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Third molars or “wisdom teeth”

The third molars, or “wisdom teeth”, are the most posterior molars, they generally do not have enough space to erupt and that is why the phrases “wisdom tooth extraction” or “wisdom tooth extractions” are so famous. , since not having space in many cases tends to cause pain and even damage to the adjacent molars. Unlike the rest of the teeth, incisors, canines, premolars and molars, third molars do not have a predictable anatomy, that is, all teeth except wisdom teeth have a “normal” shape specific to each tooth and repeated in almost all patients. If one root is longer than the rest, it has some curvature, the number of cusps, number of roots and root canals, etc. In the case of wisdom teeth, nothing is predictable. They can have roots that all join together and have a “cone” shape, open roots, angled, hook-shaped, short, long, 2 roots, three, five, the shape of each third molar is different and special.

This is also how their eruption is, most of the “wisdom teeth” do not have space, they even appear horizontally or diagonally, pressing and injuring the second molars (the adjacent molars), and if the wisdom teeth are not extracted at time, can cause premature loss of second molars. This leads us to a very valid and very common question in dental consultations: “if they have to remove my second molar, will my wisdom tooth have room to come out, right?” I wish it were that easy, but the answer in almost all cases is no.

In the few cases in which, if that possibility exists, many variables have to come together, the position of the wisdom tooth, whether it is erupted or not, the health of the third molar, and of course, its positioning must be carefully guided. orthodontic treatment, and this is not always possible, it will be determined by the specialist. The reality is that, even if all the wisdom teeth have erupted, there is most likely a need to extract them. This surgical procedure should ALWAYS be performed by an oral or maxillofacial surgeon. Here at Dental Digital, surgeries are performed by top-notch specialists. level, (each specialty has its specialist), if the wisdom teeth are erupted, it is most likely that they do not have enough space, they will bother, hurt, bite and injure soft tissues such as the tongue or cheeks (inner part of the cheeks). ), and in almost all cases they have very advanced cavities, this is due to the difficulty of accessing them for adequate oral hygiene in the area.

Our recommendation, if third molar extraction (wisdom teeth extraction) is necessary, is that the surgery be performed in a single act, that is, "extract all of them on the same day." Why do we recommend this, which seems to be very invasive? For the simple reason that yes, there will be discomfort, inflammation, discomfort, a diet restricted to liquid and soft foods for a few days, treatment with antibiotics, anti-inflammatories and the medications you see. It is necessary to prescribe the maxillofacial surgeon, restrictions in physical activities, among others, therefore, we recommend that everything be done in one surgical procedure, and thus the patient only has to go through the post-surgical discomfort once. In the same way, each case is special, different, each patient is special, therefore, although this is the most common and the most recommended, the specialist can decide, for various factors and according to her criteria in the matter, to make the extractions in two or more surgeries.

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