As it is known, the last teeth are twenty years old (3rd eldest) teeth. They usually start to last between the ages of 17 and 25. If these teeth last in the correct position and do not damage the surrounding tissues, there is no harm in keeping the tooth in place. However, there is usually enough room in the mouth of very few patients for 20-year-old teeth to erupt, and these teeth remain embedded in the bone.
What are the conditions that require wisdom teeth to be extracted?
1. Continuous pain: There are pain tables that can be reflected in the ear and temple due to the application of pressure to the neighboring teeth during the eruption or due to the infection they cause.
2. Recurrent pericoronitis: A partially erupted wisdom tooth can cause a focus of infection in the surrounding gum. This may cause bad breath, pain, edema, and limitation in jaw opening.
3. Caries: With the decay of these teeth, situations that result in pain and infection may occur.
4. Abscess: With a serious infection, pictures that result in abscess may occur.
5. These tooth-related cysts: Wisdom tooth and the follicle surrounding this tooth can cause cyst formation in this area of the jaw.
6. Tumor: Although rare, tumor formation associated with buried wisdom teeth can be seen.
7. Damage to surrounding tissues: While wisdom teeth can damage the tooth in front of it during the eruption, they may also cause soft tissue damage, especially cheek tissue.
8.Orthodontic reasons: The riding pressure of wisdom teeth may cause perplexity on teeth that have been corrected by orthodontic treatment.
Complications That May Occur During Shooting:
There is also the risk of bleeding, edema, and infection that may occur in a normal extraction. Nerve damage may occur, especially as a result of lower 20-year-old tooth extraction. There may be numbness for a few days in 10-12% of cases and a few weeks in 1%. Sometimes this numbness can be permanent, although very rarely. Carelessness and inexperience can increase the risk of complications that may occur during the extraction of these teeth.
DOG TEETH (Kanin)impacted teeth
It is one of the most frequently impacted teeth after wisdom teeth.
In many patients, it is observed that the milk canine tooth does not fall out and the permanent canine tooth is buried. In such a case, the following treatment options can be applied.
– Restoration of the cavity formed by pulling the canine tooth with a bridge or implant
– The canine tooth is pulled out and placed where it should be. This operation, called reimplantation, can be performed if the impacted tooth is removed without damaging it.
– With the help of orthodontic treatment, the tooth is maintained in its place with the appliances placed on this tooth.
RULES TO BE FOLLOWED AFTER OPERATION OF IMPACTED TEETH
First Hour: The tampons placed should be bitten tightly, and should not be changed for one hour in cases where there is no serious bleeding problem. After an hour, the tampons are removed, if the bleeding continues, a clean tampon is a bit more for half an hour. If necessary, a tampon can be changed every 30-45 minutes. It is beneficial to wet the tampons slightly so that they can be fully seated.
On the first day, the surgical field should be protected and spitting and shaking should be avoided. Teeth can be brushed very gently. Smoking should be avoided especially on the first day in terms of recovery and to avoid infection of the extraction site.
It is normal to have bleeding if it leaks during the night. In healthy individuals, there is no serious bleeding after extraction, if it does, the tampon is not fully placed in the operation area or it is not tightly squeezed between the teeth. In cases where bleeding continues, a physician should be consulted.
Edema is seen at the end of oral surgery. This edema can be alleviated by applying ice to the surgical field from the cheek. This process is continued for the first 24 hours by keeping it for 20 minutes and retiring for 10 minutes. If a medication has been prescribed to control edema, it should be used as recommended by the doctor. In addition, sleeping with a high pillow that will keep the beginning of the day up on the first day after the operation will ensure less edema.
The first of the analgesics given for postoperative pain should be taken before the effect of local anesthesia wears off. Because the effect of analgesics starts in about half an hour. The most severe pain is in the first 6 hours after the effect of the local anesthetic passes. After this period, the need for analgesics will decrease.
Patients should avoid very hot foods and drinks on the first day, and should be fed mostly cold and soft foods (ice cream, grated fruit-vegetable, yogurt, etc.). If the one-sided procedure is performed, chewing should be done on the other side. You can switch to solid foods after a few days. If the patient is diabetic, he should continue to eat regularly in line with his doctor’s recommendations.
If something hard, sharp is felt in the operation area, it is either bone residue or the wall of the extraction cavity. It should not be played with the tongue, if it does not pass within a few days, a physician should be consulted.
SECOND AND THIRD DAY:
Oral hygiene is very important after the surgical procedure. The socket area should be cleaned 2-3 times a day with mouthwash. This should be done especially after meals to remove the residues that have escaped to the wound area. It is also recommended to rinse with saltwater in addition to the mouthwash prescribed by the physician. Although edema and pain can make brushing a little difficult, care should be taken to brush regularly.
The first two days are the most uncomfortable days in the healing process following the surgical procedure and edema usually occurs. The third day is a little more comfortable, even if the swelling continues, the patient’s functions begin to get easier. Edema gradually disappears after the third day. In this process, it will be useful to apply a towel moistened with hot water to the cheek where the operation area is located to help the removal of edema and jaw movements.
Recovery continues rapidly after the third day, and a physician should be consulted if there is any problem in the process.