Removal of wisdom teeth

Terenyi Dental Clinic

Wisdom teeth, also known as the eighth teeth in the dental arch, typically emerge in the early 20s. When healthy, properly aligned, and fitting into the biting plane, they can be valuable components of the dentition.

Wisdom teeth are usually the largest teeth in the oral cavity.

However, problems arise when wisdom teeth develop in improper axial positions due to crowding. This may result in horizontal, oblique, or outward/inward tilting, or being positioned away from other molars. For about 13% of individuals, wisdom teeth may not erupt at all (impaction) or may be entirely missing. In some cases, only one or a few wisdom teeth are absent.

Improperly positioned wisdom teeth can lead to crowding or damage to adjacent teeth, the jaw, or nerves. When wisdom teeth lean toward the second molars, they are more prone to decay due to increased plaque buildup and food residue. These teeth may also become trapped in soft tissues or the jaw, partially erupted, a condition known as impaction.

Partially erupted wisdom teeth are susceptible to bacterial infections, leading to painful inflammation, swelling, gagging, and general discomfort. Additionally, these teeth are difficult to clean with regular oral hygiene tools, making them more vulnerable to decay and gum disease.

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Terenyi Dental Clinic

Wisdom tooth complaints

Pain: Pain in the gums around the tooth, which can radiate to the jaw and ears
Limited Mouth Opening: Difficulty opening the mouth or jaw lock
Root Resorption of the 7th Tooth: Damage to the root of the adjacent 7th tooth
Tooth and Bone Inflammation: Inflammation of the tooth and the bone supporting it
Pericoronitis: Painful inflammation of the gum that still partially covers the wisdom tooth

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Terenyi Dental Clinic

Perocoronitis

Pericoronitis is the inflammation of the gums surrounding a wisdom tooth. When a wisdom tooth begins to emerge and partially visible through the gum, it often leaves part of the tooth covered by gum tissue, creating an artificial pocket. This pocket can trap food and bacteria, leading to infection and inflammation. Symptoms of pericoronitis can range from a dull, pressing sensation to intense, radiating pain in the ear. The affected gums become inflamed, red, and may discharge pus. In severe cases, it can result in difficulty swallowing or the inability to fully open the mouth.

Wisdom teeth causing such issues are often recommended for removal. Fully erupted wisdom teeth can typically be removed quickly and painlessly under local anesthesia. In cases where the tooth is partially erupted or impacted, surgical extraction is performed under local anesthesia.

To promote faster healing after the extraction, a collagen sponge is placed in the tooth’s socket, the wound is sutured, and antibiotics are prescribed.

Proper post-operative care is crucial for a smooth recovery. This includes maintaining good oral hygiene, cooling the affected area, taking prescribed medications as directed, and handling the area with care. These steps help ensure the recovery process is as quick and trouble-free as possible.

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