Getting one’s wisdom teeth removed is probably not on anyone’s priority list, but with modern pain control and sedation techniques, the actual procedure is a piece of cake. The sedation will put you in a relaxed, twilight state and your mouth will be fully numb so there will be no pain at all. I have to warn you though this video will show an actual surgery, so if you are squeamish about seeing blood, this may not be the video for you. Otherwise, let’s get started with Dr. Richard Gangwisch.
All right; on to the other side. We’re going to tackle the lower right wisdom tooth this time. Now this one is still angled towards the midline. The only difference is that this one isn’t under the gum like the other one. As you can see, it’s already exposed so we put a little incision along the edge because we’re still going to have to get up under the gum a little bit. But we’ll try to do as much as this through the socket as we can. So we’re going to go ahead and separate the two roots, keep everything on the cheek side. Not very many structures are important on that side compared to towards the tongue. Same thing all that pressure is put upwards, we’re not pushing through the tooth. We don’t want to puncture through that all we want to do is make enough of a groove so we can go in and split that tooth in half. Stay away from that tongue nerve there. Everything is done on the cheek side. Take the elevator and do the same thing. We’re going to go ahead and separate the tooth. Put a little upward pressure on it and there one root comes and then we’ll get up underneath with the elevator and see if we can get the other bit of tooth out. This one’s a little bit tight. There we go! Since this was erupted, there weren’t too many remnants of the cyst that was around the tooth when it was forming, but we’ll still clean out what we can. And we’ll go ahead and irrigate all the debris. In this case we’ll only really need one stitch to put that back together. Since this tooth was already exposed. Try to put this tissue back where we found it. Allow that to heal up well. Alright, now we’re going to go ahead and take on that upper right wisdom tooth. This is what we call a soft tissue impaction. It is up under the gum but it’s coming in in a pretty straight position so we won’t have to separate the roots on that. Now we’ll make an incision to get some of that gum tissue out of the way and expose what we call the crown of the tooth. Use that periosteal elevator to move that gum back. Then we’ll get that elevator in there and we’ll put a little bit of selective pressure on there and we’ll use the tooth ahead of it as what we call a fulcrum to use a little bit of leverage on that. This one’s taking a little bit of extra time. They usually will pop out a little bit easier than that, so we’ll see what we’re up against here and why this is taking a little extra time. Here it finally comes. Let’s investigate and see what all we’ve got here. Lo and behold, we’ve got some what we call dilacerated roots here. Those are ninety degree, now look here, we just happened to be lucky on that. It snapped as took it on out but just happened to hold on to the rest of the root so we just got lucky on that one. So we’ll do the same thing, we’ll go ahead and sew that tissue back where we found it.
Now for the last one. We’re going to take that upper left wisdom tooth out. Now this one is not impacted but it’s not under gum tissue either so this one is what we would call an uncomplicated extraction or simple extraction. We need to get tissue out of the way and apply some selective pressure, it’s not brute force; got to use some finesse. There it comes! Believe it or not, that’s actual how long it takes in those cases. The reason for that you’ll see in just a second here. Remember the roots were very curved on the other tooth and this particular tooth all those roots were together and they were in such a way that they were what we call cone shaped and they were not much of an issue to take out. Well there you go. We’ve taken out all four impacted wisdom teeth on this patient. He did extremely well during the surgery as you could tell, totally pain free. Afterwards, once the numbness wears off, yes, he will need some pain medication, but that’s readily available for him to make sure he stays comfortable. He’s going to go home and he’s going to sleep it off, very relaxed, very comfortable and in seven days he should be healing uneventfully and the good news is, he’ll never have to worry about his wisdom teeth ever again. Thank you for watching. This is Doctor Richard Gangwisch
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