Wisdom Tooth Surgery(disimpaction)
When a wisdom tooth is lodged in the bone and soft tissue, this condition is known as IMPACTION.And removal of such teeth is known as DISIMPACTION.
The oral cavity often harnesses teeth which, due to certain developmental difficulties, do not erupt in their right place. They often remain dormant inside the bone. However, when they pose a problem due to the forces they exert or when they become foci of infection, their removal is their only cure.
The most common impactions are seen in cases of wisdom teeth (third molars).Sometimes, even canines or other teeth might be found impacted in one’s mouth. Each individual wisdom tooth is unique and depending on how it grows, it can have different impact on bones and/or tissues. Their varied developments may effect other teeth and cause troubles. When they need to be removed, experts from Patna Dental Hospital ones who can easily help you.
If the impaction is between the third molar and part of the second molar, this kind is called bone impaction. It can subcategorized into vertical, horizontal, and angular depending on the way they are intersecting. If the wisdom tooth is directly breaking out of the tissue, it is known as tissue impaction.
Surgical removal of impacted third molar is one of the common surgical procedures carried out in the oral and maxillofacial surgery set up. Surgical management of impacted third molar is difficult because of its anatomical position, poor accessibility, and potential injuries to the surrounding vital structures, nerves, vessels soft tissues, and adjacent teeth during surgeries. The factors contributing to the post-operative morbidity are many, but the most important one is the trauma from bone cutting as the procedure involve significant bone cutting, which is carried out either by chisel and mallet or by rotary cutting instruments (like surgical bur).This study aimed at clinically assessing the three different surgical techniques (lingual split, using chisel and mallet, buccal approach techniques, using rotary instruments used in the removal of impacted mandibular third molars as regards their convenience, time taken, post-operative sequel/complications)
Surgical removal of impacted third molar is one of the common surgical procedures carried out in Oral and Maxillofacial Surgery set up. This study aimed at clinically assessing the three different surgical techniques (lingual split, using chisel and mallet, buccal approach techniques, using rotary instruments used in the removal of impacted mandibular third molars. Materials and Methods: The present clinical study comprised of 150 impacted mandibular wisdom teeth. Patients were divided in three groups and bone covering the third molar was removed by the Lingual split technique using chisel and mallet, Buccal approach technique using chisel and mallet, and Buccal approach technique using rotary instruments. Results: Surgical time was significantly increased in bur technique. Trismus was significantly increased in lingual split technique and bur technique from buccal approach technique using chisel and mallet. Post-operative nerve injury was significantly higher in lingual split technique. Dry socket was more in patients of bur technique.
GENERAL PROCEDURE
1. DISIMPACTION is initiated by administration of local or general anesthetic as decided by dentist with patient’s consent.
2. Once anesthetized, In second step, the gums are incised and underlying bone is partially removed by surgical instruments to gain access to the impacted tooth.
3. In third step, it is decided by dental surgeon whether to remove the tooth as single structure or whether to split in multiple sections.
4.Now after ensuring the complete removal of all the pieces of wisdom tooth, the gum is approximated and sutures (stitches) are placed. The number of suture is decided by the dentist and depends on the size of incision.
5.Once the removal is completed, the dentist gives particular set of instructions to the patient so that the patient can recover quickly along with the help of antibiotics and pain killers.