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The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
Individual patient circumstances should be evaluated prior to the use of antibiotics to reduce the risks of certain post-extraction complications. 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.
This may include dental procedures such as root canal treatment, tooth extraction, or periodontal therapy. Antibiotics, nasal corticosteroids, and nasal irrigation may be used to control symptoms, though their role in definitive treatment is still unclear. In some cases, endoscopic sinus surgery may be required, particularly if medical ...
The classification structure allows clinicians to estimate the probabilities of impaction, infections and complications associated with wisdom teeth removal. [31] Wisdom teeth are also classified by the presence of symptoms and disease. [32] Treatment of an erupted wisdom tooth is the same as any other tooth in the mouth.
Wisdom teeth become impacted when there is not enough room in the jaws to allow for all of the teeth to erupt into the mouth. Because the wisdom teeth are the last to erupt, due to insufficient room in the jaws to accommodate more teeth, the wisdom teeth become stuck in the jaws, i.e., impacted. There is a genetic predisposition to tooth impaction.
The maxillary sinus is known for its thin floor and close proximity to the posterior maxillary (upper) teeth. [1] [6] The extraction of a maxillary tooth (typically a maxillary first molar which lies close to the lowest point of antral floor although any premolar or molar can be affected) is the most common cause of an OAC (which can then ...
Expansion of the cyst causes erosion of the floor of the maxillary sinus. As soon as it enters the maxillary antrum, the expansion rate increases due to available space for expansion. Performing a percussion test by tapping the affected teeth will cause shooting pain. This is often clinically diagnostic of pulpal infection. [citation needed]
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 ...