Surgical Dentistry
Extraction
The word extraction sends a chill down the spine to everyone irrespective of the age.We, at Jussmile go for extraction when there isn’t any other option left.A Simple extraction is usually done under local anaesthesia which when administered blocks the pain from your teeth and gums,and the dentist will remove the tooth.
WISDOM TOOTH REMOVAL
Before we get into WISDOM TOOTH REMOVAL, let us know what is Wisdom Tooth. We are aware of 32 teeth in our oral cavity, but do we really need all of them? the answer is may be- may not be.Why? Because we have evolved as a human as what we are today. A human jaw can accommodate 32 teeth i.e. Upper jaw has 16 teeth & lower jaw 16 teeth.But as said we are continuously evolving, and our eating habits also have evolved. Most of our food nowadays are refined, cooked and soft and the need for wisdom tooth has become useless. Comparing the benefits of a wisdom tooth is much lesser than the problems associated with it.
The need for extraction of Wisdom Tooth is one of the most controversial topics discussed internationally. There are a few special aspects common to all Third Molars, which make them unique from the rest of the Teeth.
It is a Tooth with the most diverse shape; there is a little chance of seeing two identical Wisdom Teeth in two individuals. The possibility of seeing a Wisdom Tooth in a 30 year old person, according to statistics, is 75%.
Sometimes partly erupted Wisdom Tooth and on other occasions fully impacted Wisdom Tooth are reported. Cases of impacted Wisdom Tooth have tremendously increased in the past few decades which are believed to be due to the changing eating habits.
The help a Wisdom Tooth offers is by aiding in grinding food, but the other tooth functions like phonation, facial symmetry maintenance etc. are not much influenced by it, as they are too late to erupt (18 to 26 years).
The disturbances it can offer are high. Since the area is beyond the reach of a Toothbrush, it is difficult to clean, so the risk of cavities increases.
When the eruption stops at half way through, the chance of food lodgement and thereby bacterial growth can lead to swelling on the surrounding Gum Tissue (Pericoronitis).
Why Wisdom Tooth gets Impacted
The cause for impaction of wisdom tooth is again blamed on evolution. The growth of jaw is vital in deciding the course of wisdom tooth.In the recent years it has been noted that size of human jaw is reducing only to the level of accomodating easily 28 teeth,and the space for last four teeth i.e. 29,30,31,32 is reducing in size leading to insufficient space for the last four teeth to erupt.
Why Wisdom tooth is Removed?
If all the 32 teeth are spaciously placed in your mouth, then there is no need to worry, but when it can trouble the existence of other 28 teeth,that is when there is a need to remove the wisdom teeth At the site of impaction, there occurs unexplained pain, as it exerts pressure on the nearby nerve. Cysts or Tumours may form around Impacted Wisdom Teeth and these potentially destructive pathologic lesions can cause damage to the adjacent teeth, bone and other anatomic structures. Studies show that a wisdom tooth left in situ may cause resorption of the root of the adjacent tooth . Few other conditions which can be associated with an Impacted wisdom tooth include functional disorders, such as Occlusal Interference, Cheek Biting, Mastication Disorders, Trismus and Temporomandibular joint Disorders. When do we not opt for a surgery? Some Cases are contraindicated for surgical removal:- People in old age whose healing ability is little.
- Medically compromised individuals whose immune status is low. (eg. Uncontrolled Diabetes).
- Very closely associated vital structures, teeth that could be affected
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