Removing a wisdom tooth in the upper jaw: consequences

Dentistry or tooth extraction is an unpleasant procedure for many. But you can’t delay it. How is the removal of the wisdom tooth in the upper jaw in Samara, Chelyabinsk, Moscow, Omsk and other cities? What are the prices for this manipulation? How important is it to apply all the doctor's recommendations? All details of the reasons for removing the wisdom tooth on the upper jaw and caring for the oral cavity after manipulation, read below.

Tooth of Wisdom: Description

If you do not take into account the specific position of the wisdom teeth in the alveolar process of the jaw, then from all other points of view there is nothing special about them. Like other teeth, the roots are immersed in the bone hole, their length is approximately two-thirds of the length of the tooth. The crown part has a large chewing surface with several tubercles, all this is intended for easy chewing of food. Three roots directed at an angle to each other provide the stability necessary taking into account the pressure of closely attached masticatory muscles. However, this description applies to any molar of the upper and lower jaws.

But the fact that wisdom teeth usually erupt after completion of the growth of the jaw and the formation of the dentition explains a number of their specific features. Since there is often not enough space in the alveolar ridge, such teeth can be rejected, extruded by the coronal part to the side of the general dental system. The roots also do not have enough space, so they can be very curved and even grow together, turning the teeth into two or even single roots.

Another feature of wisdom teeth is the low rate of eruption, due to the same crowding of the dentition and the density of the formed bone tissue. As a result, a tooth with an incompletely mineralized enamel may appear in its place already damaged by a carious process, or even in a state of pulp inflammation.

When do wisdom teeth appear?

The standard terms for teething wisdom are the age interval from 15-16 to 25 years. However, most dentists will agree that even this variation does not cover all possible options. So, the appearance of wisdom teeth at the age of 30, as well as their absence in its place at retirement age, is not considered a significant deviation. The appearance of wisdom teeth is an individual process.

Why is it necessary to remove this tooth in the upper jaw?

This question is often asked by dentists, people who have no complaints about wisdom teeth, and patients who decide whether to treat already damaged teeth. Such a statement of the question stems from the opinion that it is reasonable to remove wisdom teeth immediately after their eruption, without waiting for possible complications.

If we consider the removal of a wisdom tooth in the upper jaw from the position of tooth preservation and preservation, then for this operation certain indications are necessary:

1. Significant destruction that does not allow for full treatment, including with severely curved or obliterated root canals.
2. With increased crowding of the teeth, when the correction of the bite is significantly complicated by these teeth.
3. Deviation of the crown of the tooth (usually on the buccal side), leading to permanent injuries of the soft tissues of the oral cavity.
4. The occurrence of purulent complications with periodontitis of the wisdom tooth, threatening the development of an abscess or phlegmon.

How painful is the removal procedure?

Removing a wisdom tooth in the upper jaw is not an operation today that requires any special approach to pain relief. Reliable, potent anesthetics cope with their task from the first injection. The thinnest modern needles for professional karpulny syringes do anesthesia absolutely not terrible manipulation. The high permeability of the upper jaw bone allows anesthetic solution in the area of ​​the proposed surgical intervention. Therefore, even the question of whether the removal of the wisdom tooth on the upper jaw is painful is carried out, today it is completely outdated and there is absolutely no need to fear pain during removal.

Painkillers Used In This Procedure

The choice of anesthetics is huge today, but when choosing a drug, you should rely primarily on the opinion of a professional dentist who removes a wisdom tooth in the upper jaw. What is the strongest anesthesia after all? In this matter, extreme caution is required in the use of painkillers. This is due to the fact that it is necessary to take into account a number of diseases and conditions of the body that do not allow the use of a number of pharmacological preparations. So, with most heart diseases, you should not use anesthetics containing adrenaline. Removing a wisdom tooth in the upper jaw during pregnancy is also complicated by the fact that not all drugs can be used. In this case, it is better to delay the removal altogether, either in the second trimester, or better in the postpartum period. In an extreme case, if the removal is carried out according to emergency indications, the doctor should have drugs without vasoconstrictor components.

Today, one of the most popular anesthetics used to remove teeth is articaine solution. It provides a high rate of anesthesia and a sufficient duration of persistent, reliable anesthesia.

What is a retined tooth?

A retarded tooth is an erupted tooth that for some reason could not take its place in the dentition. If the tooth is still partially erupted, it is called semi-resinized.

There are several reasons for incorrect teething, the main ones are the following:

1. Lack of space in the formed dentition.
2. Malocclusion, such as increased crowding of teeth.
3. Violation of the timing and sequence of tooth changes.
4. Pathology bookmarks and tooth development.

What are the consequences of removing a wisdom tooth?

A procedure such as removing a wisdom tooth in the upper jaw can be dangerous. Its consequences can be divided into typical, characteristic of the extraction of any tooth, and specific, characteristic only for this surgical intervention.

