Treatment of 8 teeth from below. Extraction of the eighth tooth from below. Difficult removal and types of anesthesia

The wisdom tooth (figure eight, third molar) erupts between the ages of 17 and 25, but it does not take part in the process of chewing and talking, and refers to vestigial organs. When affected by caries and other diseases, attempts are made to preserve it, because in the future it can become a support for the prosthesis. In addition, dentists are guided by the organ-preserving principle, and if it is possible to cure, removal is not carried out. But there are a number of conditions in which the extraction of the molar will be a mandatory measure. The procedure has both its advantages and disadvantages in the form of possible complications. More often, the 8th tooth is removed from above, and the consequences of this operation may affect neighboring crowns and tissues dental system. Extraction of the eight on mandible ends in complications less often.

How is the removal of the eighth tooth

The planned extraction of the 8th tooth from above takes place in 4 stages. At the first stage, the oral cavity is examined by a dentist and indications for extraction are identified. On the second anesthesia is performed: local anesthesia or general anesthesia. When the operating area loses sensitivity, the dentist removes the tooth from the socket with special forceps. On the last step wound treatment, removal of debris, disinfection and suturing of tissues.

The upper eighth tooth may be subject to simple and complex extraction. In the first case, the operation lasts a few minutes, a maximum of half an hour. With complex removal, the dentist needs up to 2 hours. The lower and upper eights are difficult to extract, as they have up to 5 wide roots and bulky crowns.

The course of the operation on the upper and lower jaw is different. Removal of the lower eight requires more time, which is associated with the characteristics of the lower jaw. It's about about the higher chewing load experienced by the lower teeth. In this regard, their roots are massive and strong. The removal of the lower molar can be a challenge for the dentist, therefore doctors often take this manipulation with good physical training and great experience. During the operation, it will be necessary to use more than one instrument, and it is necessary to know all the structural features of the lower jaw, therefore, before prescribing an extraction, the dentist always requires an x-ray.

During the extraction of a tooth in the upper jaw, the doctor spends less effort and time, but complications are not excluded. Careless movement, strong pressure, slippage of the instrument can lead to perforation of the maxillary sinus, jaw fracture, trauma to the palate and gums, and damage to the adjacent crown.

What is simple and complex tooth extraction

Extraction of any tooth is a surgical manipulation that requires special tools and knowledge. In some cases, the dentist has to use additional devices and skills, and then the operation is classified as complex.

A simple extraction is the extraction of a tooth from the socket with forceps. Difficult - removal with the need to cut out part of the bone, cut the gums and saw the partition between the roots.

Easy removal

For simple tooth extractions, the dentist uses forceps and an elevator. Making incisions in the gums and sawing the bone is not required. To perform the operation, the doctor needs to collect an anamnesis of the disease and the patient's life. This is necessary to make sure that there is no allergy to anesthetics and other contraindications. After checking for an allergic reaction, the patient must also show the dentist a certificate of absence of serious illness.

As soon as the doctor is convinced that there are no obstacles to tooth extraction, the operation begins. Before the procedure itself, you need to take an x-ray of the tooth so that the dentist can see the features of the root part.

Difficult removal and types of anesthesia

With complex removal, the dentist uses drills, makes an incision in the gums, cuts the bone tissue, and then sutures the wound. More often, such an operation is subject to eights with a violation of eruption (impacted), when the gum interferes with them, or they rest against the adjacent tooth with a crown. These violations will result in frequent inflammatory processes, displacement of the dentition, suppuration of the gums. These are indications for the removal of the figure eight on the upper and lower jaws.

The progress of the operation to remove the eight by example impacted tooth:

1. The soft tissue is cut and peeled away from the bone.
2. The part of the bone located above the tooth is sawn out.
3. The tooth is removed.
4. The wound is sutured.

Complex removal the tooth is performed in a surgical room with strict observance rules of asepsis and antisepsis. After the operation, the doctor prescribes a second appointment in a few days.

For pain relief with complex removal, non-injection, injectable anesthesia and general anesthesia are used.

The non-injection version of anesthesia involves the application of an anesthetic drug to the mucous membrane. The injection method is the introduction of the agent into the area of ​​​​the projection of the root apex or into the gum with the help of an injection.

What painkillers are used during the removal of wisdom teeth:

1. Articaine and analogues(Ultracain, Ubistezin, Septonest) - act up to 3 hours, dizziness is possible from side reactions, headache, tremor;
2. Lidocaine- it is applied for infiltration anesthesia in the treatment of adults, adverse reactions may be a decrease in blood pressure, fatigue, short-term loss of sensitivity of the tongue, headache;
3. Ubistezin- contains adrenaline, which prolongs the action of the anesthetic, anesthesia lasts up to 45 minutes, there is a possibility of ischemia in the area of ​​​​administration of the drug if the injection technique is violated.

Indications for removal

There are relative and absolute indications for the removal of wisdom teeth in the lower and upper jaws. Relative conditions include conditions when the figure eight can still be preserved, but the risk of recurrence of the disease is high, and extraction can prevent the need frequent treatment. Absolute indications will be violations in which other treatment does not work. In dentistry, it is possible to remove the lower wisdom tooth (as well as the upper one) at the request of the patient, when the figure eight causes discomfort due to biting the cheek and inflammation of the gums.

Relative indications for extraction of wisdom teeth:

• the impossibility of root canal treatment due to their obstruction;
• severe destruction of the crown part of the tooth;
• an inflammatory process of about eight against the background of specific diseases;
• displacement of the dentition due to improper eruption of the molar;
• dystopic and impacted teeth.

Absolute indications will be purulent processes, an abscess, a cyst, lymphadenitis, phlegmon, when the figure eight acts as a causative tooth.

The operation for the extraction of the eighth teeth also has contraindications, which are divided into general and local.

General contraindications for extraction of the figure eight:

• acute period of infectious diseases in the oral cavity and in the face;
• first and last trimesters of pregnancy;
• severe respiratory diseases;
• mental disorders during the period of exacerbation;
• early period after a stroke, heart attack, traumatic brain injury;
• defeat nervous system, disorders of cerebral circulation;
• decompensated diseases of the endocrine glands;
• pathologies of the cardiovascular system;
• period of menstruation.

Local contraindications:

• herpetic lesions of the skin of the face and oral mucosa;
• benign and vascular tumors in the dentition;
• severe stomatitis and gingivitis (ulcerative, necrotic, purulent).

With somatic diseases, the patient dental clinic must obtain permission from the attending physician to extract the tooth. To do this, you need to consult with a specialist, go through some research. Additional preparation may be required.

