Treatment or removal of teeth is an unpleasant procedure for many. But you can not delay this matter. How is the removal of the wisdom tooth on the upper jaw in Samara, Chelyabinsk, Moscow, Omsk and other cities? What are the prices for carrying out this manipulation? How important is it to apply all of the doctor's recommendations? All the details of the reasons for the removal of the wisdom tooth on the upper jaw and care of the oral cavity after the manipulation are read below.
A tooth of wisdom: a description of
If you do not take into account the specificity 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 with other teeth, the roots are immersed in the bone socket, their length is about two-thirds of the tooth's length. The crown part has a large chewing surface with several hocks, all designed for easy chewing on food. Three roots, directed at an angle to each other, provide the stability necessary in view of the pressure of closely attached chewing muscles. However, this description is suitable for any molar of the upper and lower jaws.
But the fact that wisdom teeth usually erupt after the growth of the jaw and the formation of the dentition, explains a number of their specific characteristics. Since the places in the alveolar process often are not enough, such teeth can be deflected, pressed out by the crown part away from the common dental system. Roots also do not have enough space, so they can be highly curved and even fused, turning the teeth into two or even single roots.
Another feature of wisdom teeth is the low rate of their eruption, caused by the same tightness 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 inflammation of the pulp.
When do wisdom teeth appear?
The standard timing of the eruption of wisdom teeth is the age interval from 15-16 to 25 years. However, most dentists will agree that even this spread does not cover all possible options. So, it is not considered a significant deviation of the appearance of wisdom teeth and in 30 years, as well as their absence in their place at retirement age. The appearance of wisdom teeth is an individual process.
Why do I need to remove this tooth on the upper jaw?
This question is often asked by dentists who have no complaints about wisdom teeth, and patients deciding on the advisability of treating already damaged teeth. This formulation of the question comes from the view that it is reasonable to remove wisdom teeth immediately after their eruption without waiting for possible complications.
If we consider the removal of wisdom tooth on the upper jaw from the point of saving and saving, then for this operation, certain indications are needed:
- Significant destruction, which does not allow to conduct a full treatment, including with strongly curved or obliterated root canals.
- With increased crowding of teeth, when the correction of bite is significantly complicated by these teeth.
- Deflection of the crown part of the tooth( usually on the buccal side), resulting in permanent injuries to the soft tissues of the oral cavity.
- Appearance of purulent complications with periodontitis of the wisdom tooth, threatening the development of an abscess or phlegmon.
How painful is the removal procedure?
Removing the wisdom tooth on the upper jaw is not an operation today, requiring a special approach to anesthesia. Reliable, potent anesthetics cope with their task with the first injection. Modern thinnest needles for professional carpool syringes make anesthesia completely manipulative. High permeability of the upper jaw bone allows an anesthetic solution to 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 completely obsolete today, and you should not be afraid of painful sensations when removing it.
Pain medications used in this procedure
The choice of anesthetics for today is huge, however, when choosing a drug, you should first of all rely on the opinion of a professional dentist who carries out the removal of the wisdom tooth on the upper jaw. What is the strongest anesthesia after all? In this issue, extreme caution is required in the use of pain medications. 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, it is not necessary to use anesthetic medications containing adrenaline. Removing the wisdom tooth on 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 deletion either for the second trimester, or better for the postpartum period. In an extreme case, if the removal is carried out for emergency indications, the doctor should have drugs without vasoconstrictor components.
To date, one of the most popular anesthetics used in the removal of teeth, is a solution of articaine. It provides a high speed of anesthesia and sufficient duration of a stable, reliable anesthesia.
What is a retina tooth?
Retinished is not a cutting tooth, which for some reason could not take its place in the dentition. If the tooth is partially cut through, it is called semi-retinitis.
There are several reasons for improper teething, the main ones are:
- The lack of space in the formed dentition.
- Malocclusion, such as increased crowding of teeth.
- Impaired timing and sequence of tooth changes.
- Pathology of the bookmark and development of the teeth.
What are the consequences of tooth extraction wisdom?
A dangerous procedure may be the removal of the wisdom tooth on the upper jaw. The consequences of it can be divided into typical, peculiar to the removal of any tooth, and to specific, specific only for this surgical intervention.
Typical consequences can be considered:
- Normal management of the postoperative well, accompanied by the correct organization of the blood clot, the absence of an inflammatory reaction and the subsequent overgrowth of the soft tissue wound of the bone.
- Development of the alveolitis. Inflammation of the walls of the bone socket usually occurs when the sanitary norms are not observed or when the blood clot does not heal / decay when the walls of the alveoli remain unprotected from infection with the microflora of the oral cavity.
- Severe and / or prolonged bleeding from the well. This is most often observed with elevated blood pressure, clotting disorders, or in patients taking medications that slow blood clotting.
