Wisdom teeth (Last molars) These are root teeth located in the backmost part of the mouth. They are four – upper left, lower left, upper right, lower right. These teeth usually grow either in the end of the puberty or in the beginning of the twenty years of age; however, they may also remain impacted – i.е. they may not cut out, because of lack of enough space in the jaws, or because of their wrong disposition angle. The most often met type of impacted mesial-dispositioned wisdom tooth is a tooth lying with a front angle towards the front part of the mouth. Where a tooth is impacted, it will possibly have to be pulled out. In the other case, the feeling of increased sensitivity of the gums, oedema, and even strong pain may appear. Wisdom teeth, which have cut out partially or in full, are, however, very difficult to clean, and they are susceptible to the development of caries, recurring infections, and gums inflammation.
The condition of each Patient is individual. The X-Ray Specialist in ‘Mateevi MD’ Clinics shall make an X-Ray photo for you, and discuss with you any further action, which needs to be taken. In case the advice is to pull out the root tooth, however, this must be done as soon as possible. Usually, root teeth are pulled-out in the later years of puberty or in the beginning of the twenties, since at that time it is more probable that the roots of these teeth are not still formed and the bone around the tooth is not too thick. These two factors make the extraction easier. To remove the root tooth, the Dentist shall make it accessible since, in most cases, it is to be found under the gum and wrapped-up by the jawbone. The Specialist must remove part of the covering bone. In order to remove a minimum bone quantity, he/she often divides the root tooth into parts, and removes each part separately. The section is firstly made insensitive through local anaesthetics, which makes this procedure painless. The remedial process starts immediately after the pulling-out of the tooth. The recovery time depends on the level of difficulty of the extraction. Your Dentist will share with you all possible advice about any efficient post-operation care.