Extraction of the tooth of the trial – Find out about the procedure, the recovery time and the possible complications.

If you have been experiencing discomfort or pain in the back of the mouth, it may be time to consider the extraction of the tooth of the trial. Judgment teeth, also known as molar third parties, are the last teeth that erupt in the mouth, normally between 17 and 25 years. However, these teeth often do not have enough space to develop properly, causing a series of oral health problems.

During the procedure for the extraction of a tooth of the trial, the oral dentist or surgeon will numb the area with a local anesthetic to make sure you do not feel pain or discomfort. Next, the tooth will extract from the trial with specialized instruments, which can include tweezers or a surgical drill. The intervention is relatively fast and usually lasts between 30 and 60 minutes, but can be extended in the most complicated cases.

1. The recovery period after an extraction of the tooth of the trial can vary from one person to another.
2. It is possible that I experience swelling, bruises and minor discomfort in the days after the intervention.
3. It is important to follow the postoperative instructions provided by its dentist or oral surgeon.

Most people recover from the extraction of the tooth of the trial in a week.

To control postoperative pain, it is likely that your dentist recommends free sales analgesics or stronger analgesics if necessary. It is also important to maintain good oral hygiene during the recovery period. Limit to soft foods and avoid hot, spicy or hard that can irritate the area of extraction.

Although the extraction of the tooth of the trial may seem discouraging, it is a common procedure that is carried out to relieve pain and prevent future oral health problems. If you experience symptoms related to the molars of the trial, consult a dental professional to determine the best course of action for your specific situation. Remember that an early intervention can prevent complications and guarantee a recovery process without complications.

Wisdom Tooth Extraction: What You Need to Know

What is the extraction of the teeth of the trial?

The extraction of the teeth of the trial is a surgical procedure that is carried out to extract one or more toothpipes of the trial. It is usually carried out by an oral surgeon or a dentist specialized in oral surgery. The extraction can be performed with local anesthesia to numb the area, or with general anesthesia if several molars are extracted or if the patient prefers to be sedated during the procedure.

There are several reasons why wisdom teeth may need to be removed. A common reason is impaction, which occurs when there is not enough space for the teeth to erupt properly. This can cause pain, inflammation and infection. Wisdom teeth can also cause crowding, shifting, or damage to neighboring teeth, leading to bite and misalignment problems. Additionally, wisdom teeth located in the back of the mouth can be difficult to clean, increasing the risk of cavities and gum disease.

1. Impaction: Lack of space for the correct eruption of teeth.
2. Crowding: Wisdom teeth can cause crowding and shifting of other teeth.
3. Damage to adjacent teeth: Wisdom teeth can damage adjacent teeth, causing bite problems and misalignment.
4. Poor oral hygiene: Wisdom teeth located in the back of the mouth can be difficult to clean properly, increasing the risk of cavities and gum disease.

Why Wisdom Teeth Need to be Extracted

One of the main reasons for wisdom teeth removal is impaction. Impacted wisdom teeth are teeth that cannot come in completely due to lack of space in the mouth. This can occur when the jaw is not large enough to accommodate the extra teeth or when the teeth grow at an angle, causing them to impact neighboring teeth. Impacted wisdom teeth can become partially or completely trapped under the gum and cause significant discomfort and pain.

Impacted wisdom teeth can cause a number of dental problems, including infections, damage to adjacent teeth, and crowding.

• Infection: When wisdom teeth do not fully emerge, they create a small opening in the gums where bacteria can easily enter and cause an infection. This can cause pain, inflammation, and even the formation of an abscess.
• Damage to adjacent teeth: Impacted wisdom teeth can put pressure on neighboring teeth, causing them to shift or become damaged. This can cause misalignment and bite problems.
• Crowding: If there is not enough space in the jaw for wisdom teeth to erupt properly, they can push against the other teeth, causing crowding in the mouth. This can nullify the results of orthodontic treatment and require new dental interventions.

To address these complications and prevent future oral health problems, it is often recommended to undergo wisdom teeth removal.

