Wisdom teeth are cause for concern before installing braces. Many believe that before starting treatment, the orthodontist must remove the eights and even premolars. However, Prizma Dental Center takes a tooth-preserving approach and seeks to avoid extractions if necessary. Let’s see when the removal of wisdom teeth may be necessary, and when it can be avoided.
Why is it not always necessary to remove wisdom teeth?
We, as dentists, adhere to a tooth-preserving ideology and use every opportunity to avoid removing teeth before installing braces. If there is no absolute indication, then none of the doctors at Prizma will perform the extraction of wisdom teeth. We strive to save teeth so as not to harm the result of orthodontic treatment.
When is it not necessary to remove wisdom teeth before braces?
In many cases, we can save our wisdom teeth before getting braces. Here are some of them:
- Smooth eruption and normal position of the wisdom tooth without problems.
- The wisdom tooth does not move adjacent teeth and normally merges with the antagonist without injuring the mucosa.
- The tooth is healthy and not destroyed by caries, does not require treatment.
- The absence of sevens in the patient, in this case, wisdom teeth can be used to fix fixed structures.
- The presence of wisdom teeth does not interfere with the installation of braces to correct the bite and align the teeth.
The Need for Wisdom Teeth Extraction in Children
Children usually get braces at the age of 11-12, and wisdom teeth begin to grow much later, at about 18 years old. Therefore, for adolescents, there is no need to remove wisdom teeth before using braces. However, in case of abnormal placement or problematic molar eruption, wisdom teeth extraction may be performed at a later date to prevent misalignment of the dentition.
The process of removing wisdom teeth before installing braces in Prizma
Before installing braces in Prizma, we conduct a thorough examination of the patient, including the study of the proportions of the face, the condition of the oral cavity, the root system of the teeth and jaw bones. We also do an orthopantomogram for more information. Based on all these data, we make a decision on the need to remove or save wisdom teeth.
If there are indications for the removal of wisdom teeth, such as:
- Abnormal position of a wisdom tooth that affects the adjacent tooth and can cause destruction of the interdental septa or ligaments that hold the tooth in the jaw.
- No opposing wisdom tooth antagonist.
- A large carious cavity in the tooth that cannot be treated due to the abnormal shape of the roots.
- Cyst formation at the root of a molar.
- Insufficient development of the jaw resulting in insufficient space for other teeth and resulting in crowded and crooked dentition.
In Prizma, surgery was removed Wisdom teeth are performed by a dentist-surgeon. Before the procedure, local anesthesia is applied to reduce discomfort. The procedure itself usually takes 15 to 20 minutes, but in case of complex removals it can take 1-1.5 hours. After anesthetizing the extraction site, the doctor gently removes the wisdom tooth with forceps. Then the hole is processed and the edges of the mucosa are sutured. Doctor also does not provide the patient with instructions for wound care after tooth extraction.
It is important to note that after wisdom teeth are removed, there is no need to worry about visible gaps. After the installation of braces, the teeth with the help of brackets gradually begin to move at a rate of up to 1 mm per month, and the gap left after the extraction of the tooth closes in 3-6 months.
Prizma removes wisdom teeth not only before braces, but also during orthodontic treatment. However, the extraction of teeth is recommended not earlier than 3 months after the fixation of orthodontic appliances. This is due to the phenomenon of regional acceleration, when the constant pressure of the braces makes all teeth mobile, which simplifies the process of removing wisdom teeth.
At Prizma Dental Center, we always take a tooth-preserving approach and strive to achieve optimal orthodontic results by minimizing the removal of wisdom teeth. If you are considering braces and are worried about your wisdom teeth, do not hesitate to contact us for a consultation. Our experts will answer all your questions and provide you with authoritative information so you can make an informed treatment decision.
Entrust your smile to the professionals at Prizma, and we will help you achieve the desired result with minimal interference with your teeth and health.
