Impacted Wisdom Teeth

Impacted Third Molars (Wisdom Teeth)

Les troisièmes molaires (plus connues sous le nom de dents de sagesse) sont les dernières à percer dans l'arcade dentaire, normalement entre 16 et 20 ans.

Autrefois, les dents de sagesse aidaient à mastiquer des racines, des noix et des viandes crues. Cependant, en raison du développement limité des mâchoires dû à un régime alimentaire contemporain de plus en plus mou, les troisièmes molaires n'ont souvent pas d'espace pour percer normalement. Elles peuvent être liées à un encombrement des autres dents, c'est pourquoi leur extraction est souvent recommandée. Actuellement, les troisièmes molaires sont considérées comme inutiles pour le développement humain.

EXODONTIA DE TERCEIROS MOLARES

Here is the translation of the paragraph into English:

These are formal indications for the extraction of third molars:

1. Partially erupted or impacted third molars (mesioangular) that are in contact with the second molar, where the amelocemental junction may cause a distal caries in the second molar. This mesial inclination leads to root exposure of the second molar and makes oral hygiene in that area difficult, resulting in plaque formation and subsequent dental caries in the second molar. The third molar should be extracted in these situations to preserve the second molar. In some cases, it may not be possible to preserve the second molar, which may also need to be extracted.

2. Third molars with caries or periapical lesions, signs of dental root resorption, or root fracture are indicated for extraction.

3. Third molars associated with tumors or odontogenic cysts are indicated for extraction.

4. Third molars located in an anatomical area that is accessed in various surgeries, particularly in orthognathic surgery. The extraction of third molars is part of the orthognathic surgery pre-protocol.

5. Two episodes of pericoronitis indicate the extraction of third molars.

6. There may be other indications for the extraction of third molars that should be discussed between the patient and the doctor.

At the Portuguese Institute of the Face, we only perform the extraction of all 4 impacted wisdom teeth under general anesthesia with an exclusive protocol that allows the patient to return home 6 hours after the procedure.