Wisdom tooth extraction on upper jaw: consequences

Treatment or removal of teeth is an unpleasant procedure for many. But you can not delay this matter. How is the removal of the wisdom tooth on the upper jaw in Samara, Chelyabinsk, Moscow, Omsk and other cities? What are the prices for carrying out this manipulation? How important is it to apply all of the doctor's recommendations? All the details of the reasons for the removal of the wisdom tooth on the upper jaw and care of the oral cavity after the manipulation are read below.

Tooth Teeth: Description

If we do not take into account the specificity of the position of the wisdom teeth in the alveolar process of the jaw, then from all other points of view there is nothing special about them. Just like with other teeth, the roots are immersed in the bone socket, their length is about two-thirds of the tooth's length. The crown part has a large chewing surface with several hocks, all designed for easy chewing on food. Three roots, directed at an angle to each other, provide the stability necessary in view of the pressure of closely attached chewing muscles. However, this description is suitable for any molar of the upper and lower jaws.

But the fact that wisdom teeth usually erupt after the growth of the jaw and the formation of the dentition, explains a number of their specific characteristics. Since the places in the alveolar process often are not enough, such teeth can be deflected, extruded by the crown part away from the common dental system. Roots also do not have enough space, so they can be highly curved and even fused, turning the teeth into two or even single roots.

Another feature of wisdom teeth is the low rate of their eruption, due to the same tightness of the dentition and the density of the formed bone tissue. As a result, a tooth with an incompletely mineralized enamel may appear in its place already damaged by a carious process, or even in a state of inflammation of the pulp.

When do wisdom teeth appear?

The standard time for the eruption of wisdom teeth is the age interval from 15-16 to 25 years. However, most dentists will agree that even this spread does not cover all possible options. So, it is not considered a significant deviation of the appearance of wisdom teeth at 30 years, nor is their absence in their place at retirement age. The appearance of wisdom teeth is an individual process.

What is it necessary to remove this tooth on the upper jaw?

This question is often asked by dentists who have no complaints about wisdom teeth, and patients deciding on the advisability of treating already damaged teeth. This formulation of the question comes from the view that it is reasonable to remove wisdom teeth right after their eruption without waiting for possible complications.

If we consider the removal of the wisdom tooth on the upper jaw from the point of conservation and conservation, then for this operation, certain indications are needed:

1. Significant destruction, which does not allow for a full treatment, including with strongly curved or obliterated root canals.
2. With increased crowding of teeth, when the correction of bite is significantly complicated by these teeth.
3. Deflection of the crown part of the tooth (usually the buccal side), resulting in permanent injuries of the soft tissues of the oral cavity.
4. Occurrence of purulent complications with periodontitis of the wisdom tooth, threatening the development of an abscess or phlegmon.

How painful is the removal procedure?

Removing the wisdom tooth on the upper jaw is not an operation today, requiring a special approach to anesthesia. Reliable, potent anesthetics cope with their task with the first injection. Modern thinnest needles for professional carpool syringes make conducting anesthesia absolutely not a terrible manipulation. High permeability of the upper jaw bone allows an anesthetic solution to the area of the proposed surgical intervention. Therefore, even the question of whether the removal of the wisdom tooth on the upper jaw is painful, is completely obsolete today, and you should not be afraid of painful sensations when removing it.

Anesthetics used in this procedure

The choice of anesthetics today is huge, but when choosing a drug, you should rely primarily on the opinion of a professional dentist who carries out the removal of the wisdom tooth on the upper jaw. What is the strongest anesthesia after all? This question requires extreme caution in the use of pain medications. This is due to the fact that it is necessary to take into account a number of diseases and conditions of the body that do not allow the use of a number of pharmacological preparations. So, with most heart diseases, it is not necessary to use anesthetic drugs containing adrenaline. Removing the wisdom tooth on the upper jaw during pregnancy is also complicated by the fact that not all drugs can be used. In this case, it is better to postpone the deletion either for the second trimester, or better for the postpartum period. In an extreme case, if the removal is carried out for emergency indications, the doctor should have drugs without vasoconstrictor components.

Today, one of the most popular anesthetics used in the removal of teeth is a solution of articaine. It provides a high speed of anesthesia and sufficient duration of a stable, reliable anesthesia.

What is a retinasis tooth?

Retinized is not a cutting tooth, which for some reason could not take its place in the dentition. In case the tooth is partially cut, it is called semi-retinitis.

There are several reasons for improper teething, the main ones are as follows:

1. No place in the formed dentition.
2. Biting disorders, such as increased crowding of teeth.
3. Violation of the timing and sequence of teeth change.
4. Pathology of the bookmark and development of the teeth.

What are the consequences of tooth extraction wisdom?

Dangerous may be such a procedure as the removal of the wisdom tooth on the upper jaw. The consequences of it can be divided into typical, peculiar to the removal of any tooth, and to specific, characteristic only for this surgical intervention.