Does it hurt to remove the eighth tooth

Feelings during the extraction of teeth in the upper and lower jaws are different. In this case, the type of anesthesia and the reaction of the body to it are important. The bone of the lower jaw is more dense, but at the same time, the wisdom tooth on it has broad roots. When removing a lower molar, it is difficult to achieve complete anesthesia, and the patient may feel the pressure of the dentist's hands.

In connection with this modern dentistry offers complex surgical manipulations under general anesthesia, which completely deprives the patient of any discomfort. But after this variant of pain relief can develop adverse reactions. With the extraction of the crown on the upper jaw, complete anesthesia is possible.

No matter how painful the removal may seem, but without treatment they are waiting even more discomfort.

Ignoring indications for removal ends with complications such as:

• constant pain- pus accumulates in the area of ​​the gums and cheeks, which puts pressure on the surrounding tissues, trying to find a way out;
• high body temperature- the result of infectious inflammation;
• swollen and sore lymph nodes- occurs during infection, when bacteria and food particles accumulate between the impacted figure eight and gum, damage to the lymph nodes is accompanied by pain in the throat during swallowing and talking;
• cheek swelling- this is a complication of pericorinitis, swelling can also occur in the throat and ear;
• halitosis- resistant bad smell from the mouth, which is not eliminated by deodorizing hygiene products;
• difficulty chewing- partially erupted figure eights can injure the gums and cheeks, and their frequent biting will lead to inflammation and related complications.

At risk severe complications patients who are immunocompromised and diabetes. Such people should go preventive examination at the dentist more often in order to prevent pathologies in time and treat them without consequences at an early stage.

1. Do not rinse for 3 days, but be sure to wash the area of ​​removal with decoctions of herbs, picking them up in your mouth and spitting them out after a few seconds.
2. Do not warm the tooth, do not eat hot foods and drinks, you need to eat liquid food for a week.
3. The swab that the dentist leaves in the hole must be carefully removed after 20 minutes, but do not eat for another 2 hours.
4. You need to chew food healthy side jaw until the hole heals.
5. For a week, refrain from visiting the bath, solarium, taking hot bath, limit exposure to the sun.
6. Brush your teeth with a soft brush, bypassing the hole of the extracted tooth.
7. Take medication prescribed by your doctor and do not self-medicate.

Preparation before removing the figure eight includes:

1. Taking an x-ray.
2. Removal of solid deposits.
3. Exclusion of contraindications.
4. Elimination of acute inflammatory process in the oral cavity.
5. Exclusion of allergy to anesthetic.

When anxiety symptoms from the side of the tooth wisdom, you should immediately consult a dentist. If you are concerned about severe pain, you can ease it at home before visiting the clinic, but you should inform your doctor about the medications you are taking.

What can be done to relieve toothache:

• rinse your mouth with a decoction of chamomile or sage;
• take a Ketanov tablet or drink a solution of Nimesil;
• apply an anesthetic gel to the gums (Metrogil, Solcoseryl);
• rinse your mouth with saline;
• clean your teeth well, removing food debris and plaque.

For the purpose of pain relief before and after tooth extraction, you can take such common drugs as Ibuprofen, Ketoprofen, Aspirin, Naproxen, Nimesil, Nise, Diclofenac. Self-medication is dangerous, and a dentist should prescribe a drug from this list.

On your own, you can take a pill to relieve pain once, but if you abuse painkillers, the body will get used to it, and anesthesia during dental treatment will be weak or completely ineffective.

Possible consequences of removal

After the removal of the 8th tooth from below, the consequences relate to nerve damage and soft tissue injury. With the extraction of the figure eight on the upper jaw, there is a high probability of damage to the gums and perforation of the maxillary sinus.

Possible complications after wisdom teeth removal:

• alveolitis- inflammation of the socket of the extracted tooth, signs are redness, swelling of the gums, pain, swelling of the cheek, chills, general malaise, increased body temperature, severe cases the infection spreads to deep tissue, provoking osteomyelitis (inflammation of the bone);
• bleeding- this is normal phenomenon only the first 20 minutes after tooth extraction, but if the blood does not stop within a few hours, this indicates the absence blood clot, and you need to go to the dentist, otherwise infection will occur;
• flux- occurs in case of infection during or after surgery, symptoms will be redness, severe pain, fever, swelling of the gums, swelling of the cheek;
• sinus perforation- during the operation, the tooth strong pressure it penetrates into maxillary sinus what causes its inflammation;
• hematoma- appears when the vessels are damaged and in case of increased fragility of their walls, manifested by an increase in the gums, pain, swelling of the tissues.

Rare consequences are osteomyelitis, stomatitis, paresthesia, jaw trauma.

Alveolitis

Inflammation of the socket of the extracted tooth or alveolitis is common consequence removal of the eight. Infection occurs for several reasons.

Why does the hole become inflamed after the removal of the 8th tooth:

• active rinsing of the mouth during the first days after treatment, which leads to washing out of the blood clot;
• during the removal process, solid deposits got into the hole, which led to infection, therefore, preparation for the operation includes professional cleaning of the teeth and removal of plaque with an ultrasonic scaler;
• ignoring contraindications to complex dental treatment;
• chewing on the affected side, food getting into the hole and its decay.

How does alveolitis manifest itself:

• redness and swelling of the gums;
• discharge of pus from the hole;
• bad breath;
• appearance on the gum and in the hole of gray plaque;
• temperature rise to 39 degrees;
• flux (rare);
• throbbing pain, aggravated by pressure on the gums;
• absence of a blood clot in the hole;
• enlargement of regional lymph nodes.

Alveolitis occurs in several forms: purulent, hypertrophic, serous. In the first case, severe pain, swelling, gray coating, thickening alveolar process, halitosis. With hypertrophic alveolitis, tissues grow from the hole. This complication is especially difficult for people with diabetes. The serous form of the disease has a favorable prognosis. It is accompanied by pain, aggravated after eating, feeling unwell, swollen lymph nodes.

Differential diagnosis is carried out with periostitis, phlegmon, osteomyelitis and abscess.

Treatment for alveolitis includes:

• local anesthesia;
• powdered anesthesia in the well;
• washing the wound with antiseptics;
• imposition of a hemostatic tampon;
• drying the wound with a sterile cotton swab;
• leaching of foreign bodies from the wound in the form of particles of food and plaque.

To prevent alveolitis after tooth extraction, it is important to follow all the doctor's recommendations. In no case should you touch the hole with your hands or third-party objects. It should be completely abandoned for a few days. alcoholic beverages and smoking.

Wisdom teeth in the lower jaw most often erupt between 20 and 25 years of age. The terms are individual, in some they appear at 16, and in others at 40. In most cases, the appearance of eights is accompanied by various complications, due to which their removal is necessary. Malocclusion, eruption difficulties, tumors and injuries of the mucous membrane are far from full list possible problems.

