The tooth row is closed on both sides by third molar or wisdom teeth, which most commonly erupt at the age of 17 to 24. Wisdom teeth often create problems; since there is not enough space for them in the mouth, they grow sideways and extraction is required. If the wisdom tooth grows sideways, it can cause problems for the adjacent tooth, for instance, risk of inflammation.
This tooth may cause problems while completely embedded into the bone, or covered with the gum and invisible in the oral cavity. If the wisdom tooth has erupted partially and a small part of the tooth is visible, bacteria enter the space between the tooth and the gum, which causes inflammation, pain, swelling, difficulty moving the jaw and swallowing saliva. Even if a wisdom tooth has completely erupted, it is susceptible to dental and gingival infections, because it is difficult to access with a toothbrush and clean properly. If a defect of a wisdom tooth is detected, the most commonly made therapeutic decision is removal of the tooth, not the preservation thereof, because treatment is complex, time-consuming and expensive; furthermore, it is highly likely that the tooth will continue to cause problems.
If a wisdom tooth with a defect or incorrect growth direction is detected, the preferable therapy is removal of the tooth, before symptoms of pain have occurred.
To remove a wisdom tooth, opening of the gum or removal of the surrounding bone tissue may be required, and the wound must be closed by suturing afterwards. If the removal of the wisdom tooth was performed using local anaesthesia, there should be no problems returning home or going to work immediately. Abstaining from excessive load would be preferable for at least the first three days.
The patient must be aware that, after the manipulation, the patient will have swelling and minor discomfort or they could have problems opening their mouth completely or swallowing saliva. A skin haemorrhage can also be expected.
For better success of the recovery process, you are recommended to apply ice compresses and to avoid excessive loads, as well as consume easily digestible food (porridge, yoghurt, etc.).
Your physician may apply a course of antibiotics at their own discretion.