The Symptoms of Impacted Wisdom Teeth

1. Pain and inconvenience: One of the most common symptoms of retained trial tooth is pain in the back of the mouth. This pain can be intermittent or constant and can get worse when chewing or bite. It is usually located in the area that surrounds the affected tooth or teeth and can radiate to the jaw, the ear or the neck. Pain intensity may vary: some people experience minor discomfort, while others may have intense and weakening pain.

• Pain on the back of the mouth
• Pain when chewing or biting
• Pain irradiated to the jaw, ear or neck

It is important to keep in mind that the pain associated with the teeth of the impacted trial may appear and disappear, so it is crucial to look for a dental evaluation even if the pain temporarily decreases.

2. Swelling and inflammation: Muelas of the impacted trial can cause swelling and inflammation in surrounding tissues. This can manifest as redness and sensitivity in the gums, as well as swelling on the cheeks. In some cases, a visible lump may appear near the affected area. Swelling and inflammation can hinder the proper cleaning of the area, increasing the risk of infection.

1. Redness and sensitivity in gums
2. Swelling on the cheeks
3. Visible protuberance near the affected area

3. Difficulty opening the mouth: when retained trial molars exert pressure on the surrounding tissues, they can limit the movement of the jaw. In severe cases, people may experience difficulty opening their mouths. This can hinder food, speech and maintenance of adequate oral hygiene.

It is important to consult a dentist if any of these symptoms are presented, since it can evaluate the situation and recommend the appropriate treatment options. Early detection and intervention can help prevent greater complications associated with the teeth of the impacted trial.

The Extraction Process for Wisdom Teeth

1. Preparation for extraction:

1. In the first place, the dentist will examine the patient’s mouth and take radiographs to determine the position and state of the teeth of the trial.
2. Based on the exam, the dentist will decide whether local or general anesthesia is required for the procedure.
3. If general anesthesia opts, the patient may have to fast for some time before the intervention.
4. It is important to inform the dentist about any medication or medical condition that the patient has, since this information can affect the extraction process.

2. The extraction process:

The dentist will begin by numbing the area with a local anesthetic. In this way, the patient will not feel pain or discomfort during the intervention.

Once the area is numb, the dentist will make an incision in the gingival tissue to expose the wisdom tooth and surrounding bone.

In some cases, the dentist may have to remove part of the bone that blocks access to the tooth. To do this, you can use a dental drill or divide the tooth into smaller pieces to make it easier to remove.

After completely removing the tooth, the dentist will clean the extraction site and, if necessary, place dissolvable stitches to aid in the healing process.

3. Post-extraction care:

• The patient should follow the dentist’s instructions for post-extraction care, which may include taking pain relievers, applying ice to reduce inflammation, and eating soft foods for a few days.
• It is important to keep the extraction site clean by rinsing it gently with warm salt water.
• The patient should avoid using straws, smoking, or performing intense physical activities for a few days to prevent complications.
• Regular follow-up appointments with the dentist are crucial to monitor the healing process and ensure proper recovery.

In general, the wisdom teeth removal process involves careful examination, proper preparation, and specialized extraction techniques. Following the dentist’s instructions before and after the intervention can help minimize possible complications and promote satisfactory healing.

Recovery Tips After Wisdom Tooth Extraction

1. Control bleeding: After extraction, it is normal to experience some bleeding. To monitor it, gently bite on a gauze pad placed over the extraction site for about 30 minutes. If bleeding persists, replace the gauze with a new one and continue applying pressure. Avoid spitting or rinsing vigorously, as this could dislodge the blood clot and cause rebleeding.
2. Control pain and swelling: After a wisdom tooth extraction, it is common to experience mild to moderate pain and swelling. To relieve discomfort, take pain relievers prescribed by your dentist. Applying an ice pack or cold compress to the outside of your cheek can help reduce swelling. Remember to keep your head elevated while lying down to further minimize swelling.
3. Eat a soft diet: During the first few days of recovery, eat a soft diet to avoid putting excessive pressure on the extraction site. Opt for foods like yogurt, mashed potatoes, soups, smoothies, and scrambled eggs. Avoid hard, crunchy, or sticky foods that may irritate the extraction site or hinder the healing process.

