course, my gums bled a little, I was prescribed mouth rinses so that everything would heal faster. My gums healed within a day. I did not feel any discomfort due to the missing wisdom tooth.

Therefore, I can say for sure that the devil is not as scary as he is painted. Yes, it was unpleasant, but not painful and it could be tolerated. And if I have to remove the rest of my wisdom teeth, I won’t be the least bit upset or scared. Since there is nothing scary in this procedure.

Lifespan

Despite the fact that third molars erupt later than other teeth, they do not last long. This is often due to the fact that figure eights are difficult to care for due to the difficulty of accessing them with a toothbrush (for the most part this applies to teeth growing at an angle). As a result, the eighth teeth deteriorate and are removed.

It happens that “eights” are affected by caries even before the moment of complete eruption, as a rule, if it lasted a long time and was accompanied by complications. But completely opposite situations are also known, when wisdom teeth do not cause any trouble to their owner. The latter option is explained by the correct placement of the “eights” and regular oral care.

What drugs are used for pain relief

Just a few decades ago, the only painkiller used by dentists was novocaine. Despite its low toxicity, it very often caused serious complications in patients: from an allergic reaction to anaphylactic shock.

The next step was the use of lidocaine. It is still used to this day in budget dental offices, and has an undeniable advantage: allergies to the drug occur extremely rarely. The problem is different: to prolong the effect of lidocaine, the dentist has to add a drop of adrenaline to it. Moreover, this is done “by eye”. And as soon as the doctor’s hand trembles a little, the patient is guaranteed such unpleasant symptoms as rapid heartbeat and dizziness.

It is much more comfortable for both the doctor and the patient of the dental clinic to deal with articaine anesthetics. These include:

• ubistezin
  ;
• ultracaine;
• septanest
  .

Firstly, such drugs are administered with a carpule syringe, which ensures that the injection itself is less painful. Secondly, the ratio of adrenaline and anesthetic in the drugs is adjusted to the nearest milliliter. This means that wisdom tooth removal will be painless, and the patient will not experience any side effects.

Important! If the patient is at risk, it is recommended to use an anesthetic that does not contain adrenaline.

Functions

Opinions differ as to why our contemporaries need eighth teeth. Some experts believe that since the “eights” were created by nature and still appear, then they should not be removed unless absolutely necessary. In addition, sometimes the third molar becomes a real lifesaver for fixing a denture. Other doctors are sure that it is better to immediately remove wisdom teeth if they cause concern. After all, these rudimentary organs no longer fulfill their main role - people have long switched to soft foods that have undergone heat treatment.

international experience

In different countries, the answer to the question: “Do you always need to remove wisdom teeth?” different. In the USA, 8s are removed already in adolescence, before they lead to problems, that is, they act according to a preventive scenario. In the CIS countries, if teeth erupt correctly and do not cause problems, they are left behind. Apparently this is due to the characteristics of healthcare models.

At the same time, many scientific works on this problem among conscript soldiers in the Russian Federation attract attention, and it is no coincidence. It is at this moment that wisdom teeth begin to actively grow and reveal previously hidden problems. And treatment often requires surgery.

Hood

As the figure eight erupts, the gums hang over it, forming a pocket, also known in dentistry as a “hood.” Food particles accumulate in this gum pocket, creating fertile ground for the proliferation of harmful bacteria. Sometimes inflammation begins in the “hood”, which can spread to adjacent areas - gums, cheeks, etc. In this case, you should not deal with the problem yourself. Seeing a dentist immediately will help avoid serious complications.

The doctor will perform a hood excision, a small operation in which the gum overhanging the erupting tooth is removed under local anesthesia. The cavity is cleared of purulent discharge and washed with an antiseptic. After the procedure, rinsing with antibacterial drugs may be prescribed, and in the most difficult cases, antibiotics may also be prescribed.

Wisdom teeth diseases

Most often, third molars suffer from caries, since due to the inconvenient location of the “eights” in the mouth, it is extremely difficult to take good care of their hygiene. A carious cavity usually occurs in an area that is difficult for the dentist to reach, so treatment is not always possible. If the doctor understands that it will not be possible to get close to the affected area and fill the tooth properly, he suggests removing the third molar.

At the same time, it is important to understand that you should not delay going to a specialist if you notice any problems with the G8. Untreated caries may well develop into pulpitis and even periodontitis, which will require a definitive tooth extraction.

Differences between figure eight removal on the lower and upper jaws

Removing a third molar in the lower jaw is considered a more complex procedure than removing a wisdom tooth in the upper jaw for a number of reasons.

1. Access to the lower molars is more difficult than to the upper ones.
2. The lower jaw bone is more massive and dense, it holds the tooth more firmly.
3. The pressure on the teeth of the lower jaw is greater than on the upper teeth, so the roots of the lower molars are more developed. In addition, due to improper growth, they can be curved or misaligned.
4. It is easier to perform local anesthesia from above, and anesthesia from the bottom often involves the muscles of the face, tongue, throat and ears.

