Other names: extraction of wisdom teeth, wisdom teeth surgery of

The extraction of wisdom is a surgery for the removal of third molar teeth, also known as wisdom teeth or teeth of judgment. The wisdom extraction surgery may be done when the teeth were born or even teeth that will be born - is the so-called wisdom tooth included.

Surgeon dentist or oral and maxillofacial surgeon

The extraction of wisdom teeth should be done only when the wisdom teeth were not born properly in the mouth. If the tooth is present in the mouth and does not compromise the dental arch, it works like other back teeth, the final phase of chewing, and need not be removed. The extraction of wisdom indication relates to:

There are very strict contraindications with respect to the extraction of wisdom teeth. However, patients who are committed to the health or local inflammation, for example, should consider delaying the procedure. Depending on the surgical indication, the patient can also opt for treatments other than the extraction of wisdom teeth to solve your problem. Everything will depend on the patient's condition and expert opinion.

There are also no major prerequisites to include or exclude an individual's surgical indication. But the ideal time for the extraction of wisdom teeth is between 16 and 18, when forming the first tooth roots and the tooth is not yet born. This is because at this age the formation of the wisdom tooth roots is not yet complete, making the extraction of wisdom simpler and better prognosis. However, surgery can be done without risk at any age.

Anesthesia for extraction of wisdom teeth is local, administered by injection. In addition to this anesthetic, you and your dentist or oral and maxillofacial surgeon may decide that a sedative is desired to control any anxiety. If a sedative is used, it is necessary to bring a guest on the day of surgery to guide the patient while the sedative has not lost the effect.

a nearby local anesthesia to the tooth to be removed is applied. After the area to be asleep, an incision is made in the skin of the gums, which is displaced, so that the surgeon can view the tooth to be removed. Where teeth have not yet been born, they are made removing bone overlying the teeth and then removing the tooth. Finally, the surgeon removes the bone debris and tooth pieces that may still be within the cavity, and complete with a suture. In some cases, the tooth can be broken and taken in parts, in others will be removed entirely. Everything depends on the position of the tooth and the patient's condition.

The duration of the extraction varies according to the wisdom difficulty of surgery and number of teeth to be removed. On average, the wisdom extraction surgery takes less than 30 minutes to be made (for tooth), and in some cases easier to take five minutes, but it may be it takes more time as the picture of the patient.

There is no need for hospitalization for the extraction of wisdom. Then, the patient will be in the office or hospital just the time that lasted the surgery procedures.

On the day of its extraction wisdom, the ideal is to make a light meal and take all medications you are eventually prescribed such as antibiotics. Avoid using makeup or any bulky accessory in the hair, not to cause nuisance or obstruct the positioning of his head during the wisdom extraction surgery. It is important to inform the dentist all your health history, so that care is taken in advance if necessary.

After removing your wisdom teeth, the speed of recovery depends on the degree of difficulty of extraction. In general, the patient may experience these symptoms:

Among the most important complications of extraction of wisdom teeth, in addition to problems that may be common to all surgeries, such as infection. It may be that these problems occur:

Alveolitis: it occurs when the blood clot to begin the healing process discards or moves, leaving the exposed cavity. The alveolitis usually occurs in three or four days after extraction and is accompanied by severe pain and odors in the mouth. If this happens, see your dentist.

Paresthesia: is caused when there is damage to the nerves near the tooth that was extracted, causing a numbness in the tongue, lip or chin. This occurrence, though possible, is very rare, and usually lasts a few days or weeks. If the problem persists, see your dentist.

Lockjaw: trismus happens when the patient remains very tense jaw during surgery, or when the wisdom of the extraction procedure was very difficult. The patient with lockjaw can not open his mouth completely, making it impossible to complete feeding and chewing, as well as leaving speech impaired. These symptoms can be prevented by medication provided preoperatively as well as the competence of the medical and technical quality of extraction procedures.

Some care must be taken in the first days aftersurgery:

In some states of Brazil surgery for extraction of wisdom can be made by the Unified Health System (SUS). The procedure also has coverage in health plans.

I can take the four wisdom teeth at once?

Yes, it all depends on the conditions of each patient and the expected difficulty in surgery, which should be evaluated by a professional. Usually two operations are made on each side of the mouth in order to preserve a side chewing. The withdrawal of the four molars at once is advantageous because it is a surgical procedure only, requiring only a recovery. But it can also be done the extraction of a wisdom tooth at a time, or three wisdom teeth and then a - this is not an exact science, and depends exclusively on the layout and condition of the patient and the medical indication. Furthermore, the extraction of a tooth not necessarily influences the withdrawal of all the others? ie, the person can take only one or two teeth and do not remove the other. If taken over a surgery, it is stated a period of between a week and 30 days between one extraction and the other for the patient to recover properly.

Have any special indication for people who wear braces?

The person using machine can do the extraction of wisdom normally. Overall, patients who wear orthodontic appliances is indicated for the extraction of wisdom teeth, for the birth of these teeth can contribute to bend the dental arch after appliance removal. The wisdom teeth extractions for anyone who uses the device must be planned in order to help in choosing the best time of extraction for each case of each patient, in fact, need this treatment.

A person can be born without wisdom teeth?

Many people born without, and there is no problem. Just as some people may have the wisdom tooth, but that does not mean that he will be born. For its eruption occurs, there must be stimulation from childhood, such as chewing food that encourage the use of the tooth.

Dentist Rodrigo Bueno de Moraes, scientific adviser of the Brazilian Dental Association;

Dentist Eduardo Rollo Duarte, São Paulo;

maxillo-facial surgeon Giuliano Saraceni Cossolin Issa, the Hospital São Paulo.