Important Recommendation:

Avoid smoking and drinking through straws: Smoking and using straws can dislodge the blood clot and cause a painful condition known as dry socket. Dry socket can delay the healing process and cause severe pain. It is best not to smoke or drink through a straw for at least 48 hours after extraction.

In summary, following these recovery tips can help ensure a successful and comfortable healing process after wisdom tooth extraction. It is important to always consult with your dentist for personalized advice and instructions based on your specific situation.

Possible Complications of Wisdom Tooth Extraction

1. Dry socket

Dry socket, also known as alveolar osteitis, is one of the most common complications after wisdom tooth extraction. It occurs when the blood clot that forms in the cavity where the tooth was extracted dislodges or dissolves, exposing the underlying bone and nerves. This condition can cause severe pain, bad taste, and bad breath. Patients should be careful to follow postoperative instructions, such as avoiding smoking, using straws, and rinsing vigorously, as these activities may increase the risk of dry socket.

• Occurs in approximately 2-5% of all tooth extractions
• It is more common in the lower jaw than in the upper jaw.
• Smoking, poor oral hygiene, and a history of dry socket may increase risk

2. Infection

Infections can occur after wisdom tooth extraction, although they are relatively rare. Bacteria can enter the extraction site, causing a localized infection known as postoperative infection. Symptoms of an infection may include increased pain, swelling, pus formation, and fever. It is essential to maintain proper oral hygiene and follow your dentist’s instructions for cleaning and rinsing after extraction to minimize the risk of infection.

Approximately 1-2% of patients suffer a postoperative infection.

Signs of infection are prolonged stabbing pain, swelling, and oozing pus.

Antibiotics may be prescribed to treat the infection

3. Nerve damage

Rarely, nerves located near the wisdom teeth can be damaged during extraction, causing numbness, tingling or loss of sensitivity in the tongue, lips or chin. The nerve damage can be temporary or permanent, and it is crucial to discuss potential risks with the oral surgeon before the procedure. Taking 3D images can help identify the position of the nerves and minimize the risk of complications.

1. Nervous lesions occur in less than 5% of the removal of toothes of the trial.
2. Symptoms include numbness, tingling or sensitivity alteration in the affected area
3. The recovery time varies depending on the severity of the nerve injury

Alternatives to Wisdom Tooth Extraction

A possible alternative to the extraction of the teeth of the trial is the treatment of orthodontics. Orthodontists can use various techniques, such as devices or aligners, to help create sufficient space in the mouth so that the teeth of the trial erupt properly. This can be particularly effective for people with minor misalignments or overcrowding, which may be contributing to the problems caused by the teeth of the trial.

Tip: Orthodontic treatment can help create enough space in the mouth so that the teeth of the trial erupting correctly, avoiding the need for extraction in some cases. However, it is essential to consult an orthodontist to determine whether it is an adequate option based on individual circumstances.

Another possible alternative is the use of pharmacological intervention. To treat symptoms associated with retained trial molars, recipe sales, such as analgesics or ant i-inflammatories, can be used. This approach aims to minimize discomfort and inflammation without directly addressing the underlying problem. Although pharmacological intervention can provide temporary relief, it is important to keep in mind that it does not solve the problem and may not be an adequate lon g-term solution.

1. Orthodontic treatment: create space in the mouth so that the teeth of the trial erupting correctly.
2. Pharmacological intervention: Control symptoms with analgesics or ant i-inflammatories.

It is essential to consult a qualified oral dentist or surgeon to determine the most appropriate course of action based on individual circumstances. These professionals can evaluate the state of the wisdoms of the trial, assess the possible risks and benefits of the alternatives and offer personalized recommendations for optimal oral health.

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Author of the article

Dr.Greenblatt M.

Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont