Wisdom Teeth Extraction

Wisdom tooth extraction is a common dental procedure that involves removing one or more wisdom teeth. The procedure is typically performed under local anesthesia, and in some cases, sedation may also be used to help the patient relax.

Before the procedure, the dentist will evaluate the patient's case and take X-rays (preferably CT scan) to determine the best approach for the extraction. In some cases, the wisdom teeth may be fully erupted and easy to remove, while in other cases they may be impacted and require a more complex surgical extraction.

After the procedure, the patient may experience some discomfort and swelling, but these symptoms can be managed with pain medication and ice packs. It is important to follow the dentist's post-operative instructions carefully to ensure proper healing.

If you are considering wisdom tooth extraction at Citydent Istanbul, it is best to schedule a consultation with one of their experienced dentists to discuss your case and learn more about the procedure. They can provide you with a personalized treatment plan and answer any questions you may have about the process.

Our molars are called wisdom teeth because they start to erupt around the age of 20. There are four of them, one on each side of the upper and lower jaw. As human eating habits have changed, jaw bones have become smaller and there is no longer enough space for wisdom teeth. Impacted wisdom teeth are now common, meaning these teeth cannot erupt normally and remain embedded in the jawbone.


How is the treatment of impacted wisdom teeth done?

Wisdom teeth that have no space in the mouth are surgically removed. If these teeth have erupted enough, normal tooth extraction is performed. If they have bone support, more advanced surgical methods are used to extract them.

The extraction process of lower and upper wisdom teeth is slightly different from each other. This difference arises from the bone structure and shape in which the teeth are located. Our upper jaw bone is spongy bone. Its blood supply and healing process are easy. Moreover, there is no formation behind our upper wisdom teeth. Our jawbone ends after these teeth. For these reasons, the healing process in the extraction of upper wisdom teeth is easier for both the dentist and the patient. On the other hand, our lower jaw bone is marble-like bone. There is a hard part of the lower jaw bone that extends towards our ear just behind our lower wisdom teeth. Due to all of these, the extraction operations of our lower wisdom teeth are generally more challenging. The healing process of the wisdom tooth extraction is also more difficult.


Treatment process for wisdom tooth extraction:

• Prior to extracting the impacted wisdom tooth, the nerves and surrounding tissues are locally anesthetized.

• Necessary grinding procedures are performed on the jawbone.

• If the position and structure of the impacted wisdom tooth's roots prevent the tooth from being extracted in one piece, the tooth is separated into appropriate parts.

• The tooth is extracted in one or multiple pieces.

• If there are any abscessed areas in the surrounding tissue, they are cleaned.

• Plasma obtained from the patient's own blood is placed in the extraction socket.

• The procedure is completed by stitching the area.

• To prevent infection, a suitable antibiotic treatment is applied for 5 days according to the dentist's recommendation.


What should I Notice After Wisdom Tooth Extraction? 


After wisdom tooth extraction, you may experience some discomfort, swelling, and bleeding for the first few days. It is important to follow the aftercare instructions provided by your dentist or oral surgeon to minimize any potential complications and promote healing. Some things to notice after wisdom tooth extraction include:

  • Pain and discomfort: You may experience some pain and discomfort after the procedure, which can usually be managed with over-the-counter pain medication or prescription pain relievers as recommended by your dentist or oral surgeon.

  • Swelling: Some swelling is normal after wisdom tooth extraction and typically peaks within the first 2-3 days. You can apply ice packs to the affected area to help reduce swelling.

  • Bleeding: You may experience some bleeding or oozing from the extraction site for the first day or two after the procedure. You can bite down on a piece of gauze to help control bleeding.

  • Eating and drinking: You should stick to soft foods and avoid using straws for the first few days after the procedure. You should also avoid hot liquids and alcohol.

  • Oral hygiene: It is important to keep the extraction site clean to promote healing and prevent infection. You can gently rinse your mouth with saltwater after the first day and brush your teeth carefully.

If you experience severe pain, excessive bleeding, or signs of infection such as fever, redness, or pus, you should contact your dentist or oral surgeon right away.


Problems caused by impacted wisdom teeth:

• The basic problem is that they compress existing teeth and cause them to deform, leading to orthodontic problems.

• An inflammatory area called pericoronitis may form around wisdom teeth that cannot erupt. This gum disease can also cause pain and swelling.

• Gum pockets that cannot be cleaned may form in the mouth, leading to odor and decay.

• Horizontal wisdom teeth may damage the root of the healthy tooth in front of them and even erode the root of that tooth.

• Wisdom teeth that cannot erupt, especially in women, can cause unwanted growth of the jaw and mouth.

• If inflamed wisdom teeth are not treated in time, the inflammation around them can erode the jawbone and even reach the nerve canal. If this inflammation blocks the nerve canal, it can cause numbness in the lower lip.

• Impacted lower wisdom teeth can create widespread edema in the gum tissue above them, making chewing difficult. This can lead to severe pain.

• Impacted wisdom teeth can cause spasms in the muscles in that area, causing problems such as the mouth not opening enough, and in some cases, jaw locking.

Frequently Asked Questions

Wisdom teeth, also known as third molars, are not fundamentally different from other teeth in terms of their structure or function. The difference lies in their positioning and the timing of their eruption. Wisdom teeth are the last set of molars to emerge, typically between the ages of 17 and 25.

Due to changes in human dietary habits over time, our jaws have become smaller, and in many cases, there may not be enough room for wisdom teeth to fully emerge. This can lead to various issues, such as impaction, infection, and damage to neighboring teeth.

Therefore, wisdom teeth are often associated with dental problems and are frequently removed as a preventive measure or to address existing issues.

