The wisdom teeth or third molars appear between 15 and 25 years old. In most cases, it comes out in a bad position, partially or fully through the gum or bone covered. This situation can cause pain, inflammation, infections, tooth decay, development of cysts and tumors or periodontal disease in neighboring teeth.
Therefore, oral surgeons, on many occasions, recommend their removal during their eruption to avoid possible complications in the future. It is convenient to analyze each particular case and perform the necessary complementary radiological tests.
The Surgical Removal of Wisdom Teeth
The Fenestration or Extraction
Extraction of any tooth included (which has not come out in the mouth) is necessary to avoid pain, infection, tooth decay, the appearance of cysts or tumors and damage and periodontal disease in neighboring teeth.
It is a quick and painless intervention lasting 30 minutes and is performed under local anesthesia. Recovery does not usually take more than 2-3 days with minimally invasive techniques and proper application of postoperative guidelines.
Periapical Surgery (Apicetomy)
Periodontal Therapy (Gums)
Periodontal surgery is usually necessary when gum disease and periodontium (the tissues that support the tooth in the bone) are relatively advanced. There are many types of periodontal surgery:
- Resective or bag reduction surgery that involves surgically reducing the deeper periodontal pockets.
- Periodontal regenerative surgery in which it is intended to recover the lost bone that surrounds a tooth through bone regeneration techniques, either with bone substitutes or with proteins derived from enamel.
- Mucogingival surgery or gingival plastic surgery deals with a set of surgical techniques of connective grafting that allows to solve recessions or gingival retractions. Sometimes, it is also necessary to eliminate excess gums (gingivectomies).
- Periodontal surgery is a painless intervention with a rapid recovery period, which is usually 2-3 days.