Reasons for horizontal growth of wisdom teeth. Treatment and removal methods

• When is it necessary to remove the lower wisdom tooth?
• Tooth eruption problems. Wisdom teeth removal in advance
• Indications and contraindications
• Preparation for the procedure
• Removal steps
• Possible complications after removal
• 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.

Tools used for complex removal

When extirpating figure eights, a number of instruments are used:

• Pliers consisting of cheeks, a handle, and a lock are used if the crown is not destroyed or is slightly damaged (there is something to grab onto). They differ in shape, structure, and size. Different forceps are used to extract the upper or lower tooth.
• The elevator acts like a wedge - it loosens the dental unit, tearing the ligaments and pushing it out of the socket. The tip is immersed in the periodontal fissure, then rotated around the axis using a handle. It removes fragments well from a damaged crown, a shallow fracture, and is suitable for the extraction of dystopic, impacted teeth.
• An excavator is used to extract softened parts and root fragments. It has an angular shape with pointed edges. Easily inserted between the alveolus and the remaining tooth.
• The chisel allows you to destroy the interroot connection, actually gouges out the tooth, but is rarely used for the figure eight.
• The drill is used to divide a multi-root system into parts, especially in cases of crown destruction, atypical location, impacted teeth. The gradual extraction of dental elements causes less trauma to surrounding tissues.
• An osteotome is used to cut and remove part of the bone that is blocking the removal of a molar.

Modern techniques include the use of laser or ultrasound equipment. In this case, fewer complications arise, and the recovery period takes less time.

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 a wisdom tooth in the lower jaw 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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What is a dental nerve

Under the coronal part in the root canals there is soft connective tissue penetrated by nerve endings, capillaries, and lymphatic vessels. It is called the pulp, colloquially the nerve. It performs a plastic, sensory, protective, trophic function.

If inflammatory processes occur and untimely therapy occurs, it may die. If it is impossible to preserve the pulp, amputation is performed. Removing the nerve of a tooth leads to fragility of hard tissues, but with correct treatment it will retain its functionality for many years.

Tooth eruption problems. Wisdom tooth 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.

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.

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

Modern techniques

Until recently, the procedure was very painful and was divided into 2 stages. At the first visit, the canal was expanded with a drill, arsenic was placed into the cavity and a temporary filling was placed. A few days later they carried out cleaning, and only after that the filling began. During the interval between procedures, the patient experienced severe pain, which could not always be relieved with medications. Today, depulpation is done in one visit, and the session time does not exceed 30 - 40 minutes.

If during diagnosis it turns out that the pulp needs to be removed (or its partial extraction is required) or the treatment did not give the desired effect, then the doctor chooses the method that is best suited for the particular case.

During vital amputation, a small part of the nerve that is located under the crown is removed, after which the tooth is filled. Thus, the dental unit continues to receive nutrition, which means it is alive and fully functional.

Devital amputation is done if complete removal of the tooth nerve is necessary. It becomes “dead”, fragile, but can still perform its function for a long time.

Procedure steps:

• anesthesia;
• isolation from saliva getting inside;
• drilling out a carious cavity;
• antiseptic treatment;
• depulpation;
• cleaning, obturation and filling of canals;
• application of a light-curing composite.

The work is very difficult and can only be performed by a professional doctor. If you miss even minimal cavities, lateral tubules, then the dental tissues react and begin to collapse. In our clinic, a panoramic photograph of both jaws is taken, and treatment is carried out under a dental microscope. It allows you to perform dental operations with high precision, protects against injuries, as well as the development of complications and relapses.

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.

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.

Tooth extraction: 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.

General overview

The status of the operation is determined by concomitant factors identified during the preliminary diagnosis of the condition of the dentofacial apparatus. Complex tooth extraction is a formulation used in the following situations:

• Separation of root sections, characterized by a curved multidirectional position of the processes;
• Finding a problematic unit in a structure affected by pathological processes;
• The absence of the entire crown, which precludes fixation of the element using forceps;
• The presence of a filling material capable of deformation;
• Identification of impacted and dystopic elements;
• Difficult wisdom tooth removal.

The listed conditions are characterized by conditions under which the use of a standard protocol does not provide the required result. In addition, it is important to take into account the features of the anatomical structure of the jaw, determined by the specific development, as well as congenital anomalies.

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.

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.

Clinical researches

ASEPTA products are clinically proven effective.

• Clinical studies have proven that using ASEPTA adhesive gum balm for a week can reduce gum bleeding by 51% and reduce inflammation by 50%.
• Clinical studies have proven that the two-component mouth rinse ASEPTA ACTIVE more effectively combats the causes of inflammation and bleeding compared to single-component rinses - it reduces inflammation by 41% and reduces bleeding gums by 43%.
• Repeated clinical studies have proven that using ASEPTA gum gel with propolis for a week can reduce gum inflammation by 31%

Sources:

1. The use of adhesive balm "Asepta®" in the treatment of inflammatory periodontal diseases L.Yu. OREKHOVA*, Dr. med. Sciences, Professor, Head of Department V.V. CHPP**, Dr. med. Sciences, Professor, Head of Department S.B. ULITOVSKY*, Dr. med. Sciences, Professor A.A. LEONTIEV*, dentist A.A. DOMORAD**, O.M. YAKOVLEV** SPbSMU named after. acad. I.P. Pavlova, St. Petersburg - *Department of Therapeutic Dentistry, **Department of Microbiology
2. The role of anti-inflammatory rinse in the treatment of periodontal diseases (L.Yu. Orekhova, A.A. Leontyev, S.B. Ulitovsky) L.Yu. OREKHOVA, Doctor of Medical Sciences, Prof., Head of Department; A.A. LEONTIEV, dentist; S.B. ULITOVSKY, Doctor of Medical Sciences, Prof. Department of Therapeutic Dentistry of St. Petersburg State Medical University named after. acad. I. P. Pavlova
3. The effectiveness of the use of Asept “adhesive balm” and Asept “gel with propolis” in the treatment of chronic generalized periodontitis and gingivitis in the acute stage (Municipal Dental Clinic No. 4, Bryansk, Kaminskaya T. M. Head of the therapeutic department Kaminskaya Tatyana Mikhailovna MUZ City Dental Clinic No. 4, Bryansk

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

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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

If you need complex and long-term dental treatment in Blagoveshchensk, we have an individual discount policy and a flexible payment schedule

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.

Advantages of contacting FamilySmile

In our clinic, tooth nerve removal is performed by doctors with extensive experience. We provide dental services of any complexity, including implantation, prosthetics, treatment of baby teeth, teeth with thinned enamel, loose gums with increased sensitivity and much more. We carry out diagnostics and dental treatment under a microscope, which magnifies the image 30 times. The doctor can see all the defects in the root part and eliminate them accurately and painlessly.

We use only safe drugs, high-quality injections and filling materials. At the patient's request, we treat under anesthesia or sedation.