Extraction of a “wisdom” tooth. A clinical case

Igor Osadchiy Cases 19.08.2021 2 min 13
Extraction of an atypically positioned wisdom tooth. A 23-year-old patient with pericoronitis. The surgery took 35 minutes, recovery period — 7 days. Jaw and lip sensitivity preserved.

Complaints

Pain in the area of the lower right eighth tooth (wisdom tooth)

Diagnosis

Pericoronitis of a retained, dystopic, atypical third molar with roots located in the inferior alveolar nerve canal

Treatment

Surgical removal of the fully atypically positioned tooth 48 under outpatient maxillofacial surgery conditions

Treatment duration

7 days from the surgical procedure to the discontinuation of medication and suture removal

Background

A 23-year-old young man came to our clinic. He had previously undergone orthodontic treatment with braces at another clinic, but the doctor did not recommend wisdom teeth removal. The position of all wisdom teeth was extremely atypical, especially the lower ones.

When contacting other clinics requesting their removal, the patient was refused, as there was a high probability of post-operative complications such as loss of jaw and lip sensitivity.

The difficulty of removing an atypically positioned tooth is that the procedure must not be traumatic. This requires the use of special instruments such as a piezotome (ultrasonic scalpel), as well as knowledge and techniques for complex tooth extractions.

Treatment stages

The complexity of this clinical case was that the 8th tooth was in contact with the inferior alveolar nerve, which if damaged could result in complications such as numbness of part of the face.

After discussing the possible risks of the surgical procedure with the patient, we proceeded to plan the course of the operation.

Surgical procedure to remove the wisdom tooth. The operation took 35 minutes. After the surgery, anti-inflammatory medication was prescribed.

The recovery period after the wisdom tooth extraction was 7 days. The bone cavity at the site of the extracted tooth will continue to form over the next 3-6 months. Jaw and lip sensitivity preserved!

Doctors who performed the treatment

Article Author

Igor Osadchiy

Surgeon

MD, physician with the highest skill accreditation level, member of EACMS (European Association of Cranio-Maxillofacial Surgeons), member of the Association of Implantologists of Ukraine. Alma mater: O.O. Bogomolets National Medical University. Year of graduation: 1984. Experience: Work experience: 38 years. For 13 years (1985-1998), taught dental surgery and maxillofacial surgery…

More about doctor

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