Dental Surgery

WISDOM TOOTH AND EXTRACTIONS

The last teeth (3rd molars) are called wisdom teeth. They last between the ages of 14-25. The extraction of wisdom teeth is higher than other teeth for various reasons.

Embedded Wisdom Teeth

Wisdom teeth do not find enough space to move up because and may remain embedded. Again, if their development starts horizontally in the jaw, then turns vertically and returns to the vertical position during its movement, they remain embedded. In addition, the risk of being buried increases as the jawbone becomes hardened and denser during the emergence of 20-year-old teeth. Embedded wisdom teeth can cause major problems that can damage the jawbone.

What Problems Does Wisdom Teeth Cause?

If the embedded wisdom teeth are not extracted, they cause various problems:
Inflammation in the gums
Bad breath
Face swelling and pain
Poor bone support of molar teeth
Cyst and consequently bone erosion (can extend to a fracture in the jawbone)

Should Wisdom Teeth Be Removed?

If the wisdom teeth are in complete growth, there is no need for extraction if there is no infection or a bruise that has no treatment. Especially if the first and second molars are extracted earlier, treatment for the protection of wisdom teeth is important.

Wisdom teeth are extracted in the following cases;

• If there is a bruise
• If it causes orthodontic problems
• If there is an infection, if it spreads to surrounding tissues
• If embedded
• It makes pressure on other teeth and causes pain If you have a prosthesis.

When Should We Remove Wisdom Teeth?

If the wisdom teeth are embedded, they should be removed without delay between the ages of 16-22. Even if wisdom teeth cause no problems, although embedded, they should be extracted between the ages of 20-30, difficulties arise in the extraction and recovery process, especially after the age of 40.

How is Wisdom Teeth Extracted?

The extraction of wisdom teeth may be difficult compared to the extraction of other teeth due to their position in the jawbone and their covering with bone or mucosa.

The extraction steps are:

• Local anesthesia.
• The tooth is extracted out and then stitched when necessary.
• Stitches are removed a week later.

Considerations After Wisdom Teeth Are Removed

Swelling, pain or bleeding, and difficulties in opening the mouth may occur after wisdom teeth are extracted. Generally, complaints disappear within 1 week following the operation.

After extraction, attention should be paid to:

• The buffer placed in the area should be kept in place by biting during 30 minutes after extraction.
• If bleeding continues when the tampon is removed, another tampon should be placed. • Do not eat or drink anything for at least 2 hours following the operation.
• On the first day, foods should be chewed with the other side. • Smoking and alcohol should not be consumed for one day following the operation.
• The extraction area should not be cleaned with a brush for 24 hours after extraction. Painkiller recommended by the physician should be used (Aspirin and its derivatives should not be taken as it will increase bleeding).
• Spitting should be avoided for 24 hours after removing the tampon from the area to avoid delay in wound healing.
• The tongue should not be stirred with the performed area.
• Care should be taken not to open the mouth too much.
• It should not be gargled for 24 hours after the operation.
• If the physician does not recommend otherwise after the extraction, cold compress can be applied for the first 24 hours.
• Hot drinks and hard foods should be avoided for a while.

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