Overview

Wisdom Tooth Extraction is a surgical procedure to remove third molars that are impacted, causing problems, or at risk of complications.

Wisdom tooth extraction is crucial for preventing pain, infection, crowding, and other dental problems associated with impacted third molars.

Indications

Impacted Teeth

Partially or fully impacted

Pain

Recurrent pain

Infection

Pericoronitis

Crowding

Space problems

Caries Risk

Difficult to clean

Contraindications

Absolute Contraindications

Patient refusal
Uncontrolled bleeding

Relative Contraindications

Pregnancy
Recent heart surgery
Bisphosphonates

📋 Equipment Checklist

Check off items as you gather them:

Pre-procedure Preparation

Preparation includes patient assessment, radiographs, anesthesia planning, and understanding surgical techniques.

Step-by-Step Procedure

Step 1: Patient Assessment

Review medical history, assess teeth.

⚠️ Common Mistakes to Avoid:

  • Incomplete assessment
  • Missed contraindications

💡 Pro Tip:

Check for bleeding disorders.

Step 2: Anesthesia

Administer local anesthesia.

⚠️ Common Mistakes to Avoid:

  • Inadequate anesthesia
  • Wrong technique

💡 Pro Tip:

Ensure complete numbness.

Step 3: Incision

Make surgical incision.

⚠️ Common Mistakes to Avoid:

  • Poor incision
  • Tissue trauma

💡 Pro Tip:

Use proper technique.

Step 4: Bone Removal

Remove overlying bone.

⚠️ Common Mistakes to Avoid:

  • Excessive bone removal
  • Insufficient access

💡 Pro Tip:

Remove only necessary bone.

Step 5: Tooth Sectioning

Section tooth if needed.

⚠️ Common Mistakes to Avoid:

  • Poor sectioning
  • Root fracture

💡 Pro Tip:

Use proper technique.

Step 6: Extraction

Remove tooth completely.

⚠️ Common Mistakes to Avoid:

  • Incomplete removal
  • Root fracture

💡 Pro Tip:

Ensure complete removal.

Step 7: Closure

Suture surgical site.

⚠️ Common Mistakes to Avoid:

  • Poor closure
  • Tension

💡 Pro Tip:

Use tension-free closure.

Master Wisdom Extraction with RxDx

Access 100+ procedure videos and expert guidance with the RxDx app

Post-procedure Care

Post-procedure care involves pain management, wound care, follow-up appointments, and monitoring for complications.

Complications & Management

Complication Incidence Signs Management Prevention
Dry socket 5-10% Severe pain, bad taste Dressing, analgesics Proper technique
Nerve injury 1-3% Numbness, tingling Referral, monitoring Careful technique
Bleeding 3-8% Excessive bleeding Pressure, sutures Proper technique
Infection 2-5% Pain, swelling Antibiotics Sterile technique

Clinical Pearls

💡

Always assess nerve proximity on radiographs.

🎯

Use proper surgical technique.

Section teeth when necessary.

🔍

Ensure complete removal.

📊

Document procedure details.

🎨

Provide clear post-op instructions.

⚠️

Monitor for complications.