How to pull out the upper wisdom tooth. Wisdom tooth removal procedure in the upper jaw. What to do after wisdom tooth removal

Dentists know that removing a wisdom tooth is not an easy task, because in most cases, its roots have complex bends and an atypical position inside the jaw. Surgeons find it difficult to remove. This is what makes doctors ask the question: does it hurt to remove and remove wisdom teeth at all?

Is it painful to remove a wisdom tooth

Usage local anesthesia allows you to completely get rid of pain during removal. The only thing is that minor pain can occur with the introduction of an anesthetic. After the action of anesthesia ends, there are more intense pain. Moreover, the more difficult the operation, the stronger the pain.

In addition, it will be painful to remove a tooth if the patient suffered pain for a long time and drank painkillers, and also if there is an abscess. All other cases are carried out with complete anesthesia. Sometimes a tooth has to be removed under general anesthesia.

Upper wisdom teeth are easier to remove than lower ones. This is explained by the fact that the roots of the lower “eight” are more powerful and much more sinuous than those of the upper one, and this makes it difficult to remove it. In addition, bone tissue mandible denser than the upper, because of this, the lower wisdom tooth is more difficult to extract.

Before the removal operation, the doctor sends the patient to do X-ray to properly adjust the deletion process. Wisdom tooth extraction happens:

Simple.
Complicated.

Simple removal of the "eight"

A simple wisdom tooth removal involves several steps:

Complicated wisdom tooth extraction

If patients have already removed a wisdom tooth once, then later they begin to doubt whether to remove such teeth later, especially if they are complex. There are explanations for this: pain during the removal operation, its duration, profuse bleeding and long healing of the hole.

Means used for pain relief

To make the removal of wisdom teeth completely painless, use modern views anesthetics. In the recent past, novocaine was considered a very popular drug. It was of low toxicity, but caused serious complications, from allergies to anaphylactic shock.

Budget dental institutions are still use lidocaine. It is several times stronger than novocaine. It is very rarely allergic to it, but for the duration of action, it is administered in large quantities. At the same time, the doctor adds a drop of adrenaline to it "by eye", which retains the anesthetic in the injection zone.

The dentist may make a mistake and add more adrenaline, then the patient may experience dizziness, palpitations and others. unpleasant symptoms. If done right, wisdom tooth removed without pain. However, after the effect of the anesthetic wears off, the gums can hurt for a very long time.

Currently, dentists prefer to use articaine preparations as an anesthetic. These include ultracaine, septanest, ubistezin and other types. Such an injection is administered almost painlessly using a carpool syringe. The anesthetic in this case is diluted with adrenaline in correct dosage. If the patient is at risk, an anesthetic without adrenaline is used.

What to Expect After Wisdom Tooth Extraction

Many patients after tooth extraction surgery start to feel pain. It occurs due to the injured hole and surrounding tissues. Pain can occur when swallowing, it can hurt the ear, throat, and even the head. These discomfort should be gone in a few days strict observance doctor's recommendations, but can last up to a week.

If pain makes you constantly take painkillers, you should see a doctor urgently to prevent the development of complications, some of which may be life-threatening.

If after removal was imposed gauze swab, after 5-10 minutes it should be spit out. The blood, which is impregnated with a tampon, contributes to the propagation of infection, so it is undesirable to keep it in the oral cavity for a long time.

Accept hot food in the first 2-3 hours it is impossible. Also Not recommended smoke, drink alcoholic drinks, open your mouth wide, to avoid divergence of seams.

If the pressure has increased, it is necessary to take drugs that reduce it. For diabetes, you need measure sugar level, because stress can trigger its increase and contribute to poor health.

On the first day after removal rinse your mouth so as not to wash the medicine prescribed by the doctor from the hole.

If severe pain occurs, pain relievers can be used. If the tooth was removed against the background of inflammation, the surgeon may prescribe antibiotics.

Thus, whether a tooth is painful to extract depends on the anesthetic used and pain threshold patient. Modern drugs fully eliminate discomfort during the operation. Pain occurs after the action of the anesthetic ends, but if you strictly follow all the doctor's recommendations, it passes very quickly.

At first glance, these teeth are no different from the rest. But in the process of life, most often they become the cause bad memories in dental office. At the same time, not only the patient is faced with the inconveniences that accompany the removal of a wisdom tooth, the doctor also has to show maximum professionalism, since the process of removing a wisdom tooth is very difficult.

First of all, this is due to the unique anatomical features of the eights. Compared to other chewing incisors, their root system is prone to the most specific and abnormal development - there can be from 2 to 5 roots, they are often too curved, they can intertwine and grow together.

In addition, the "eight" problematic erupt, prone to carious lesions due to the difficulties of normal hygiene, may take wrong position in the jaw. Based on the combination of these factors and potential problems, the time-consuming process of removing a wisdom tooth is not always rational choice, so the dentist decides whether to remove it or leave it standing.

