Upper wisdom tooth root removal. Is it painful to remove a wisdom tooth? Why in folk medicine they try to save the wisdom tooth

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 the 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 administered anesthesia, pain is excluded. But there are times when patients still say that they were in pain. And as a rule, these patients removed lower tooth wisdom. 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 lower teeth wisdom, anesthesia is not done next to the tooth, but on the inside of the branch mandible. Such anesthesia is technically difficult, and not all doctors know how to do it well.

How wisdom teeth are removed

Usually removal upper tooth wisdom is easier than removing 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 - X-ray is made mandatory. In all other cases, the question of the need for an image 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 wound closure). 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 thing you should tell your doctor about: allergies to medications, the presence of diabetes, bronchial asthma, problems with blood pressure, bleeding disorders, whether you are taking anticoagulants. If you have been taking Aspirin for 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 anesthetic in the upper jaw, it is enough to wait 4 minutes for adequate pain relief, and for the lower jaw - 6-8 minutes. 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 making incisions in the gums or drilling the tooth out of 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. Duration complex removal can be different and be both 20 minutes and 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 sawing 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 cutting out 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 appeared bad 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.

Hello readers, commentators and just curious visitors who got here by accident. Today I decided to raise an important and for many interesting topic How is a wisdom tooth removed? last teeth in a row often make us feel pain and discomfort. In this case, doctors may recommend their removal to avoid negative consequences.

In general, the opinions of dentists about these teeth often differ. Some believe that only those teeth that do not grow properly should be torn, others advise them in their youth, so as not to wait for problems to begin. Who is right? I, not being a dentist, do not presume to judge. That's why I decided to explore all opinions.

Why are wisdom teeth removed at all?

Among the main reasons is dystopia. This is the name of the phenomenon in which a tooth can have wrong position in the jaw. Such growth not only creates some inconvenience, it can threaten damage. adjacent teeth leading to their destruction.

In most cases, the lower wisdom tooth is displaced. Its position can be any. It shifts along the axis, rests against the adjacent tooth, grows in the direction of the cheek. If such a tooth permanently damages soft tissues inner surface cheeks, this leads to the appearance of erosions and ulcers, injures the mucous membrane.

Wisdom teeth - problems

How is a wisdom tooth removed that grows into the cheek? With dystopia, tooth extraction is somewhat more difficult than in normal situations. Traditionally, local anesthesia is used with the use of drugs for which the patient is not observed allergic reactions. Next, it is necessary to remove a section of the mucous membrane and periosteum so that the tooth is fully visible. After that, its walls are ground down with a drill machine. Then, with the help of forceps, the remains of the tooth are removed. The hole is processed antiseptic preparations to avoid developing an infection. Now the mucosal flap is returned to its place and sutures are applied. They are removed no earlier than a week after the operation.

Misalignment of wisdom teeth is a source of problems

In some cases, when it is necessary to remove a particularly difficult growing or impacted tooth, the operation is performed in stationary conditions using anesthesia.

Video - What can happen if you do not remove a wisdom tooth

If the tooth has not erupted

There are many people whose wisdom teeth have not formed properly or have not appeared on the surface. In this case, doctors believe that it is necessary to act according to the circumstances. If a person does not experience pain and discomfort, there is no risk of damage to neighboring teeth, then you can do without surgical intervention.

But you are probably interested in how a wisdom tooth is removed if it does not come out and causes a lot of inconvenience? In general, dentists believe that all violations of this kind should be eliminated in adolescence or even adolescence. The best option- from 14 to 16 years old. During this period, when the formation of the jaw is not yet completed, the operation is most effective, painless and without consequences.

Removal of a completely destroyed wisdom tooth

Very often, eights tend to collapse early, and our people - late to see a doctor. The result - the dentist has to suffer with a very complex operations for the extraction of residues. How is a wisdom tooth removed if only the root remains? To begin with, I will say a thing that may not be entirely on the topic of my article - if it is possible to save a tooth, not. Why?

Because they can touch the neighboring one, and the bone under the remote one becomes thinner. The jaw and the face itself change shape. In general, a lot of problems, and not only aesthetic ones.

