Wayward “eights”: remove or treat a wisdom tooth?

Removal of the upper wisdom tooth under the guidance of surgeons with 25 years of experience, in conditions of increased comfort and at competitive prices.

One of the most labor-intensive procedures in dentistry is the removal of the figure eight in the upper jaw. Due to its abnormal location, the presence of roots with tortuous bends, as well as in the case of partial eruption of wisdom teeth and the proximity of the maxillary cavities, extraction becomes the only way out of the situation. In this case, it is better to deal with qualified specialists and contact trusted clinics.

In our dentistry you will be met by professional surgeons who know modern methods of removing problem teeth, use advanced instruments and effective anesthetics in their work. All this guarantees a shortened procedure time and the absence of any discomfort during it.

From this article you will learn in detail about all the nuances associated with the removal of a wisdom tooth in the upper jaw.

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Content

1 Is it easier to remove a wisdom tooth in the lower or upper jaw?

2 In what situations is it necessary to remove a wisdom tooth in the upper jaw?

3 Anesthesia for removal of the upper wisdom tooth

4 Simple removal of wisdom teeth in the upper jaw

5 Difficult removal of the upper wisdom tooth

6 Removal of a completely destroyed upper wisdom tooth

7 Is it painful to remove a wisdom tooth in the upper jaw?

8 Consequences after removal of the upper wisdom tooth

9 Recommendations for recovery after removal of the upper wisdom tooth

10 Prices for wisdom tooth removal in the upper jaw

When is surgery necessary?

Wisdom teeth are more likely to develop pathological processes than others. There are several indications for the procedure:

• Dense or crowded teeth. As a result, the eruption of the wisdom tooth is complicated - it grows at an angle and causes pain. Inflammation occurs, and to solve the problem, surgery is performed to remove the wisdom tooth.
• Incorrect bite, requires braces. “Eights” can shift the dentition and cause pain when wearing braces. To avoid such problems, it is necessary to remove unerupted wisdom teeth.
• Lesions - caries, pulpitis, periodontitis become the reason for surgical intervention. Carrying out therapy is problematic, so they resort to removal.

At DENTA dental blades, you can undergo the procedure of wisdom teeth removal inexpensively - at a cost of 6,480 rubles. The price varies depending on the complexity and volume of work and the anesthesia used. To find out how much it costs to remove wisdom teeth, call us at the numbers provided.

Is it easier to remove wisdom teeth in the lower or upper jaw?

Wisdom teeth are the last to appear on the jaw and have a complex structure, which greatly complicates treatment procedures. In addition, due to the presence of widely spaced and curved roots, the process of extracting the “eights” is significantly more complicated. However, there are significant differences between the removal of such teeth in the upper and lower jaw.

Molars located in the lower jaw are more difficult to extract because they experience more pressure and have more tortuous and durable roots. As a result, when extracting “eights” in this section, the surgeon applies more force, which can cause injury to adjacent units or gums, as well as a jaw fracture. Moreover, lower eighth teeth have 1-2 more roots than their upper counterparts, which also complicates the extraction process.

As for the removal of the upper wisdom tooth, the situation here is somewhat different. The upper jaw is less dense and has a larger number of vessels and nerve endings. Moreover, when anesthetics are administered before removing a wisdom tooth in the upper jaw, any consequences in the future are excluded. In turn, anesthesia of the mandibular region is accompanied by loss of sensitivity of the tongue, face and throat.

Possible complications

The structural features of wisdom teeth determine the possibility of surgical and postoperative complications - this is another reason for patients to be concerned about the removal of wisdom teeth. Fortunately, they are quite rare and in most cases are associated with insufficient professionalism of the doctor. If the surgeon acts carefully, then unpleasant consequences can be avoided. However, it is worth knowing what you might encounter.

