Dental Surgery Review: Partially Impacted Wisdom Teeth

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.

Impacted Wisdom Tooth - Surgically Removal

This is a case report of a surgically removal of the impacted wisdom teeth done in our office today.  The patient is an 18 years old Asian healthy female.

 

 Panorex shows partially impacted wisdom tooth on low right and left jaw. Plan was to remove the wisdom tooth on the lower right side under local anesthesia. Softdental - Minh Nguyen, D.D.S.

Oral exam shows the tip of the right wisdom tooth erupted, the rest of the tooth still submerged under the gum. Softdental - Minh Nguyen, D.D.S.


 

 After the area was anesthetized, the incision was made on the area of the wisdom tooth (#32) and the molar tooth in front of it (#31). Softdental - Minh Nguyen, D.D.S.

Full thickness periosteal flap was raised and the wisdom tooth was dissected and visualized.

Softdental - Minh Nguyen, D.D.S.

The wisdom tooth was elevated with an extraction elevator through the incision out to the oral cavity. Softdental - Minh Nguyen, D.D.S.

The wisdom tooth was surgically removed and inspected. Softdental - Minh Nguyen, D.D.S.

The remain extraction socket of the wisdom tooth, showing minimal bleeding. Softdental

- Minh Nguyen, D.D.S.

The surgical flap was closed with 2 dissolvable stitches (chromic gut suture). Softdental

- Minh Nguyen, D.D.S.

Patient tolerated procedure well, no complication noted for this wisdom tooth surgery. We will follow her up in one week. Softdental - Minh Nguyen, D.D.S.


Her prescription:

1. Decadron 4mg x2 tabbles right away in office
2. Amoxil 250mg one three times a day x 30
3. Vicodin ES one every 6 hours as needed for pain x 30

Houston dentist
Minh Nguyen, D.D.S.