Dr. Pooja Jain
Dental Surgeon and Implantologist
BDS (Hons.) (MAMC - Gold Medalist), PGCOI (Dental Implants)
(Ex Dental Surgeon Moolchand MedCity and Lok Nayak Hospital)
D-138, 1st Floor East of Kailash, New Delhi -110 065
WHY EXTRACTIONS ?
At 32 Strong our priority is to save the natural tooth. But under certain conditions extractions are unavoidable:
- If teeth are fractured or too severely broken
- Infected to be saved by root canal/nerve treatment/capping
- Infected root pieces left.
- Grade III mobile tooth that can't be saved by splinting.
- Infected/impacted wisdom tooth.
Nowadays with every effective local anesthesia and fine forceps and elevators, the extractions are not only painless but no more fearful.
When wisdom teeth/third molars do not get space to erupt properly, they get stuck in the bone. These are called Impacted Teeth. When they try to come out/erupt and are unable to do so, they cause inflammation and infection of the gums. This is reflected as pain and swelling in the patient's mouth. In these cases, these impacted teeth need to be removed by surgical extraction.
Why should I remove my wisdom teeth?
When wisdom teeth are aligned properly and the gum tissue is healthy, they do not have to be removed. Unfortunately, this is not always the case. Extraction becomes necessary when they are prevented from properly growing in the mouth - they could grow sideways, partially emerge from the gums and even remain trapped beneath the gums and bone. Such impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to grow.
These poorly positioned impacted teeth can cause many problems:
- Recurrent gum infection. The opening around the tooth allows bacteria to grow and eventually
causes an infection. The result: swelling, stiffness, pain and illness.
- The pressure from the growing wisdom tooth may move other teeth and disrupt the orthodontic
or natural alignment of teeth.
- The risk of development of tumors or cysts form around the impacted wisdom tooth, resulting in
the destruction of the jawbone and healthy teeth.
- Decay of the adjoining teeth due to food lodgment between the misaligned wisdom and second
Removal of the offending impacted tooth or teeth usually resolves these problems. Early removal is recommended to avoid such future problems and to decrease surgical risks involved with the procedure.