Typical consequences can be considered:

1. The normal management of the postoperative hole, accompanied by the proper organization of a blood clot, the absence of an inflammatory reaction and subsequent overgrowth of a soft tissue wound in the bone.
2. The development of alveolitis. Inflammation of the walls of the bone hole usually occurs when sanitary standards are not observed or when blood clot is not formed / decays, when the walls of the alveoli remain unprotected from infection by the microflora of the oral cavity.
3. Severe and / or prolonged bleeding from the hole. Most often this is observed with high blood pressure, clotting disorders, or in patients taking medications that slow down blood clotting.
4. Incomplete tooth extraction. If a root fracture occurs during removal, its apical part may go unnoticed in the hole. To prevent such an outcome of the operation with complex removal, it is necessary to compare and carefully examine the deleted fragments.
5. The appearance of sharp edges of the bone hole. When a tooth is removed, the edge of the gum can significantly overlap the edges of the bone hole, but in some cases the gum barely reaches its edge. In this case, after the healing of soft tissues, the bone edges can only slightly hide behind a thin gum or even openly go over the surface of the mucosa. Both of these options should be considered unfavorable, especially in the case of planning further removable prosthetics.
6. Sequestration exit. With traumatic removal, fragments of a tooth or walls of the alveoli can be in the hole. These fragments are eventually displaced from the inner space of the hole, they are as if pecked through the gum from the inside. Particulate matter is also possible after incomplete chipping of the walls of the well during removal. With the difficult exit of such sequesters, they will be easily removed by the dentist surgeon.

Specific characteristics are the removal of a wisdom tooth on the upper jaw. The consequences of this manipulation are as follows:

1. Damage (perforation) of the maxillary sinus with a dental tool, most often a direct elevator.
2. Pushing into the maxillary sinus of the root of the removed wisdom tooth.
3. Autopsy of the maxillary sinus while removing the wisdom tooth, whose roots were originally located in the maxillary sinus.
4. Fracture of the part of the alveolar process of the upper jaw behind the wisdom tooth. In some cases, the third molar is located on the very edge of the bone, with traumatic removal of the tooth can be extracted together with a fragment of bone tissue, especially in chronic periodontitis.
5. Injury and infection of the surrounding spaces, most often beyond the tuber of the upper jaw.

Recommendations of a specialist after removing a wisdom tooth in the upper jaw

The recommendations given by the doctor after the removal of the third molar are no different from those that must be followed at any other removal.

After carrying out such manipulations as removing a wisdom tooth in the upper jaw, care should be aimed at preserving the blood clot and protecting the walls of the well from inflammation:

1. Keep the swab pressed firmly by the doctor on the surface of the hole for 15-30 minutes. In this case, the pressure should be sufficient to accelerate the stopping of bleeding, but not so strong as to injure the gums or press the tampon into the hole.
2. Remove the swab carefully so as not to damage the resulting blood clot.
3. Avoid eating within 2-6 hours after surgery.
4. Exclude in the first two days after removal:

- vigorous rinsing of the oral cavity, including antiseptic solutions;

- hot food;

- physical exercise.

In case of repeated bleeding, severe pain, unpleasant odor or taste, you should consult a dentist surgeon.

Wisdom Dentistry

If there is a chance of preserving any tooth, it should be used. Features of the treatment of the third upper molar are that it is located on the very edge of the dentition, in the depths of the oral cavity. With insufficient opening of the mouth or increased vomiting reflex, as well as with increased salivation, treatment can be very difficult.

The upper wisdom tooth can cause special problems with the violation of its position in the dentition. Most often, this is the inclination of the tooth crown to the cheek side, which can make a complete endodontic treatment practically impossible.

Curved roots also do not give joy to endodontists. The great variability in the number and location of root canals makes working inside the tooth a matter of creativity rather than stereotyping. The number of root canals can range from one to 5-8, their length - from a few millimeters to the full length of the tooth root.

However, in the absence of a tooth standing in front, the safety of the third molar can contribute to the installation of a fixed bridge. The crown will fulfill the role of additional protection for the wisdom tooth.

Removing a wisdom tooth in the upper jaw: contraindications

The main contraindications to the removal of a wisdom tooth in the upper jaw can be:

• first and third trimesters of pregnancy;
• acute phases of various diseases (mental, cardiovascular system, etc.);
• general serious condition;
• bleeding disorders and others.

Removing a wisdom tooth on the upper jaw: reviews

Many note the benefit of timely removal of these teeth. There are situations when the upper extreme tooth immediately grows sticking out to the side of the cheek. At the same time, a person constantly bites his cheek, which causes a lot of problems. In this case, the decision to remove is correct, as you have to endure pain in the oral cavity from bites.

The latest dental technology allows you to quickly and painlessly remove a wisdom tooth in the upper jaw. Reviews also indicate that it is not always possible to identify the problem externally. There are situations when only after an x-ray the doctor concludes that removal is necessary. Often with such hidden problems, external symptoms appear, for example, restlessness of the dental nerve or pain in a certain side of the jaw. In this case, you need a doctor's consultation.

Patients indicate that the procedure is fast. But many are also interested in the question: "If there was an extraction of a wisdom tooth in the upper jaw, how long does the wound heal?" If there are no complications after this procedure, it is enough to simply care for the oral cavity. In the worst case, you will have to make several dressings, which are also not painful.

The price of removing these teeth

Typically, the removal of a wisdom tooth in the upper jaw costs between 5000-15000 rubles. The cost of surgery may vary depending on the region, the type of medical institution and many other circumstances. Some clinics provide all the necessary accessories and tools for those who need to remove a wisdom tooth in the upper jaw. A photo of the removal process is presented above.