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The most common application in clinical practice of oral surgery is the extraction of teeth that can not be treated.  In addition, extraction of impacted wisdom teeth is also another common process.

Impacted teeth becoming problematic as a result of cyst formation in the impacted tooth or adjacent teeth and gingival infection must be extracted. However, dentists and surgeons can take preventative action for the patients who 18 years of age by deciding if there is enough space for the continuation of wisdom teeth in the mouth. In case of lack of space, with the early extraction of the wisdom teeth that have a risk of being impacted, the maximum improvement takes place in both bone and soft tissue. Thus, the long-term gingival health of the second molar tooth can be kept at the highest level.

Impacted teeth of the older people (usually over the age of 35) who have no signs and symptoms should not be extracted. Instead, the dentist should follow patients with one or two years routine radiographic controls.

Reasons for extraction of wisdom teeth;

The most important reason for extraction of wisdom teeth is gingival health protection.

Another reason is preventing tooth decay. When a wisdom tooth is embedded in full or part, the bacteria that cause tooth decay can cause tooth decay in the impacted tooth as well as in the second molar tooth. Even there is no relationship between impacted tooth and mouth cavity, this situation cannot be an obstacle to tooth decay.

When a tooth is largely covered with soft tissue and semi-impacted, the patient has experienced complaint of Pericoronitis one or more times. Pericoronitis is infection the soft tissue which surrounds the crowns of half-impacted teeth due to the normal oral flora. Pericoronitis can occur even in an impacted teeth that creates no problem and infection for a certain time. Despite the successful treatment, patients with a history of Pericoronitis will experience recurrent complain of Pericoronitis as long as the lower wisdom teeth are not extracted. The tooth should be extracted as soon as possible to prevent recurrent infections.

Impacted teeth are present in the jaw bone with dental follicles. Although most patients have normal-sized dental follicle in some cases, dentigerous cyst or a keratocyst may develop as a result of cystic degeneration. If the patient follow-up is done best, the dentist can diagnose the cyst before it reaches a large size. However, cysts may become too large if they are not followed. Extraction of the teeth is recommended in order to prevent Odontogenic cysts and tumors.

During the orthodontic treatment,  the presence of third molar teeth can create problems. In this case, surgical removal of impacted teeth is recommended before starting orthodontic treatment.


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