1. Tooth destruction during the extraction process.
   This can happen if the integrity of the enamel is damaged by caries, and the doctor presses too hard on the forceps. It is accompanied by a characteristic cracking sound and can greatly frighten the patient. Requires careful removal of fragments from the hole.
2. Fracture of the jaw bone.
   This is also a consequence of the rough work of the surgeon, who, by applying forceps, can capture part of the alveolar process along with the tooth.
3. Alveolitis.
   This is inflammation of the socket, accompanied by swelling, pain, fever and bad breath. Requires immediate sanitation of the wound surface and antibiotics.
4. Damage to the maxillary sinus.
   A rare but very dangerous complication when perforation of the wall of the maxillary sinus occurs. To avoid this, the doctor should carefully study the x-ray and act as carefully as possible.

In what situations is it necessary to remove a wisdom tooth in the upper jaw?

In some cases, it is possible to save the “eight”. For example, in the presence of carious lesions, inflammatory processes in the pulp area or periodontal tissue disease. If you contact a specialist in a timely manner, the necessary treatment measures are carried out, and the damaged tooth can be restored.

However, in advanced situations, treatment becomes impossible, and removal of the wisdom tooth in the upper jaw is the only solution to the problem. Moreover, such a need may appear already during the period of eruption of the “eight”, which is accompanied by the occurrence of severe pain, an increase in body temperature and the appearance of edema. In this case, the indication for surgical intervention is the atypical shape of the roots, their incorrect location and curvature of the tooth.

Next, we will describe the factors that require immediate removal of a wisdom tooth in the upper jaw. These include:

1. If a recently erupted or impacted tooth has an abnormal location, which creates obstacles to the growth of neighboring units and injures the gum tissue;
2. In the presence of massive carious lesions and significant damage to the crown;
3. Trigeminal neuralgia, accompanied by burning, intense pain;
4. Inflammatory process in the area of ​​gingival tissue located in close proximity to the erupting tooth;
5. Fixation of bracket systems in situations where the last “eight” in a row prevents changes in the position of neighboring units;
6. The presence of cystic formations in the root area.

According to leading experts in the field of dentistry, it is necessary to monitor the condition of wisdom teeth at the initial stage of their development. For preventive purposes, an x-ray is taken. Based on the results of this examination, the doctor identifies existing pathologies and gives appropriate recommendations.

If a specialist diagnoses the fact of an abnormal position of the tooth, then, most likely, he will advise immediate extraction of the root system. Removal of unerupted upper wisdom teeth is performed with less effort. In this case, there is no likelihood of negative consequences, and the recovery period is much easier.

How long will an extracted tooth hurt?

Removing a wisdom tooth is a serious surgical procedure that severely injures the soft tissues of the periodontium. The fact is that third molars are large teeth, having from 2 to 5 roots. And after their removal, an open bleeding wound remains in the jawbone and gum, which will definitely hurt. And not a couple of hours, but several days.

The pain can be aching and cutting, radiating to the throat or ear. The patient may complain of painful swallowing and persistent headache. An increase in body temperature to 37.5 0C is also natural and physiological. There is no need to endure unpleasant sensations. After tooth extraction, the dentist will definitely recommend painkillers:

• paracetamol;
• ibuprofen;
• analgin;
• butadione;
• sedalgin.

All of them are available without a prescription, are not addictive and have minimal side effects. At the same time, they effectively relieve pain. Normally, the pain at the site of the extracted tooth subsides within 3-7 days. And the final healing of the hole occurs by the end of 2 - 3 weeks after tooth extraction. During this time, she needs to be protected from injury - brush her teeth carefully, eat food carefully.

The appearance of edema is also natural after the removal of the figure eight. As a rule, it forms during the first day after surgery and lasts for the next 2 to 3 days.

If over time the pain does not subside, but, on the contrary, intensifies, you should immediately consult a doctor. Alarm signals are a strong increase in temperature, an unpleasant odor from the hole, acute pain radiating to the temple or ear. These symptoms may indicate the development of inflammation. And without the intervention of a dentist, the purulent process will lead to an abscess and sepsis.