Why is the removal of a wisdom tooth in the lower jaw separately distinguished? This procedure is more complicated due to the position of the figure eight (the photo shows how it is located). If in the upper jaw it is enough to loosen and pull out the tooth with special forceps, then in the lower jaw in most cases this is not possible.

When is the extraction of the 8th tooth necessary?

It is not always necessary to remove the 8th tooth. However, there are many indications for this procedure. The main ones are tumors, destruction of the jawbone, sepsis ( general infection blood). Also absolute reading is osteomyelitis of the jaw, accompanied by purulent tissue destruction. Another reason is the destruction of the tooth crown ( top part collapses down to the level of the bone). The last key indication is acute periodontitis(destruction of the integrity of the ligaments holding the chewing unit in the alveolus).

Sometimes, when teething, the figure eight injures the mucous membrane, causing irritation. The result is erosion and ulcers. If the body is located oncological diseases, it can develop into a cancerous tumor.

8 tooth can be impacted, that is, not cut through to the end, then it is in the wrong position. If it is located vertically, then perhaps it does not bring discomfort and its removal is not necessary, but if it is horizontal, then this procedure is necessary. It can destroy neighboring chewing units and bone.

The installation of braces requires the removal of wisdom teeth, even if they do not bring problems. This is due to the fact that they can interfere with the normal and painless restoration of the dentition.

Caries is another reason why removal is recommended. lower tooth wisdom. It is not necessary to specify which chewing units are most susceptible to caries. The position of the eights is such that complete care behind them is difficult, which leads to disease. A molar can be filled, but usually these measures are temporary, sooner or later the disease will begin to progress.

There are also relative indications:

• difficult cutting;
• sinusitis;
• the need for prosthetics;
• root softening;
• tooth fracture;
• bite problems;
• inflammation of the hood - pericoronitis;
• pulpitis;
• pinched nerve.

Is it painful to remove a wisdom tooth?

This article talks about typical ways to solve your questions, but each case is unique! If you want to know from me how to solve exactly your problem - ask your question. It's fast and free!

Patients often put off removing their wisdom teeth for fear of pain. However, in the twenty-first century, this fear is unfounded, in our time, this operation is performed with the use of analgesics in one hundred percent of cases. Pain may occur after the anesthetic wears off, but it is minor and would be more accurately described as discomfort that disappears quickly with certain medications.

All of the above applies to most people. For some, the use of anesthetics is not necessary. This applies to patients:

• suffering from drug addiction;
• abusing painkillers;
• having an extensive purulent process (the phenomenon is extremely rare).

The answer to the question "Does it hurt?" also depends on where the wisdom teeth grow. For example, chewing elements located on top are easier to remove than those that grow from below.

This is due to the fact that the lower teeth are characterized by long crooked roots and a hard-to-reach position. Accordingly, it is more painful to remove them.

What is the difference between tooth extraction in the upper and lower jaw?

The upper wisdom teeth are removed more easily, since the structure of the jaws and molars is different (we recommend reading:). There is a big load on the lower ones, as the upper jaw constantly puts pressure on them. For this reason, they are more massive, and their roots are stronger and have a sinuous shape. Not surprisingly, their removal is much more difficult.

Extraction of teeth from below can have more consequences, as the surgeon makes more efforts. The result is a possible fracture of the jaw, damage to adjacent molars, gum injury.

Anesthesia is also different: in the upper jaw is more vessels and nerves and it is less massive. It is enough to inject an anesthetic into the area next to the molar, and this will not have any consequences. After anesthesia of the lower jaw, sensation of the tongue, face, ear and throat is often lost.

Preparation and stages of the operation

There are two types surgical intervention. With downtime, drilling of bone tissue or incision of the gums is not carried out. The dentist uses only forceps and an elevator (a tool for removing the roots of teeth, separating them from the bone). The procedure lasts up to one hour.

In case of difficult removal, a drill is used, soft tissues are incised. This requires the removal of a “lying” or impacted tooth. In such cases, it is located in the thickness of the bone, making it difficult to access. This operation can take several hours.

In general, the procedure takes place in several stages:

• collection of tests, diagnosis;
• anesthesia;
• tooth extraction;
• cleansing the wound, suturing.

Easy removal

It is necessary psychologically to prepare for the removal of a wisdom tooth, this applies to both simple and complex operations. For your own peace of mind, study the stages of the procedure, reviews about the clinic, discuss everything with the dentist and try to gain confidence. This operation is not so scary.

The first thing the doctor will do is find out if allergic reactions on the medications or diseases, indicators blood pressure etc. This information help reduce possible risks.

The second stage is anesthesia. The vast majority of dentists pull out wisdom teeth using local anesthesia. The exception is rare clinics where general anesthesia is used. Few would agree to this.

The next step is the actual removal. The tooth is removed from the alveolus using forceps and unfamiliar ordinary person elevators. This is a simple tool that consists of a pear-shaped handle, a rod and a curved working part. The lever principle is applied, where the bone or adjacent teeth act as a support.

The final stage - the dentist takes out the fragments of the root from the hole, if any. The wound is washed with antiseptic and anti-inflammatory agents.

Some doctors then sew up the wound to prevent the hole from bleeding and becoming re-infected. Recommendations are given for oral care.

Complex removal

Patients who already have complex operations on their account are in no hurry to go for another one. Although they are used strong anesthetics, the pain after removal is palpable. The difficulty lies in the position of the tooth: it is either completely or half in the bone, or it grows horizontally.

Removal requires a gum incision, root separation or bone removal (we recommend reading:). Used drill and others surgical instruments. An x-ray is required prior to the operation.

The sequence of stages of the operation does not differ from a simple one. After X-ray diagnostics, the doctor collects an anamnesis and prepares the oral cavity (plaque removal, removal of stones, etc.). Anesthesia is applied.

The surgeon cuts the gum and evaluates the position of the tooth according to the existing x-ray. Then he separates the roots with a drill and removes the tooth from the alveolus. The hole is cleared of fragments of roots, bone residues and other things. The edges of the wound are smoothed with special tools, it is washed antiseptic and sew up.

How difficult the procedure will be, the doctor determines. The cost depends on the degree of complexity.

X-ray diagnostics

Now wisdom teeth are not removed anywhere without an X-ray examination, because even in the absence of visible complications, there are often problems hidden behind the gums. These include, for example, long roots of irregular shape. They are not visible from the outside, externally the crown looks absolutely healthy. However, they are dangerous because they often break off, leaving pieces of dental tissue in the bones, which leads to inflammatory processes.

With the help of an x-ray, the number and structure of the roots is determined. Accordingly, the dentist will know how many of them he should extract. The study also allows you to learn about the direction of tooth growth, allowing the doctor to navigate. To obtain this information, an orthopantomograph is used. This is a digital x-ray machine that overview shots the entire oral cavity.

