When the wisdom teeth begin cutting into the gums, most people shudder.

Experienced surgeons at Porcelain easily perform an extraction of even the most complicated teeth. This procedure is painless and safe.

Wisdom teeth are called the eighths teeth in the dental arch from two sides on the upper and lower jaws, counting from the line between the central incisors. They have the same structure as other multi-rooted teeth — molars. Their maximum number in humans is 4. They are laid after birth and usually erupt last at the age of 18-27 years and later; therefore, they were called "wisdom teeth".

However, in the process of evolution and due to significant changes in the diet and lifestyle of a person, the jaw significantly decreased in size. For some people, this has led to the fact that the last wisdom teeth in the arch simply have nowhere to erupt and grow, so they never appear. Another scenario is that the "eighth teeth" gradually move away the adjacent seventh teeth and erupt anyway, but the process lasts several years and is often accompanied by sense of discomfort — pain, swelling, malocclusion.

Extract or not extract?

In world practice, the wisdom teeth are usually extracted as soon as they erupt or are still in the gum. But the thing to remember is that wisdom tooth extraction is a complex surgical procedure which can be accompanied by certain difficulties. Therefore, our dentists approach to this issue individually and discuss possible solutions.

In those cases when the eighth teeth are correctly positioned and healthy and do not cause any discomfort, they are preferred to save. Certain conditions should be the reason for their extraction.

Cases when a wisdom tooth extraction is indicated

1. - Pericoronitis

Eruption of the last permanent teeth is often accompanied by complications. The most common of these is inflammation of the tissues surrounding the eighth teeth. During the tooth growth and eruption, a tubercle with a mucous membrane, the so-called "hood", appears on the surface of the gum. It is constantly injured. An inflammatory process facilitated by a large number of bacteria in the oral cavity can develop in this zone. If the food debris gets under the "hood" of the wisdom tooth, inflammation can move into the purulent phase, and this indicates the development of pericoronitis.

At the same time, pain in the tooth area increases sharply, it can shoots up the temple or ear, painful sensations go into the cheek and throat. Inflammation can affect nearby lymph nodes, facial nerves and muscles. General signs of intoxication may appear — fever, headache, weakness. The gums swell, the mucous membrane turns red, pus can leak out of the "hood" when pressed. In this case, the wisdom tooth should be extracted as soon as possible.

1. - Tooth decay

This is the next most common problem. The eighth teeth are usually closely pressed to the seventh ones, there are practically no interdental spaces and it is difficult to care for teeth. Therefore, favourable conditions are created for carious lesions. It is quite difficult to treat these teeth. Therefore, diagnosed tooth decay often causes the wisdom tooth extraction. If there is no good hygiene of wisdom teeth, then the adjacent teeth regularly remain improperly brushed, and this is a prerequisite for the development of tooth decay on adjacent teeth. Extraction of the 8th tooth helps solve this problem.

1. - Crowding and malocclusion

Since space for the eighth teeth is often not enough, they move adjacent molars to the center, which is why other teeth are shifting. Their position changes relative to each other, which leads to malocclusion requiring orthodontic treatment.

In addition to pressure on adjacent teeth, the growth of the eighth teeth can become a source of constant aching, pressing and periodically shooting pains.

Then the doctor can decide whether the extraction of the eighth teeth is necessary. To finally make sure that the tooth is growing improperly, a dental panoramic radiography and a CT scan (computed tomography), if possible, are performed

1. - Formation of cysts of the lower jaw

Sometimes during the growth of the eighth tooth, a cyst forms in the jaw. Its existence may be asymptomatic, and then it is detected by chance during an X-ray examination. At the same time, its growth is often accompanied with pain. If fluid accumulates in the cyst cavity, then an infection may occur which ultimately leads to suppuration and the development of gum boil. Then the wisdom tooth is definitely extracted.

1. - Chronic injury of the cheek and mucosa

When a tooth grows toward the cheek, it can be injured by its sharp edges or when chewing. In some cases, that leads to the formation of a non-healing ulcer or the development of scar tissue. Other changes in the oral mucosa requiring treatment may occur.

1. - Retention or dystopia

Retention is a condition when the tooth has not erupted and is completely under the gum. This leads to constant pain, pressure on the tissue, swelling of the gum. Unerupted tooth are detected by using radiography. Depending on the clinical situation, a decision on tooth extraction is made.

Dystopia is the inclination of the tooth and other options for its incorrect position. This condition can cause all of the above complications, therefore, is an indication for the surgery to extract the eighth tooth.

How are the wisdom teeth extracted

If indicated, an elective well-prepared surgery is assigned to the patient to extract a wisdom tooth. This avoids complications and unpleasant surprises.

The wisdom tooth extraction in Kyiv is performed in dental clinics which are equipped with the necessary diagnostic and medical equipment, and doctors have the relevant qualifications. This is a surgical intervention which is often complicated by the incorrect position of the tooth, dental plexus, proximity of adjacent teeth and surgical injury to soft tissues.

The price of wisdom tooth extraction depends on the scale of the surgery, preoperative preparation and a type of anesthesia. The cost may increase if an atypical tooth extraction is needed or methods to repair a bone tissue defect have to be used.

Complications after a wisdom tooth extraction:

• - bleeding;
• - alveolitis;
• - dry socket syndrome — the absence of a blood clot which protects the bone and nerves after the tooth extraction;
• - perforation (puncture) of the maxillary sinus.
• - nerve damage.
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What to do after the surgery

Within the first 24 hours after the surgery, you should not smoke, take spicy, hot and cold food, alcohol. It is not recommended to visit the gym, bath, sauna or pool. All doctor's recommendations should be followed. In addition, you need to avoid intensive rinsing and brushing so as not to destroy the blood clot in the socket.

After the wound healing and removal of sutures, thorough oral care and preventive examinations 2 times a year are enough to perform professional tooth cleaning, plaque removal and early detection of dental diseases.