But even if healing goes according to plan, most patients will have to see their doctor again 7-10 days after surgery. This time to remove the stitches. This procedure cannot be called painful, although it is unpleasant. If the patient's pain threshold is too low, the dentist will numb the area of ​​the gum with lidocaine gel or spray.

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Anesthesia for removal of the upper wisdom tooth

As a rule, before extracting the “eight”, they resort to local painkillers - injections with articaine, lidocaine and other drugs with a similar spectrum of action. The dentist makes 2 injections - from the side of the palate and on the outside of the upper jaw. This allows you to obtain a powerful anesthetic effect, which manifests itself within 2-5 minutes after administration.

In the case of the eighth tooth, located in the mandibular region, at least 9-10 minutes are required due to the increased bone density in this area.

However, the pain syndrome can make itself felt within 2-3 hours after surgery, which requires additional use of painkillers and anti-inflammatory drugs.

Causes of pain with anesthesia

It is worth noting that in rare cases, pain may occur. This may be caused by the following factors:

• The patient is a drug addict. These people may not respond to pain medications;
• Long-term use of painkillers;
• Severe purulent inflammation.

In most cases in modern dentistry, tooth extraction is painless. The appearance of pain is associated with the immediate location of the tooth.

Simple removal of wisdom teeth in the upper jaw

When performing the above procedure, the need to use a scalpel and dissect the gums is eliminated. Most often in this situation they resort to the help of a special surgical instrument - an elevator, or standard hand forceps.

Such removal of the upper wisdom tooth, as evidenced by reviews, is performed when there are no obstacles to removing the tooth from the socket:

• The root of the tooth is of medium length, without curvature;
• The “eight” protrudes onto the gums, which makes it possible to remove it with forceps;
• The tooth is single-rooted, or it has several roots fused into one.

To facilitate the extraction procedure, the specialist uses forceps with an S-shaped bend. If an upper wisdom tooth, significantly destroyed by caries, is removed, they resort to bayonet instruments, which are considered universal for carrying out this kind of manipulation. The latter have cheeks with a pointed shape, which have the ability to close and firmly hold the tooth roots.

Algorithm of surgical intervention:

1. Applying the instrument to a figure eight crown.
2. Immersion of the cheeks under the gum tissue covering the neck of the tooth.
3. Advance the forceps to the desired depth and fix them on the tooth.
4. Loosening of the unit in the buccal direction and its dislocation (luxation).
5. Extraction of a wisdom tooth from the alveolar socket (traction).

To stop bleeding, the surgeon quickly applies a gauze pad to the sore area. As a rule, the duration of the procedure does not exceed 10 minutes.

Removal steps:

• Preliminary diagnosis. The doctor examines the oral cavity. Takes x-rays if necessary. Gives recommendations on possible treatment or decides on the need for surgical intervention;
• Removal takes about 45 minutes. At this time, the dentist administers anesthesia, after which he removes the molar from the socket;
• At the patient’s request, a regenerative procedure is performed to quickly restore damaged tissue;
• The doctor gives you recommendations and also prescribes medications.

Complex removal of an upper wisdom tooth

As part of this procedure, drills are used, and the gingival tissue is dissected and the dental socket is sutured. Swelling after such removal of the upper wisdom tooth is considered a normal manifestation. The reason for this operation is the eruption of the tooth in a horizontal position, under a layer of bone tissue.

Procedure steps:

1. Initially, the site of future intervention is anesthetized.
2. The gum is dissected and part of it is peeled off using a scalpel.
3. A hole is created in the bone tissue. In this case, special tips and cutters are used to provide a cooling effect.
4. Full or partial extraction is performed.
5. The dental alveolus is thoroughly washed with an antiseptic solution.
6. The bone wound undergoes plastic surgery, and the detached part of the gum is returned to its place.
7. Suturing the alveolar cavity and stopping bleeding.

After implementing all the sequential steps and removing the upper wisdom tooth, the specialist makes recommendations regarding further care.

How is the removal done?

