Impacted Teeth

Such as the cuspids and the bicuspids (canines and premolars) can become impacted and can cause the same kinds of problems.

Impacted Teeth

Wisdom teeth, otherwise known as third molars, are the last set of teeth to develop. Sometimes these teeth emerge from the gum line and the jaw is large enough to allow room for them. However, most of the time, this is not the case. More often, one (or more) of these third molars fails to emerge in proper alignment or fully through the gum line and becomes entrapped or “impacted” between the jawbone and the gum tissue.

Impacted wisdom teeth can result in swelling, pain, and infection of the cheek and gum tissue surrounding it. In addition, impacted wisdom teeth can cause permanent damage to nearby teeth, gums, and bone and sometimes lead to the formation of cysts or tumors that can destroy sections of the jaw. Therefore, we recommend that people with impacted wisdom teeth have them surgically removed. It’s not just wisdom teeth that sometimes become impacted and need to be removed. Other teeth, such as the cuspids and the bicuspids (canines and premolars) can become impacted and can cause the same kinds of problems.

Why “wisdom” teeth?

  • Third molars have been referred to as “teeth of wisdom” since the 17th century and simply “wisdom teeth” since the 19th century.
  • They generally appear much later than the other teeth, usually between the ages of 17 and 25.
  • According to linguists, they are called wisdom teeth because they appear so late, at an age when a person matures into adulthood and is “wiser” than when other teeth have erupted.

Why is it mandatory to remove wisdom teeth?

Considering their wild nature, it’s easy for these molars to become problematic. Wisdom teeth can be irritable additions to your gum line. If they are misaligned or impacted, these molars are likely to cause pain or even infection.

Wisdom tooth should be extracted in the following conditions:

impacted wisdom teeth1
  • Repeated history of pain
  • Swelling
  • Pus discharge
  • Cavities in the wisdom teeth
  • Tooth positioned in a manner, which is likely to cause problems in the future
  • X-ray reveals whether the tooth is close to the nerve and how difficult their relative positioning is
  • Localised gum infection
  • Damage to adjacent teeth
  • Any numbness noticed on the wisdom tooth region or over the skin

Why is that pain on the wisdom tooth need to be addressed at the earliest?

The position of the wisdom tooth with respect to the other teeth can lead to excruciating pain in the area. This not only results in discomfort but can also pave the way for infection in no time.

Some of the most common impacted wisdom teeth can be:

Winter’s classification according to angulation:

tooth needs

Whether the tooth needs to be taken out or not depends on its position. At FMS, we have expert oral and maxillofacial surgeons to help you come to a decision, by first giving a thorough understanding of the situation. After that, they will plan the case with all possible interventions.

Is the surgery very painful?

Wisdom tooth removal is absolutely painless. It is slightly uncomfortable and tiring due to the length of the procedure. Some patients may experience some pain and discomfort post removal but it depends on:

  • Your threshold for pain
  • How difficult your tooth removal was
  • How long the operative procedure lasted

You will be given a prescription post-surgery, and as long as you follow the instructions, pain and discomfort will be minimal.

What kind of anesthesia is required?

Generally, wisdom teeth removal is done under local anaesthesia in the OPD itself. Local anaesthesia involves injecting medicine inside the mouth to keep it numb. This takes away all the pain during the procedure by taking away all sensations. However, if the patient is excessively apprehensive or the procedure required is significantly more complicated, the option of surgery under general anaesthesia in a hospital is also available.

What are the restrictions following the surgery?

  • We advise patients to avoid strenuous physical activity for 24 hrs following surgery, but there are no restrictions for routine daily activities.
  • Smoking before and after surgery can cause a dry socket or delayed healing. You should stop smoking completely until the extraction sockets heal, which may take a couple of weeks.
  • Similar restrictions apply for alcoholic and aerated beverages.
  • There will be restrictions on certain foods for 24 hrs as well.
  • Soft diet is preferable for the first two days post-surgery.

