Wisdom teeth or 3rd molars

– Most people in western industrialized countries develop them

About one million wisdom teeth are removed each year in Germany. It is one of the most common operations in dentistry. In the dentition of modern humans there is only insufficient space in the jawbone, which especially disturbs a healthy breakthrough of wisdom teeth. The wisdom teeth are also the third molars or dens serotinus designated. In most cases, the need to remove the teeth that are still “impacted” in the jaw is already foreseen in the context of normal dental care. If the teeth remain in the bone, it can be especially in the Mandible to problems come.

The need for an operative Wisdom tooth removal is to be weighed against the possible risks, especially if the person concerned has not had any complaints so far. A balance that you should best meet with your home dentist. Because a preventive distance from asymptomatic wisdom teeth is a dial-up consultation, you should be particularly well advised on the potential risks with your dentist. As a decision aid is a so-called Overview radiograph (Orthopantomogram), on which the whole jaw can be seen. Your dentist can also see how complicated an intervention would be. If the required intervention exceeds the capabilities of your practice, your dentist will refer you to a private oral surgeon or the local dental clinic.

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Problems with wisdom teeth

Wisdom teeth that stay in the jaw can cause problemsIn particular, if the tooth grows out only partially, it is difficult to clean, which can cause infection. In addition, it may too Tooth decay or periodontitis come or to malocclusions or tooth root damage. Cysts are also among the dreaded complications, because these liquid-filled cavities often grow unnoticed and damage the surrounding tissue, including the jawbone.

The wisdom tooth removal

The Wisdom tooth removal Depending on the anatomical situation and the extent of the surgical treatment required, it is performed under local anesthesia or under general anesthesia. The surgical removal usually begins with a Cut on the alveolar ridge. After the bone or the tooth in whole or in part by a Folding away the gums has been exposed, if necessary, the tooth covering bone by means of a Bone milling machine (Lindemann milling machine) Milled away with a physiological saline solution while cooling. The opening must be large enough for the tooth to fit through. If the tooth is very firmly anchored in the jaw, the tooth is displaced in the jaw or the extraction opening is too small, it may be necessary to remove the tooth before it Distance in the jaw sever. The resulting wound is closed by surgical sutures.

Risks in removing the wisdom teeth

To include the risks of wisdom tooth removal Injuries to the lower jaw nerves. The episode can permanent feelings in the lip or tongue his. However, several international studies have shown that waiting more often leads to complications and damage to the adjacent teeth. In addition, complications are less frequent at prophylactic removal than at a later removal.

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