Modern dentistry can save those teeth that you have given up on for a long time, considering them potentially lost. In fact, even a tooth with a cyst can be saved. Such an operation is expensive, but you will not walk without teeth.

If you do not want to bother with treatment or you do not have money, I will reassure you - there is nothing terrible in the procedure. In the process, you will not feel pain, as you will be injected with enough large dose anesthesia, with which you can even cut, even saw with a saw. Even if you need to incise the gum, and then suture, you will feel something in a couple of hours, and not immediately. And even then, the doctor usually prescribes something like Ketanov to sit out for a couple of days, when the pain is especially strong. Then it gradually passes and the problem is solved.

Severe wisdom tooth extraction

Anesthesia for wisdom tooth extraction

The removal procedure is very painful, and therefore it makes no sense to carry it out without the use of drugs that eliminate the pain effect during the work of the dentist. Previously, novocaine and lidocaine were used for this purpose. Now they are practically not used in dental practice. There are more effective and safe drugs.

People often ask how to be pregnant women in this case? Will local anesthesia harm the child? Firstly, there is a rule according to which operations of this kind are carried out from the second trimester. Secondly, special preparations are used that do not penetrate the placental barrier and do not affect the health of the fetus. This applies to the articaine series of anesthetics - ubistezin, ultracaine and other drugs. Their advantage is that the effectiveness is maintained even in the foci of inflammation, where lidocaine and novocaine are powerless.

The choice of drug also depends on the presence or absence of contraindications, which include not only pregnancy on early dates but also chronic diseases.

At bronchial asthma Ultracaine D is used to avoid allergic reactions.
Hypertension patients and heart patients are recommended Ubistezin 1:200000 or Ultracain DS. In general, here the selection is carried out individually. For example, with severe hypertension, Ultracaine D is used, because it does not contain adrenaline and epinephrine.
If problems with the thyroid gland or the patient is found diabetes, there are three options for drugs that are suitable for local anesthesia. It is best to use the same Ultracain D. Scandonest (France) and Mepivastezin (Germany) can be used as substitutes.

How wisdom teeth are removed - complex operations

As you have already understood, wrong growth often an indication for tooth extraction. I was wondering how they remove it under the gum. The case, in general, is not the easiest.

Removing a wisdom tooth is not an easy operation.

AT modern medicine, unfortunately, have not learned how to teleport teeth from the jaw. Therefore, the gum will have to be cut. If a piece of bone interferes with the extraction of the tooth, it will also be removed to get to the ill-fated tooth. After that, removal is performed and sutures are placed on the gum. During the operation, you practically do not feel anything. But then…

After the effect of anesthesia wears off, you will have to sit for a day or two on the pills.

Video - Removal of wisdom teeth

Extraction of upper molars (eights)

And now I will tell you about how the upper wisdom tooth is removed.

Wisdom teeth

These teeth do nothing important function. We inherited them from cave ancestors, who had to chew on rough food, or even gnaw bones. Modern man has a smaller jaw, the load on it is many times lower, and wisdom teeth have become nothing more than an atavism, reminiscent of the times when we went not to the supermarket, but to hunt, and brought home not a baguette and cheese, but a mammoth.

It is easier to remove an upper molar than a lower one, and the wound heals faster after surgery. And for the dentist, there are much fewer problems. After all, access is much easier, and the fixed upper jaw is not the lower one, from which to pull big root- that's another problem.

Removal is a painless procedure. It is held under local anesthesia using conventional S-shaped forceps. In more complex cases, the gum is cut, the tooth is sawn and taken out in parts. After that, the wound is cleaned and its edges are sutured.

Top 4 pain medications after tooth extraction:

Pain and swelling of the gums disappear within 3-5 days. The doctor prescribes some pills so that they bother you less. If during the first week you still feel soreness and discomfort, the temperature rises, there is inflammation, then you should contact your dentist.

What complications can occur after removal?