Is it necessary to remove a wisdom tooth? Despite the difficulties and lengthy treatment of third molars, a competent dentist will always try to take measures to save the molar, subject to minor deviations. But in practice, meeting a patient even with relatively healthy eights is extremely rare.

In most cases, problems begin even at the eruption stage, which by default is associated with fever, pain, swelling and other troubles.

Indications for removal:

an impacted molar (not erupted), occupies an incorrect position in the jaw, which injures soft tissues and neighboring teeth, prevents them normal development or promotes destruction;
extensive caries, the crown is significantly destroyed;
the presence of an inflamed hood - pericoronitis;
pulpitis, periodontitis;
strangulated trigeminal nerve;
it is planned to install a bracket system - they are sometimes (far from always) removed even in the absence of problems, since while wearing braces, the figure eight can prevent the correct movement and position of other molars;
cysts were found.

According to dentists, it is desirable to keep the "eight" under control from the moment of eruption. It is enough to take an x-ray to immediately assess the development of the eight and understand what to expect in the future.

If such an abnormal situation is detected, the doctor will say that wisdom teeth should be removed without delay. And it is better to listen to his opinion.

At least for the reason that young age such operations and the rehabilitation period are much easier, moreover, the likelihood of complications is minimal.

With the question - is it worth removing wisdom teeth, we figured it out. Now we will tell you when you need to remove a wisdom tooth and why.

Impacted tooth

If the impacted (not erupted) tooth is located vertically and does not cause discomfort to the person, then they will not pull out the wisdom tooth, since it may later be useful for the prosthetics procedure. This is the only option not to delete it. But the wrong position of the eights (horizontally, at a significant slope), the lack of sufficient space or high density bones can become a serious obstacle to eruption.

In addition, such teeth do not represent functional value. This also applies to fully erupted and semi-impacted molars that have been able to erupt partially.

Briefly about the consequences that may be if you leave the eights with deviations:

a strong inclination of the molar often provokes injuries to the oral mucosa, which leads to the development chronic inflammation epithelial tissues;
if there is not enough space in the row during the eruption of the figure eight, the pressure exerted on the neighboring molars increases, which in the future may experience crowding, displacement or deformation;
an erupted tooth at an angle often rests against the nearby seven, and provokes its premature destruction.

Dmitry Sidorov
Dentist-orthopedist
Dentists among themselves call the eights "time bomb" and here's why: inside visually healthy tooth very often develops a carious lesion.
extensive caries
Due to the inaccessibility of the third molars, it is rather difficult to perform their full hygiene. Such circumstances create all the conditions for stagnation, reproduction pathogenic microflora and as a logical conclusion - the development of caries.
Caries at the point of contact of the "eight" with the adjacent tooth.
In addition, if the molar has an inclined position, then there will definitely be gaps between it and the seven, which also causes additional carious foci.
A minor lesion can be cured and sealed by a dentist, but a person needs to be prepared for the fact that this is a temporary event that will only delay the removal.
If you think about whether it is necessary to remove a wisdom tooth, it is worth remembering that sick molars are a source of infection, and all adverse processes are especially aggravated with a weak immune system, hormonal disorder. Therefore, doctors recommend that even pregnant women get rid of the affected ones in order to prevent abnormalities in embryonic development.
The danger of pericoronitis
AT dental practice the presence of a hood over the molar during its eruption is a very common situation. Remains of food accumulate under the mucous membrane, which certainly contributes to the appearance of not only plaque, but also microorganisms. All this leads to pericoronitis - purulent inflammation of the mucous membranes. In addition, a person experiences pain, swelling appears, bad smell out of his mouth, making it difficult for him to swallow.
In order to prevent complications, it is necessary to immediately excise the overhanging hood or completely remove it in advanced situations. Otherwise, there may be not only pericoronitis, but also an abscess, phlegmon. Are you still wondering if wisdom teeth need to be pulled out?
trigeminal neuralgia
Very often infringement trigeminal nerve occurs due to the influence of incorrectly placed eights. Caries and pericoronitis are provocateurs of the inflammatory process.
The insidiousness lies in the fact that most do not even suspect that the eight can be the culprit of neuralgia and long time endure occasional pain. If the situation is chronic, an X-ray of the third molars should be taken in without fail, and if suspicions are confirmed, they must be removed without delay.
Cyst
At the roots of uncut eights, follicular cysts can form, which, as they increase in size, pose a serious danger.
Complications follicular cyst:
can reach maxillary sinuses, provoking purulent sinusitis;
contributes to the development of perineuritis;
constant suppuration and inflammation;
fistulas;
osteomyelitis.