Orthopantomogram is superior to regular shots due to lack of human influence. Aiming radiography directly depends on how well the doctor will perform his work. It is also necessary to place the film deep, which is inconvenient for the patient, some physiological reasons can't bear it. Orthopantomography is performed using laser sensors attached to the head, the position of the person is fixed, which guarantees high quality images.

The patient, who is sure that the tooth will have to be removed in any case, can independently undergo X-ray diagnostics. Having received a ready-made X-ray, the doctor will plan the operation faster.

Consequences of removal

The consequences of removing the bottom eight are different, since the operation is difficult to tolerate by the body. Firstly, discomfort may appear a few hours after the procedure. It is caused by damaged gums and bone. In such cases, the dentist prescribes painkillers.

Also, in the first five hours, the hole bleeds. If the bleeding does not stop during this time, a swab soaked in a 3% hydrogen peroxide solution is applied to the wound. It needs to be bitten a little, and cold should be applied to the cheek.

Due to the effect of anesthetics, the temperature rises, chills appear, so the attending physician recommends taking antipyretics for three days. If the condition persists for more than a few days, it may indicate inflammation. Contact your dentist.

When to high temperature putrid smell from the mouth is added, we can talk about the presence of alveolitis. The disease appears when an infection enters the wound, and the inflammatory process is not limited to the gum, affecting the entire oral mucosa. The causes of the disease are poor-quality processing of the hole, spicy food or insufficient hygiene.

In some people, the capillaries are inelastic, which is why after the operation their walls are torn. As a result, hematomas appear, to which cold must be applied.

Sometimes the sensitivity of the lips, tongue, cheeks is lost. The phenomenon is observed if the dentist touches the nerve. Everything should recover within two weeks, otherwise appropriate treatment is prescribed.

Often there is swelling caused by tissue destruction. small swelling will disappear on its own in a few days. You can apply ice for 5-10 minutes.

Three days after the operation, the patient must visit the attending physician for examination. If the wound heals quickly, the stitches are removed after five days.

Despite the fact that the operation is carried out as painlessly as possible and with minimal consequences, after the removal of the lower eighth tooth, it is necessary to follow the doctor's recommendations in order to avoid complications. The rehabilitation period depends on how complicated the procedure was, on the characteristics of the body.

Sometimes swelling may persist for up to two days after the procedure. In this case, a wet tea bag (no additives) that should be applied to the hole can help. It must be kept until dry. The tannins of tea enhance the process of blood clotting, caffeine helps the wound heal faster.

For accelerated recovery oral health and reduce irritation will help the salt solution that is used for baths. For 200 g of water, 10 g of salt is taken, this is enough to reduce inflammation. They take a little solution into the mouth, hold it near the wound, and slowly spit it out. To avoid swelling, it is also recommended to sleep on a raised pillow.

Dentists divided the smile into 4 parts and numbered it from one to eight starting from the frontal incisor and ending with the 3rd molar. As for the removal of 8 (wisdom tooth), after it, both from below and from above, certain consequences may occur, for example, alveolitis or severe discomfort in soft tissues and the procedure itself is not painful. It should be noted that after the operation, discomfort is possible due to severe inflammation, but if you intervene in time, then this problem will not arise.

Features 3 molars

In movies, advertising, and even in schools, they say that every adult has 32 teeth, although there may be 28, because at the present time, 3 molars have remained in the role of a rudiment and there is no need for it. In the process of evolution, the human jaw, both the lower and upper ones, became shorter due to which there was no necessary 8th space left, therefore it grows mostly incorrectly, which endangers the 2nd molar.

To avoid this, you need to go to the doctor 2 times a year, who will conduct a preventive examination and send, if necessary, for an x-ray, where it will be seen whether the wisdom tooth needs to be removed or not, but if the amputation has to be done, then it is recommended to take a sick leave after the procedure. In this situation, a person will need rest, and the doctor will advise you to sit at home for 2-3 days.

It is explained there that such an operation is not simple and can happen as a breakthrough in maxillary sinus in the case of the top eights, and damage facial nerve if wisdom teeth were amputated from below, for this reason, even when there is no pain, it is necessary to take a sick leave.

It is worth noting that the removal of a wisdom tooth is not always performed, because the eight that appeared without defects is able to perform its functions, and if necessary, it will serve as a support for the bridge structure. For this reason, amputation of 3 molars is not at all mandatory procedure and only applies when there is no other way.

In certain situations, the removal of a wisdom tooth is an obligatory part of the treatment and often this happens due to such moments:

• There is not enough space in the jaw;
• Eruption is accompanied by a strong inflammatory process;
• The figure eight grows in the wrong position;
• Against the background of eruption, other diseases occur.

Symptoms and terms of eruption

In an adult, the appearance of a figure eight is identical to teething in a child and is accompanied by the following symptoms:

In addition, the risk of catching an infection in adults is higher than in children, and this is also considered the reason why wisdom teeth need to be removed.

How long teething lasts 8 cannot be said for sure, because it appears in the period from 17 to 27 years, but there are exceptions. Doctors recorded cases when the 3rd molar erupted both at the age of 15 and well over 40.

Indications for the removal of the eight

The removal of a wisdom tooth in some situations is simply vital, since it can greatly harm the body and an operation aimed at eliminating 8 is performed in such cases:

Dentists can remove a wisdom tooth based on an x-ray, if there are prerequisites for possible complications on it, and how long the procedure takes and whether it hurts or not depends on the type of operation chosen by the doctor.

Pain

Removing a wisdom tooth is a significant problem for many people, because they believe that this procedure cannot take place without pain, but medicine does not stand still and this operation is absolutely painless and, if all recommendations are followed, complications will not appear after it.
In addition, if the problem is identified in time, then it will not be necessary to perform a serious surgical intervention, so it is recommended to visit the dentist regularly for prevention purposes.

Unfortunately, after the anesthesia subsides, there is a possibility of discomfort, which can increase significantly due to such reasons:

• As a consequence of strong painkillers;
• If there is an addiction to drugs that has not been told to the dentist;
• Due to a purulent inflammatory process;
• After a complex removal operation, which is used in especially severe cases.

Thus, whether it hurts to remove a wisdom tooth or not depends on the doctor who performs the procedure and therefore it is located above or below, because on the lower jaw 8 they usually have very deviated roots, and on the upper they do not stand out so much.

Ways to remove the eight

Before amputating the figure eight, the doctor must make all the necessary preparations. These include examination of the oral cavity, the selection of an anesthetic, as well as finding out the location of the teeth using x-rays. After that, the dentist will set the time and date of the operation and tell you what you can do before the procedure, and what actions are strictly prohibited. Usually, each type of intervention has its own requirements, but there are generally accepted norms that are suitable for any case, namely:

• The day before the operation, you can not drink alcohol or analgesics;
• You need to eat about 2-3 hours before the operation;
• Immediately before the surgical intervention itself, the doctor must treat the oral cavity with antiseptic compounds so that microbes do not enter the hole.