The operation does not always go smoothly. Sometimes the patient feels pain or occurs, passing to the cheek. There may be several reasons:

non-compliance with doctor's recommendations;
significant trauma to the gums;
remnants of the root / fragments of the tooth in the wound;
unformed clot and, as a result, alveolitis of the hole;

Therefore, it is recommended to listen to everything that the doctor says. For example, do not rinse your mouth and do not brush your teeth on the first day. Do not eat for three hours. Do not eat or drink very hot food for several days. If you go to the gym, then on this day the workout should be canceled, as well as going to the bath or sauna. Nothing that can lead to overheating, vasodilation and increased pressure should not be done. And do not touch the hole with your hands or brushes / toothpicks. Then the clot will harden and healthy tissue will form in its place.

Majority experienced dentists remove the wisdom tooth gently and without consequences. If they forgot a piece of tooth there, a picture can determine this.

Of course, I wish you that the procedure goes without negative consequences. Be healthy and happy. Also, listen to the doctor's instructions!

Video - Consequences of wisdom tooth removal

The most terrible operation in dental office- this is .

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 the operation can vary significantly, depending on individual characteristics, but it will not work to save on your own health, because sooner or later the problem will only worsen, 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. The x-ray shows 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 possible complications and keep the jaw in optimal condition - regular visits to the dentist, 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 serve as a reason for a second visit to the attending physician.

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 a surgical intervention such as 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 surgery and in the 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 from two upper teeth wisdom (on the edges of the jaw) there were only firebrands. 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.

Is it painful to remove a wisdom tooth in the upper jaw?

dentists, those with extensive experience say that the removal of eights from above does not bring the patient special pain, provided there is no purulent process. Such an operation is always complicated, therefore, it requires the use of anesthesia.

If the action of the painkiller medicinal product few, then after removal, the patient is given a pill to eliminate severe pain. During the operation, pain can also be observed, it all depends on the individual characteristics of the client.

How are the top eights removed?

Removing the eighth tooth from above is much easier than getting rid of the same one on the bottom. Since the roots of such molars have a less strong and tortuous structure.

Before any tooth is removed, an x-ray must be taken to obtain a correct picture of its location. After studying the picture, the doctor examines oral cavity patient, establishes the presence of allergic reactions to medications, gets acquainted with contraindications and concomitant diseases.

This is done to select the method and drug for anesthesia. The effect of the painkiller begins 4-5 minutes after the injection of the drug.

The wisdom tooth is removed from the hole with special tools. The procedure time is usually 10 minutes and if there is inflammatory process in the gum, the wound is treated with an antiseptic.

If a we are talking about simple operation removal of the 8th tooth from above, then the indications for it are:

The presence of one or more tooth roots connected to each other.
The root is straight and short.
The crown part of the tooth is almost completely located above the level of the gums.

Then the removal of the upper wisdom tooth occurs through forceps, which have some features. Bayonet tongs are used by surgeons quite often, as they have a special configuration that is convenient for removing the most complex roots.

The cheeks of these forceps have a pointed shape for better fixation of the removed root and close completely, unlike other instruments.

Steps to simply remove the top eight:

After the removal procedure is completed, the doctor offers recommendations to the patient on the care of the postoperative wound.

Peculiarities of removal of semi-retinated and impacted upper eights

Any dentist in practice observes the phenomenon of an unusual location of the upper wisdom tooth - the so-called dystopia. This is usually expressed in a strong deviation of the tooth towards the cheek.

This phenomenon is especially dangerous for the elderly, as the tooth injures inside cheeks. And wounds that do not heal for a long time turn into ulcers. and lead to the development of tumors. For this reason, it is important to diagnose the deviation in time and immediately get rid of such a tooth.

Sometimes lack of free space in the jaw or incorrect position of the eighth upper molar leads to the fact that it cuts partially (semi-retinated) or does not show on the surface of the gums (retinated).

The question of the removal of semi-impacted and impacted wisdom teeth from above is always decided strictly individually. If the figure eight does not bring anxiety and does not create a threat of complications, then it is not touched, but left under regular supervision.

Important! impacted tooth must be removed in urgently if an inflammatory process appears, pain sensations, or the formation of a follicular (tooth-containing) cyst begins around it.