In simple cases, “eights” are pulled out according to the standard scheme, which includes:

• Inspection and examination. The doctor visually and using instruments determines the position of the tooth in the jaw, its condition, indications and contraindications for removal. An x-ray is required to exclude “surprises” in the form of roots bent with a fishing hook, which are guaranteed to break and remain in the bone when removed, or a jaw cyst.
• Anesthesia. Typically, lidocaine, novocaine and other local anesthetics are used, which are injected into the gum tissue on both sides of the alveolar process of the jaw. The drug begins to act a few minutes after the injection. Just in case, the doctor checks the level of numbness by touching the mucous membrane and observing the person’s reaction. Complex operations can be performed in a hospital setting under general anesthesia.
• Delete. If the tooth crown is located on the surface, then it is grabbed with forceps, loosened and removed. If it is completely or partially covered by the mucous membrane, then first an incision is made. After pulling out a tooth, the doctor places sutures on the mucous membrane in order to prevent inflammation and stop bleeding.

Removal of a completely destroyed upper wisdom tooth

If a patient has a completely destroyed wisdom tooth, removal of the upper molar becomes inevitable, since it becomes painful for the person to chew food. Unfortunately, not every specialist can cope with such a situation. Sometimes the “eight” has to be removed in parts, which requires a significant investment of time and painstaking work of an experienced surgeon.

First of all, this is due to the difficulties that arise when trying to fix a tooth with forceps. In this case, it may be necessary to dissect the gum tissue. In particularly difficult situations, it may be necessary not only to crush hard tissue, but also to saw through the bone in order to free access to the root part of the tooth.

Such surgical intervention is best performed in patients no younger than 40 years of age, since it is during this period that the alveolus undergoes atrophy.

Growth period of eights

The average growth period for wisdom teeth is 18-25 years. But they may not erupt at all, and even their rudiments will not be formed inside the bone tissue. In some situations, they can form completely, but remain inside the bone. According to research, approximately 70-80% of the world's population still grows the outermost teeth.

Growing pains

Only some lucky people have wisdom teeth that grow completely, straight, and do not cause any trouble during eruption. Among the main problems that accompany their growth are the following:

1. Impacted or semi-impacted teeth, which have formed completely inside the bone tissue, but have not erupted (or partially appeared). They can be vertical, horizontal, or even with their roots up. When positioned laterally, such teeth very often exert increased pressure on neighboring ones, which leads to acute pain,
2. A gingival hood forms above the tooth: this is a small area of ​​​​the mucous membrane that forms during the slow eruption of the tooth. The difficulty is that bacteria and food debris often accumulate underneath it, which are difficult to remove due to the fact that the tooth is very far away - it’s practically impossible to get to it. This causes acute inflammation, which often develops into purulent,
3. dystopia or positional imbalance: eights do not have milk precursors, in addition, they grow at a time when the jaw bone has ceased to develop and form. Therefore, they often grow crookedly and do not stand in place. At the same time, they can overlap other crowns, overlap with neighbors, cause injury to the mucous membrane, which will complicate hygiene and provoke inflammatory processes,
4. growth immediately with caries: they are very difficult to clean because they are located far away. Patients experience particular difficulties when the mucous membrane is inflamed, since cleaning in such situations is accompanied by acute pain.

In general, growth disturbance leads to a change in the normal functioning of the entire dental system. Soreness occurs, the patient often complains of pain when opening the mouth and moving the lower jaw. Due to pressure on neighboring teeth, they become displaced and cause malocclusion. A fairly common consequence is crowding of the incisors, which occurs precisely as a consequence of impaired growth of the figure eights.

Is it painful to remove a wisdom tooth in the upper jaw?

According to many dental visitors, they are afraid of pain during the extraction procedure of the upper eighth teeth. Fortunately, today powerful anesthetic drugs have been developed that can relieve pain.

As a rule, patients report discomfort after surgery. This is due to the cessation of the action of painkillers. To get rid of unwanted complications after removal of the upper wisdom tooth during the recovery period after surgery, the specialist additionally prescribes anti-inflammatory and anesthetic agents.