Typical consequences can be considered:

1. Normal management of the postoperative hole, accompanied by the correct organization of the blood clot, the absence of an inflammatory reaction and the subsequent overgrowth of the soft tissue wound of the bone.
2. Development of the alveolitis. Inflammation of the walls of the bone socket usually occurs when the sanitary norms are not observed or when the blood clot does not heal / decay, when the walls of the alveoli remain unprotected from infection with the microflora of the oral cavity.
3. Severe and / or prolonged bleeding from the socket. This is most often observed with elevated blood pressure, clotting disorders, or in patients taking medications that slow blood clotting.
4. Incomplete tooth extraction. In the event that a root fracture occurs during removal, its apex portion may remain undetected in the well. To prevent such an outcome of an operation with a complex removal, it is necessary to compare and carefully examine the removed fragments.
5. Appearance of sharp edges of the bone socket. When the tooth is removed, the edge of the gum can significantly overlap the edges of the bone socket, but in some cases the gum hardly reaches its edge. In this case, after healing of soft tissues, the bone margins can only be slightly covered with a thin gum or even open over the surface of the mucosa. Both these options should be considered unfavorable, especially in the case of planning later removable prosthetics.
6. The output of sequestration. When traumatic removal in the hole can be fragments of the tooth or the walls of the alveoli. These fragments are eventually forced out of the inner space of the socket, they seem to be pierced through the gum from the inside. It is also possible the appearance of solid particles after incomplete chipping of the well walls during removal. With a difficult exit of such sequesters, they can be easily removed by a dental surgeon.

Specific characteristics have a tooth extraction of wisdom on the upper jaw. The consequences of this manipulation are as follows:

1. Damage (perforation) of the maxillary sinus with a dental instrument, most often a straight elevator.
2. Pushing into the maxillary sinus root of the removed wisdom tooth.
3. Opening of the maxillary sinus with the removal of the wisdom tooth, whose roots were initially located in the maxillary sinus.
4. Fracture of the part of the alveolar process of the upper jaw behind the wisdom tooth. In some cases, the third molar is located at the very edge of the bone, with traumatic removal the tooth can be removed together with a fragment of bone tissue, especially in chronic periodontitis.
5. Trauma and infection of surrounding spaces, most often behind the mound of the upper jaw.

Recommendations of a specialist after removal of the wisdom tooth on the upper jaw

The recommendations given by the doctor after the removal of the third molar are no different from those that must be performed for any other removal.

After such manipulation as removal of the wisdom tooth on the upper jaw, care should be directed to the preservation of the blood clot and the protection of the walls of the hole from inflammation:

1. Hold the tampon tightly pressed by the doctor on the surface of the well for 15-30 minutes. At the same time, the pressure should be sufficient to accelerate the stoppage of bleeding, but not so strong as to injure the gum or press the tampon into the socket.
2. Remove the swab neatly, so as not to damage the resulting clot of blood.
3. Do not eat for 2-6 hours after the operation.
4. Exclude the first two days after the deletion:

- vigorous rinsing of the mouth, including antiseptic solutions;

- hot food;

- physical exercise.

In case of repeated bleeding, severe pain, unpleasant odor or taste, consult a dental surgeon.

Wisdom Teeth Treatment

If there is a chance of preserving any tooth, it should be used. The peculiarities of treatment of the third upper molar consist in the fact that it is located on the very margin of the dentition, in the depth of the oral cavity. With insufficient opening of the mouth or increased emetic reflex, as well as with increased salivation, treatment can be very difficult.

Special problems can deliver the upper wisdom tooth with a violation of its position in the dentition. Most often this is the tilt of the crown of the tooth on the cheek side, which can make a full-fledged endodontic treatment almost impossible.

Twisted roots, too, do not give joy to endodontists. The greater variability of the number and location of the root canals makes the work inside the tooth a matter of creative rather than patterned. The number of root canals can vary from one to 5-8, their length - from a few millimeters to the full length of the root of the tooth.

However, in the absence of an anterior tooth, the safety of the third molar can facilitate the installation of a non-removable bridge prosthesis. Crown in this case will perform the role of additional protection of the wisdom tooth.

Wisdom tooth extraction on the upper jaw: contraindications

The main contraindications to the removal of the wisdom tooth on the upper jaw can be:

• The first and third trimesters of pregnancy;
• Acute phases of various diseases (mental, cardiovascular system, etc.);
• General severe condition;
• A disorder of blood coagulability and others.

Removing the wisdom tooth on the upper jaw: reviews

Many people note the benefit of timely removal of these teeth. There are situations when the uppermost tooth immediately grows protruding toward the cheeks. Thus the person constantly bites a cheek that delivers weight of problems. In this case, the decision to remove is correct, since you have to constantly suffer pain in the oral cavity from bites.

The newest technologies of stomatology allow quickly and painlessly to make a tooth extraction of wisdom on the upper jaw. The testimonials also indicate that it is not always possible to identify the problem externally. There are situations when only after X-ray the doctor makes a conclusion about the necessity of removal. Often, with such hidden problems, external symptoms appear, for example, dental nerve or pain in a certain side of the jaw. In this case, you need a doctor's consultation.

Patients testify that the procedure is fast. But many are also interested in the question: "If there was a tooth extraction of wisdom on the upper jaw, how long does the wound heal?" If there are no complications after this procedure, simply enough to care for the oral cavity. In the worst case, you will have to make several dressings, which are also not painful.

The cost of removing these teeth

Usually the removal of the wisdom tooth on the upper jaw costs in the range of 5000-15000 rubles. The cost of surgery may vary depending on the region, type of medical institution and many other circumstances. Some clinics provide all the necessary accessories and facilities for those who need to remove the wisdom tooth on the upper jaw. The photo of the removal process is shown above.