After completing the oral examination and with the present of oral panoramic X-ray, the dentist will know the condition of the growth of the wisdom teeth. After assessing the risk, the impacted wisdom teeth can be removed. First, the mouth and gums will be anesthetized locally. Because the impacted wisdom teeth are hidden under the gums, the gums must be cut open and turned up to help remove the bones and gums that prevent the wisdom teeth from growing. During the operation, the wisdom tooth is being cut into several parts and then removed. After the wisdom tooth is removed, the wound is cleaned, and then sutured to stop bleeding and helps speed up the healing process. Swelling after surgery usually lasts for two to three days, and the recovery period is about one week.
To reduce the risk of complications of wisdom tooth extraction, a 3D scan can be taken on the advice of the dentist. The principle is to use 3D X-ray and cone beam computer tomography technology to analyze the accurate position of wisdom teeth and nerve from the three-dimensional stereoscopic image. With the data, risk of damage to the nerve and complications due to swinging of the root in the surgery is reduced. If it is a case where the risk is proven to be high, we can consider Coronectomy.
Coronectomy only needs to remove the crown of the wisdom tooth without removing the root, leaving some of the uninfected root in the alveolar bone, reducing the risk of direct injury to the nerve. Basically, the surgical process and postoperative response to the surgery are not much different from the standard wisdom tooth extraction, swelling and pain after surgery will not be more severe. It is recommended to regularly check the X-rays within six months to two years after the operation to see if there are any abnormalities that need to be treated. If the root of the wisdom tooth slowly float up after the crown is removed, it may need to be extracted, the procedure will be relatively simple at this stage.
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