- Incomplete tooth extraction. In the event that a root fracture occurs during removal, its apex portion may remain unnoticed in the well. To prevent such an outcome of an operation with a difficult removal, it is necessary to compare and carefully examine the removed fragments.
- Appearance of sharp edges of the bone socket. When the tooth is removed, the edge of the gum can significantly overlap the edges of the bone socket, but in some cases the gum barely reaches its edge. In this case, after healing of soft tissues, the bone margins can only be slightly covered with a thin gum or even open over the surface of the mucous membrane. Both these options should be considered unfavorable, especially in the case of planning later removable prosthetics.
- Exit sequestration. With traumatic removal in the hole may be fragments of the tooth or walls of the alveoli. These fragments are eventually forced out of the inner space of the socket, they seem to be pierced through the gum from the inside. It is also possible the appearance of solid particles after incomplete chipping of the well walls during removal. With a difficult exit of such sequesters, they can be easily removed by a dental surgeon.
Specific characteristics have a wisdom tooth extraction on the upper jaw. The consequences of this manipulation are as follows:
- Damage( perforation) of the maxillary sinus with a dental instrument, most often a straight elevator.
- Pushing into the maxillary sinus of the root of the removed wisdom tooth.
- Opening of the maxillary sinus with removal of the wisdom tooth, whose roots were initially located in the maxillary sinus.
- Fracture of the part of the alveolar process of the upper jaw behind the wisdom tooth. In some cases, the third molar is located at the very edge of the bone, with traumatic removal the tooth can be removed along with a fragment of bone tissue, especially in chronic periodontitis.
- Trauma and infection of the surrounding areas, most often behind the muzzle of the upper jaw.
Recommendations of a specialist after removal of the wisdom tooth on the upper jaw
Recommendations given by the doctor after removal of the third molar are no different from those that must be performed for any other removal.
After such manipulation as removal of the wisdom tooth on the upper jaw, care should be directed to the preservation of the blood clot and the protection of the well walls from inflammation:
- Hold the tampon tightly pressed by the doctor on the surface of the well 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 swab gently so as not to damage the resulting clot.
- Do not allow to eat for 2-6 hours after the operation.
- Exclude in the first two days after removal:
- vigorous rinsing of the oral cavity, including antiseptic solutions;
- hot food;
- physical activity.
In case of repeated bleeding, severe pain, unpleasant odor or taste, consult a dental surgeon.
Wisdom Teeth Treatment
If there is a chance of saving any tooth, it should be used. The peculiarities of treatment of the third upper molar consist in the fact that it is located on the very margin of the tooth row, in the depth of the oral cavity. With insufficient opening of the mouth or an increased emetic reflex, as well as with increased salivation, treatment can be very difficult.
Special problems can deliver the upper wisdom tooth with a violation of its position in the dentition. Most often this is the tilt of the crown of the tooth in the buccal side, which can make a full endodontic treatment almost impossible.
Curved roots also do not give joy to endodontists. The great variation in the number and arrangement of the root canals makes the work inside the tooth a matter of creative rather than patterned. The number of root canals can range from one to 5-8, their length - from a few millimeters to the full length of the root of the tooth.
However, in the absence of an in front of the standing tooth, the safety of the third molar can facilitate the installation of a non-removable bridge prosthesis. Crown in this case will fulfill the role of additional protection of the wisdom tooth.
Removal of wisdom tooth on upper jaw: contraindications to
The main contraindications to the removal of wisdom tooth on the upper jaw can be:
- the first and third trimesters of pregnancy;
- acute phases of various diseases( mental, cardiovascular system, etc.);
- general severe condition;
- blood clotting disorder and others.
Wisdom tooth extraction on the upper jaw:
reviews Many people note the benefit of the timely removal of these teeth. There are situations where the uppermost tooth immediately grows protruding towards the cheeks. Thus the person constantly bites a cheek, that delivers weight of problems. In this case, the decision to remove is correct, since you have to constantly suffer pain in the oral cavity from bites.
The newest technologies of dentistry allow quick and painless removal of the wisdom tooth on the upper jaw. The testimonials also indicate that it is not always possible to identify the problem externally. There are situations when only after X-ray the doctor makes a conclusion about the necessity of removal. Often, with such hidden problems, external symptoms appear, for example, dental nerve or pain in a certain side of the jaw. In this case, you need a doctor's consultation.
Patients testify that the procedure is fast. But many are also interested in the question: "If there was a tooth extraction of wisdom on 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, several bandages will have to be made, which are also not painful.
The price of removal of these teeth
Usually the removal of wisdom tooth on the upper jaw costs in the range of 5000-15000 rubles. The cost of surgery may vary depending on the region, type of medical institution and many other circumstances. Some clinics provide all the necessary accessories and facilities for those who need to remove the wisdom tooth on the upper jaw. The photo of the removal process is shown above.