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Wisdom Teeth 1

Wisdom tooth

A wisdom tooth, also known as a third molar, is most likely to cause problems when it remains impacted or semi-impacted within the jaw.

 

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What is wisdom tooth?

The wisdom tooth is the last tooth to appear in the mouth, but it often brings with it problems and questions about the health of our teeth.

The average adult has 32 teeth at the age of 18, 16 in the upper jaw and 16 in the lower. Each of the teeth in the mouth has a specific name, location, and function.

The teeth located at the front of the mouth (incisors, canines, premolars) have the task of grasping and cutting food into smaller pieces.

The back teeth (molars) serve to grind food, making it suitable for swallowing.

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Why does wisdom teeth cause problems?


However, the average mouth only has room for 28 teeth to fully erupt and settle into the jaws. It can be very difficult and painful to settle 32 teeth into the space provided for 28.

The 4 teeth that are required to fit into the above space are the 3rd molars, or wisdom teeth.

Τα 4 δόντια που καλούνται να χωρέσουν στον παραπάνω χώρο είναι οι 3οι γομφίοι, ή φρονιμίτες.

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Impacted and semi-impacted wisdom teeth

A wisdom tooth, also known as a third molar, is very likely to cause problems when it remains impacted or semi-impacted in the jaw. Surgical extraction of an impacted wisdom tooth is often performed to protect the second molars from damage or displacement from the pressure exerted. After extraction, care and proper healing are required to avoid complications.

 

Κέντρο ΣΤΟΜΑΤΙΚΗ & ΓΝΑΘΟΠΡΟΣΩΠΙΚΗ ΧΕΙΡΟΥΡΓΙΚΗ - Παναγιώτης Σεννής
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Wisdom Tooth Removal

The removal of a wisdom tooth can be performed under local anesthesia, intravenous sedation (anesthesia) or, in special cases, under general anesthesia, depending on the complexity of the extraction and the patient’s needs.

These procedures are performed with absolute safety by Maxillofacial Surgeon Panagiotis Sennis, in collaboration with experienced anesthesiologists, within a fully equipped medical environment that meets all safety protocols.

The type of anesthesia that will be used in wisdom tooth extraction, as well as the specifics of wisdom tooth extraction (such as proximity to the inferior alveolar nerve, relationship to the sinus antrum, etc.), will be evaluated and discussed in detail during the clinical examination, with answers to any questions the patient may have.

Τρίξιμο Δοντιών (Βρουξισμός)

STAY TIME

You will remain in the doctor’s office for approximately 15 minutes until we determine that you can go home without any problems.

INSTRUCTIONS

When you are ready, you will be given post-operative instructions, prescribed medication, and a date for a re-check in 1 week.

 

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When do wisdom teeth need to be removed?

Wisdom teeth, or third molars, are the last teeth to erupt in the mouth, usually between the ages of 17 and 25. When they erupt properly and are surrounded by healthy gums, their removal is not required.

Unfortunately, this does not happen often. In the majority of cases, their emergence is hindered by a lack of space in the jaws. This results in them remaining impacted (under the gums or bone) or semi-impacted (partially protruding into the mouth).

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When their emergence is hindered due to lack of space in the jaws.

When they remain confined or semi-confined

What problems do impacted wisdom teeth cause?

Wisdom teeth in the wrong position can create multiple oral health problems:

 

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1. Inflammation and infections (pericoronary artery disease)

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When the wisdom tooth is partially impacted , the small opening in the gums around it allows bacteria to enter . This leads to inflammation of the gums (periodontitis), with symptoms such as:

 

Edema (swelling)

Pain

Difficulty opening the mouth

Fever in some cases

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2. Pressure on neighboring teeth and orthodontic movements

Wisdom teeth, trying to erupt into insufficient space , may push on adjacent teeth , causing:

 

Crowding

Damage to neighboring teeth

Reversal of the orthodontic result

(for people who wear braces)

 

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3. Cysts and benign tumors

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According to recent studies , the incidence of cysts or benign tumors around impacted wisdom teeth ranges between 32% and 35% . Furthermore, the probability of someone developing a problem with a wisdom tooth during their lifetime reaches 65% .

 

The most serious problem is related to the formation of cysts or even benign tumors around impacted wisdom teeth. These lesions can lead to:

 

Jaw bone destruction

Damage to neighboring teeth

Pain and swelling

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4. Gums and periodontal problems

With age, wisdom teeth become more difficult to clean , increasing the risk of:

  • Cervical cancer, both in the wisdom tooth and the adjacent tooth

  • Periodontal diseases, i.e. inflammation and loss of gum support

Caries

Periodontal diseases

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Advantages of early wisdom tooth extraction

Preventive extraction of impacted or semi-impacted wisdom teeth at a young age (usually before age 25) offers:

 

Faster tissue healing

Reduced complications after surgery.

Prevention of cysts, inflammations or orthodontic movements

Εξαγωγή Φρονιμίτη Οδηγίες
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Diagnosis & Evaluation of Wisdom Teeth

Proper clinical and radiographic evaluation is crucial for the extraction decision. The maxillofacial surgeon or dentist examines:

The position of the wisdom tooth within the jaw

The relationship with important anatomical structures , such as the inferior alveolar nerve or the sinus antrum

The presence of inflammation, cyst, or pain

Panoramic X-ray or computed tomography (CBCT) provide a complete picture for planning the operation.

εξαγωγή φρονιμίτη φρονιμίτης

The position of the wisdom tooth within the jaw.

The relationship with important anatomical structures.

The presence of inflammation, cyst, or pain

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The importance of prevention and early diagnosis

Early diagnosis in adolescence helps:

  • In preventing serious future problems
  • In choosing the right time for export
  • Minimizing complications

Typically, patients are referred by their general dentist, orthodontist, or are referred directly to an oral surgeon for specialized evaluation.

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