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How to Remove Wisdom Teeth

Some of you may be curious about how impacted wisdom teeth are removed.   How does the oral surgeon get down into the bone and remove a tooth that is deep under the gums and surrounded by bone?  The following diagrams will clearly explain the procedures.

Wisdom Teeth Position

Wisdom teeth can be present in various configurations: tilted forward, straight up, tilted backwards, or sideways.

Tilted Teeth

A wisdom tooth that is tilted forward:  When removing an impacted wisdom tooth that is tilted forward, a surgical drill is used to create a small trough around the crown of the tooth.  This provides space to allow removal of the tooth.  The back part of the tooth is sectioned off and then gently removed.  The tooth is loosened with an instrument.  Afterwards, the tooth is then rotated back and out of the extraction socket.Tilted wisdom teeth

Straight Position

A wisdom tooth that is in the straight up position:  When removing an impacted wisdom tooth that is straight up, a surgical drill is used to create a small trough around the crown of the tooth.  This provides space to allow for the removal of the tooth.  The tooth is then sectioned in half and each half is gently loosened with an instrument.  Next, the back half of the tooth is removed out of the socket.  This provides adequate room to allow removal of the front half of the tooth.Straight Wisdom teeth

Backwards Tilt

A wisdom tooth that is tilted backwards:  When removing an impacted wisdom tooth that is tilted backwards, a surgical drill is used to create a small trough around the crown of the tooth.  This provides space to allow removal of the tooth.  The crown of the tooth is sectioned off and then gently removed.  The roots of the tooth are loosened with an instrument.  The roots are then removed from the extraction socket.Wisdom teeth backwards

Sideways Teeth

A wisdom tooth that is lying sideways:  When removing an impacted wisdom tooth that is lying sideways, a surgical drill is used to create a small trough around the crown of the tooth.  This provides space to allow removal of the tooth.  The crown of the tooth is sectioned off and then gently removed.  The roots of the tooth are loosened with an instrument and removed one at a time.Sideways wisdom tooth

Understanding the positions and environment is crucial to a successful removal of impacted wisdom teeth. If you have questions or concerns, give us a call today to see how we can help

All images were adapted from Peterson LJ, Ellis E III, Hupp JR, Tukcer MR editors.  Contemporary oral and maxillofacial surgery. 4th ed.  St Louis: CV Mosby;2003

Oral Surgical Services in Orlando and Clermont, Florida

At Oral Facial Surgical Arts, our patients are our number one priority, which means that we offer unparalleled customer service. We’re also conveniently located with two locations to serve you in Orlando and Clermont, Florida. Dr. Achong, our board certified oral and maxillofacial surgeon, trained at Harvard and is actually licensed as both a DMD (Doctor of Medicine in Dentistry) and an MD (Medical Doctor).

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