Impacted Molar

Most common surgical procedure in routine dental practice is removal of an impacted third molar or commonly known as wisdom tooth.In majority of people due to lack of space in arch thirdmolar are either not present or if present are partially/completely impacted into the bone.

* complication of third molar in oral surgery if not removed well in time

Why remove impacted wisdom tooth ?

If totally embedded in the bone & are not causing any problem to the patient there is no need to remove these teeth as long as they are lying silently but they are to be removed if:

• It causes recurrent pain or swelling.
• It is partially erupted and is difficult to clean,causes food lodgement & decay in adjoining tooth.
• Causes gum inflammation and foul small.
• It pinches cheek while eating causing permanent ulceration & pain in the cheek.

Procedure

Involves giving an incision on the gyms above the impacted tooth & then removing the bone which covers the tooth .Once the tooth is free of locking it is removed. Stitches are taken to approximate the gums. These stitches are then removed after a week.

Slight pain, swelling and discomfort is obvious and it remains from 2-5 days depending upon individual tolerance and body response.But after that its trouble free for life. It is advisable to get the wisdom tooth in opposing arch also removed at the same time.

Periapical Cyst

Usually occours in relation to the front upper teeth due to injury in childhood and patient not getting treated at that time.

Symptoms

• The affected tooth gets dark in colour and turns blackish/bluish
• There is off & on pus discharge above the root of the tooth/teeth which is involved.
• Some times a huge swelling occours above the tooth which remained asymptomatic for years.
• Patient has sensitivity to hot and cold and x-ray reveals a cyst or chronic abscess.

Procedure

Involves giving a incision on the root area of affected teeth & removing the cyst or abscess ,cleaning the area thoroughly and root canal treatment of affected tooth/teeth in same sitting itself. Sutyres are then given to initiate faster healing.

* the affected teeth needs a crown later on to mask the discoloration