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Скупчените или неправилно израснали мъдреци могат да предизвикат болка, инфекция, кариес, абцес и много други проблеми. Ваденето на мъдреците е най-добрият начин да се предотвратят последващи орални проблеми. Това ще осигури и достатъчно място на останалите зъби да растат и да останат здрави в бъдеще.
In this article, we will discuss everything you need to know about wisdom tooth extraction so that you can make the right informed decision and feel at ease during the dental procedure itself.
What is a sage?
Мъдреците са третите кътници, които израстват в устната кухина между 17-та и 24-та година (т.н. години на мъдростта). Мъдреците са 4 на брой – по 2 на горна и долна челюст, но могат да бъдат и по-малко или изобщо да не израснат. Мъдреците са полезни за дъвкателната функция ако са израснали правилно и човек има достатъчно място в устата за тях. Когато обаче мястото е недостатъчно или са израснали по неправилен начин могат да предизвикат болка, кариеси и заболявания на венците.
Wisdom tooth extraction – Why is it necessary?
There are many reasons why wisdom teeth may need to be removed. The most common is because they cause pain, infection, and other dental problems. They often grow crookedly or do not break through the gum at all and remain in the bone.
Here are the most common reasons for wisdom tooth extraction:
They have grown incorrectly or have become stuck in the jaw;
They grow at an angle to other teeth, which can seriously damage neighboring teeth;
Formation of cysts (fluid-filled blisters) that can destroy bone and cause tooth loss;
Cavities or gum disease may develop.
Some people resort to having their wisdom teeth removed before they cause any problems, as they usually do not perform a chewing function and rather interfere with the rest of the teeth. However, in most cases, this dental procedure is only undertaken when a problem arises. Therefore, it is very important for teenagers and adult patients to consult their dentist to determine if they have problematic wisdom teeth that need to be removed.
When to proceed with wisdom tooth extraction
Here are the most common signs indicating that a wisdom tooth extraction is needed:
The sage has not sprouted properly;
Bad taste in the mouth or difficulty swallowing;
The gum tissue around the wisdom tooth is swollen or red;
Difficulty eating or opening the mouth wide;
Увреждане на костта или инфекция около зъба;
Cavities or other dental problem on the tooth discovered during a dental examination.
At what age do wisdom teeth come out?
Повечето дентални специалисти препоръчват това да стане в късните тийнейджърски години или в началото на 20-те години. Това се дължи на факта, че в тази възраст корените на мъдреците все още не са напълно развити и процедурата ще се извърши по-лесно. Разбира се има и други причини, поради които се препоръчва ранно вадене на мъдреците. Ето кои са те:
The jaw continues to grow and the bones are softer, making extraction easier and with less risk of damage.
The roots of wisdom teeth are not as firmly connected to the jaw, which is why they are more likely to become infected as we age.
Many people have difficulty cleaning their wisdom teeth properly because they are located at the very back of the mouth. Improper hygiene leads to gum disease and other dental problems.
Extraction of the wisdom tooth
Wisdom tooth extraction is performed under local anesthesia, sedation, or general anesthesia, depending on the number of teeth to be extracted and the severity of the case. In most cases, the wisdom tooth extraction procedure takes from ten minutes to an hour.
Sages during pregnancy
Поддържането на оралното здраве по време на бременност е изключително важно, тъй като то може да окаже влияние на здравето на зъбите на бебето. Често се случва така, че бъдещите майки имат проблеми с мъдреците точно по време на бременност. В такива ситуации трябва да се имат в предвид следните важни съображения:
Времето има значение: Ако планирате бременност и имате някакви проблеми с мъдреците е препоръчително да ги отстраните предварително. По този начин се намалява риска от дентални усложнения по време на бременността. Трябва да се има в предвид, че през бременността жените са по-предразположени към развитие на кариеси и възпаление на венците, затова превенцията може да бъде от голяма полза.
По време на бременността е най-добре да се избягват плановите дентални процедури. При силни болки обаче няма как да се чака толкова дълго време и понякога е необходимо да се вадят зъби и в този период. В такива случаи е задължително да се проведе консултация и лекар специалист и да се оценят рисковете и ползите.
Рентгенови снимки по време на бременност – рентгеновите снимки по време на бременност се правят само при спешни случаи. Нивата на радиация трябва да са минимални, затова трябва да се вземат предпазни мерки като оловни щитове и други.
How much does wisdom tooth extraction cost?
The main factors that influence the price of wisdom tooth extraction are:
Number of teeth extracted – one, two or all wisdom teeth can be removed in one visit. Naturally, the price varies depending on the number of teeth removed.
