Atypical tooth extraction (wisdom teeth)

We remove both regular teeth and atypically positioned ones.

Our clinic is equipped to perform surgeries for the removal of atypically positioned wisdom teeth (third molars). We extract both dystopic and impacted teeth.

We use a special ultrasonic knife (piezotome), which significantly increases the precision of the surgeon’s work. In addition, the risk of swelling is considerably reduced and the healing time is shortened.

Important! Delayed removal of problematic teeth, in both adults and children, can lead to misalignment of the dental arch, inflammatory processes, infection, and loss of adjacent healthy teeth. Timely diagnosis of the position and condition of wisdom teeth will spare you from potential problems in the future.

Tooth extraction is performed after a preliminary review of X-ray images (and, where required, a CT scan), under local anesthesia or sedation (if desired by the patient).

After the surgery, the patient is prescribed medication. A follow-up examination is conducted on the 3rd day after surgery. Sutures are removed after 1 week.

You should be aware that delayed removal of wisdom teeth, in both adults and children, can lead to misalignment of the dental arch, inflammatory processes, infection, and loss of adjacent teeth.

Atypical wisdom tooth extraction is a common procedure. A wisdom tooth may never erupt, yet still cause damage to neighboring teeth and create discomfort, reducing quality of life. Is it worth delaying a visit to a dental surgeon for extraction?

Appearing only in adulthood, wisdom teeth often cause pain, shifting and misalignment of the dental arch, tumor-like growths, bone destruction, and facial nerve neuritis. Sometimes a wisdom tooth erupts already affected by decay. Indications that require tooth extraction include:

• atypical positioning of the tooth within the jawbone;
• arrested eruption;
• gum inflammation in the area of the tooth;
• inability to properly clean adjacent teeth;
• progressive shifting of the dental arch.

When the dentist tells you that you are facing not a simple but a complex or atypical tooth extraction, it means your wisdom tooth:

• is disrupting your bite;
• lacks the physiological conditions for eruption;
• is damaging adjacent teeth;
• is causing misalignment up to the smile line;
• is causing inflammation of the surrounding soft tissues of the oral cavity.

When urgent dental care becomes necessary, the cost of wisdom tooth removal takes a back seat, and you want to rely on the qualifications of a dental surgeon. To receive professional care and have your wisdom tooth removed at a price that suits you, confidently contact Osadchyi Dental Clinic.

If uncomplicated wisdom tooth extraction takes minimal time and requires no instruments other than forceps, atypical tooth extraction may proceed in several stages. Despite the need for an X-ray, the dentist can quickly determine that extraction will not be straightforward if:

• an impacted wisdom tooth has not erupted and is causing discomfort;
• the wisdom tooth is improperly positioned;
• the 8th tooth has overhanging edges of the mucosal hood.

After reviewing the X-ray, your dental surgeon will determine the position of the wisdom tooth, the arrangement of its roots, whether they are curved, and whether this wisdom tooth is affecting the crown of the adjacent tooth or the inferior alveolar nerve.

Atypical tooth extraction involves extended appointment time and the use of more instruments:

• a dental scalpel, needed to create access in order to reach an impacted tooth;
• elevators — leverage instruments for applying pressure to the wisdom tooth root and tools for fully extracting the tooth from an abnormal position;
• special burs that can section even an impacted wisdom tooth into parts;
• a piezotome (ultrasonic knife), with which the tooth can be removed in sections, minimizing trauma to the surrounding tissues and bone.

Tooth extraction often involves suturing the socket, and sometimes placing medication inside.

In dentistry, there are three levels of complexity for tooth extraction:

• Level 1 does not involve any complications. However, there are many indications for tooth extraction: from inflammatory processes to cysts and injuries. Reasons for extraction may include excessive tooth mobility, as well as preparation for implant placement or orthodontic treatment.
• Level 2 means that a severely damaged tooth or its root needs to be extracted.
• Level 3 complexity is atypical tooth extraction: an improperly positioned and impacted tooth with a complex root system. Swollen gums around the wisdom tooth may indicate inflammation.

Removal of an impacted wisdom tooth is a meticulous process. Especially when it is a lower wisdom tooth. Lower jaw wisdom teeth tend to have a more complex root system. When extraction is performed in this case, even more time and effort are required. This is why the cost of removing an unerupted tooth is always higher.

In Kyiv, virtually every dental clinic — both public and private — offers wisdom tooth extraction. The cost may vary depending on the doctor’s experience, the clinic’s reputation, the complexity of your individual case, and even the clinic’s location in Kyiv. However, the main factors you should consider in the overall cost are:

• the need for an X-ray before the wisdom tooth is extracted, even in non-atypical cases;
• the doctor’s time and instruments needed for a successful extraction;
• the complexity of your particular case;
• the necessity of a follow-up appointment after the extraction.

Due to the availability of modern equipment at clinics, suitable even for atypical surgeries, the cost of wisdom tooth extraction in Kyiv is typically somewhat higher than in other regions.

Of course, after the surgery you will experience certain symptoms. Even a successful wisdom tooth extraction with favorable outcomes has a number of effects that cause discomfort:

• swelling that may increase;
• pain as the anesthesia wears off, as well as for several days after extraction;
• pain when swallowing.

So, you have decided to have your wisdom tooth removed. Here is what to do after tooth extraction:

• take pain relief and all medications prescribed by your doctor in a timely manner;
• apply a cool compress to the jaw for short periods;
• for several days, avoid food with strong flavors (sour, spicy) that irritate the mucosa, as well as sweets that promote bacterial growth in the socket;
• avoid hot baths and beverages.

Reviews about wisdom tooth extraction may contain various recommendations, but you should only follow those prescribed by your dental surgeon. Reviews can indeed be useful to:

• learn firsthand how patients managed to have their wisdom teeth removed;
• understand what process to prepare for, reading its description in everyday language;
• find out where the cost of wisdom tooth extraction in Kyiv will suit you and the service will be excellent;
• learn which clinic can perform wisdom tooth extraction at a fair price;
• read genuine and personal accounts about the specialists.

If you are not sure you are ready for extraction right now, and the tooth is not causing you too much trouble, bringing only occasional discomfort, it is worth getting a detailed consultation and having an X-ray examination. Then you can gradually prepare yourself for tooth extraction with a trusted and experienced specialist at Osadchyi Dental Clinic.