CURRENT APPROACHES AND NEW RESEARCH IN
MODERN SCIENCES
International scientific-online conference
154
A SIMPLE WISDOM TOOTH EXTRACTION
Rustamov Otamurod Rashidovich
Scientific Research Center of Dentistry
at the Bukhara State Medical Institute
https://doi.org/10.5281/zenodo.13927389
Abstract:
It was found that 20% of healthy people have a pathology
associated with eruption of wisdom teeth. Infectious and inflammatory
processes developing during this period are especially dangerous. They tend to
spread to the soft tissues of the maxillofacial region, neck, as well as to penetrate
with blood flow into the brain.
Keywords:
wisdom tooth, retention, surgical dentistry
Introduction.
The third molar is more often called the wisdom tooth or
the "eight" (the third molar is the 8th from the middle of the dentition). It is not
preceded by a baby tooth, and the bookmark does not occur in the prenatal
period, but at the age of 3 to 5 years. The "eight" erupts later than others, when
the jaw bones completely or partially stopped growing at the age of 14 to 30
years, sometimes even later. Growth and eruption are completely dependent on
the hereditary characteristics of the div.
The crown of the third molar looks no different from the crowns located next to
it. The main features are in the structure of the roots and root canals. As a rule,
there are several channels. They are meandering, narrow and not always located
in a separate root. 2-3 roots are considered the norm, but sometimes there are
more, fewer or just one root, and several channels can be seen in it. This makes
it very difficult to treat caries.
Normally erupted, performing all its functions, the third molar does not
need to be removed. Even caries of the eight can be cured quite successfully. In
the future, it can become a support for a non-removable prosthesis. If the
wisdom tooth hurts, removal occurs only according to indications and after an
examination. Indications for removal are, first of all, pain and discomfort that
occur in the patient during eruption. With these symptoms, he goes to the
dentist, and he already decides what exactly needs to be done after an
examination and radiography. The "Eight" is removed if available:
1. deep caries, which cannot be treated for some reason, mainly due to the
inaccessibility or obstruction of root canals (they are often narrow, tortuous);
2. pericoronitis (pericoronitis)- inflammation of the gum (hood) covering the
erupting molar from above;
CURRENT APPROACHES AND NEW RESEARCH IN
MODERN SCIENCES
International scientific-online conference
155
3. retention – the "eight" cannot break through the bone tissue, which leads to
the development of infectious and inflammatory processes in the soft tissues
and bone tissue of the jaw;
4. dystopia – growth is directed not vertically, but to the side, which leads to
injury to the surrounding tissues, malocclusion and growth of the remaining
teeth in the dentition due to the lack of the necessary place for this (the second
molar may be especially affected);
5. the need to install braces in case of improper growth or crowding of teeth in
the dentition – third molars can disrupt this process;
6. infringement of the branches of the trigeminal nerve, accompanied by attacks
of severe pain or discomfort (paresthesia).
Sometimes the incorrect growth of the third molar is detected even before the
patient complains. In such cases, the dentist also recommends its removal.
The growth and eruption of the third molar is often accompanied by infectious
and inflammatory processes of the surrounding soft tissues. This is due to the
fact that the "eight" often begins to erupt under the hood – the gum covering it.
An infection penetrates under the hood and an inflammatory process develops.
The course can be acute or chronic, inflammation can be catarrhal, purulent or
ulcerative. Symptoms of pericoronitis:
• unpleasant sensations in the eruption area – discomfort, itching, pain;
• putrid breath;
• swelling of tissues, pain when chewing, sometimes convulsive jaw spasm
(trism);
• increased div temperature (not always);
• enlargement and soreness of the submandibular and cervical lymph nodes.
Conclusions:
If you suspect improper eruption and inflammation of the gums, it
is better to immediately consult a dentist, without waiting for serious
complications. Depending on the pathology, the dentist may prescribe
therapeutic treatment, remove the hood or tooth.
The third molar is removed strictly according to indications. An experienced
doctor will perform the operation absolutely painlessly. If this is a simple
deletion, then it will only take a few minutes. With a complex operation, it will be
longer (depending on the problem), but also painless. Professionalism is
required from the doctor in this situation, and a positive attitude and calmness
are required from the patient.
CURRENT APPROACHES AND NEW RESEARCH IN
MODERN SCIENCES
International scientific-online conference
156
References:
1. Arsenina O.I. Early orthodontic and orthopedic measures in the complex
treatment of patients with defects and deformities of the mandible. Diss. ... MD -
M.2018. - 412s.;
2. Betelman A.I., Pozdnyakova A.I., Mukhina A.D., Alexandrova Yu.M. Orthopedic
dentistry for children. — Kiev, "Zdorov'ya"., 1965.-408 p.; Ham A.W. Histology.
Second edition. Philadelphia-London-Monreal. 2018. 864 p. ;
3. Betelman A.I., Pozdnyakova A.I., Mukhina A.D., Alexandrova Yu.M. Orthopedic
dentistry for children. — Kiev, "Zdorov'ya"., 2019.-408 p.;
4. Betelman A.I., Pozdnyakova A.I., Mukhina A.D., Alexandrova Yu.M. Orthopedic
dentistry for children. — Kiev, "Zdorov'ya"., 2015.-408 p.;
