Wisdom Teeth Extractions

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Patient's lower right fullbony-impacted third molar was surgically removed by sectioning the tooth and carefully removing all parts of the tooth out of its bony socket.  The socket was then closed with chromic gut suture, achieving hemostasis.

Patient's upper left third molar was erupted on the palatal side of the upper jaw, causing daily food impactions around the other adjacent molars which had lead to constant gingivitis and gum discomfort.

Patient presented with lower left wisdom tooth which had an abscess due to fullbony impaction, referred by another dental office.  Prior to the extraction, CBCT was taken to evaluate the location of vital structures such as blood vessels and nerves (Inferior Alveolar and Lingual nerve).

Lower left wisdom tooth was causing frequent gum swelling and bleeding.  The tooth had long and curvy roots which were close to the Inferior Alveolar nerve.  Cone Beam CT scan was evaluated prior to the partialbony extraction to locate the nerve’s exact location, and it was carefully removed.

Symptomatic lower left third molar had cavity, and it was positioned very close to the Inferior Alveolar nerve.  The tooth had to be extracted surgically by sectioning it into a few pieces because the patient was having a hard time doing good daily oral hygiene, and it had also caused cavity on the adjacent second molar.

Shifted lower right wisdom tooth was the cause of moderate, constant gingival discomfort and mild alveolar vertical bone loss.  Careful extraction avoiding any damage to the vital structures around the tooth was performed.

Upper and Lower wisdom teeth were extracted due patient's gum pain and halitosis (smell in the mouth).  The lower wisdom tooth had fullbony impaction with the I.A. nerve positioned in the buccal aspect of its roots, requiring careful surgical extraction.

Patient is a young patient who wanted all four wisdom teeth taken out due to intermittent moderate discomfort, especially on the lower wisdom teeth which were impacted.  They were extracted in a single visit to the office under local anesthesia.

Pictures on the Left: Preoperative showing four wisdom teeth in patient's oral cavity.

Pictures on the Right: Postoperative showing empty sockets with placements of gut sutures to achieve hemostasis, and to help reduce paitent's discomfort at home.

Distally erupted upper 3rd molars with poor oral hygiene and cavities.

Lower right 3rd molar with constant food impaction around it and gum bleeding/discomfort.

Patient complained of intermittent discomfort coming from the area between upper right 2nd molar & 3rd molar.  The wisdom tooth was fullbony.  With CBCT evaluation, it was surgically removed without damage to the maxillary sinus membrane.  

Both impacted lower third molars had the I.A. nerves close to their root ends.  Full-thickness flap, sectioning of the teeth, removal of all roots, debridement/irrigation of the sockets and closure with sutures were performed.  Final panoramic radiograph confirmed the complete removals.