At the Elident clinic, experienced surgeons with 25 years of experience will work with you, who use modern instruments in their work, regularly carry out interventions related to the extraction of “eights” and use effective methods of anesthesia. This guarantees increased comfort during the procedure and eliminates complications after it. In addition, we provide important recommendations that must be followed after the removal of the upper wisdom tooth in order to avoid unwanted manifestations in the future.

How painful is the surgery?

The use of modern equipment and special surgical equipment makes the task of removal easier for both the doctor and the patient. Painful sensations are eliminated by anesthesia. The injection is made by the dentist into the gum area. The injection itself is almost imperceptible and does not cause discomfort.

Wisdom tooth extraction can be sensitive for patients who have been taking pain medications for a long time. For particularly sensitive people, it is suggested to use either a repeat injection or a stronger anesthetic. More pronounced sensations can be observed in isolated cases in patients with an advanced abscess.

Painless surgery - complex or simple - is already a reality. The specialists of the Zuub clinic, thanks to the use of modern equipment and their accumulated experience, carry out operations efficiently and quickly. In such conditions, the patient can not only count on the absence of pain, but also complete comfort during removal.

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Recovery period

After the procedure, it is not recommended to consume hot food or drinks. Do not rinse your mouth for 24 hours to prevent a blood clot from accidentally falling out. It is not recommended to smoke for at least two days. Nicotine constricts blood vessels, which prevents the wound from healing. Do not overheat or apply a heating pad to your jaw, as this may cause bleeding.

To relieve pain, you can take an analgesic or apply a cold compress to the cheek in the projection of the sore spot. Solid foods should be chewed on the side of the jaw that has not been operated on.

If there are no complications, then after a few days the wound will heal and the restrictions can be lifted.

Consequences after removal of the upper wisdom tooth

Often, after the removal of upper impacted wisdom teeth, serious consequences become apparent, including:

• Injury to the oral cavity or soft tissues, which is caused by improper placement of the “eight”;
• If the damage is severe, a fracture of the root or crown part is possible. This is accompanied by an uncharacteristic crunch;
• Dislocation of an adjacent unit. If excessive force is applied or an inexperienced specialist participates in the procedure, nearby teeth may be damaged;
• Breaking off a piece of a tooth root. This occurs due to the instruments gripping the tooth too deeply;
• Alveolitis. It appears when the necessary rules of care are ignored or in the presence of chronic inflammatory processes, or when parts of the tooth are not fully extracted from the socket;
• Damage to the lower part of the maxillary cavity. One of the most severe complications.

How does the deletion work?

There are cases when patients want to remove a wisdom tooth without clear prerequisites for the operation. Is it possible. Some dentists support this decision due to the fact that in the area where the figure eights are located, it is very difficult for a person to brush their teeth, so food debris accumulates there, forming a stone, and then caries begins, which, without treatment, can lead to tooth loss. Therefore, doctors immediately remove it. The procedure is performed by a surgeon as it is a major operation.

Recommendations for recovery after removal of the upper wisdom tooth

After extraction of the upper wisdom tooth, at least 1-2 days are required for the patient’s rehabilitation. In some cases, this period may be delayed. To avoid complications, you must adhere to the following recommendations:

• Use antibacterial therapy prescribed by a specialist, as well as drugs that relieve inflammation and pain;
• Refuse to visit the sauna, swimming pool and bathhouse - in order to eliminate the possibility of wound infection;
• In the first days after the intervention, it is recommended to use soft products;
• If possible, stop using tobacco products.

We employ specialists of the highest category, which eliminates the possibility of making any mistakes during the procedure and guarantees a shortened and easy recovery period.

How to prepare for removal

If the process of the emergence of the third molar causes concern or is accompanied by pain, then it is necessary to show the problem unit to the dentist as soon as possible. You should not postpone a visit to the clinic, abuse painkillers or use “miracle” folk remedies - this will not help solve the problem and may worsen it.