Stages of removal of impacted upper wisdom teeth:

At the end of all procedures, the surgeon gives recommendations for postoperative wound care.

About anesthesia

Local anesthesia is injected into the gum just next to the problem site. Surgeons use modern fast-acting drugs Ultracain, Ubistezin and Septanest.

It happens that anesthesia is used to remove eights. Unlike local anesthesia, it makes it possible to endure the most complex manipulations with a disabled consciousness. But this method has a number of disadvantages:

specific training.
High price.
Discomfort after the procedure.

The likelihood of a patient being admitted to the intensive care unit associated with some individual features organism and a number of diseases.

For this reason, most often the upper wisdom tooth is removed using local anesthesia. Anesthesia is used only in cases individual intolerance to anesthetics, patients with mental disorders, presence panic fear before surgical intervention, as well as with long-term and increased trauma of the upcoming operation.

What to do after wisdom tooth removal?

What can you eat after a tooth extraction?

You can not take food for 2 - 3 hours after the operation to remove the wisdom tooth from above. Warm drinks are allowed during this time. .

After suture removal you can eat any food, but without touching the site of the operation. It is better to give up hard and spicy food until complete healing of the surgical site.

When to start brushing your teeth?

You can not brush your teeth during the first day after the complicated removal of the figure eight. If you neglect the recommendations of the doctor and injure the area of operation, then a blood clot may fall out and the sutures will open, after which the wound will bleed and heal for a long time.

You can touch the extraction site no earlier than 3 days after surgery, and brush the rest of the teeth gently with a soft paste.

Complications

The top eights are not difficult to remove, but serious problems are not ruled out that lead to complications during the operation or the postoperative period. As a rule, these cases are directly related to the low professionalism of the dentist-surgeon.

Any tooth extraction it is strictly forbidden to use rough physical strength by the doctor. Competent dentists with a long work experience know that removal is done primarily with hands, and not with forceps.

The forceps should be an extension of the surgeon's hand, and the hands should be attached to the competent head. The removal process should not use excessive force, but use the known principle of leverage, coupled with accuracy and experience.

If the tooth cannot be removed, there is absolutely no point in leaning on forceps. Today there are others best ways(except for forceps and elevators) to safely extract the tooth without the risk of complications.

Possible complications arising during the operation and after the removal of the figure eight on the upper jaw:

When will the gum heal and how much will it hurt?

Anesthesia wears off after about three hours and there is pain in the gums, which can last constantly or occur from time to time for 4 days. Pain medications will help relieve it.

If the figure eight was difficult to remove, then the tissues surrounding it recover a little longer, on average, pain can last up to ten days.

The amount of time for wound healing is always individual, but if the molar is large with clumsy roots, then it takes more than one month. In the process of tightening the wound, swelling, redness and bleeding often appear, which should disappear on the 5th - 6th day. If a discomfort continue to disturb for longer, then you need to immediately consult a doctor immediately.

The healing period is increased by improperly selected anesthesia for the operation, as well as damage to the gums or unprofessional work of the surgeon.

The average healing time is from 7 to 30 days, while the stitches are removed exactly one week later. Overgrowth of bone tissue at the site of removal occurs no earlier than after 4 months.

Undoubtedly, any surgical intervention is quite unpleasant procedure. But unfortunately, sometimes this is not enough. Especially often, people face the question of the need to remove a figure eight or a wisdom tooth growing in the upper jaw. Let's try to figure out how difficult such manipulation is, and also in what cases it becomes inevitable.

Theoretically, eights are the same full teeth, As the others. Many mistakenly consider them underdeveloped, even doubting whether the wisdom tooth has a nerve. However, this opinion is erroneous. This molar is indistinguishable in structure and function from others. The only problem is only its wrong growth. Often it is due to the late appearance of the figure eight, when the bones of the face are fully formed and the alveolus cannot accommodate it.

