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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 .
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 ...
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.
An impacted tooth is one that fails to erupt into the dental arch within the expected developmental window. Because impacted teeth do not erupt, they are retained throughout the individual's lifetime unless extracted or exposed surgically. Teeth may become impacted because of adjacent teeth, dense overlying bone, excessive soft tissue or a ...
Overall, the rate of dry socket is about 0.5–5% for routine dental extractions, [2] [4] [5] and about 25–30% for impacted mandibular third molars (wisdom teeth which are buried in the bone). [1] Females are more frequently affected than males, but this appears to be related to oral contraceptive use rather than any underlying gender ...