If this formation is detected, it is unconditionally removed, since the treatment is ineffective. The question - whether it is necessary to remove the wisdom tooth, is not worth it here.
About pain during removal
Many people put off removing their wisdom teeth for fear of pain. Such fears are unfounded, since the procedure takes place with mandatory application anesthetics. Availability discomfort appears after the end of the analgesic effect, but such a physiological process and after a while everything returns to normal on its own. In addition, it is not necessary to endure pain, it is permissible to alleviate the condition with appropriate medications, as prescribed by a doctor.
Removing a wisdom tooth can be painful in rare situations for the following reasons:
the patient is addicted to drugs;
abuse of painkillers;
there is an extensive purulent process - the phenomenon is exceptional.

The degree of pain also directly depends on how to remove the wisdom tooth, its condition, on which jaw it is located.
Dmitry Sidorov
Dentist-orthopedist
For example, the removal of a wisdom tooth in the upper jaw is much easier, and the operation of removing a wisdom tooth in the lower jaw is more problematic. This is explained physiological features jaw structures and lower teeth wisdom (large twisted roots).
How is the operation
There are only two ways to carry out the operation:
Simple.
Difficult.

As the names suggest, one or another type is resorted to based on whether wisdom teeth need to be removed on their own, or additional measures are required. The physician also evaluates clinical picture and the degree of neglect of the diseased tooth.
We have used the word molar many times. That's what it is.
Simple removal method
The operation to remove a tooth is carried out in a simplified version, only forceps and an elevator are required. AT this case do not resort to incisions, drilling bone tissue.
This method allows you to pull out the painter:
removal if needed upper tooth wisdom;
in the absence of significant deviations in the development of the molar;
the condition is not accompanied by complications.

The procedure is as follows:
The doctor collects an anamnesis, asks the patient about the presence of possible allergic reactions on medications to find the right anesthesia.
The introduction of an anesthetic drug, waiting for its effect (about 5 minutes).
At this time, the dentist-surgeon prepares necessary tools. The sets are different, because it matters where the tooth is located, its condition, the presence of inflammatory processes.
Using an elevator or forceps, the doctor removes the tooth from the hole.
A fresh wound is treated with antiseptic preparations.
If necessary, an anti-inflammatory agent is placed in the hole.

Dmitry Sidorov
Dentist-orthopedist
Considering big sizes holes after wisdom teeth, the surgeon will suture the tissue to prevent infection and speed up the healing process. Suturing is not advisable to carry out only in the presence of inflammation and purulent processes, since an unhindered outflow of the contents should occur.
Manipulation is fast and does not take more than ten minutes. A few days after the removal of the wisdom tooth, it is necessary to come for an examination to monitor the condition.
Complex removal
To perform such an operation to remove a wisdom tooth, you will need a drill, and the surgeon will also cut soft tissues, and then suture them without fail.
When performing a complex removal:
removal if needed lower tooth wisdom;
impacted, dystopic molars;
the presence of an abnormal root system;
extensive destruction of the coronal part.

Preparatory measures are carried out according to a similar plan with the previous method, more time is allotted for the effect of anesthesia - about 10 minutes.
Depending on each specific case, the method complex removal the wisdom tooth may differ, but the following indicative steps can be outlined as a tooth is removed:
Local anesthesia.
The surgeon cuts soft tissues, peels them off the bone.
Next, the doctor cuts out, drills out the proper bone tissue.
Extracts "eight".
Processes a fresh hole where he stood.
Uses non-absorbable suture material to close the sutures.
The dentist will remove the stitches only after the edges of the wound are perfectly healed.

The procedure can take from 30 minutes to 2 hours depending on the situation. At the end of the operation, the doctor tells the patient how to care for the wound, prescribes drugs if necessary, and informs the date of the next appointment.
Why do we need x-ray diagnostics
The procedure for the removal of wisdom teeth cannot be carried out "blindly", focusing on external indicators. It is necessary to clearly assess the state of the root system and the characteristics of the development of the eight in order to foresee possible complications during the operation. An x-ray is necessary to understand whether it is possible to remove wisdom teeth in a particular case.
To get an informative picture, an X-ray examination is required, which allows you to see:
the presence of twisted roots;
their number;
building features.

To determine in which direction a tooth grows, they resort to such an effective type of x-ray as orthopantomography. This digital equipment takes a panoramic x-ray of the entire oral cavity, which shows all the nuances in great detail. anatomical structure all teeth. It allows the dentist to decide how to pull out the wisdom tooth.
Such opportunities allow you to plan the operation and avoid mistakes in the form incomplete removal bone fragments.
The surgeon after the operation gives clear instructions, the implementation of which is mandatory for the patient. In every individual case they may differ, especially in terms of taking antibacterial drugs.
General rules that are useful to follow after the removal of a wisdom tooth:
At the end of the procedure, you must refrain from eating and drinking hot drinks for 3 hours.
It is strictly forbidden to drink alcohol.
It is allowed to drink plain water room temperature.
You can not swim in a hot bath, go to the bath.
Refrain from smoking.
Avoid physical activity.
Laughter prolongs life, but it is worth remembering the stitches, which can disperse with a big smile.
Upon arrival home, you need to apply ice wrapped in cloth to the operated area from the side of the cheek. Manipulation is done in episodes according to the scheme: 5 minutes of cold - 10 minutes of rest, repeat the cycle several times during the day. This method will reduce pain will reduce swelling.
All kinds of heating is strictly prohibited - it is fraught with purulent inflammation.
For the first time, it is especially important not to confuse healing procedures: for example, it is not possible to carry out rinsing oral cavity, only take baths if they are prescribed by a doctor. Intensive rinsing will lead to loss blood clot which greatly aggravates the rehabilitation process.

