Treatment or extraction of teeth is an unpleasant procedure for many. But it is impossible to delay this matter. How is the removal of a wisdom tooth in the upper jaw in Samara, Chelyabinsk, Moscow, Omsk and other cities? What are the prices for this procedure? How important is it to follow all the doctor's recommendations? Read below for all the details of the reasons for removing a wisdom tooth in the upper jaw and caring for the oral cavity after the manipulation.
Wisdom tooth description
If you do not take into account the specifics of the 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. Just 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 of which are designed for easy chewing of food. Three roots directed at an angle to each other providethe stability required, taking into account the pressure of closely attached masticatory muscles. However, this description fits any maxillary and mandibular molar.
But the fact that wisdom teeth usually erupt after the 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 process, such teeth can be rejected, squeezed out by the crown part away from the general dentition. Roots also lack space, so they can be severely crooked and even grow together, turning the teeth into double or even single roots.
Another feature of wisdom teeth is the low speed of their eruption, due to the same tightness of the dentition and the density of the formed bone tissue. As a result, a tooth with 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?
Standard timing of wisdom teeth eruption - age interval from 15-16 to 25 years. However, most dentists will agree that even this range does not cover all possible options. So, the appearance of wisdom teeth at the age of 30, as well as their absence in their 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 to dentists by people who do not haveno complaints about wisdom teeth, and patients making a decision about the advisability of treating already damaged teeth. This formulation of the question comes 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 conservation and preservation, then certain indications are necessary for this operation:
- Significant destruction, which does not allow for a full-fledged treatment, including with severely curved or obliterated root canals.
- With increased crowding of teeth, when bite correction is significantly difficult for these teeth.
- Deviation of the crown part of the tooth (usually to the buccal side), leading to permanent injuries of the soft tissues of the oral cavity.
- The occurrence of purulent complications in periodontitis of the wisdom tooth, threatening the development of an abscess or phlegmon.
How painful is the removal procedure?
The removal of a wisdom tooth in the upper jaw is not currently an operation that requires any special approach to anesthesia. Reliable, powerful anesthetics do their job from the first injection. Modern, thinnest needles for professional cartridge syringes make anesthesia not a terrible manipulation at all. The high permeability of the bone of the upper jaw allows the anesthetic solution to enter the area of the proposed surgicalintervention. Therefore, even the question of whether the removal of a wisdom tooth in the upper jaw is painful is completely outdated today and it is absolutely not worth fearing pain during removal.
Painkillers used in this procedure
The choice of anesthetics today is huge, however, when choosing a drug, you should rely primarily on the opinion of a dental professional 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, for most heart diseases, you should not use anesthetics containing adrenaline. The removal of 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 postpone the removal altogether, either for the second trimester, or better for the postpartum period. As a last resort, if the removal is carried out for emergency reasons, the doctor should have drugs without vasoconstrictor components.
Today, one of the most popular anesthetics used for tooth extraction is articaine solution. It provides a high rate of pain relief and sufficient duration of persistent, reliable anesthesia.
What is an impacted tooth?
Impacted is a tooth that has not erupted, which for some reason could not take its place in the dentition. If the tooth is still partially erupted, it is called semi-retinated.
There are several reasons for improper teething, the main ones are the following:
- Lack of space in the formed dentition.
- Malocclusion such as crowded teeth.
- Violation of the timing and sequence of changing teeth.
- Pathologies of the laying and development of teeth.
What are the consequences of removing a wisdom tooth?
Dangerous can be such a procedure as the removal of a wisdom tooth in the upper jaw. Its consequences can be divided into typical, characteristic of the extraction of any tooth, and specific, characteristic only for this surgical intervention.
Typical consequences are:
- Normal management of the postoperative hole, accompanied by the correct organization of the blood clot, the absence of an inflammatory reaction and subsequent overgrowth of the wound of the soft tissues of the bone.
- Development of alveolitis. Inflammation of the walls of the bone socket usually occurs when sanitary standards are not observed or when a blood clot does not form/disintegrate, when the walls of the alveoli remain unprotected from infection by the microflora of the oral cavity.
- Severe and/or prolonged bleeding from the socket. This is most commonly seen with high blood pressure, clotting disorders, or in patients taking drugs that slow blood clotting.