During the operation itself, the doctor pays no attention to the tooth, as to its roots, because if you leave at least 1 piece, it will appear severe inflammation. As for the types of surgical intervention, they are as follows:

Doctors usually write out a sick leave after any operation, and even more so if it was difficult, because the patient will need rest to fully heal the wound.

Postoperative period

Regardless of how long the wisdom tooth was removed, after the operation, the patient is waiting for a sick leave and is given in order to prevent possible complications and see a doctor regularly. At this time, you need to follow the instructions of the specialist exactly and take all the necessary drugs. The dentist usually prescribes medicines with antimicrobial and anti-inflammatory effects, as well as medicines that reduce the temperature, but if the fever subsided, then there is no need to use the last group of drugs.

For healing to take place in the most short time you must follow these instructions:

During a sick leave, a person does not need to lie on the bed all the time, but you can go about your business, but given the recommendations voiced, and then the healing will pass quickly and no complications will arise.

Wisdom teeth are the eighth large molars closing the dentition. They owe their name to the fact that they erupt already in adulthood - usually not earlier than at 15 years old. Complex root system and specific eruption, often resulting in anatomically wrong position, cause a high risk of complications and dental diseases.

Third molars are the only teeth that dentists recommend pulling out not as part of treatment, but as a preventive measure. Before deciding on their removal, it is necessary to consult with a specialist, objectively assess the condition of the molars, their impact on the dental arch, weigh all the risks and possible consequences after the removal of a wisdom tooth in the lower or upper jaw.

Features of the structure of eights and indications for removal

The structure of the bone tissue of eights is no different from neighboring teeth, the features of the third molars lie in their structure. Unlike other teeth, figure eights erupt in youth and do not have "predecessors" - baby teeth - that prepare the gum for normal eruption. Due to such complicating factors, wisdom teeth may have root canals irregular shape, a large number of roots or fused roots.

The photo of the extracted eights clearly shows the specific shape of their root system:

Pathology of the location of the wisdom teeth

A characteristic phenomenon for third molars is dystopia - an incorrect position of the tooth in relation to everything jaw row. It is due to the fact that the eights are cut through the last. The lack of free space in the jaw arch can cause the tooth to erupt partially or not erupt at all.

In dentistry, the teeth, the eruption of which occurs with retention (delay), are called semi-retinated - partially shown on the gum surface, and impacted - completely hidden under the gum.

Dystopia may be accompanied by pain, swelling of the gums and cheeks, and the development of internal inflammatory processes. This pathology is clearly seen in x-rays wisdom teeth:

When looking for an exit to the surface, the molar can deviate significantly towards the cheek, which is fraught with injury to the mucosa during chewing. For a long time non-healing wounds terrible not only because the cheek constantly hurts and swells, but also because they can transform into ulcers. If left untreated, tumor processes may begin. With advanced pathology, the figure eight is removed, and the oncologist observes the wounds.

Indications for the removal of a wisdom tooth in the upper or lower jaw

Due to abnormal teething, a person may experience discomfort, persistent throbbing pain, aggravated by chewing. Abnormal eruption can lead to the development of dental diseases and displacement of the dentition up to the anterior zone.

Wisdom teeth do not carry a functional or aesthetic load, so many dentists recommend removing the eighth tooth immediately after eruption, without waiting until it hurts. Emergency removal reduces the risk of developing dental diseases and is less severe.

In conservative dentistry, in order for the doctor to decide on the need for surgery to remove eights, the patient must have indications (symptoms, health threatening). They can be direct and indirect.

Direct indications for urgent extraction are:

• sepsis;
• osteitis of the jaw;
• neoplasm development;
• periodontal inflammation;
• pericoronitis;
• destruction of bone tissue;
• destruction of the crown of the tooth - caries.

Conditional indications for the removal of 8 teeth from above or below include:

• bite pathology;
• retraction - lack of natural eruption;
• softening of the root system;
• fracture of the root or crown part of the tooth;
• root bifurcation disorder;
• sinusitis;
• the need for prosthetics;
• horizontal position of the tooth with inflammation.

If the molar did not erupt or erupted partially, the doctor decides to eliminate the rudiment based on the risk of complications in the future and the current state of the patient. If the patient has good health, the tooth and gums near him are not inflamed, he will be recommended to see a dentist once every six months. Immediate removal is indicated if there is at least one of these symptoms:

• the occurrence of pain syndrome;
• acute and chronic inflammation;
• development of a follicular (tooth-containing) cyst.

Removal of wisdom teeth

When removing eights, not only the extraction procedure itself is important, but also the preparation for it. Procedure easy removal the tooth takes from half an hour to an hour, a complex surgical operation can last up to 5 hours. If it is planned to pull out several eights, operations are scheduled at intervals of three weeks.

Treatment, cleaning, filling and other planned manipulations on the remaining teeth can be performed 2-4 weeks after the extraction of the third molar.

Training

Before removing a wisdom tooth, the dentist must examine the x-ray of the patient's jaw. With its help, the doctor will be able to accurately determine what kind of removal is to be - simple or complex, to exclude serious complications. This information allows you to draw up an optimal work plan, study potential risks and choose the right tools and equipment.

After that, the patient's history is collected, a superficial examination of the tooth is carried out, the extraction method, the drug for anesthesia and instruments are finally approved. To exclude suppuration and inflammation of the hole after surgery, before removal, it is necessary to thoroughly clean the teeth from plaque and disinfect the oral cavity with antiseptics.

Anesthesia

The last stage of preparation for surgery is anesthesia. Usually, the removal of the upper and lower eights is carried out under local anesthesia. General anesthesia relevant in situations where it is impossible to use local anesthetic due to the presence of allergic reactions in the patient's history.

Regardless of the type of anesthesia, the procedure should be painless. The patient may feel pain during the administration of the anesthetic and after the end of the anesthesia, but during the period when the doctor removes the wisdom tooth, it will not hurt.

Removal of a wisdom tooth in the lower jaw

The bone tissue of the lower jaw is denser and 3 times stronger than the upper jaw, so it is more difficult to tear teeth from below. But fractures in the process of removing the lower wisdom tooth are extremely rare. The main risk in the extraction of the lower 8 tooth, especially semi-impacted or impacted, is nerve damage, which can cause numbness of the facial muscles.

The eighth molars, located below, have large quantity roots than the upper ones, therefore, for their painless extraction, dentists resort to surgery.

