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Surgical extractions involve the removal of teeth that cannot be easily accessed or removed via simple extraction, for example because they have broken under the gum or because they have not erupted fully, such as an impacted wisdom tooth. [2] Surgical extractions almost always require an incision.
Wisdom teeth that are fully erupted and in normal function need no special attention and should be treated just like any other tooth. It is more challenging, however to make treatment decisions with asymptomatic, disease-free wisdom teeth where there is a high probability that the teeth will develop disease over time, but none exists on ...
Impacted wisdom teeth may suffer from tooth decay if oral hygiene becomes more difficult. Wisdom teeth which are partially erupted through the gum may also cause inflammation [3] and infection in the surrounding gum tissues, termed pericoronitis. More conservative treatments, such as operculectomies, may be appropriate for some cases.
Most often, the cause of impaction is inadequate arch length and space in which to erupt. That is the total length of the alveolar arch is smaller than the tooth arch (the combined mesiodistal width of each tooth). The wisdom teeth (third molars) are frequently impacted because they are the last teeth to erupt in the oral cavity.
Bottom teeth of a seven-year-old, showing primary teeth (left), a lost primary tooth (middle), and a fully erupted permanent tooth (right) Although tooth eruption occurs at different times for different people, a general eruption timeline exists. The tooth buds of baby teeth start to develop around 6 weeks of pregnancy.
Oil pulling is believed to help with conditions like gum disease, cavities, and sensitive teeth through its purported ability to remove plaque, bacteria, and toxins, but more research is needed in ...
Pericoronal abscess—a localized, purulent infection within the gum tissue surrounding the crown of a partially or fully erupted tooth. [3] Usually associated with an acute episode of pericoronitis around a partially erupted and impacted mandibular third molar (lower wisdom tooth).
When extracting lower wisdom teeth, coronectomy is a treatment option involving removing the crown of the lower wisdom tooth, whilst keeping the roots in place in healthy patients. This option is given to patients as an alternative to extraction when the wisdom teeth are in close association with the inferior alveolar nerve , and so used to ...