This situation provokes a curvature of the upper part of the tooth. Quite often there are cases of a figure eight growing horizontally or under a strong slope towards the jaw. Of course, the situations described require immediate surgical intervention. If you neglect this, you can get additional problems with the seventh molar

In addition, the roots of a wisdom tooth can also become deformed during development and damage the jaw or grow together. The slow appearance of eights can also cause caries and even partial destruction either on this tooth or on the neighboring seven. As a rule, everything associated problems arise due to the late appearance of this molar, when the bone tissue has completely lost plasticity and the width of the jaw does not allow the tooth to erupt.

The main factors for indications for the removal of a wisdom tooth

By the way, experts find it difficult to name the average terms for the appearance of a wisdom tooth. Eight can appear at fifteen, and twenty-five, and even after thirty. In addition, there are cases when this molar does not appear at all. It just depends on the individual genetic predisposition organism.

Indications and contraindications for removal

Let's say right away the removal of the upper wisdom tooth is not shown to all people at all, as many people are used to thinking about it. There is such a clear list of cases where manipulation is indispensable:

a crown protruding outside or inside the gums, threatening regular injury to the oral cavity;
partial destruction of enamel, pulp or figure eight roots ( adjacent tooth), which does not allow them to be treated;
horizontal or inclined position with insufficient space for normal placement on the alveolar process;
purulent inflammatory process leading to complications (the appearance of an abscess).

As you can see, the removal of a rudimentary upper molar is not shown to everyone. In addition, manipulation is not carried out in the following situations:

problems with blood clotting;
acute phase chronic diseases heart, gastrointestinal tract and kidneys;
pregnancy (with the exception of the second trimester);
mental disorders.

Of course, when visiting a doctor, they will justify the expediency of tooth extraction, if necessary.

Let's talk about anesthesia

Most people are concerned about Is it painful to remove a wisdom tooth from above. Today's possibilities of medicine allow this manipulation to be carried out almost imperceptibly for the patient. Today, the choice of painkillers is impressive, and the doctor can easily select the optimal anesthetic drug.

Today, the procedure for the removal of wisdom teeth is almost imperceptible to the patient.

Here you should listen to the opinion of the doctor, since any anesthesia has its own side effects. In addition, there are diseases in which a particular medicine may be contraindicated.

So, cardiovascular problems completely exclude analgesics containing adrenaline. Pregnant women should beware vasoconstrictor drugs, and the best solution for them would be to postpone the operation for as long as possible

Modern dentists are increasingly using articaine for anesthesia. This anesthetic perfectly copes with the task and completely eliminates pain during the manipulation. However, nevertheless, it is recommended to use it during pregnancy only in cases of extreme need, if the threat to the health of the mother is comparable to the possible negative consequences of the development of the fetus.

Figure eight extraction procedure

Most people, even having the above problems with the dentition, are often afraid to agree to manipulation. This feeling is caused by ignorance of how the upper wisdom tooth is removed. To dispel all doubts, let's try to analyze the mechanism of this process.Typical removal without special complications and negative consequences takes place in such situations:

the roots of the tooth are fused into one or two;
the length of the root is up to two thirds of the size of the tooth;
the exit of the crown above the gum is at least 80%.

In such cases, the removal of a wisdom tooth in the upper jaw, you will see photos of examples of this process in the gallery of the article, takes place with the help of bayonet forceps. This tool has a special structure, since even without visible complications, pulling out a figure eight can be difficult. If the tooth is severely damaged, the pointed and fully closing ends of the forceps will help the doctor securely fix it.

Dentist tools for manipulation

As a rule, before removing a molar, the dentist will ask you to take an x-ray of the jaw in order to assess the scope of the proposed work and choose the best course of action. This will help to avoid possible complications and damage to the adjacent tooth, as well as the soft tissues of the gums during and after the manipulation.

Next, the doctor collects an anamnesis by questioning the patient about whether he has various diseases to determine the need for surgery and choose the right anesthetic. From the figure eight, plaque is removed and carried out antiseptic treatment gums to avoid postoperative suppuration of the wound.

The process of removing the upper wisdom tooth

Having decided on the choice of instrument, the dentist gives the patient local anesthesia. The removal process itself occurs in the following sequence:

application and fixation of the instrument at the optimal points for traction;
rocking of the molar;
extraction of the figure eight from the spongy body of the alveoli (traction);
stop bleeding and blood clot in the wound.

