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Wisdom teeth removal

Estética facial Barcelona

Wisdom teeth are the four teeth that erupt, two upper and two lower, on each side of the dental arch. Most people get their wisdom teeth between the ages of 17 and 25, but it depends on each individual: some may take more or less time, and some never erupt.

We see and treat many types of wisdom teeth at the Casanova 25 dental clinic:

  • They come in crooked or growing in the wrong direction
  • The jaw does not have enough room for teeth to come in, causing them to become "impacted" or trapped in the maxilla.
  • Limited space may cause them to only partially come in, causing a flap of gum tissue to grow over the tooth in which food can become trapped.

In all these cases, correctly cleaning the area becomes difficult, to such an extent that it can result in decay, gum inflammation, even an infection or cyst.

The dentist will be the one to diagnose whether wisdom teeth should be removed or not, assessing the teeth’s condition and the space available.

Generally, any risks involve the lower molars because the nerve that provides feeling to the lower lip is located on the same side. This makes it necessary to perform a CT scan to analyze if and how the roots of the third molar are placed in relation to the nerve and carefully plan the extraction of tooth.

Types of Wisdom Tooth Extraction

SIMPLE EXTRACTION (NO IMPACTION)

These are performed when the crown of the tooth is completely above the gum line and can be easily removed. Stiches are not usually required.

PARTIAL BONY IMPACTION

The wisdom tooth has partially erupted and therefore the crown is barely visible below the gum. The surgeon will make an incision in the gum tissue and shave away a small amount of bone to reach the wisdom tooth. The tooth will then be removed completely and the wound closed with stiches.

COMPLETE BONY IMPACTION

In this case, the wisdom tooth is completely encased in the jaw bone. The tooth growth displaces adjacent teeth and, therefore, the entire dental structure.

The surgeon will make a cut in the gum and shave away a portion of the jaw bone to reach the wisdom tooth. The tooth is often cut into several pieces for easier removal. The surgical wound is closed with stiches after the tooth is removed.

Are there any post-extraction complications?

Wisdom tooth extraction generally implies:

  • Pain and swelling of the surrounding gums and tissues
  • Bleeding (varies for each individual)
  • Difficulty or pain when opening the mouth
  • Slow healing of the gums
  • Damage to adjacent teeth or earlier dental work (crowns, bridges, etc.)
  • Damage or premature loss of the clot that forms in the extraction area
  • Numbness of the mouth and lips due to damage or inflammation of the nerves in the jaw
  • Infection

Recommendations for a speedy recovery after getting your wisdom teeth removed

At the dental clinic we provide our patients with a series of recommendations for optimal recovery:

  • Apply ice to the cheek to relieve pain.
  • Take the medications prescribed by the surgeon.
  • Do not spit or rinse for the first 24 hours after extraction. This could cause the clot to detach and result in excessive bleeding.
  • Keep the mouth extremely clean.
  • Sleep with your head higher than your feet.
  • If bleeding continues, bite a piece of gauze for 20 minutes.
  • Avoid physical activities for at least a week.
  • Smoking during the postoperative period is completely prohibited.
  • Do not drink with a straw.
  • Eat a liquid diet for the first few days; food should be soft, cold, and natural.