WISDOM TOOTH REMOVAL
Each individual wisdom tooth is unique and depending
on how it grows, it can have different impact on bones and/or
tissues. Their varied developments such as impaction, horizontal
or slant placement may effect other teeth and cause troubles.
They have to extracted out and is
a highly skillful job being performed by our Maxillofacial surgeon,
Dr. VISHAL SINGH and Dr.
ANURAG
SINGH
The following 4 impactions are commonly found in
patients cases.
If the impaction is between the third molar and
part of the second molar, this kind is called bone impaction.
It can subcategorized into vertical, horizontal, and angular depending
on the way they are intersecting.
Bone Impaction (Vertical)
Impaction would cause pathosis inside the cheek bone or jaw bone.
Bone Impaction (Horizontal)
Besides leading pathosis, horizontal placement would hurt the
hard tissue of the second molar to cause toothache and cavities.
Bone Impaction (Angular)
Besides leading pathosis, angular placement would hurt the hard
tissue of the second molar to cause toothache and cavities.
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Left: Bone Impaction (vertical)
Middle: Bone Impaction (horizontal)
Right: Bone Impaction (angular)
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The last one is called tissue
impaction, because the wisdom tooth is directly
breaking out of the tissue.
Tissue Impaction
The
wisdom tooth almost erupts out of gum, or its half erupts out
of gum to cause pseudo-pocket. Besides leading pathosis, it easily
tracts food debris and causes gum irritation.
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Tissue
Impaction
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Only under the X-Ray can these impactions be clearly
identified.
Extraction
of Impacted Tooth
The following shows how to remove the impacted wisdom
tooth (bone impaction).
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1.
Locate the impacted wisdom tooth. (left)
2. Incise soft tissue to open. (middle)
3. Remove overlying bone to expose the tooth crown. (middle)
4. Extract the tooth out by whole or in pieces. (middle)
5. Suture the soft tissue back. (right)
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This procedure is only needed when your wisdom teeth
start to bother you, or upon your dentist’s recommendation.
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