Tooth extraction

It is a standard dental procedure to extract the third molars, often due to impaction, pain, or potential future problems. The procedure can range from simple extractions to more complex surgical removals, depending on the tooth’s position and eruption status.

Also known as third molars, they are the last set of molars to emerge, typically appearing between the ages of 17 and 25. They are not always problematic, but often they don’t have enough space to fully erupt or grow in properly, leading to various issues.

• Impaction: Wisdom teeth can become impacted, meaning they are trapped under the gum or bone and cannot fully emerge. This can cause pain, infection, and damage to neighbouring teeth.
• Pain and discomfort: Impacted or misaligned wisdom teeth can cause persistent pain, jaw stiffness, and headaches.
• Infection: Impacted wisdom teeth create a space where bacteria can accumulate, leading to infections (pericoronitis).
• Crowding and misalignment: Wisdom teeth can push other teeth out of alignment, affecting the bite and potentially requiring orthodontic treatment.
• Cyst or tumour formation: In rare cases, cysts or tumours can develop around impacted wisdom teeth.

1. Assessment and planning: A dentist or oral surgeon will take X-rays /CBCT (3d scan) to assess the position and development of the wisdom teeth. They will determine the best course of action, whether it’s a simple extraction or a surgical removal.
2. Anaesthesia: Local anaesthesia is used to numb the area. Sedation or general anaesthesia may be used for more complex cases or patient anxiety.
3. Extraction simple/surgical:
   Simple extraction: For erupted wisdom teeth, the dentist will loosen the tooth and remove it from the socket.
   
   Surgical removal: If the tooth is impacted, the dentist may need to make a small incision in the gum, remove some bone, and potentially section the tooth to remove it.
4. Sutures and healing: Stitches may be used to close the gum, and dissolvable stitches are often used.

• Pain and swelling: Expect some pain, swelling, and bruising. Pain medication and ice packs can help manage these symptoms.
• Diet: Stick to a soft food diet for the first few days, gradually reintroducing more solid foods as comfort allows.
• Oral hygiene: Gently rinse with warm salt water after meals to keep the area clean. Avoid using a straw, as it can dislodge blood clots.
• Bleeding: Some bleeding is normal, but if it’s excessive, bite down firmly on gauze and contact your dentist or surgeon.
• Infection: Watch for signs of infection (increased pain, swelling, fever) and contact your dentist if you suspect an infection.