Tooth Extraction and Wisdom Tooth Surgery
Tooth Extraction
Tooth extraction involves removing a tooth from the mouth for various reasons, such as severe tooth decay, a broken tooth, impacted teeth, or an untreatable infection. This procedure can be performed by a general dentist or an oral surgeon, depending on the complexity of the case.
Steps of Tooth Extraction
1. **Examination and Diagnosis:** The dentist evaluates the tooth and oral health to determine if extraction is necessary.
2. **Anesthesia:** Local anesthesia is administered to numb the area and minimize discomfort.
3. **Tooth Removal:** The dentist uses specialized tools to extract the tooth.
4. **Recovery:** Post-extraction care includes applying gauze to stop bleeding, avoiding the extraction site, and refraining from smoking.
Wisdom Tooth Surgery
An impacted tooth, commonly a wisdom tooth, fails to emerge in its proper position due to insufficient space in the jaw or blockage by another tooth. Impacted wisdom teeth are most common in late teens or early adulthood but can also occur in other teeth.
Causes of Impacted Wisdom Teeth
Impacted wisdom teeth result from obstructions, such as teeth, tissue, or bone, preventing the tooth from erupting through the gum. Typically, wisdom teeth develop between the ages of 18-25, sometimes causing severe pain as they press against neighboring teeth or the jaw.
Symptoms of Impacted Wisdom Teeth
- Severe, localized toothache
- Swollen, inflamed gums, sometimes with pus
- Headaches caused by nerve compression
- Damage or loosening of adjacent teeth
- Occasionally, no symptoms at all
Types of Impacted Wisdom Teeth
1. **Partially Erupted:** Part of the tooth emerges, often causing infection or gum inflammation.
2. **Fully Impacted:** The tooth remains entirely within the jawbone.
Why Extract Impacted Wisdom Teeth?
- Prevent Gum Infections: Impacted teeth can trap food debris under the gum, leading to bacterial buildup, swelling, and abscess formation.
- Protect Adjacent Teeth: Hard-to-clean gaps between the wisdom tooth and neighboring molar may cause decay.
- Avoid Cysts: Tissue around an impacted tooth can develop cysts or tumors.
- Prevent Jaw Deformities: Persistent pressure from impacted teeth may cause jaw misalignment or fractures.
- Facilitate Orthodontics: Removal can simplify tooth alignment treatments.
Steps of Wisdom Tooth Surgery
1. **X-ray Diagnosis:** Determines the tooth’s position and the need for surgery.
2. **Local Anesthesia:** Applied topically before injection for pain-free surgery.
3. **Surgical Removal:** The dentist makes an incision, removes surrounding bone, and extracts the tooth, often in sections.
4. **Stitching:** The wound is sutured to promote healing and prevent infection.
5. **Post-Operative Care:** Patients must eat soft foods, avoid smoking, and practice careful oral hygiene.
Post-Extraction and Surgery Care
1. **Bleeding Control:** Apply firm pressure with gauze.
2. **Cold Compress:** Reduces swelling at the surgical site.
3. **No Smoking:** Prevents delayed healing and infection.
4. **Soft Foods:** Choose easy-to-chew options like soup or porridge.
5. **Medication:** Follow prescribed antibiotics and painkillers.
Summary
Tooth extraction and wisdom tooth surgery are safe procedures when performed under professional care. Proper post-operative management ensures faster recovery and minimizes complications.
Frequently Asked Questions About Wisdom Tooth Surgery
Recovery typically involves significant swelling and discomfort for 2-3 days, with complete healing taking approximately two weeks.
Wisdom teeth should be removed as soon as they are detected or cause discomfort. Surgery during youth is easier and heals faster.
While wisdom teeth removal is often recommended, certain cases may require monitoring for optimal timing based on position and patient age.
No, removal can be done without waiting for the tooth to emerge.
Wisdom teeth are natural developments and cannot be prevented. Regular dental check-ups are essential to identify and address any issues early.
Oral Surgery Specialists
Dr. Patcharin Sodsri
Oral Surgeon
- DDS, Faculty of Dentistry, Chulalongkorn University
- Certificate in Oral and Maxillofacial Surgery, Mahidol University
Dr. Ih-si Sawasdichira
Oral Surgeon
- DDS, Faculty of Dentistry, Chulalongkorn University
- Certificate in Oral and Maxillofacial Surgery, Mahidol University