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The third molars, more commonly known as “wisdom teeth”, erupt from the ages 18 to 25.
This is the age when all the dental elements should have reached their position in the dental arch.
In most cases, the eruption of third molars does not take place and these are called impacted wisdom teeth.
There are several consequences arising from the wisdom teeth. The most common are carious lesions and pericoronitis; an acute inflammation of the surrounding gingival tissue that causes oedema, which can be purulent and painful and in some cases causing consequent trismus
It is for these reasons that in the majority of wisdom tooth extractions are extracted.
Upper wisdom teeth are generally easy to remove and rarely lead to complications unlike the lower wisdom teeth, which can be trickier.
There are often anatomical variations. Some of these can simplify the extraction procedure, for example, single-rooedt teeth can be managed more easily of multiple-root teeth. Others can complicate the extraction, such as curved root, which is attached to the bone support.
When the wisdom teeth are completely erupted, it is quick and easy to remove them than compared to impacted teeth. Fortunately new diagnostic tools, such as Cone Beam 3D and the microscope in our clinics allow us to reduce to minimise the risks linked with the procedure.
Therefore, the extraction of impacted wisdom teeth, including broken wisdom teeth can be a simple process with minimal post-operative discomfort.
The surgical extraction of wisdom teeth is a routine procedure carried out regularly at our clinics using local anesthesia. With the multiple-root tooth extraction, we can sometimes proceed by sectioning of the roots in order to preserve and avoid possible fractures of bone support. Instead, in the treatment of mono-root teeth sectioning may not be necessary.
After tooth extraction, we can go forward by probing of the extraction socket with a precise curettage and the remove the granulation tissue. Later, with the help of the laser and copious socket irrigation with water and betadine, we will achieve the best disinfection within the deepest tissues.
Finally, we will conclude the surgery doing the “socket preservation” technique (preservation of the alveolus) by using a filler interlobular (homologous or heterologous bones and blood products/ derivatives from platelets) and a supralveolar seal/cover, through the usage of autologous membrane. This technique aims to achieve a more effective immune response and a faster and painless healing process.
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