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Long-term complications can include periodontal complications such as bone loss on the second molar following wisdom teeth removal. Bone loss as a complication after wisdom teeth removal is uncommon in the young but present in 43% of those of 25 years of age or older. [23]
Pericoronitis is often associated with partially erupted and impacted mandibular third molars (lower wisdom teeth), [4] often occurring at the age of wisdom tooth eruption (15-26). [ 5 ] [ 6 ] Other common causes of similar pain from the third molar region are food impaction causing periodontal pain, pulpitis from dental caries (tooth decay ...
When extracting lower wisdom teeth, coronectomy is a treatment option involving removing the crown of the lower wisdom tooth, whilst keeping the roots in place in healthy patients. This option is given to patients as an alternative to extraction when the wisdom teeth are in close association with the inferior alveolar nerve , and so used to ...
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The lower teeth, and in particular the lower wisdom teeth, can therefore be in close proximity to this nerve. Damage to the inferior alveolar nerve is a risk of lower wisdom tooth removal (and other surgical procedures in the mandible). [20]
Impacted wisdom teeth may suffer from tooth decay if oral hygiene becomes more difficult. Wisdom teeth which are partially erupted through the gum may also cause inflammation [3] and infection in the surrounding gum tissues, termed pericoronitis. More conservative treatments, such as operculectomies, may be appropriate for some cases.
A hematoma may create the buccal space, e.g. due to hemorrhage following wisdom teeth surgery. Buccal space abscesses typically cause a facial swelling over the cheek that may extend from the zygomatic arch above to the inferior border of the mandible below, and from the anterior border the masseter muscle posteriorly to the angle of the mouth ...
Oral and maxillofacial surgery requires an extensive 4-6 year surgical residency training covering the U.S. specialty's scope of practice: surgery of the oral cavity, dental implant surgery, dentoalveolar surgery, surgery of the temporomandibular joint, general surgery, reconstructive surgery of the face, head and neck, mouth, and jaws, facial ...