Teeth are important for aesthetic purposes and for maintaining masticatory function. Accordingly, all efforts to avoid tooth extraction must be exhausted before the decision is made to proceed with removal of a tooth. Nevertheless, there are circumstances in which it is clear that a tooth must be extracted, such as the following:
A tooth that cannot be restored, because of severe caries A mobile tooth with severe periodontal disease, pulp necrosis, or periapical abscess, for which root canal treatment is required that the patient cannot afford (or for which endodontic treatment failed) Overcrowding of teeth in the dental arch, resulting in orthodontic deformity
Wisdom teeth can lead to problems if there isn’t enough space for them to surface or they come through in the wrong position. If your dentist says your wisdom teeth are impacted, he or she means they are trapped in your jaw or under your gums.
As your wisdom teeth make their way through your gums, your dentist will be monitoring your mouth for signs of the following:
Wisdom teeth that aren’t in the right position can allow food to become trapped. That gives cavity-causing bacteria a place to grow.
Wisdom teeth that haven’t come in properly, which can make it difficult to floss between the wisdom teeth and the molars next to them.
Wisdom teeth that have partially come through can give bacteria a place to enter the gums and create a place for infection to occur. This may also lead to pain, swelling and stiffness in your jaw.
Wisdom teeth that don’t have room to come through are thought by some to crowd or damage neighboring teeth.
A wisdom tooth that is impacted can form a cyst on or near the impacted tooth. This could damage the roots of nearby teeth or destroy the bone that supports your teeth.
Why You Might Need to Have Your Wisdom Teeth Removed
Every patient is unique, but in general, wisdom teeth may need to be removed when there is evidence of changes in the mouth such as:
Damage to neighboring teeth
Tooth decay (if it is not possible or desirable to restore the tooth)
Your dentist may also recommend removal of wisdom teeth as part of treatment for braces or other dental care.
Before making any decisions, your dentist will examine your mouth and take an x-ray. Together, you and your dentist can discuss the best course of treatment.
Keeping Your Wisdom Teeth?
Wisdom teeth that are not removed should continue to be monitored because the potential for developing problems later on still exists. As people age, they are at greater risk for health problems—and that includes potential problems with their wisdom teeth. Be sure to, floss around your wisdom teeth and visit your dentist regularly. Regular dental visits allow your dentist to evaluate your wisdom teeth and your overall dental health.
THE APICAL RESECTION
The apical resection is a surgical procedure which removes that part of the root which is located deepest in your jawbone. In most cases, this is needed when tooth infections occur and form a cyst in the bone tissue. In time, if the problem is ignored, the cyst may embrace other teeth or even perforate the bone tissue.
Apical surgery is considered a standard oral surgical procedure. It is often a last resort to surgically maintain a tooth with a periapical lesion that cannot be managed with conventional endodontic (re-)treatment.
The main goal of apical surgery is to prevent bacterial leakage from the root-canal system into the periradicular tissues by placing a tight root-end filling following root-end resection.