Before removing the bottom eight, the doctor performs a detailed analysis of the radiograph to visualize the location and shape of the root system. With a large branching of the roots, it is difficult and traumatic to pull out the entire molar, therefore, usually such teeth are divided into several parts using a drill and pulled out one by one.

Removal of the wisdom tooth in the upper jaw

In most cases, extraction top eights not complicated by multiple roots, characteristic of the wisdom teeth of the lower row. The upper wisdom tooth is removed using forceps (without surgery) in cases where:

• One root.
• There are several roots, but they are connected.
• The curvature of the root is insignificant, and its length is small.
• The crown is completely or almost completely cut through, which allows it to be grasped with forceps.

The removal algorithm looks like this:

1. The forceps are applied to the crown or the root located in the hole, then the cheeks of the forceps move a little deeper into the gums and are fixed.
2. When the doctor is convinced that the instrument is fixed correctly, he begins to gradually swing the molar, after which he painlessly removes it from the hole.
3. The last step is to apply a sterile swab to the well to stop bleeding.

Removal of difficult wisdom teeth

Removal complex teeth wisdom is a full-fledged surgical operation, during which the dentist-surgeon makes incisions, uses a drill, stitches wounds. Complicated operations are required to extract impacted or horizontal teeth. Such an intervention is carried out in a sterile surgical room. To completely remove discomfort and any pain for the entire period of the operation, stronger anesthetic drugs are used.

Wisdom tooth operation algorithm:

1. The doctor injects an anesthetic drug into the gum.
2. Since the wisdom tooth is hidden under the gum, the surgeon makes an incision in the gum and peels off a flap large enough for subsequent work.
3. In case if wise tooth surrounded by bone tissue, before removing it, the doctor performs a resection of the bone tissue using special cutters. To avoid bone tissue necrosis, work is carried out at minimum speed with cooling.
4. Then the eighth tooth is removed. Depending on the number of roots, the surgeon can pull out the whole tooth or in parts.
5. Curettage of the hole and disinfection of soft and bone tissues are carried out.
6. When all manipulations for disinfection are completed, the surgeon returns the mucous flap to its place and sutures it. If necessary, special drugs are used to stop bleeding.
7. Upon completion of the operation, the patient receives instructions for postoperative care behind the wound.

Photo: scheme of complex wisdom tooth extraction

Consequences and possible complications after the removal of a wisdom tooth

Complications may arise due to erroneous actions of the dentist, insufficient antiseptic treatment instruments, neglect of rehabilitation measures and due to the peculiarities of physiology.

Doctor's mistakes are most often associated with the incorrect position of the instrument and excessive force when pressing the forceps, which can lead to a jaw fracture, damage to the gums, and ruptures of the corners of the mouth. Due to the structure of bone tissue and the specifics of the operation mechanical injury are often the result of removal upper tooth wisdom.

The proximity of the eights to large vessels not only increases the risk heavy bleeding after surgery, but also increases the risk of developing an extensive inflammatory process in the body when the socket of the extracted tooth becomes infected. The doctor can bring the infection into the hole, working with instruments that have not been properly processed, or the patient himself, without properly caring for the wound and the oral cavity.

The most serious complications after extraction of third molars are:

Recovery after extraction

Depending on the type and complexity of the operation, the full restoration of the gums will take from three to twelve weeks. The patient may be prescribed:

• Taking antibiotics.
• Physiotherapy procedures.
• Therapeutic rinses and irrigation of the oral cavity with antiseptic solutions.
• Herbal applications.

The dentist can perform the operation quickly and painlessly, but completely eliminate all risks and Negative consequences after the removal of the wisdom tooth is impossible. Normally, an increase in body temperature up to 38.5 ° C, malaise and bad feeling, the formation of edema and bruising in the cheek area, slight bleeding, which should stop within 3-4 hours.

What to expect after a wisdom tooth extraction

The first time after the operation, you need to properly care for the wound and gums, clean the oral cavity in a gentle manner and adhere to the following recommendations:

• Postoperative pain intensifies in the evening and at night, so you should have painkillers ready to be taken if it becomes unbearably painful. Pulsating pain can be relieved by applying cold to the cheek. The analgesic effect and reduction of puffiness are achieved due to vasoconstriction.
• Sleep on a firm, high pillow or multiple pillows to help prevent swelling.
• Exclude solid, cold and hot foods from the diet.
• On the first day, you should refrain from drinking drinks through a straw. When it is used, a vacuum is created in the mouth, which leads to a slowdown in regenerative processes.
• To avoid bleeding, you should not smoke for the first week after surgery, as tobacco smoke increases vascular fragility. It is especially important to exclude smoking after the removal of the 8th tooth from below, since the consequences in the form of bleeding are more characteristic of the lower jaw.

To find out how it goes surgical removal wisdom tooth, watch the video:

A beautiful, undamaged dentition is an indicator of the health of the body and has a positive effect on its appearance.

Unlike other bones, they are formed in the course of a lifetime, which causes a lot of anxiety to a person.

Wisdom teeth or the so-called "eights" are especially successful in this.

About why to remove wisdom teeth and what will happen if this is not done, and will be discussed in the material.

What is the problem with the eights?

For our ancestors, third molars had great importance, because they added opportunities and strengthened the structure of the chewing apparatus.

A modern person no longer needs this and, due to extra wisdom teeth, faces a number of problems:

• remote location makes preventive cleaning difficult, including with a toothbrush;
• often appear when cut pain and inflammatory processes, headache or Ear ache, general weakness organism;
• "eights" can provoke the displacement of the remaining teeth;
• neighboring "sevens" can become infected with caries;
• can be difficult for dentists to detect problem areas and, consequently, to provide the necessary treatment in a timely manner.

Indications for conservation

Modern man does not experience functional necessity in the third molars, but given the difficulties and troubles that they can cause, a logical question arises: “Why not get rid of the unnecessary “eight”?”.

Unfortunately, not everything is as simple and harmless as it seems. Do not scatter the gifts of nature.

The reasons why wisdom teeth should not be removed may be as follows:

• they can serve as an excellent support if suddenly there is a need to install a bridge;
• in the absence of units that perform chewing functions, the "eight" can become the basis for the tire and partially take over this role;
• molars serve as a kind of barrier and prevent loosening of the dentition.

The need for removal

Why pull out a wisdom tooth? Get rid of it if the harm outweighs the benefit. So, for example, pain, numbness, inflammation, itching signal violations in the chewing apparatus, so it is better to consult a doctor immediately.

Only a specialist can correctly determine how much the root of the tooth is curved, how much its position deviates from the norm, what is the threat to neighboring teeth and the whole organism. As a rule, for such a diagnosis, a referral to an x-ray is issued ( panoramic shot jaws).