If you strictly follow all the instructions of the attending surgeon and do not self-medicate, then the wound will heal quickly after removal and will no longer cause pain.
That's all. We hope that after reading this article, it became clear to you why a wisdom tooth is removed, how it is removed, and what is needed for this. good dentist. Good health!

From this article you will learn:

how a wisdom tooth is removed: photos and videos,
what are the complications
wisdom tooth removal: price Moscow (for 2019).

The article was written by a dental surgeon with more than 19 years of experience.

At the end of this article, you can read reviews on wisdom tooth removal. a large number patients left in the comments to the article. After reading about what patients had to endure, it will become clear to you that the removal process itself is more scary than painful. But there is also pain, only it begins after the removal of the wisdom tooth.

Is it painful to remove a wisdom tooth?

Most frequently asked question, which one has to hear - does it hurt to remove a wisdom tooth. The fact is that if you got to a good doctor who correctly set anesthesia, pain is excluded. But there are times when patients still say that they were in pain. And as a rule, the lower wisdom tooth was removed from these patients. And this is due to poor-quality anesthesia.

For example, when a wisdom tooth is removed in the upper jaw, it is done infiltration anesthesia(into the gum in the projection of the roots of the tooth itself). But when removing the lower wisdom teeth, anesthesia is done not next to the tooth, but with inside branches of the lower jaw. Such anesthesia is technically difficult, and not all doctors know how to do it well.

How wisdom teeth are removed

Usually, the removal of the upper wisdom tooth is easier than the removal of the lower wisdom tooth. This is due to the fact that the lower eighth teeth often have massive curved roots or lie horizontally. In addition, the bone tissue of the lower jaw is much harder (than the upper), and therefore the roots of the lower wisdom teeth break off more often.

In cases where a wisdom tooth that has not yet erupted (i.e., impacted) is removed, an x-ray is required. In all other cases, the question of the need for a picture is at the discretion of the dental surgeon. The removal process itself can be simple or complex, which will depend on −

how much the tooth erupted,
whether it has a strong slope towards the 7th tooth or horizontal position,
on the shape and number of roots,
from the skill of the dental surgeon.

Important : The last point is the most important if you want the removal to go smoothly. Of course, the shape and position of the tooth is important, but even more important is the extraction strategy that the surgeon chooses. Not experienced doctor may first pick your tooth for 2 hours before accepting the right decision saw it and pull out each root separately. And an experienced doctor will cut it right away, and the entire removal will take not 2.5 hours, but 15-20 minutes.

1. Simple removal of a wisdom tooth -

In the video below you can see how a wisdom tooth is removed in the lower jaw. If the removal is simple, then the entire process of the removal itself usually takes from 2 to 10 minutes (along with suturing the wound). Before that, another 5-7 minutes will be spent waiting for the appearance of numbness.

Important Points to avoid complications...

During history taking –
the most important things you should tell your doctor about: allergies to medicines, the presence of diabetes, bronchial asthma, about problems with blood pressure, bleeding disorders, whether you are taking anticoagulants. If you have taken Aspirin within 1 week before, then this should also be said, because. it thins the blood and thereby contributes to the development of bleeding and the formation of hematomas.
It is very important for women to inform the doctor about critical days. The fact is that during menstruation, the number of platelets in the blood decreases by 30-50%, and stop bleeding depends on them. If this is not taken into account (and the doctor does not suture the wound) - you can get heavy bleeding, and not necessarily immediately in the doctor's chair, but later at home.

Conducting anesthesia –
after an injection of an anesthetic in the upper jaw, it is enough to wait 4 minutes for adequate anesthesia, and for the lower jaw, 6-8 minutes are needed. In our opinion, the best anesthetic for pain relief today is this. It is practically indispensable for allergy sufferers with asthma, patients with pressure, as well as pregnant and lactating women.

Removal process –
simple extraction does not involve incisions in the gums or drilling of the tooth from the bone tissue. The tooth is swung with forceps and removed. After extraction good doctor always put in the hole extracted tooth the drug "Alvogel", which will reduce the risk of development (inflammation of the hole of the extracted tooth). This common drug is in every clinic.

