Clinical case – complicated wisdom tooth extraction

Igor Osadchiy Cases 03.03.2021 2 min 31
Extraction of an atypically positioned wisdom tooth. The tooth was inverted with the root pointing downward and lying at an angle beneath adjacent teeth roots. Recovery — 7 days.

Complaints

Atypically positioned third molars (“wisdom teeth”) that could interfere with orthodontic treatment

Diagnosis

Atypically positioned third molars (wisdom teeth)

Treatment

Extraction of teeth (third molars)

Treatment duration

7 days

Background

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.

Treatment stages

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.

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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