Patients are usually given local anesthesia to numb the area, so they shouldn't feel any pain during the procedure. Some discomfort and soreness may be experienced after the procedure, but pain medication can be prescribed to manage it.

It's important to follow post-operative instructions from your dentist or oral surgeon to promote proper healing and manage any discomfort or pain. However, it's important to note that each individual's pain tolerance and healing process may vary, so it's important to discuss any concerns or questions with your dental professional before the procedure. In general, wisdom tooth extraction is a routine procedure that is performed safely and effectively under proper anesthesia and by a skilled dental professional.

The recovery time after wisdom tooth extraction can vary from person to person. In general, the initial healing period takes about one to two weeks, during which time patients may experience some discomfort, swelling, and bleeding. However, most people are able to return to their normal daily activities within a few days after the procedure.

To promote proper healing, it's important to follow post-operative instructions from your dentist or oral surgeon, which may include things like keeping the extraction site clean, avoiding hard or crunchy foods, and avoiding smoking or using a straw.

In some cases, complications may occur that can prolong the recovery period, such as dry socket or infection. If you experience severe pain, fever, or excessive bleeding, it's important to contact your dental professional right away.

Overall, with proper care and attention to post-operative instructions, most people are able to recover from wisdom tooth extraction within a couple of weeks.

Like any surgical procedure, there are some risks and potential complications associated with wisdom tooth extraction. However, most people experience a smooth and uneventful recovery.

Some possible risks and complications include:

  1. Pain, swelling, and bleeding: These are common after-effects of wisdom tooth extraction and usually subside within a few days.

  2. Dry socket: This is a painful condition that occurs when the blood clot that forms in the extraction site becomes dislodged or dissolves, exposing the bone and nerves. It can be treated by your dentist or oral surgeon with medicated dressings.

  3. Infection: Although rare, infection can occur in the extraction site. Your dental professional may prescribe antibiotics to prevent or treat an infection.

  4. Nerve damage: The nerves that supply sensation to the tongue, lower lip, and chin can be damaged during wisdom tooth extraction. This is rare and usually temporary, but in some cases, it can be permanent.

  5. Sinus problems: Extraction of upper wisdom teeth can sometimes cause sinus problems, such as sinusitis or an opening between the sinus and the extraction site. This is rare and can be treated by your dental professional.

It's important to discuss any concerns or questions you may have about the risks and potential complications of wisdom tooth extraction with your dental professional before the procedure. Additionally, following proper post-operative care instructions can help reduce the risk of complications and promote a smoother recovery.

It is not always necessary to have all four wisdom teeth removed. The decision to remove wisdom teeth depends on several factors such as the position and development of the teeth, the presence of any symptoms or problems, and the individual's overall oral health. Your dentist or oral surgeon can evaluate your situation and recommend the best course of action. In some cases, only one or two wisdom teeth may need to be removed, while in others, all four may need to be extracted.

Should all wisdom teeth be extracted

Wisdom teeth are not actually different from our normal teeth. As long as there is enough space in the jawbone, there is no need for any intervention. However, they should be checked before the age of 20. To prevent possible space constraints, your dentist will examine your panoramic X-ray or even tomography to inform you. There is no rule that wisdom teeth must be extracted.

There is no specific age limit for wisdom tooth extraction. Wisdom teeth typically start to develop in the late teens or early twenties, but they can continue to develop and cause problems throughout a person's life. The decision to extract wisdom teeth is based on the individual's specific situation, such as the position and development of the teeth, the presence of symptoms or problems, and the overall oral health of the patient. In some cases, it may be necessary to remove wisdom teeth at a younger age to prevent problems from occurring or worsening. However, in other cases, it may be more appropriate to wait until the patient is older and the teeth have fully developed. Your dentist or oral surgeon can evaluate your situation and recommend the best course of action based on your specific needs.

• The experience, expertise, knowledge, and skill of the dentist are very important.

• Upper wisdom teeth are very close to the sinus cavity, and lower wisdom teeth are very close to the nerve canal. In fact, in 30% of cases, the roots of these teeth are inside the sinus cavity or nerve canal. If damage is done to the sinus cavity or nerve canal during surgical extraction, serious complications can occur. (serious complications such as sinusitis, sinus perforation, nerve damage, and permanent numbness due to nerve damage)

• The most minimal surgical methods possible should be preferred in impacted wisdom tooth extraction. Otherwise, a very painful process may be experienced after extraction. Many problems can occur, such as severe pain, serious swelling, jaw locking, chronic infection in the extraction area, and failure of the extraction area to heal.

• If excessive force is applied during extraction, the tooth in front of the wisdom tooth may be seriously damaged. The damaged tooth may require root canal treatment.

• If new atraumatic methods are preferred during wisdom tooth extraction, and if the surgical grinding procedures are performed on the tooth to be extracted rather than on the jawbone, the result will be more successful.

• The water used for cooling during the operation should be sterile saline or distilled water, so that the operation site can remain sterile and certain infections can be prevented.

• If the patient applies cold compress for 6-8 hours after extraction, swelling that may occur will be partially prevented.

• Regular use of medications and following the dentist's instructions by the patient are one of the factors affecting success.

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The prices for impacted wisdom tooth extraction can vary depending on the condition of the tooth to be extracted and the difficulty of the extraction. The tooth's position, problems such as inflammation and cysts in the relevant area, and materials that can be used can affect the price. Since you cannot know in advance the condition of your wisdom tooth, learning about all alternatives can prevent you from encountering a surprise later on. Alternatively, you can get a price quote after a free consultation. It would also be useful to learn about the techniques used for treatment success and a more comfortable healing process during the inquiry phase. You can call for prices for impacted wisdom tooth extraction or fill out our information form.