Wisdom Teeth Operations in Dentistry

Röntgenbild von einem schiefen Weisheitszahnbelsky


Weisheitszahn schief

Wisdom teeth removal refers to the surgical removal of the third molars

In expert language, wisdom teeth removal is called
R. T. R., or “retained teeth removal.”

Wisdom teeth have to be removed when they:

  • cause inflammation
  • form a cyst
  • damage the seventh tooth because of the wisdom teeth’s growth
  • create weakness in the jaw
  • endanger or inhibit prosthetic care
  • are profoundly destroyed by caries
  • and a reasonable treatment (fillings, root treatment) is impossible

We will spare you the definition of all the exact medical terms (retained, partially retained, impacted, etc.), because treatment consequences are always the same. Depending on the position of the wisdom tooth, more or less bone has to be removed and more or less mucosa has to be cut and folded back.

Surgery is usually performed with local anesthesia and is considered a routine operation. At first, the surgeon has a good overview.  He searches the rising branch of the lower jaw and tightens the Langenbeck correctly. Then he sets the cut alongside the rising lower jaw branch and further to the 7er. This is referred to as a gum edge incision. More about that in the video entitled "Gum Cut".

The gums are moved aside with a holding device so that the mucosa – including the periosteum (bone skin) – is lifted from the bone. A wide holding device is placed under the periosteum for protection from other soft parts such as the tongue nerve. At this point, bone will be removed with a drill. This process may create a roar in your head, but you will not feel any pain.

As soon as the tooth is exposed, the instrument is changed. The tooth is now luxated with a turning chisel and removed whole. Bone chips are rinsed out and the tooth sack is removed. Wounds in the mouth heal from the inside out. You do not have to worry about holes remaining in the tooth or food remnants foods making their way into the wound. Finally, saliva-proof wound sealant is applied, usually in the form of a Jodo form strip. The sealant is removed a day later.

Swelling usually increases over the first 3-4 days, after which swelling decreases. The seams are usually taken out a week after surgery.

There are no alternatives to surgery except for leaving the tooth in place. However, this can lead to the aforementioned complications.

The risks associated with wisdom tooth removal surgery are negligible if performed by an experienced surgeon. However, in isolated cases, complications can occur that may require additional measures. Any additional measures may potentially cause further complications that may eventually become life-threatening. Here we will only discuss the specific complications related to wisdom teeth removal. They are:

  • bone inflammation (osteomyelitis)
  • injuries to surrounding structures, such as the tongue, cheek, nerves, blood vessels, neighboring teeth and neighboring roots, and other related consequences:
  • wound infection
  • jaw fracture
  • jaw sinus opening which can lead to sinusitis
  • perception disruption in tongue and/or lips

Fortunately, today such complications are very rare thanks to advances in medicine over the last few decades.

Click here to see the video: Wisdom Tooth Removal

This post is also available in: German

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