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.
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Indications
Partially or fully impacted
Recurrent pain
Pericoronitis
Space problems
Difficult to clean
Contraindications
Absolute Contraindications
Relative Contraindications
📋 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.
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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.