Wisdom tooth extraction

The wisdom tooth has fully erupted, is accessible to the instruments, the bone does not cover the crown, and the roots have typical anatomy. In this case, there is no need for a gum incision or removal of bone tissue.

After anesthesia, the tooth is carefully removed from the socket. If needed, a hemostatic sponge is placed in the socket to control bleeding and stabilize the clot. Sutures are usually not required, and recovery is faster.

The wisdom tooth is partially or fully located in the bone (impacted) or has an abnormal eruption path (malpositioned). The crown may be covered by bone, and the roots may be close to the nerve or have a complex shape.

For controlled access, a gum incision is made and, in some cases, part of the bone is removed. The tooth may be sectioned into fragments, after which a hemostatic material is placed in the socket and sutures are applied. Recovery takes longer.

An impacted wisdom tooth is a tooth that has not fully or partially erupted and remains in the bone or under the gum. Such a tooth may not cause symptoms for a long time, but it can create a risk of inflammation, damage to the adjacent molar, or cyst formation.

Before extraction, its position must be assessed on an X-ray or CT scan: the depth of impaction, angulation, root shape, and contact with the inferior alveolar nerve. This makes it possible to plan the surgical access and minimize risks.

During the procedure, surgical access to the tooth is created; if necessary, part of the bone is removed or the tooth is sectioned into fragments for controlled removal. After extraction, the socket is cleaned, irrigated, a hemostatic sponge is placed, and sutures are applied.

Recovery usually takes longer than after a simple extraction and may be accompanied by swelling or limited mouth opening in the first few days.

A malpositioned wisdom tooth is a tooth that has erupted or partially erupted but occupies an incorrect position in the dental arch. Most often, it is tilted toward the second molar, grows at an angle, or is displaced toward the cheek or the tongue.

Before extraction, its position is assessed on an X-ray or CT scan: the direction of angulation, root shape, contact with the adjacent molar, and the condition of the bone tissue. This helps determine whether there is a risk of damage to the second molar and choose the optimal extraction technique.

During the procedure, the doctor carefully removes the tooth from the socket. If the tooth has a pronounced tilt or a complex root anatomy, it may be sectioned into fragments for controlled removal without excessive pressure on the bone.

After extraction, the socket is cleaned of tissue remnants, rinsed with an antiseptic solution, and a hemostatic material is placed if needed. Recovery is usually accompanied by mild swelling or discomfort in the first few days.