It is the “eights” that, because of their inconvenient location, are more prone to caries, the formation of a cyst. To prevent infection of neighboring teeth, it is important to carry out regular and thorough cleaning of the oral cavity. However, brushing your teeth 10 times a day is not possible due to the busyness of the person, and the enamel can also suffer from excessive friction.

Significant reasons why you need to remove wisdom teeth are the following problems observed in the patient:

• the tooth has an incorrectly inclined position;
• gums often become inflamed or bleed;
• observed purulent abscesses gums;
• the tooth injures the tongue or cheek.

If the situation is running and the incisors and canines have already shifted, then one removal is no longer enough, you will additionally have to resort to the help of an orthodontist and correct the bite. In this case, it may be difficult to therapeutic treatment. All specialists must coordinate their actions with each other.

The only thing worth considering is that it is better to remove the “eight” before the age of 20, while the bone is still not hard enough. Then the healing will proceed without serious complications after removing the "eight", and the recovery will be faster.

Wrong position

Usually, in a person, all teeth, except for the “wise”, are cut in an upright position.

That is why, in most cases, they begin to form incorrectly even in the gum in such a way that during germination they deviate from the given vertical.

Three positions are usually distinguished: buccal-angular, horizontal, and lingual-angular.

With proper vertical germination, the tooth does not cause any inconvenience, since it does not affect either the gums or the tongue.

When done incorrectly, a number of problems arise. The most unpleasant is the horizontal cutting: the tooth cannot germinate in any way, but increases in size, grows into the roots of its “neighbor”, while delivering not only pain, but also destroying a healthy neighboring tooth.

Displacement of the dentition

Everyone wants to have beautiful smile, however, if the incorrect eruption of the third molar is not noticed in time, then the formed main row is simply deformed.

The teeth will push against each other, this is especially dangerous with a narrow jaw.

Due to tightness and lack of space, the "eight" will look for free space for germination. The consequences are pain, an incorrect growth process and a spoiled smile.

Destruction of an adjacent tooth

Third molars are dangerous neighbors. Quite often, it is because of them that the patient has to say goodbye to the healthy.

As already mentioned, there are two main reasons: incorrect position and caries.

With a horizontal deviation, the "eight" simply changes the trajectory of its growth and injures the root of its neighbor, completely destroying it.

With caries, the "seven" is also at risk, because due to close proximity it involuntarily becomes infected, and in advanced cases is destroyed.

pericoronitis

Another nuisance is pericoronitis - inflammation of the gum tissue, when the third molar did not erupt or did not germinate to the end. This happens due to the fact that the remnants of food fall into a kind of "hood" on the gum.

It is difficult to clean them out of there, so the food begins to rot, causes swelling, pain, bad breath, discomfort during the meal. Sometimes the patient has a fever.

In advanced cases, the jaw bone is injured, inflammation of the periosteum occurs. Pericoronitis damages not only the molar, but also the gum, where pus begins to accumulate. If during the examination a similar purulent capsule is found, then the "eight" is recommended to be removed.

When the third molar is not fully erupted, a void forms between the crown and the gum, and this is where bacterial plaque accumulates. The consequences are the same: an unpleasant odor, pain and swelling of the gums.

Carious process

Those who abuse simple carbohydrates quickly get acquainted with caries.

The causes of the disease of the "eights" are exactly the same as for everyone else - insufficient oral hygiene and the accumulation of plaque.

Sometimes bad heredity also affects, and if in the first case everything depends on the patient himself, then it is already difficult to prevent anything here, you just have to correct it. Fortunately, medicine, including dentistry, has stepped far ahead.

So, with incomplete cutting of the “eight”, a “hood” is formed.

The process of caries itself can proceed without any special symptoms, especially in the early stages.

You can notice it only by an unexpected reaction to cold, hot, or sweet.

However, discomfort passes as quickly as it arises.

There is a violation of the integrity, dentin ( hard tissue) becomes light brown. The reaction to the stimulus will be felt precisely at the boundaries of destruction.

Related videos

And finally, a wonderful video about why it is necessary to remove a wisdom tooth:

Want to remove a wisdom tooth (eight): learn about the consequences

The wisdom tooth (popularly "eight") erupts later than the others. Usually the eighth pair appears by the age of 17-22, but sometimes it erupts only by the age of 40.

Eights are green

The anatomical structure of the eighth pair is such that its treatment is complex and rarely gives positive result. Curved roots often prevent the dentist from working with root canals, and the location of the “eights” in the oral cavity in many patients causes vomiting reflex during treatment.

If therapy is not possible or has not brought the desired results, there is only one solution left - the extraction of the eighth tooth. This procedure is a complex surgical operation that causes fear in patients. But basically this fear is caused by ignorance about the method of the procedure and rumors that indicate its pain.

Consider the following questions: what is the removal of a wisdom tooth, in what cases is it performed, are there any contraindications to its implementation, and what complications can the patient expect after the operation.

When should it be removed?

Indications for the removal of a wisdom tooth are:

1. Incorrect position in the dentition. If the "eight" has an inclination deep into the oral cavity, then it does not take part in chewing food, and it cannot be used for prosthetics in the future. If problems arise, such a "eight" is not saved. The same is done if the 8th pair has a slope towards the cheek. In this case, it constantly injures the mucous membrane of soft tissues, which is fraught with chronic inflammation and may have severe consequences for human health.
2. In the dentition at the time of cutting through the 8th pair, there is often no free space left. In this case, during the growth process, the “eight” will cause crowding and displacement of the row, which in turn will cause chewing dysfunction and other dental problems.
3. Also, the "eight" is subject to removal if it creates a danger of destruction of the 7th pair standing in front. because of anatomical features the structures of the jaws of the "eight" often grow at an angle and create pressure on the enamel of the adjacent tooth, which contributes to its rapid destruction.
4. Above the "eight" the mucous membrane of the oral cavity creates a "hood", in which food residues accumulate and, under favorable conditions, develop pathogenic microorganisms This disease is called pericoronitis. There are 2 ways to solve this problem: cutting off the “hood” or removing the 8th tooth.
5. If the root canals of the "eights" are curved, this does not leave the possibility for their full-fledged endodontic treatment, therefore, in the event of the destruction of the crown part 8, the pair is not preserved. The same decision is made if the patient has a gag reflex during treatment.

Wisdom tooth with crooked roots

Reasons to keep wisdom teeth

Dentists often recommend the removal of "eights", as their treatment is expensive and not always effective. But in some cases, you need to try to keep the eighth pair. Often the teeth of the "eight" serve as a support for the installation of the bridge. Therefore, if the condition of the 6th or 7th pair does not allow them to be used for prosthetics, it is better to keep the G8s.

Also, tooth extraction is not recommended if its antagonist remains on the other jaw. When only one of the pair is removed, the second one ceases to participate in chewing food and extends into the oral cavity, so over time it also needs to be removed.

