Wisdom teeth extraction
When your mouth lacks the space necessary to properly fit each tooth nature has provided, your dentist may suggest the tooth to be removed to prevent overcrowding or damage to your other teeth. This is particularly the case with wisdom teeth that do not erupt through the gum line, and instead remain trapped (or, impacted) beneath the bone in the jaw.
By the age of 18 the average adult has 32 teeth: 16 teeth on top and 16 teeth on bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine, and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth (molar teeth) are used to grind food into a consistency suitable for swallowing.
The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that is meant to hold only 28 teeth. These four other teeth are your third molars, also known as “wisdom teeth”.
Why Should I Have My Wisdom Teeth
Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this is not what generally happens. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, only partially emerge from the gum, or can even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to successfully erupt.
These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the teeth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain, and illness. The pressure from the erupting wisdom teeth may move other teeth and disrupt the orthodontic or natural alignment of teeth. The most serious problem occurs when tumors or cysts form around the impacted wisdom teeth, resulting in
the destruction of the jawbone and healthy teeth. Removal of the impacted teeth usually resolves these problems. Early removal is recommended to avoid complications.
Our specialists would evaluate the position of the wisdom teeth and predict if there are present or future potential problems. Studies have shown that early evaluation and treatment result in a superior outcome for the patient. Also, sometimes a 3D image is well indicated for better evaluation of tooth position, roots and relation with vital structures as maxillary sinus or inferior alveolar nerve.
All outpatient surgery is performed under appropriate anesthesia to maximize patient comfort.
In most cases, the removal of wisdom teeth is performed under IV sedation or general anesthesia. These options, as well as the surgical
risks (i.e., sensory nerve damage, sinus complications), will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured. To help control bleeding bite down on the gauze placed in your mouth. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge your postoperative kit will include postoperative instructions, and prescriptions for pain medication and antibiotics.