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Wisdom teeth removal is the most common treatment for impacted wisdom teeth. In the US, 10 million wisdom teeth are removed annually. [ 21 ] The procedure can be either simple or surgical, depending on the depth of the impaction and angle of the tooth .
There is evidence that use of antibiotics before and/or after impacted wisdom tooth extraction reduces the risk of infections by 66%, and lowers incidence of dry socket by one third. For every 19 people who are treated with an antibiotic following impacted wisdom tooth removal, one infection is prevented. [19]
The classification structure allows clinicians to estimate the probabilities of impaction, infections and complications associated with wisdom teeth removal. [31] Wisdom teeth are also classified by the presence of symptoms and disease. [32] Treatment of an erupted wisdom tooth is the same as any other tooth in the mouth.
A treatment controversy exists about the necessity and timing of the removal of asymptomatic, disease-free impacted wisdom teeth which prevents pericoronitis. Proponents of early extraction cite the cumulative risk for extraction over time, the high probability that wisdom teeth will eventually decay or develop gum disease and costs of ...
Other impacted teeth, especially canines or incisors, can be aligned with the rest of the dental arch by orthodontic treatment, thus regaining and retaining their mechanical and aesthetic function. In some cases, impacted teeth can be let sleeping inside the alveolus, but periodical check-ups are required for a possible pathological development.
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 ...