As you can see, the typical process of extracting a rudimentary tooth is completely identical to the traction of any other molar and does not pose any particular danger. Since many do not know if there is a nerve in the wisdom tooth, experts will answer this question. Of course, it is, and it is because of this that you will need anesthesia during the manipulation. By the way, after the extraction of the molar, you will feel pain for some time until the hole is completely healed.

Possible Complications of Atypical Traction

Unfortunately, typical deletion a wisdom tooth in the upper jaw, the consequences of which are minimal, is not always feasible. Often there are cases when the roots of the eight go to maxillary sinus. In such situations, during traumatic tooth extraction, either damage to it or accidental pushing of fragments there is possible. Such outcomes cannot be ignored and controlled, because it can threaten the formation of sinus cysts and, as a result, the occurrence of chronic sinusitis, which can only be eliminated surgically.

With atypical removal of the figure eight, some complications may occur.

Another example of a difficult removal is a fracture. alveolar process. This usually occurs at the extreme position of the molar relative to the bone. Then, when the figure eight is removed, detachment of the bone tissue of the gums may occur.

To possible difficulties can also be attributed to accidental injury to the soft tissues of the oral cavity with their subsequent infection. This usually happens when there is no way to pull out the whole molar and the surgeon has to take it out piece by piece. Such actions may cause partial removal, when top part the root will go unnoticed in the gum

These situations, as a rule, can arise due to the lack of a snapshot of the jaw, as well as in advanced and irreversible processes of pulp destruction. Of course, these cases are not isolated, but a competent dentist and a patient’s responsible approach to such manipulation will reduce everything possible risks to zero.

Postoperative period

To complete the picture, you need to know about possible development situations after such manipulation as removal of 8 teeth from above. The consequences of these actions are usually predictable. In the normal course of traction and correct formation a blood clot, the patient does not experience any particular inconvenience. However, sometimes there are some complications.

Fracture of the bone socket during manipulation and its remnants in the gum can cause alveolitis

Frequent concomitant symptom postoperative period becomes inflammation of the hole or alveolitis. Usually it can be caused by traumatic removal of a molar or a violation of the integrity of a blood clot. Also, the cause may be the remnants of bone tissue in the gums and poor clotting the patient's blood. This complication can cause short-term disability and requires re-sanitization of the hole.

Another consequence of atypical traction will be the emergence of fragments of bone tissue on the surface. In these situations, it is advisable to remove all fragments of the tooth and keratinized walls of the alveoli surgically.

Even with the simplest course of manipulation and compliance with all conditions, on the first day after traction, you will experience not the most pleasant sensations. Control of the situation by the doctor and strict observance his prescriptions will speed up the healing process.

Extraction of the top eight proceeds in the same way as other molars. Therefore, experts recommend adhering to the same rules for the primary care of the hole as in similar situations.

Formation of a blood clot in the hole after tooth extraction

The bandage applied by the doctor to stop the bleeding should be in place for half an hour. In this case, it is not necessary to press the tampon too hard so as not to damage the thrombus or to press it into the hole. Be especially careful when removing the bandage from the wound. In this case, you should try not to damage the integrity of the blood clot - because it protects the wound from infection.

It is necessary to avoid eating for the first six hours after the operation, and for the next three days, do not consume excessively hot or cold foods and drinks. There will also be a time limit physical activity and loads. If after the first day the pain intensifies and there is a sharp smell from the mouth, you should check the healing process with a specialist

So, we briefly reviewed the indications for the extraction of the upper rudimentary molars, the features of their traction and the course of the recovery process. As you can see modern technologies allow for a completely painless procedure. You only need to remember one thing - timely appeal to the dentist and the implementation of all necessary conditions will be a guarantee of easy disposal of an extra tooth.

Scheme for an atypical wisdom tooth extraction Bayonet forceps will help the doctor extract top eight Before removing a tooth, take an X-ray of the jaw so that the doctor can assess the complexity of the manipulation. The Eight in its structure is no different from any other molar and a nerve passes inside it