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.
Houston dentist
Minh Nguyen, D.D.S.
I have a rotated clockwise Bottom left wisdom tooth is it a problem or will it be a problem in the future there is no pain at all
ReplyDeleteAs long as the wisdom tooth is impacted, there is always a potential problem.
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ReplyDeleteI have a tooth like the one above with 3 fused roots the xray shows the 3rd root joins the 2 fused roots to make a bulb. My dentist said he could pull it but i got a 2nd opinion from another dentist who i showed the xray to and she said she was shocked he wanted to pull it cause said the ones that have fused roos are hard to pull but when they have a third fused root that comes arpund and creates a bulb at the bottom they are extremely hard to pull and a lot of times dont want to come out and break off and are more painful
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ReplyDeleteOur Dentist in Houston performs tooth extractions, only in the most extreme cases. For example, many dentists recommend the extraction of impacted wisdom teeth. While the teeth may not initially cause physical discomfort, the angle of impacted wisdom teeth can cause problems with adjacent teeth and can create inflammation and irritation as they continue to emerge.
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