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Clinical case – complicated wisdom tooth extraction
Atypically positioned third molars (“wisdom teeth”) that could interfere with orthodontic treatment
Atypically positioned third molars (wisdom teeth)
Extraction of teeth (third molars)
7 days
A patient came to us requesting the removal of her wisdom teeth (third molars) for further orthodontic treatment.
The atypical position of the third molars is an indication for their removal. The patient had a physiologically small jaw, and these teeth were naturally embedded, thus creating a space deficit for teeth alignment.
Before the third molar extraction surgery, we took an orthopantomogram and were “pleasantly” surprised to find that the eighth tooth was not simply lying in the jawbone — it was also inverted with the root pointing downward.
The conditions for extracting such teeth are extremely difficult, since the root lies at an angle and needs to be removed from beneath the roots of adjacent teeth.
The tooth extraction was performed through an incision. Access to the tooth was practically through the maxillary sinus.
During the extraction of the tooth from the bone cavity, it fell into the buccal fat pad (Bichat’s fat pad). However, thanks to the experience and qualifications of our doctors, the tooth was successfully extracted.
After the tooth extraction and partial bichectomy, the incision was sutured, and the patient’s recovery took 7 days.