Uncommon Complications

  • Numbness – The roots and the jawbone surrounding the lower wisdom teeth can be positioned very close to the nerves that supply sensation to your chin, lip, and tongue. While removing lower wisdom teeth, these nerves can sometimes be stretched or injured so that even after the local anesthetic wears off, you might feel an altered sensation in your chin/lip/tongue. However, permanent numbness is a very rare condition and generally, this condition heals by itself over a while.
  • Oro-antral communication -Sometimes the root of a deep-seated upper tooth may be in close vicinity or within the maxillary sinus and communication may occur between the oral cavity and the sinus during the extraction. This may heal by itself or can be managed efficiently by the oral surgeon.
  • Excessive bleeding – If in poor experienced hands or in the case of excessive trauma during the procedure, chances are high for any vessel to cut leading to unexpected and excessive bleeding that can put the patient at risk.
  • Deep-seated infections – Infections, if not addressed correctly, can lead to them spreading on a large scale resulting in extreme discomfort to the patients.
  • Nerve injuries – Nerves very close to impacted wisdom teeth should be handled only by expert hands. If mishandled, it can easily lead to traumatizing the nerve and permanent loss of sensations in the area.
  • Bone fracture – Wisdom teeth removal is a very tedious process. If excess pressure and force are applied or in the case of improper technique, it can lead to fracture of the underlying bone.

All these uncommon complications can be easily avoided by reaching out to expert hands. We at FMS

  1. Will have a personal face-to-face interaction with the patient, to understand their requirement.
  2. All of the patient’s queries will be addressed by an expert oral and maxillofacial surgeon
  3. With the use of the latest technologies and equipment including 3D scan, the surgeon will be in a position to give clear, thorough explanations about the procedure.
  4. Sterilization, armamentarium, and the standard of protocols followed by the expert FMS oral and maxillofacial surgeon will create a stress-free environment for the procedure, thereby making the patients comfortable.

Why choose us?

  1. In-depth consultation and assessment of the case
  2. Explanation of every procedure, step by step, to the patient, clarifying complications, if any.
  3. Use of advanced diagnostic techniques like the 3D guided cone beam, computed tomography, and assessment of the tooth in a 3 dimensional way to avoid any complications during or after the procedure.
  4. Anticipation by the experienced surgeon, taking pre-operative precautions to formulate an appropriate plan.
  5. All the materials and equipment ready in-house during the procedure to manage all complications and to ensure that every need of the patient is cared for.

1. What is a CBCT?

Cone-beam computed tomography systems (CBCT) are a variation of traditional computed tomography (CT) systems. The CBCT systems used by dental professionals rotate around the patient, capturing data using a cone-shaped X-ray beam. This data is used to reconstruct a three-dimensional (3D) image of the following regions of the patient’s anatomy: dental (teeth); oral and maxillofacial region (mouth, jaw, and neck); and ears, nose, and throat (“ENT”).

2. What are the benefits?

  1. Dental CBCT images provide three-dimensional (3-D) information, rather than the two-dimensional (2-D) information provided by a conventional X-ray image. This may help with the diagnosis, treatment planning, and evaluation of certain conditions.
  2. Although the radiation doses from dental CBCT exams are generally lower than other CT exams, dental CBCT exams typically deliver more radiation than conventional dental X-ray exams.

CBCT 3D imaging is Helpful When:

What are the benefits
  • Wisdom teeth lie deep, either superimposing the mandibular nerve canal or seeming to cross it on regular radiographs
  • A disrupted nerve canal outline is depicted in regular X-rays
  • The nerve canal has a step or curve in its course where the wisdom tooth roots join
  • Associated cyst or other pathology is evident.

Generally in any procedure of tooth removal where the roots go deep into the jaws and the extraction is going to be anything other than straightforward and simple.

With all these advanced and innovative techniques, we at FMS give the promise of comfortable treatment, guidance, and care to the patients, involving the experienced and meticulous hands of our surgeon.

What should be done after the surgery?

  1. After the procedure, physical compression of the surgical site should be done. This is of the utmost importance, helping in blood clot activation and facilitating smooth healing.
  2. Vigorously spitting or applying pressure over the surgical site should be avoided for the first 72 hours as these can lead to bleeding and hamper the healing process.
  3. Cold compression on the skin of the surgical site should be done for 24 hours after the surgery.
  4. Soft diet will be recommended for the first 24 hours after the surgical procedure to reduce the load over the surgical site and improve healing.
  5. Hot fermentation with warm salt water is recommended after 48 hours to ensure adequate healing and stop food debris from entering the surgical site, thus keeping it clean and hygienic.
  6. Prescribed medications from the specialist should be properly followed.
  7. Swelling of the face is very common during the first few days after the surgical procedure. By following proper medications and home care procedures, these will resolve within a couple of days.
  8. The use of any ointments or hot/cold substances over the surgical site should be strictly avoided as these will lead to unnecessary secondary infections.
  9. Stitches will be in place after the surgical procedure for a couple of days and will be removed as per the surgeon’s decision.
  10. From the second day onwards, gentle mouth opening exercises should be performed to reduce the post-surgical discomforts.

Maintaining oral hygiene is of the utmost importance in healing.

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