Video of actual oral surgery to remove 2 completely impacted wisdom teeth that was done by our dentist, Minh Nguyen, D.D.S., in Houston, Texas.
For additional information, please contact our office at 281-807-6111.
involves the surgical removal of a completely impacted wisdom tooth.
The horizontal impaction had caused a subgingival carious lesion in the
adjacent tooth. Because of the extent of the subgingival cavitiy, the
adjacent tooth now could not be saved, and required to be extracted at
the same time of the wisdom tooth.
examination revealed 4 impacted wisdom teeth (1,16, 17, 32). Teeth #
17 and #32 are completely horizontally impacted and are causing the
large carious lesion subgingivally for its adjacent teeth # 18 and # 32.
A diagnosis of impacted wisdom teeth 1,16,17,32 and acute abscess
teeth # 18, 31.
Due to the level of the carious lesions, teeth # 18 and
32 were determined to be non-restorable and required extraction as
well. Because of financial constraint, the patient requested for the surgical removal
of the affected teeth lower left side (#17 & #18) at this time
patient was anesthetized locally. We began by sectioning the tooth #
18 in half. Due to the carious lesion subgingivally, the distal half of
the crown # 18 was undermined and broke off, leaving the distal root
A closer view showing the level of subgingival carious lesion on tooth # 18.
A closer look at the occlusal cavity on the impacted wisdom tooth #17.
The distal root of tooth # 18 was then extracted.
The mesial half of crown and the mesial root of tooth # 18 then extracted.
full thickness periosteal flap was raised to expose the crown of tooth #
17. A trench was made with a 703 surgical carbide around the buccal
aspect of the tooth. Mobility was accomplished using the #301 and 34
straight elevators respectively.
The crown of the wisdom tooth # 17 was sectioned, so that the tooth can be extracted mesially.
Impacted tooth # 17 were elevated out mesially.
All wound was irrigated copiously with normal saline.
chromic suture was used to close the surgical flap. Patient tolerated
procedure well. Postoperative instruction was given in writing and by
look at the final wound with the suture in place. Antibiotic and pain
killer were prescribed. Patient is scheduled to follow up in 1 week in
So, the lesson from this case for the
doctors is to remove the from the front-to-back. This is the exception
to the general rule of back-to-front in oral surgery. The lesson for
the public is to remove the impacted tooth early in late teen or early
twenty before it destroys the adjacent tooth.
This video clip describes in detail the problem we have with Teletron for the amount of 8,117.67 charged on September 17, 2012.
Teletron claims that it is the Elite Dealer for Tempur-Pedic
manufacturer and advertise on TV as well as on youtube about the 90 day
free-trial (see www.youtube.com/watch?v=mD29zw84K2g). This 90 days free
trial has been offered from the Tempur-Pedic manufacture and it is
documented from official Tempur-pedic website (www.Tempur-pedic.com) as
well as a quote we receive from their sale representative.
Since my mother does not speak English well she prefers to purchase the
Tempur-pedic mattress (queen-size Grand Bed style) at the local
Vietnamse store, Teletron. The saleman, Hoang Huynh, whose name is
printed on the Sale Order, promised my mother that the mattress would
certainly help with her back pain. In addition, because Teletron ads
states that she can have 90 days trial and can return if she is not
satisfy with it, my mother decided to get brand new Grand Bed mattress
at full price. I used my credit card to pay for her and the mattress was delivered to her house on the same day.
After sleeping on the mattress for 6 days, my mother was not satisfy
with it and she wanted to return it to Teletron. She called the Mr.
Hoang Huynh (saleman), but he did not want to come and pick up the
mattress. I called the store and spoke to the store manager (Phillip)
and he told me that Teletron would not accept the mattress back.
Phillip said that the store general policy is shown on the back of the
sale order, which handed to us in the envelop when we paid. I
explained that Teletron should honor what it had been advertised on TV
and youtube regarding the 90 day trial, as Tempur-pedic manufacturer
also has the same policy online. If Teletron is one the Elite dealers,
then Teletron should be able to pick up the mattress and return it to
the manufacturer. Surprisingly, Phillip disagreed, became angry, and
directed me to contact Tempur-pedic manufacturer for further service.
In an attempt to document that we wanted to return the mattress on this
date, September 22, 2012, I had faxed the written request to Teletron.
After further investigation about Teletron, I found out that its name is
not currently listed on the Tempur-pedic official website as one their
elite dealers. Accordingly I suspected that Teletron is a scam, and
therefore I called the credit card right away to dispute the charge.
Surgically removal of two lower
partially impacted wisdom teeth. This procedure was done under local
anesthesia in our office on May 16, 2012 for a young female patient.
Panorex xray shows partially impacted wisdom teeth (#17 and #32) on mandible. Noted there is also a completed bony impacted on the maxillary left wisdom tooth (#16) as well.
Our patient was a young healthy female. She came to our office with a complaint of pain on her lower right jaw and difficult in chewing. A diagnosis of acute operculitis was made and she was treated immediately with incision and drainage procedure. The patient was discharged with antibiotic and rescheduled for surgery in 1 week.
A picture of her lower right wisdom tooth (#32) a week after. Noted that the inflammation was reduced. Also noted for a carious lesion on the chewing surface and partially erupted condition. The tooth also had slight rotation counter-clockwise.
Lower left wisdom tooth was also partially impacted and rotated. There was a carious lesion on the chewing surface as well.
After the wisdom tooth was anesthetized, a small incision was made to expose the crown of tooth.
Standing from behind the patient, a dental forcep was used to extracted the wisdom tooth in standard fashion.
Extraction socket of the lower right impacted wisdom tooth was irrigated with normal saline.
Partially impacted right wisdom tooth showing calculus on the distal surface and carious lesion on the occlusal surface
The wisdom tooth on the left side was then extracted in similar fashion. Photo showing the extracted socket after normal saline irrigation.
Lower left partially impacted wisdom tooth extracted. Note for the fused roots and the carious lesion on the distal surface in addition to the one on the occlusal surface.
Photos of the 2 extracted partially impacted wisdom teeth. The patient tolerated procedure well and she was scheduled for a follow-up visit in one week.