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There is evidence that use of antibiotics before and/or after impacted wisdom tooth extraction reduces the risk of infections by 66%, and lowers incidence of dry socket by one third. For every 19 people who are treated with an antibiotic following impacted wisdom tooth removal, one infection is prevented. [19]
In India, oral and maxillofacial surgery includes the treatment of complex dental surgery, including wisdom tooth removal, dental implant, craniomaxillofacial trauma, Orofacial pain (trigeminal neuralgia) and jaw joint pain (Temporomandibular disorder(TMD) or TMJ Pain) management, jaw joint(TMJ) replacement for TMJ ankylosis and deformed jaw ...
A treatment controversy exists about the need for and timing of the removal of disease-free impacted wisdom teeth. Supporters of early removal cite the increasing risks for extraction over time and the costs of monitoring the wisdom teeth. Supporters for retaining wisdom teeth cite the risk and cost of unnecessary surgery.
Wisdom teeth (often notated clinically as M3 for third molar) have long been identified as a source of problems and continue to be the most commonly impacted teeth in the human mouth. Impaction of the wisdom teeth results in a risk of periodontal disease and dental cavities. [29] Impacted wisdom teeth lead to pathology in 12% of cases. [30]
Ideally, extraction of the tooth from recipient site should be performed on the same day when donor tooth is removed for transplantation. [3] In cases when tooth from recipient site must be extracted earlier due to toothache or other reasons, transplantation should be scheduled within a month. [3]
Most often, the cause of impaction is inadequate arch length and space in which to erupt. That is the total length of the alveolar arch is smaller than the tooth arch (the combined mesiodistal width of each tooth). The wisdom teeth (third molars) are frequently impacted because they are the last teeth to erupt in the oral cavity.
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