Oral Surgery

Wisdom Teeth Removal & simple extractions

Wisdom Teeth

The Third Molar which is also called Wisdom Tooth is the last or most posterior tooth in each quadrant of the dental arch.

Although most people have wisdom teeth, it is possible for the third molar to never develop or become impacted (not normally erupted through the gums) under the gingival tissue (gum).

Not all wisdom teeth need to be extracted. However, their removal is indicated if the tooth is causing inflammation and at times infection.

A soft tissue growth over a partially erupted wisdom tooth is referred to as an operculum. If bacteria is trapped under the operculum, swelling with an associated bad taste can occur; this is called a pericoronitis.

The wisdom tooth can also erupt at an angle such that the adjacent molar can become difficult to keep clean and free of dental caries. If the third molar has erupted through the tissue but is without opposing occlusion (contact with other teeth), extraction should still be considered.

Considering the posterior position of an erupted wisdom tooth, these teeth are often difficult to keep clean.

To know if you need to have it out, a clinical examination followed by X-ray examination needs to be performed and sometimes, an indication comes because of orthodontics reasons.

If a surgical removal is indicated that can be performed with Local Anaesthetic alone or in conjunction with IV sedation. This will be carefully planned according to patient requirements.

The procedure will involve a minor surgery where the tissue and bone around the wisdom tooth are removed so that the tooth can be expedited (removed) from the socket. Stitches may be needed to close the surgical site and promote healing.

Recovery from wisdom teeth extraction usually occurs over a 48 to 72 hour period. It is normal to have slight bleeding (oozing) from the site which will start to ease after the first 24 hours.

Pain medication is often prescribed to help with any postoperative symptoms and discomfort.

Following the postoperative instructions given by Dr Kluge is important to minimize any complications.

Although the postoperative recovery is usually uneventful, problems can occur. The most common adverse occurrence is to develop a dry socket or alveolar osteitis. Once this occurs the bone along the extraction socket can become inflamed and painful. If a dry socket occurs the surgeon should be contacted. This is easily treated and often resolves quickly with a packing medication or stimulation of a new blood clot.

More serious complications are rare but the potential risks will be reviewed by Dr Kluge with you prior to the procedure.

Simple extraction

Simple extraction is a procedure for when a tooth or part of a tooth requires extraction by simple elevation from its socket. Normally performed under Local Anaesthetic and recovery is usually similar to surgical extraction.