All this makes the procedure for removing the 8th tooth from below a difficult task. If the upper molars in most cases can be easily rocked and pulled out with special forceps, then the lower molars often have to be removed in parts, cutting with a drill.

Features of treatment

If the third molars are correctly positioned and the patient visits the clinic in a timely manner, wisdom teeth can be treated – therapeutically or medicinally.

If the doctor decides to remove the nerve, he may prescribe antibiotic treatment to stop the development of the inflammatory process. In case of painful sensations, analgesics will not help to cope with the cause of the disease; they are used only to wait for an appointment with the dentist without pain or to eliminate it after filling the canals. The main thing is not to put off visiting the clinic.

Indications for removal

In some circumstances, removing the “eight” becomes the only way out. In particular, the doctor will decide to get rid of the eighth tooth if:

• It is located at an angle and when cutting through it puts pressure on the roots of its neighbors;
• A partially erupted tooth injures the gums;
• When affected by caries, the treatment area is difficult to reach;
• The roots of the "eight" grow in the maxillary sinus;
• The patient suffers from facial neuralgia;
• Complications developed;
• There is a gum cyst in the eruption area.

When is surgery necessary?

Wisdom teeth are more likely to develop pathological processes than others. There are several indications for the procedure:

• Dense or crowded teeth. As a result, the eruption of the wisdom tooth is complicated - it grows at an angle and causes pain. Inflammation occurs, and to solve the problem, surgery is performed to remove the wisdom tooth.
• Incorrect bite, requires braces. “Eights” can shift the dentition and cause pain when wearing braces. To avoid such problems, it is necessary to remove unerupted wisdom teeth.
• Lesions - caries, pulpitis, periodontitis become the reason for surgical intervention. Carrying out therapy is problematic, so they resort to removal.

At DENTA dental blades, you can undergo the procedure of wisdom teeth removal inexpensively - at a cost of 6,480 rubles. The price varies depending on the complexity and volume of work and the anesthesia used. To find out how much it costs to remove wisdom teeth, call us at the numbers provided.

Removal steps

The dentist removes the “figure eight” using the following technology:

• First, the doctor administers local anesthesia;
• The mucous membrane and periosteum are removed;
• A section of bone above the diseased tooth is cut out;
• The tooth is removed. In some particularly difficult cases, removal is carried out in parts;
• The periosteum, like the mucous membrane, is sutured;
• The hole is cleaned with an antiseptic and a tampon is placed.

Gradually, a bloody clot forms in the hole, protecting the wound from infection.

Rehabilitation period

If the operation to remove the “eight” went without complications, healing occurs quite easily. It is only important to follow all the doctor’s instructions, and then you will soon forget that a sore tooth once bothered you.

Among the doctor’s main recommendations are the following:

• Carefully (so as not to remove the blood clot) rinse the mouth with an antiseptic;
• Taking analgesics prescribed by a doctor if necessary;
• Avoid alcohol, smoking, spicy and hot foods on the first day after the procedure;
• Minimizing physical activity immediately after surgery.

How long will an extracted tooth hurt?

Removing a wisdom tooth is a serious surgical procedure that severely injures the soft tissues of the periodontium. The fact is that third molars are large teeth, having from 2 to 5 roots. And after their removal, an open bleeding wound remains in the jawbone and gum, which will definitely hurt. And not a couple of hours, but several days.

The pain can be aching and cutting, radiating to the throat or ear. The patient may complain of painful swallowing and persistent headache. An increase in body temperature to 37.5 0C is also natural and physiological. There is no need to endure unpleasant sensations. After tooth extraction, the dentist will definitely recommend painkillers:

• paracetamol;
• ibuprofen;
• analgin;
• butadione;
• sedalgin.

All of them are available without a prescription, are not addictive and have minimal side effects. At the same time, they effectively relieve pain. Normally, the pain at the site of the extracted tooth subsides within 3-7 days. And the final healing of the hole occurs by the end of 2 - 3 weeks after tooth extraction. During this time, she needs to be protected from injury - brush her teeth carefully, eat food carefully.

The appearance of edema is also natural after the removal of the figure eight. As a rule, it forms during the first day after surgery and lasts for the next 2 to 3 days.

If over time the pain does not subside, but, on the contrary, intensifies, you should immediately consult a doctor. Alarm signals are a strong increase in temperature, an unpleasant odor from the hole, acute pain radiating to the temple or ear. These symptoms may indicate the development of inflammation. And without the intervention of a dentist, the purulent process will lead to an abscess and sepsis.

But even if healing goes according to plan, most patients will have to see their doctor again 7-10 days after surgery. This time to remove the stitches. This procedure cannot be called painful, although it is unpleasant. If the patient's pain threshold is too low, the dentist will numb the area of ​​the gum with lidocaine gel or spray.

Wisdom teeth removal with 20% discount

Moscow