How to extract wisdom teeth?

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor II Nguyen Khanh Nam - Doctor of Odonto-Stomatology - Department of General Surgery - Vinmec Nha Trang International General Hospital.
Wisdom teeth - also known as molars 8 - are the last teeth to erupt in each person and usually erupt when entering adulthood, between the ages of 17 and 25 years old. However, there are cases where wisdom teeth must be extracted to protect oral health and the safety of neighboring teeth.

1. Why should wisdom teeth be extracted?

When there isn't enough room to grow in, the wisdom teeth will be misaligned, causing pain or discomfort. If only one part of the tooth protrudes and is damaged, many other adjacent teeth will also be damaged when it is not cleaned properly.
Misaligned wisdom teeth also have the ability to crowd and push to the adjacent teeth causing pain. More dangerous is that wisdom teeth grow underground or are covered by the gums and then pierced through the next tooth number 7. Consequences of wisdom teeth misalignment are: infection, jaw tightness, swelling, pain... Therefore, wisdom teeth that are misaligned are often ordered by doctors to be removed to avoid infection and bone loss in the socket. adjacent teeth, damage to adjacent teeth and create cysts in the jawbone.
Wisdom teeth cause many problems and are not really useful. Especially when there is a wisdom tooth in the lower jaw that has been removed or pinched and cannot grow, causing the corresponding wisdom teeth in the upper jaw to have no opposing teeth. So the upper wisdom teeth will tend to move to find the teeth associated with it.

2. Should wisdom teeth grow apart without pain, should they be extracted?

Although there are cases where the wisdom teeth on the upper jaw are misaligned without causing serious consequences (such as pain or affecting other teeth) much more than the abnormality of the lower wisdom teeth, it is not because of that that we are subjective and ignore them. Forget it. When the wisdom teeth on the upper jaw are misaligned, they tend to grow toward the cheeks and back because the jawbone does not have enough room for the teeth to grow. Therefore, when eating or chewing, the patient is often bitten on the cheek, food is often pulled into the teeth, very difficult to clean, for a long time will cause dangerous oral diseases.

3. What to do when wisdom teeth are extracted?

Before surgery to remove wisdom teeth that are impacted or misaligned, patients should be carefully examined and consulted. The doctor will check the overall oral health (cavity, tartar, gingivitis...) and take X-rays of the entire teeth to check the position of the roots, accurately diagnose the direction of growth, position of root, jaw bone around wisdom tooth... If the tooth shows signs of swelling, redness, infection, the doctor will prescribe medication to ensure that on the day of surgery, the patient's oral health is in good condition. best.
In addition, the doctor will test a few basic indicators such as blood pressure, blood clotting speed... Patients need to specifically inform the dentist about their health status. For people with poor health, cardiovascular disease or blood disease, wisdom teeth extraction should not be performed. Usually, wisdom tooth extraction will be carried out in the morning - when the patient is in the best health condition.
The patient rinses his mouth with a specialized mouthwash, then disinfects the area of ​​the tooth that needs to be extracted. The doctor will numb the area to be extracted, then perform the surgery with the support of a number of dental tools such as: tooth extraction pliers, a pry tool to separate the gums and ligaments of the tooth neck, creating favorable conditions for the patient. Teeth are easy to remove. After the extraction, the doctor will stitch the wound. A week after wisdom tooth extraction, the sutures will dissolve and the wound will heal gradually.
After performing wisdom tooth extraction, the patient needs to bite down on cotton balls for about half an hour to stop bleeding and then remove them. If the bleeding still does not stop, then another cotton ball should be kept for another half an hour to make sure the bleeding can be stopped. Cold compress is an indispensable part after surgery, helping to reduce pain and reduce swelling. Within 3 to 4 hours after wisdom tooth surgery, the patient should put a cold pack on the newly extracted tooth for 15 minutes, then remove it, rest for 15 minutes, and then continue to do so.
It is necessary to avoid impacting on the tooth that has just been extracted by using a sharp object or inserting the tongue. It is best to eat soft, easy-to-swallow liquid foods, not hard foods to avoid affecting the damaged teeth. After about 1-2 weeks, the wisdom tooth root that has just been extracted will gradually heal and be able to eat and chew normally again.

4. Is wisdom tooth extraction dangerous?

All the difficulty of the extraction process depends on the position and shape of the root. Your doctor will tell you how difficult it is after taking the X-ray. Upper wisdom teeth are usually easier to extract than lower wisdom teeth. After wisdom tooth extraction, the mouth will be swollen for a few days but the extraction area will heal soon and will be nothing different from the previous face. To help the healing process take place quickly, the patient needs to follow the doctor's instructions. However, choosing a reputable and highly specialized medical facility plays a decisive role in the success of a wisdom tooth extraction.

5. The technique of extracting wisdom teeth that are misaligned in the upper jaw at Vinmec Hai Phong

Wisdom tooth extraction surgery is a routine technique at Vinmec Hai Phong International General Hospital. Wisdom teeth are always teeth that do not have the function of chewing and causing painful complications, causing caries next to them, complications of misalignment. This technique applies to cases of teeth that are misaligned, teeth that are stuck, and teeth that are under the mucosa. Contraindicated when teeth have acute inflammation, limited opening of the mouth, high blood pressure, people taking anticoagulants. The advantage of wisdom tooth extraction technique at Vinmec is to avoid complications of tooth number 8 such as pain, adjacent tooth decay, inflammation, trauma to tooth number 7.
Especially, specialized in Dentistry - jaw - face , Vinmec Hai Phong hospital is equipped with KAVO dental chair system (Germany), camera in dental chair, panorama machine of Gendex, X-ray machine of dental socket, Phosphorus film scanner of Gendex, Dently ultrasound machine, Forging teeth whitening Radii Plus Australia, endodontic machine, root canal length meter.... help maximize in the examination and implementation of all dental and maxillofacial techniques.
In addition, Vinmec Hai Phong Hospital has a team of experts, leading doctors with high qualifications, experience, dedication and devotion to the health of patients. Always choose the best treatment method for the patient.
BSCK II Nguyen Khanh Nam has more than 30 years of experience in Odonto-Stomatology. Doctor Nam was formerly Head of Odonto-Stomatology Department of Khanh Hoa Provincial Hospital and Deputy Director of Service Center of Khanh Hoa Provincial Hospital before being a General Internal Medicine Doctor of Medical Examination and Internal Medicine Department of Vinmec Nha Trang International General Hospital. like nowadays.

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