Suturing -
after easy removal doctors rarely suture the wound. But a good doctor will always put stitches to bring the edges of the wound (mucosa) together even after a simple removal. Studies have shown that due to this step, the risk of bleeding or a clot falling out of the wound is almost completely eliminated, in addition, the wound after removal will hurt much less, but most importantly, the risk of developing alveolitis is reduced by 70-90%.
Therefore, I advise you - even before removal, ask the doctor to put 1-2 stitches on you, even if you have to pay extra for it. Believe me, in the end, thanks to this, you will save yourself a lot of nerves and money for medicines and repeated visits to the doctor (if bleeding or inflammation of the hole develops). For appointments after deletion, see the end of the article.

Simple wisdom tooth removal: video

Another cool video where the doctor shows great skills. Despite the fact that the doctor drinks the bone around the tooth with a drill, the extraction takes less than 10 minutes and, in fact, is also simple (although in some private clinics you may be asked to pay for it as complex). This is about the fact that a good doctor is able to make a complex removal simple for the patient, and a bad doctor can easily turn a simple removal into a complex one ...

2. Complicated wisdom tooth extraction -

In cases where the tooth has not yet erupted, or it has numerous branched and twisted roots, or when the crown of the tooth is destroyed and there is nothing to grab onto with forceps, or the tooth has a strong inclination or takes a horizontal position - all this suggests that the removal may be difficult. Before such a removal, an x-ray is already taken.

After anesthesia, the doctor's actions depend on the specific clinical situation, but usually a complex removal of a wisdom tooth is accompanied by an incision in the gums, drilling of the bone tissue with a drill and / or sawing the tooth into several parts (which are then removed separately), as well as mandatory suturing of the wound. The duration of a complex removal can be different and range from 20 minutes to rare cases- up to 2 hours.

Complicated removal of an impacted wisdom tooth (Fig. 4-8) -
(impacted teeth are teeth that have not yet fully erupted)

Operation description –
after anesthesia, an incision is made in the gingival mucosa, and the edges of the mucosa are pulled apart to expose the bone tissue around the tooth. Further, if necessary, the doctor uses a drill, which is needed in order to facilitate the extraction of the tooth. When removing a wisdom tooth, it is very often necessary to either drill the bone tissue around it, or saw the tooth itself into several parts and pull them out separately.

Next, the wound is washed with antiseptics and the anti-inflammatory medicine Alvogel is placed in the well. The fact that you put it in the hole is always indicated by a specific iodine smell and taste. This medicine dissolves itself after 7 days, i.e. you don't have to take it out of the hole. After that, the wound is sutured. Suture material may be self-absorbable (within 7-10 days), or you will have to return to the clinic to remove the stitches.

Complex removal of a wisdom tooth in the upper jaw (video 1) and in the lower jaw (video 2) -

Please note that in these videos, doctors use a drill or a sonic tip to first cut the crown of the wisdom tooth and only then extract the tooth in fragments. As a specialist, I am pleased to see the confident and high-quality work of my colleagues…

Important : it should be noted that after the removal of wisdom teeth in 25-30% in the holes of the extracted teeth develops (alveolitis). After the extraction of teeth of any other localization, such inflammation develops only in 2-5% of cases. About how the wells of the teeth should look normal after removal - read and see in the article: →

How much does it cost to remove a wisdom tooth: price in Moscow

How much does it cost to remove a wisdom tooth: the price in Moscow will depend on the complexity of the removal, as well as on pricing policy dental clinic. For example, the cost of removing a wisdom tooth can differ significantly in public clinics and private economy class clinics - from the price in mid- and high-price clinics.

In addition, in some clinics there may be a gradation of wisdom tooth extraction only into simple and complex, and in others - into simple, moderate and complex. After analyzing the prices, we divided them into economy class clinics and clinics of the middle and high price segment.

Wisdom tooth extraction: price in economy class clinics in Moscow

Simple removal of a wisdom tooth - 1500 rubles,
the cost already includes anesthesia, but if you need to put 1-2 stitches, you will have to pay extra + 500 rubles.

Removal of medium complexity - 3000 rubles,
this price includes anesthesia and suturing.

Complicated removal of a wisdom tooth - 5000 rubles,
this includes, among other things, the removal of impacted and dystopic wisdom teeth. The price is already "all inclusive".

The price of wisdom tooth extraction in clinics of the middle and upper price segments is

Simple removal - about 3500 rubles,
the price is already “all inclusive”, usually including even repeated examinations.

Complicated removal - about 9500 rubles,
this includes, among other things, the removal of impacted and dystopic wisdom teeth. This price is also "all inclusive", including re-examinations.

Important : It is quite difficult for the patient to plan in advance - how much the removal of the 8th tooth will cost. This will depend on many factors that are found out during the examination, radiography, and sometimes even during the removal itself.