- Incomplete tooth extraction. In the event that atremoval, a root fracture occurs, its apical part may remain unnoticed in the hole. To prevent such an outcome of the operation with complex removal, it is necessary to compare and carefully examine the removed fragments.
- 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 be slightly covered by a thin gum or even openly come out above the mucosal surface. Both of these options should be considered unfavorable, especially in the case of planning further removable prosthetics.
- Exit sequesters. In case of traumatic removal, fragments of the tooth or the walls of the alveolus may be in the hole. These fragments are eventually forced out of the inner space of the hole, they seem to peck through the gum from the inside. It is also possible that solid particles may appear after incomplete chipping of the walls of the socket during removal. If such sequesters are difficult to exit, they can be easily removed by a dental surgeon.
Specific characteristics has the removal of a wisdom tooth in the upper jaw. The consequences of this manipulation are as follows:
- Damage (perforation) of the maxillary sinus with a dental instrument, most often a direct elevator.
- Pushing the root of the removed wisdom tooth into the maxillary sinus.
- Opening the maxillary sinus when removing a wisdom tooth, the roots of which were originally located in the maxillary sinus.
- Fracture of part of the alveolar process of the upperjaw behind the wisdom tooth. In some cases, the third molar is located on the very edge of the bone; in case of traumatic extraction, the tooth can be extracted along with a fragment of bone tissue, especially in chronic periodontitis.
- Trauma and infection of the surrounding spaces, most often behind the tubercle of the upper jaw.
Recommendations of a specialist after the removal of 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 for any other removal.
After such a manipulation as the removal of a wisdom tooth in the upper jaw, care should be aimed at preserving the blood clot and protecting the walls of the hole from inflammation:
- Keep tightly pressed the swab placed by the doctor on the surface of the hole for 15-30 minutes. In this case, the pressure should be sufficient to accelerate the stop of bleeding, but not so strong as to injure the gum or press the tampon into the hole.
- Remove the swab carefully so as not to damage the resulting blood clot.
- Do not eat for 2-6 hours after surgery.
- Exclude in the first two days after deletion:
- vigorous rinsing of the mouth, including antiseptic solutions;
- hot food;
- physical activity.
In case of repeated bleeding, severe pain, unpleasant smell or taste, you should seek the advice of a surgeon-dentist.
Wisdom teeth treatment
If there is any chance of saving any tooth, it should be used. Features of the treatment of the third upper molar are that it is located on the very outskirts of the dentition, in the depths of the oral cavity. Insufficient mouth opening or increased gag reflex, as well as increased salivation, can be very difficult to treat.
Special problems can be delivered by the upper wisdom tooth with a violation of its position in the dentition. Most often, this is the tilt of the tooth crown to the buccal side, which can make a full-fledged endodontic treatment almost impossible.
Twisted roots also do not bring joy to endodontists. The great variability in the number and location of root canals makes working inside the tooth more creative than formulaic. The number of root canals can vary from one to 5-8, their length - from a few millimeters to the full length of the tooth root.
However, in the absence of an anterior tooth, the safety of the third molar may contribute to the installation of a fixed bridge. The crown will act as additional protection for the wisdom tooth.
Extraction of the 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;
- spicyphases of various diseases (mental, cardiovascular system, etc.);
- general serious condition;
- blood clotting disorders and others.
Removal of the wisdom tooth in the upper jaw: reviews
Many people note the benefits of timely removal of these teeth. There are situations when the upper extreme tooth immediately grows sticking out towards 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 the right one, since you have to constantly endure pain in the oral cavity from bites.
The latest technologies in dentistry allow you to quickly and painlessly remove the wisdom tooth in the upper jaw. Reviews also indicate that it is not always possible to identify the problem outwardly. There are situations when only after an x-ray the doctor concludes that removal is necessary. Often, these latent problems show external symptoms, such as dental nerve anxiety or pain in a certain side of the jaw. In this case, you need to consult a doctor.
Patients testify that the procedure is fast. But many are also interested in the question: "If there was a removal 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 take care of the oral cavity. In the worst case, you will have to make several dressings, which are also not painful.
The cost of removing these teeth
Usually, the removal of a wisdom tooth in the upper jaw is within5000-15000 rubles. The cost of the operation may vary depending on the region, type of medical institution and many other circumstances. Some clinics provide all the necessary accessories and tools for those who need the removal of a wisdom tooth in the upper jaw. A photo of the removal process is presented above.