Case complexity – The complexity of the specific case also affects the price. Properly erupted wisdom teeth are removed more easily and quickly. However, if the wisdom tooth has remained attached to the bone, more complex and expensive surgical techniques may be required.
Type of anesthesia – The choice of anesthesia also affects the price. Wisdom tooth extraction can be performed with local anesthesia, sedation, or general anesthesia, depending on the complexity of the procedure and the patient’s preferences. Sedation and general anesthesia carry additional costs, which logically affects the final price.
How to prepare for wisdom tooth extraction?
The first step is to schedule an appointment with an oral surgeon or dentist. During the appointment, it is a good idea to discuss the procedure in detail and ask the patient any questions they may have.
The doctor should be informed about current health problems and chronic diseases. This ensures greater security and safety for patients.
Your doctor should be informed of all medications you are currently taking, including over-the-counter medications, dietary supplements, and vitamins, to avoid possible negative interactions.
A detailed medical history should be provided, including allergies and previous surgical interventions.
Wisdom tooth extraction under local anesthesia
Wisdom tooth extraction under local anesthesia is performed when the tooth has grown well above the gum and the extraction will not require additional complex manipulations. After the anesthesia is applied, the tooth is extracted using special dental forceps. Most people do not feel any pain during the procedure, and the recovery time is usually within 1-2 days.
Wisdom tooth extraction with general anesthesia
Когато мъдреца не е израснал и е останал в костта или корените са по-трудни за вадене, често се прибягва до general anesthesia, тъй като хирургическите процедури стават по-сложни. В този случай трябва задължително да потърсите услугите на специалист орален хирург.
Advantages of general anesthesia are:
No pain is felt during the surgical intervention;
The operation can be completed faster and without any discomfort for the patient;
After completion, the patient remembers nothing of their stay in the dentist's chair;
The risk of complications is very low.
After the procedure
Immediate postoperative care – If the wisdom tooth extraction was performed under sedation or general anesthesia, the patient will be moved to a recovery area after the procedure is completed. For patients with local anesthesia, only a short recovery period is expected in the dental chair. It is normal to have some slight bleeding at first and to feel some pain once the anesthesia wears off. Your dentist or oral surgeon will provide you with detailed instructions on how to cope with these discomforts more easily.
Swelling and bruising – these symptoms usually occur around the extraction site. An ice pack around the affected area will help reduce swelling for the first 24 hours.
Activity – Rest is essential for a speedy recovery. Avoid strenuous physical activity for at least a few days after the procedure.
Drinks – Avoid using a straw in the first few days, as sucking can make healing more difficult.
Food – During the first few days, eat only soft foods such as yogurt, mashed potatoes, soup, etc.
Mouth cleaning – the mouth should be rinsed with warm salt water several times a day to maintain hygiene and heal the wound faster.
Smoking – after wisdom tooth extraction, cigarette smoking should be significantly reduced, as it can increase the risk of complications.
Seams – If the wound needs to be sutured, the postoperative care instructions must be strictly followed to eliminate any possible problems.
Risks
Wisdom tooth removal is a standard dental surgical procedure that is generally safe. However, you should be aware of the possible risks and complications that can occur in rare cases. Here are some of the possible risks associated with wisdom tooth removal:
Dry aveola – occurs when a clot does not form in the alveolus of the extracted tooth and the bone remains exposed, which causes infection and pain.
Infections – the surgical site can become infected due to the presence of bacteria or trapped food particles. Therefore, it is very important to follow the instructions for oral hygiene and postoperative care.
Damage to neighboring areas – During extraction, there is a minimal risk of damage to adjacent teeth, nerves, jawbone, or sinuses. Experienced specialists significantly reduce this risk, but in very complex cases and unique anatomical situations, it remains.
It is important to remember that most wisdom tooth extractions are successful without any complications. To reduce the risks associated with tooth extraction, all preoperative and postoperative instructions from your dentist or oral surgeon should be followed.
Conclusion
Specialized dental clinic Bushkalova has experienced dentists and oral surgeons, in whose hands you can feel at ease when it is necessary to remove a wisdom tooth. The clinic also has a fully equipped operating room, in which procedures are performed under sedation and general anesthesia, so we will take care of even the most difficult and complicated cases with quality. In addition, we have an ultra-modern dental computer tomograph and an X-ray kugel. With the help of precise imaging diagnostics, the oral surgeon or dentist makes the most accurate and safe decision for the patient on how to proceed with the dental procedure for tooth extraction. Book your appointment for an examination.
