Impaction of Wisdom Teeth The third molars also known as wisdom teeth are the last tooth in an adult (17-25) to erupt. When a wisdom tooth is not able to erupt due to lack of space in the jaw is called an ‘Impacted tooth’.’ Why Wisdom Tooth Is a Problem Due to evolution the jaw side is decreasing so the wisdom tooth may emerge partially as tilted or trapped half into bone and half outside out of gums. Sometimes they pose a problem when they push the adjacent molars causing pain and damage to them. Sometimes these areas are very difficult to clean because of their location. There are incidences when the wisdom tooth does not erupt at all get trapped in a sac within the jawbone filled with fluids that may cause damage to the nerves of adjacent teeth. How do I know if my wisdom teeth are impacted? • Difficulty in opening your jaw • Swelling or Pain in the gums or jaw bone • Headache • Swollen lymph nodes in the neck area • Bad breath • Pain while chewing or biting • A bad taste in the mouth For more information you can contact : Dr.Rajat Sachdeva I 101, Ashok Vihar Phase 1, Delhi- 110052 Contact us at Phone : +919818894041,01142464041 Our Websites: www.sachdevadentalcare.com www.dentalimplantindia.co.in www.dentalclinicindelhi.com www.dentalcoursesdelhi.com Google+ link: https://goo.gl/vqAmvr Facebook link: https://goo.gl/tui98A Youtube link: https://goo.gl/mk7jfm Linkedin link: https://goo.gl/PrPgpB Slideshare link : http://goo.gl/0HY6ep Twitter Page : https://goo.gl/tohkcI Instagram page : https://goo.gl/OOGVig Email :drrajatsachdeva@gmail.com surgicalmasterdelhi@gmail.com

1. ATRAUMATIC WISDOM AND
IMPACTED TEETH EXTRACTION
BY- DR. RAJAT SACHDEVA

2. Although most people develop and grow 32
permanent adult teeth, many times their jaws
are too small to accommodate the four wisdom
teeth. When inadequate space prevents the teeth
from erupting they are called impacted. This
indicates their inability to erupt into the proper
position for chewing and cleaning.

5. A special x-ray of your mouth and jaws
(panorex) will be taken to determine if your
wisdom teeth are impacted, if there is room for
them to erupt, and how difficult it will be to have
them removed.
Soft Tissue Impaction: There is not enough
room to allow the gum tissue to retract for
adequate cleaning of the tooth.

6. • Partial Bony Impaction: There is
enough space to allow the wisdom tooth to
partially erupt. However, the tooth cannot
function properly in the chewing process,
and creates cleaning problems, among
others.

7. • Complete Bony Impaction: There is no space
for the tooth to erupt. It remains embedded in
the jaw bone or if even partially visible requires
complex surgical techniques for removal . The
impacted wisdom tooth may also be in an
unusual position and difficult to remove. This
situation can also arise when the shape or size of
the jaw bone and other facial structures make
removal of this tooth significantly more
complex.

9. • If there is enough room, sometime wisdom teeth can be a valuable
asset to the mouth when healthy and properly aligned, and do not
cause any problems. When these teeth grow you will be a little sore
and/or feverish. These feelings are only temporary and will stop
when the teeth grow completely and properly aligned.

10. • When wisdom teeth are misaligned, they may
position themselves horizontally, be angled
toward or away from the second molar, or be
angled inward or outward.
• Poor alignment of wisdom teeth can crowd or
damage adjacent teeth, the jawbone, or nerves.
Wisdom teeth also can be impacted — they are
enclosed within the soft tissue and/or the
jawbone or partially break through or erupt
through the gum.

11. • Partial eruption of the wisdom teeth allows
an opening for bacteria to enter around the tooth
and cause an infection, which results in pain,
swelling, jaw stiffness, and general illness.

12. • At the time of extraction the doctor will need to
numb your tooth, jaw bone and gums that
surround the area with a local anesthetic.
• During the extraction process you will feel a lot
of pressure. This is from the process of firmly
rocking the tooth in order to widen the socket
for removal.

13. • You feel the pressure without pain as the anesthetic
has numbed the nerves stopping the transference of
pain, yet the nerves that transmit pressure are not
profoundly affected.

14. • Some teeth require sectioning. This is a very
common procedure done when a tooth is so
firmly anchored in its socket or the root is
curved and the socket can’t expand enough to
remove it. The doctor simply cuts the tooth into
sections then removes each section one at a
time.

15. • After tooth extraction, it’s important for a blood clot
to form to stop the bleeding and begin the healing
process. Bite on a gauze pad for 30-45 minutes
immediately after the appointment. If the bleeding
or oozing still persists, place another gauze pad and
bite firmly for another 30 minutes.
• Do not rinse vigorously, suck on straws, smoke,
drink alcohol or brush teeth next to the extraction
site for 72 hours. These activities may dislodge or
dissolve the clot and hinder the healing process.

16. • An ice pack or an unopened bag of frozen peas
or corn applied to the area will keep swelling to a
minimum. Take pain medications as prescribed.
The swelling usually subsides after 48 hours.
• Warm saline rinses after 24 hrs of extraction ,
twice a day.

18. • I 101, Ashok Vihar Phase 1, Delhi- 110052
• Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalimplantindia.co.in
• www.dentalclinicindelhi.com
• www.dentalcoursesdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig