Surgical Dental Treatments
Oral, Dental, and Maxillofacial Surgery is a specialized field of dentistry that involves the treatment of both soft tissue (cheeks, palate, tongue, lips, muscles) and hard tissue (teeth, bones) pathologies such as cysts or tumors that develop in the oral cavity. It also includes the extraction or retention of impacted or embedded teeth and corrective procedures to assist in prosthesis construction.
Oral, Dental, and Maxillofacial Surgery
Jaw and facial pain, temporomandibular joint disorders, and salivary gland disorders are also within the scope of oral and maxillofacial surgery. Additionally, diagnosis, treatment, and monitoring of oral manifestations of certain systemic diseases are conducted.
As we all know, the last teeth to continue growing in our mouths are the third molars. They usually start erupting between the ages of 17 and 25. Whether or not these teeth should be retained in the mouth is a matter of debate. If they erupt in the correct position and do not cause harm to the surrounding tissues, there is no harm in keeping these teeth in place.
If a tooth is fused to the jawbone and is found to be in an abnormal position (detected by X-ray), extraction may be decided to prevent future damage. In cases of space constraint behind the tooth, its eruption may be obstructed by the gum, bone, or other neighboring teeth.
What are the Situations That Require the Extraction of Wisdom Teeth?
Saliva, bacteria, and food particles accumulate in the socket created by the emerging tooth, posing a threat to both the wisdom tooth and the adjacent molar. It is quite challenging to detect and treat these types of decay. Severe symptoms such as pain, infection, and resulting abscesses may occur.
Gum Disease (Pericoronitis)
A partially erupted wisdom tooth creates a focus of infection where bacteria and food debris accumulate within the gum. This condition can cause bad breath, pain, swelling, and trismus (inability to fully open the mouth). The infection can spread to the cheek and neck through lymphs. The susceptible environment around the wisdom tooth is prone to recurring infections.
If pressure is applied to adjacent teeth during growth, discomfort may be felt due to crowding. In some cases, this pressure can lead to abrasion.
Many young individuals undergo orthodontic treatment to correct dental misalignments. The erupting force of wisdom teeth can also affect other teeth, causing movement and exacerbating misalignments.
When planning for a prosthesis, the presence of wisdom teeth needs to be considered. After the extraction of wisdom teeth, a new prosthesis may need to be made to accommodate the changed oral structure.
Cystic cases caused by impacted teeth have been observed. Cysts can lead to bone destruction, jaw expansion, and displacement or damage to surrounding teeth. To prevent bone destruction, the tooth needs to be extracted, and the cyst needs to be removed.
In rare cases, if the cyst spreads to a large area, it can transform into a tumor or cause spontaneous fractures in the jawbone.