Removal technique

Removing 8 pairs has its own characteristics. Before it is carried out, an x-ray examination is mandatory. Curved roots and their bent tips, which can easily break off - the doctor can prevent all these problems if a high-quality x-ray is available.

The complexity of the operation often depends on where exactly the eighth tooth is located. The upper jaw is less dense, it contains numerous channels for the entry of nerve endings, and "eights" often have fewer roots. For these reasons, the extraction of a wisdom tooth in the upper jaw takes less time, and it is also easier to perform preoperative anesthesia. Removing a lower wisdom tooth is often painful, and its more curved roots create an obstacle to extraction.

The extraction operation from the well can be simple or complex. Difficult removal is carried out if the body of the "eight" is hidden behind the bone tissue, which must be cut out.

The operation consists of several stages:

1. At the first stage, the dentist conducts the necessary research and makes a diagnosis.
2. The second stage is anesthesia. Depending on the characteristics of the patient and the complexity of the operation, local or general anesthesia. General anesthesia is carried out only in specially equipped clinics.
3. The third stage is the extraction of the tooth from the hole.
4. At the fourth stage, the wound is cleaned of possible debris, sutured and disinfected.

Duration simple option extraction - up to 40 minutes, while complex takes several hours.

Possible Complications

Surgery is an injury that is often accompanied by inflammation, pain, swelling and fever.

The consequences of removing the eighth tooth from above and below are different, since there are differences in the anatomical structure of the upper and lower jaws.

The main complication that occurs after surgery is pain (especially if lower teeth wisdom). Pain occurs immediately after surgery, but sometimes their appearance is delayed for several days. Often, immediately after the procedure, not only the gum hurts, the pain spreads to the ear, throat, or the entire half of the face. The duration of postoperative pain is individual for each person and can range from several days to weeks.

The removal of the 8th tooth from above and below often accompanies alveolitis - inflammation in the hole. The reasons for its appearance: individual characteristics organism, weak immunity, a fragment that the doctor did not notice, infectious diseases of the oral cavity, etc. Alveolitis poses a serious threat to health, so contact your doctor immediately if you notice its symptoms:

• bad taste and bad breath;
• the gum hurts and swells;
• the formation of a rough clot in the wound.

Another consequence is numbness after the removal of a wisdom tooth or paresthesia. Its symptoms resemble the effect of anesthesia: the damaged area of ​​​​the oral cavity, gums or chin lose sensitivity for a while. This condition is due to the fact that during extraction, damaged nerve endings. Paresthesia resolves with time, but sometimes special therapy is needed to restore sensation.

Extraction of the eighth tooth from below

Article checked by Dr.

The rudiments of most human teeth are laid in the prenatal period, and the last four, third molars, are formed most often after 20-25 years, but can erupt at 17 and 40. According to medical statistics, 80% of wisdom teeth are born with complications.

It is curious that 10% of people do not have such teeth at all: women do not form the lower eights, men do not have the upper ones. Sometimes (in about 0.1% of cases) another anomaly occurs: 6 third molars - 2 below and 4 - on the upper jaw.

This rudiment man inherited from his ancestors. The size of the jaw with a refined diet is smaller today, so the emerging eights often do not have enough space. Warn sad consequences from improperly erupting "wise" teeth, you can, if you turn to the dentist in time.

Extraction of the eighth tooth from below

Difficulties in Removing the Bottom Eight

The structure of the lower jaw has its own characteristics, this creates many obstacles when removing third molars. If in the upper jaw they can always be loosened and removed with forceps, then in the lower dentition in 90% of cases this method does not work.

The bones of the lower jaw are so massive and dense that it is unrealistic to grab and swing a wisdom tooth normally. Moreover, if only part of it is above the surface of the gum - a standard situation with difficult eruption.

Even if the coronal part is developed and well preserved, loosen the tooth in the array powerful bone problematic, because it, as a rule, has a branched root system with its unpredictable location in the jaw.

Curved 2-3 roots prevent the extraction of even a loose tooth. Therefore, the diagnosis is made by a dental surgeon on the basis of an x-ray.

Crooked tooth roots

Realizing the degree of complexity of the operation, he will plan it as accurately as possible in order to prevent all possible complications after the intervention. In addition to the usual tongs, the doctor has dozens of special tools at his disposal: he can cut the figure eight with a drill to remove it in parts or gouge out the roots with a chisel, extracting them with an elevator.

Indications and contraindications for extraction of lower third molars

On the lower jaw, figure eights require removal for the following reasons:

• caries complicated by periodontitis, periostitis, osteomyelitis;
• malocclusion with displacement of adjacent dental units (torsion is formed);
• the figure eight interferes with the seventh tooth;
• difficulties with teething (pericoronitis);
• neoplasms at the roots (cysts, phlegmon, tumors);
• changes in the structure and functionality of the lower jaw;
• injury to the mucosa due to the figure eight, which has grown at an angle, provoking the appearance of ulcers and oncological problems.

When is Wisdom Tooth Extraction Necessary?

Extraction of the third molar will help to avoid the destruction of the dentition and jaw, and prevent inflammation. With acute toothache, the figure eight is unambiguously removed.

In some cases, teeth can be treated and extractions can be avoided.

The operation is postponed for the following reasons:

• progressive periodontitis;
• inflammation of the oral cavity of an infectious nature;
• cardiac pathologies;
• acute respiratory diseases;
• first and last trimester of pregnancy;
• mental disorders.

If the inflammatory processes are eliminated, the eights can be removed. Sometimes the surgeon will recommend treatment if there is no adjacent seventh tooth and the third molar needs to be the support for the bridge. If the tooth grows correctly, the patient intends to close it with a crown, and there is no point in removing it either.

Bottom Eight Extraction

Analyzing the picture, the surgeon determines the number of roots of the molar, their location and linearity. He will also analyze the state of the neighboring seven. If a decision is made to surgical intervention, the doctor selects anesthesia taking into account the reaction of the patient. Some medications can interfere with the recovery process, so the doctor should be warned about all medications taken.

Operation on lower molars differs in complexity from the removal of their antagonists. First, the area around the tooth is treated with an antiseptic. Anesthesia is most often used locally. If the patient does not abuse alcohol or drugs, such pain relief is sufficient. At very complex operations General anesthesia is also used.

If the figure eight is with straight roots, they will try to remove it with tongs.

Impacted tooth covered with soft and bone tissue, requires a different approach.

1. To gain access to the tooth, a gum flap is cut off.
2. The soft tissue is separated from the bone.
3. Part of the bone covering problem tooth, cut out.
4. Now you can grab the "wise" tooth with forceps and remove it.
5. The flap is returned to its place and sutures are applied.

A recumbent or partially impacted molar is removed in the same way.