After a simple extraction, it is enough to perform after the extraction of the tooth. But what to do after the removal of a wisdom tooth, if the removal was difficult or was carried out against the background purulent inflammation. In addition to the standard recommendations at the link above, we recommend adding the following −

Antihistamines –
they are also called antiallergic. We recommend taking (preferably Suprastin) - 1 time per day at bedtime in the first 3 days after a difficult removal. The advantage of these funds is that they allow you to reduce the swelling of soft tissues, which will definitely develop after a complex removal.

Antibiotics -
antibiotics after the removal of a wisdom tooth should be prescribed only by a dental surgeon, and not taken on their own. Most often, dental surgeons are used to prescribing (2 capsules 3 times a day, for 5 days). It's inexpensive Russian drug, quite effective, but strongly affects the intestinal microflora, killing all living things.
Another popular antibiotic in dentistry is Amoxiclav. For adults, it is necessary to use Amoxiclav tablets containing 500 mg of amoxicillin and 125 mg of clavulanic acid - 2 times a day. However, if you have had indigestion (diarrhea) after taking antibiotics, then it is better to opt for the antibiotic Unidox Solutab 100 mg 2 times a day for 5-6 days.
We recommend the latter option. And try never in your life, if possible, to take Russian antibiotics if you do not want to earn pseudomembranous colitis. It is better then to give preference to inexpensive Indian antibiotics.

Wisdom Tooth Removal: Complications

As we have already said: there are much fewer complications if, even after a simple removal, the doctor necessarily sutures the wound. Below we also list all the main complications after the removal of a wisdom tooth, which (it must be admitted) in most cases are the cause of the following doctor's mistakes -

Wrong strategy –
inexperienced or lazy doctors they try, if possible, to remove a wisdom tooth only with forceps and an elevator, sometimes torturing the patient for 1-2 hours, instead of immediately making an incision and cutting out a small amount of bone, or sawing the crown of the tooth into several parts, while removing each root separately.

Poor tooling –
if you see that the doctor is using a chisel, then it is almost natural that you will have complications later (inflammation of the hole, pain in the temporomandibular joint, numbness lower lip due to nerve injury). Gouging is simply not acceptable.
Sawing roots and bone should only be done with a water-cooled drill. However, many clinicians use non-water-cooled handpieces for this. This in 100% of cases leads to overheating of the bone and causes the development of inflammation of the hole, called alveolitis.

Wrong appointments after deletion –
after any complex extraction, especially when it was done with sawing the bone, sawing the crown of the tooth, and even after a simple extraction, but if the tooth was removed against the background of inflammation, it is necessary to prescribe antibiotics. Some doctors do not do this, getting inflammation of the hole of the extracted tooth after 1-2 days.

Complications after the removal of a wisdom tooth -

Bleeding after removal –
sometimes bleeding does not develop in the doctor's chair, but several hours after removal, or even at night. There is a special at home that help most patients.
If there is numbness of the lower lip –
this indicates an injury to the mandibular nerve, passing near the tops of the roots of the lower teeth. In this case, you need to urgently contact a dentist and a neurologist.

Inflammation of the socket of the extracted tooth –
this is the most common complication, which is commonly called. Symptoms are aching pain, which can be moderate or moderate. If, after removal, your pain / swelling does not decrease, but only increases, if you experience pain when a cold or hot water, if there is an unpleasant smell from the hole, if there is no clot in the hole and food is stuffed there - all this is characteristic of alveolitis.
What to do when, after the removal of a wisdom tooth, it hurts a lot - read the article.

The most terrible operation in the dental office - this.

Modern painkillers almost completely do, but much nicer procedure does not become.

The process of extracting molars from the oral cavity is greatly simplified and improved. The level of qualification, equipment, technologies allows for a detailed analysis and preparation of images necessary for the work of a doctor.

Even the removal of the upper wisdom tooth does not pose a significant problem, although it is the most difficult procedure. Individual features of the structure and location of the molars, especially the extreme ones, can significantly complicate the course of the operation.

Removal of the wisdom tooth in the upper jaw

The surgery takes place under local anesthesia.

A simple extraction can be performed in cases where the tooth meets the following criteria:

there is no branched root system;
the root is straight and short;
most of the tooth protrudes above the gum, and there is the possibility of a tight grip with forceps.

Modern equipment dental clinics allows you to evaluate the parameters of the tooth using x-rays. Sophisticated equipment helps the doctor to perform the removal of the upper wisdom tooth (in most cases, patient reviews confirm this) in the least invasive way, limit damage to the gums, and eliminate possible complications after the removal of the wisdom tooth of the upper jaw.

Speaking about such a procedure as the removal of a wisdom tooth in the upper jaw, the price for the operation fades into the background. The cost of surgery can vary greatly, depending on individual characteristics However, saving on your own health will not work, because sooner or later the problem will only get worse, and the costs will increase significantly.