After treatment, there are 2 possible scenarios - the wisdom tooth will be treated or removed. To properly prepare for removal, just follow a few simple recommendations.

• 1 - 2 days before the procedure, stop taking alcohol and anticoagulants - drugs that impair blood clotting, for example, Aspirin, Heparin, Ibuprofen.
• On the eve of the operation, it is better not to practice warming procedures - go to the bathhouse, sauna, solarium, or steam your feet.
• Be sure to eat 1 – 2 hours before removal.
• Before visiting a doctor, thoroughly brush your teeth and mouth with a regular toothbrush and toothpaste.

Immediately before removing a wisdom tooth, it is recommended to lubricate your lips with Vaseline or hygienic lipstick - this will protect them from the formation of cracks. As a rule, in good clinics the dentists do this themselves, but just in case, it is better to take the product with you from home.

It is important to know! According to the observations of dentists, seeking help earlier guarantees a less painful procedure.

This is due to the fact that the place where the figure eight appears is not yet “exhausted” by pain, slightly inflamed, without swelling and other unpleasant symptoms. In this case, an injection of anesthesia will be sufficient to completely numb the procedure.

If you endured it for a long time, took pills, and then couldn’t stand the torment and asked for help, then you need to be prepared for the fact that, most likely, the operation will be more painful and the dentist will have to use a larger dose of anesthesia, which is not always possible.

Regardless of the time of treatment, it is necessary to understand that figure eight extraction is a rather complex process from a technical point of view, requiring the efforts of a doctor. Naturally, tooth extraction will be accompanied by unpleasant sensations. The degree of their manifestation depends on the patient’s pain threshold - therefore it is better to warn the specialist in advance about the characteristics of your body.

Prices for wisdom tooth removal in the upper jaw

The cost of this service may be influenced by: the complexity of the problem and the rating of the chosen dentistry. For example, the cost of an x-ray examination can reach 300-500 rubles. With a simple removal of the upper wisdom tooth, the price can be equal to 3500-7000 rubles. In turn, if a complex procedure is planned, be prepared to pay at least 4,000-9,000 rubles.

The Elident clinic has fixed an acceptable cost for such services - 3300-5500 rubles (depending on the complexity of the case).

Article expert (author):

How is the operation performed?

Before removal, the dentist examines the patient’s oral cavity and takes an x-ray. After diagnosis, he selects a surgical procedure and explains to the patient why it is necessary to remove the wisdom tooth. Removal can be simple or complex. The second operation is more difficult, as the gums and bones are affected.

Easy removal

It is carried out in the same way as on ordinary teeth. Suitable for removal of the upper eights if there are no serious developmental abnormalities or complications. The dental unit is removed with forceps, without the use of other instruments. The operation is low-traumatic and takes from 10 to 30 minutes.

Step-by-step removal of the 8th tooth:

• anesthesia;
• extraction from the hole;
• removal of fragments if the tooth is crumbled;
• treating the wound with an anesthetic.

After the operation, the doctor gives the patient recommendations for oral care over the next few days. If necessary, prescribes medications for pain and to prevent wound infection.

Difficult removal

It is carried out on the lower molars or on the upper ones, if the coronal part is practically destroyed, there are pathologies in the roots, in case of developmental anomalies, complications. The surgeon can use a scalpel, drill and other surgical instruments. Before the procedure, the patient must tell the doctor about the presence of diseases or allergies to medications to exclude contraindications. How long it takes to remove a wisdom tooth depends on the clinical picture. The duration of surgical procedures is from half an hour to two hours.

Operation stages:

• pain relief with local anesthetics;
• antiseptic surface treatment;
• cutting and detachment of a flap of gingival tissue;
• drilling the bone, extracting a dental unit;
• treatment of the wound with drugs;
• suturing.

After the procedure, the surgeon advises the patient about precautions during the postoperative period and prescribes antibacterial and painkillers. It is necessary to visit the doctor again to examine the wound.