Wisdom Tooth extraction: minor traumatic approach

May 1, 2013

In North America, prophylactic removal of wisdom teeth is advocated between 17-25 years of age to prevent food packing, caries, periodontitis and other lesions. 

 

Pain or swelling  is the most common symptoms associated with wisdom teeth due to Pericoronitis  (gum inflame  around impacted teeth), Careies, periodontal disease , other lesions (dentigerous cyst or keratocyst, or ameloblastoma).

 

If the extractions are deferred until symptoms arise, e.g. late 30’s – 40’s,  the experience is miserable both for patient and dentist.  At that time, bone density increases,  wisdom root cementosis  is increased (stick to bone), capacity to heal diminished (more infection likely, periodontal pocket  distal to mandibular second molar).

 

How to avoid complications :

Pre-emptive analgesia: relief pain without loss of consciousness

Smokers cease for 1/52 hours before and after surgery

Oral contraceptive pill user: plan surgery at 4 th week of cycle (lower estrogen level, less dry socket)

 Diet:  soft food for 48 hrs avoid food packing and clot displacement

 

Common compilations: swell & pain, bleeding, dry socket, nerve or adjacent tissue damage, bruises, bone fracture ect.

 

In False Creek Pure Dental, Dr. Yan has modified the incision and achieved minor trauma approach with the help of Zeiss Dental Surgical microscope.  He makes primary closure for every lower mandibular 3rd molar extraction. patients have much less swell and almost no dry socket.  Keep the effects to work and study to minimum.

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