It should be remembered that the doctor must be told about all possible contraindications. Pain medications and stress can cause high blood pressure, nausea, and loss of consciousness. Secrets have no place in a doctor's office.

Indications for the procedure

Removing the top impacted eight is a simple matter, but irreversible. You should not go to the doctor and declare from the threshold that you need to pull out a tooth so that it stops hurting.

Possible Problems Associated with Wisdom Tooth Growth

Medicine is developing every year, and saving teeth is becoming more and more commonplace. Before making a decision, you should consult with a specialist.

You definitely can't self-medicate. Removal is recommended on a case-by-case basis, as last resort, after studying all the materials and pictures.

Among the following are:

The wisdom tooth is not positioned correctly. On the x-ray it can be seen that the top eight rests on the adjacent tooth, grows at an angle, or even lies. Also, the inclination of the crown can be directed towards the cheek;
Crowding of teeth. The parameters of the jaw are individual, and with a small size, the removal of the figure eight is necessary to prevent the development of crowding;
Lack of space for cutting. The growth of a wisdom tooth can be accompanied by pressure on adjacent teeth, which causes displacement and chewing dysfunction;
Inflammation of the hood - pericoronitis. A mucosal hood covers part of the crown of the tooth. As a result, a cavity is formed favorable environment for breeding harmful bacteria. Occurs, the mucous membrane swells, pus forms;
Crown destruction. Advanced forms of caries can cause part of the tooth to chip off. Due to location, and because of human factor treatment is not always effective. Sometimes there is simply nothing to treat.

The best way to avoid most of the possible complications and keep your jaw in optimal condition is to visit the dentist regularly, or at least once every six months. Discipline is extremely important in any matter related to health.

Procedure

For a better understanding of the processes that will take place in the dentist's office, it is recommended to study the procedure for performing the operation.

When removing a wisdom tooth, the following sequence of actions is observed:

local anesthesia is applied;
if necessary, the gum is cut with a scalpel;
bone incision with special equipment to avoid bone death (in cases where the tooth is surrounded by bone tissue);
extraction of the tooth and roots (whole or in parts);
scraping the hole to prevent inflammation of the gums, hole, destruction of bone tissue. The use of antiseptics;
bone tissue plastics;
suturing;
stop bleeding.

After all the manipulations, the dentist issues. In most cases, painkillers are prescribed. Strict adherence to competent advice and compliance with prescriptions will help minimize the risk of complications.

It is recommended to carefully brush your teeth during the healing period of the wound, monitor the condition of the oral cavity and refrain from physical impact on the gum and socket. Discomfort and prolonged pain should be the reason for a second visit to the doctor.

Removal of the upper wisdom tooth: consequences

Any operation comes with a risk of complications. Going to the dentist comes with some risks.

Pain, swelling, bleeding after surgical intervention, like the removal of a wisdom tooth in the upper jaw, are consequences that are difficult to avoid. For a better understanding, it is recommended to read the most frequent species complications.

The likelihood of complications during the operation and in postoperative period depends on both the dentist and the patient.

Using recommendations and reviews on the Internet, as well as from friends, will help you find an experienced and attentive professional, however, disease prevention and timely examination - The best way preserve the health, beauty and integrity of the family budget.

Removal of a wisdom tooth in the upper jaw: reviews

All my life there were problems with my teeth, by the age of 16, seven or eight fillings had already been installed.

Wisdom teeth have not shown yet. By the age of twenty, they also got out.

He treated this issue frivolously, put it at the forefront financial aspect, so for periodic toothache preferred to ignore. Six months later, I got to the dentist, when a completely different tooth began to hurt.

It turned out that only the little heads remained from the two upper wisdom teeth (at the edges of the jaw). Pull out - it is impossible to save. Local freezing, wait, five minutes of discomfort from manipulation and pressure, no pain, simple healing and minus two teeth. Sorry, but I'm an idiot.

Indications for removal

The operation to remove it is necessary to carry out precisely in those cases when there are violations of the growth of such a tooth. As a rule, when this happens, the process of inflammation begins, which causes severe pain.

One of the reasons for this is the development of a disease such as pericoronitis. What is it? This happens when, while developing, the tooth cuts through the gum, damaging it or other periodontal tissues. In this situation, we are talking about the direct growth of the tooth, which is hampered by the surrounding gum tissue.
One more important reason is growth in the wrong direction. This refers to horizontal or oblique growth. During this process, the wisdom tooth is first removed into a nearby one. Then, with further growth, it damages it, causing severe pain.
The reason may be affected wisdom tooth.
The formation of a follicular cyst next to it.
When an abscess develops, which arose for the reason in question.
Inflammation facial nerve due to the wisdom teeth erupting.
Other similar reasons.

Features of the removal of the upper wisdom tooth

It happens sometimes that, under certain circumstances, the removal process becomes less complicated than it usually happens.

