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Wisdom Tooth Extraction – Oral Maxillo Facial Treatment

Periapical surgery is considered a standard oral surgical procedure. It is often a last resort to surgically maintain a tooth with a periapical lesion that cannot be managed with conventional endodontic (re-)treatment. The main goal of apical surgery is to prevent bacterial leakage from the root-canal system into the periradicular tissues by placing a tight root-end filling following root-end resection.

Wisdom tooth removal

We’ll take an X-ray of your mouth to help them determine if the procedure is required.

Anaesthesia

Before having your wisdom teeth removed, you’ll be given an injection of local anaesthetic to numb the tooth and surrounding area. If you’re particularly anxious about the procedure, we may give you a sedative to help you relax. This usually involves an injection into your arm.

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Impactions

An impacted tooth is one that fails to erupt into the dental arch within the expected developmental window. Because impacted teeth do not erupt, they are retained throughout the individual’s lifetime unless extracted or exposed surgically. The wisdom teeth (third molars) are frequently impacted because they are the last teeth to erupt in the oral cavity. Mandibular third molars are more commonly impacted than their maxillary counterparts. As a general rule, all impacted teeth must be removed,except canine teeth; canines do not need surgery and may just remain buried and give no further problems.

Removing the wisdom tooth

If the tooth hasn’t come through the gum, a small cut (incision) will be made in the gum to access it. A small piece of the bone covering the tooth may also need to be removed.

The tooth may be cut into smaller parts to make it easier to remove through the opening. There’s less need to make an incision if the tooth has broken through the gum.

You’ll feel some pressure just before the tooth is removed. This is because dentist needs to widen the tooth socket by rocking the tooth back and forth before taking it out.

Surgery to remove wisdom teeth shouldn’t be painful, because the area will be numb.How long it takes to remove the tooth will vary. Simple procedures can take a few minutes, but it can take longer than 20 minutes if it’s more complicated.

After surgery

If an incision has been made, dissolving stitches are used to seal the gum. We will tell you how long the stitches take to dissolve (usually 7 to 10 days).

We may place gauze over the site of the extraction and ask you to keep pressure on it by biting your jaws together for up to an hour. This is to allow a blood clot to form in the empty tooth socket. Blood clots are part of the healing process, so try not to dislodge them. In some cases, antibiotics may be prescribed if you have an ongoing infection.

For the 24 hours after removing your wisdom tooth, you should avoid:

  • rinsing your mouth out with liquid

  • drinking alcohol and smoking

  • drinking hot liquids such as tea or soup

  • strenuous physical activity