This can be expected in the following circumstances:

This happens if he has one or more fused roots. In such a situation, the connection with the gum becomes weaker and the operation to remove it is somewhat easier.
There are situations when the root is slightly smaller than usual and has more straight structure. In this situation, you can also expect the removal operation to be less painful.
If the crown part of the tooth almost completely extends beyond the gums. In this case, there is the possibility of more complete coverage when deleting.

In these cases, the removal procedure can be reduced to actions using forceps without resorting to other, more complex methods.

Stages of wisdom tooth extraction in the upper jaw

First, we will talk about the main stages of such an operation, then we will talk about it in more detail.

The considered procedure is carried out in several stages. We will now briefly list them:

First you need to put forceps on the crown of the toothwisdom. If possible, at this stage, the root is covered with forceps.
If you managed to do it, at the next stage, the doctor tries to advance the cheeks of the forceps even deeper, doing it as far as possible.
Now the capture is done.
Next, an action called "luxation" is performed. Here we are talking about gradual rocking, the purpose of which is to reduce adhesion to the gums. Since such swinging can be done in various directions, you need to choose the one that will be most effective. It is usually customary to do this in the one in which the resistance will be the least.
The next stage of the operation is called traction. Here we are talking about how to start extracting it from the gums.
Hemostasis- at this stage, the extraction is already completed, but the gum is a bleeding wound. At this point, it is important to stop the bleeding and promote the healing of this wound. This is done with a sterile swab, which is applied to stop bleeding and pressed against the teeth of the lower jaw.
The next stage is no longer actually a stage of this operation., but it is quite important. The doctor gives the patient recommendations on how to further care for the wound remaining at the site of removal, what is allowed and what cannot be done.

The process of removing a wisdom tooth in the upper jaw - video

Description of the removal procedure

Now let's look at how the removal procedure actually looks like:

The process begins with local anesthesia being given.
Then measures are taken that facilitate the process of gingival exfoliation. Usually, an incision can be made in the gums, which will facilitate this task.
With the help of a special tool is carried out. At this stage, the tooth to be removed may be cut into several parts.
Extraction of a tooth or its parts from the gums using forceps or elevators.
After the extraction is completed, the wound is performed and washed with antiseptics.
Next, a wound plasty can be performed using various methods: hydropsiapatitis, autobone or others can be applied.
After that, the detached gum flap is put in place and the tissue is sutured.
Stop the bleeding that comes from the wound.
The patient is given recommendations on how to properly carry out postoperative care in the future.

Possible Complications

The most common problem is the following. When a tooth in the process of growth begins to develop in an oblique direction, towards the cheek, it gradually grows and begins to injure not only the gum tissue, but also the cheek tissue. This is a very painful process, especially when it occurs in old age.
An additional problem may arise if an adjacent tooth has been damaged.
Also quite often there are additional damage to the gums and oral cavity.
Pushing a piece of tooth deep into the soft tissues in the process of trying to remove it.

Rules for care after surgery

A cotton-gauze swab, which is used to stop bleeding, must be kept for at least 20 minutes after surgery.
Food is not recommended to be used within 3 hours after this operation has ended.
If it turns out that you have to endure severe pain, then you need to consult a doctor and take the drug that he recommends.
Applying cold to the cheek will help stop the bleeding faster.
Since after the operation a bleeding wound practically remains in the mouth, maximum efforts must be made to do so. To prevent infection. In particular, for this purpose, it is recommended to rinse your mouth with a solution of antiseptics recommended by your doctor on the second day.
During the postoperative healing period, excessive physical activity. This is important because they can provoke the resumption of bleeding from the gums.
It is necessary to choose food in such a way that it is soft enough and cannot injure the operated site.
Touching the tongue to the place where the removal was undesirable, as this can interfere with the blood clotting process.
Also, do not brush your teeth for several days, so as not to irritate the wound.
You need to rest on a high pillow in order to reduce blood flow to the gums.

Price and reviews

The cost of such an operation depends on its complexity. Such operations are usually divided into four categories of complexity. The simplest of them (the first category) has a cost of 1000 rubles. When removing using the operation of the 4th level of the complex, it will cost 4000 rubles.

Reviews:

Svetlana:“I removed two teeth. The operation itself went well. Then it was very unusual. It turns out to constantly bite the cheeks, the jaw is in tension. Gradually everything passed, but for several days it was difficult.

Margarita:“I have a wisdom tooth, but it does not bring any inconvenience. I was at a loss, should I go for the operation? I consulted with the doctor and he recommended not to do the operation to remove it yet. ”

Larisa:“Three days after the removal, I continue to experience pain. Has addressed to the doctor. He said that postoperative healing passes normally, the discomfort usually lasts for a week. The examination showed that after the removal of the wisdom tooth, everything proceeds normally. ”