Oral, Dental and Maxillofacial Surgery; In addition to treatments for cystic or tumoral pathologies developing in both soft (cheek, palate, tongue, lips, muscles, etc.) and hard tissues (teeth, bones) in the mouth, tooth and jaw fractures, removal or maintenance of erupted or impacted teeth Oral and Maxillofacial Surgery Department is a department that includes corrections in order to assist in the production of prosthesis.
Maxillofacial pain, jaw joint diseases, salivary gland disorders and correction of maxillofacial deformities are also within the scope of maxillofacial surgery. In addition to these, the diagnosis, treatment and controls of some systemic diseases in the mouth are also carried out.
Wisdom Teeth
As we all know, the last teeth to erupt in our mouth are the third molars. They usually start riding between the ages of 17 and 25. Whether or not these teeth should be left in the mouth is controversial. If they last in the right position and do not damage the surrounding tissues, there is no harm in keeping these teeth in place. It can be decided to extract a tooth that is fused to the jawbone and has an abnormal position (detected by x-ray) considering the future damage. In cases of shortness of space behind the tooth, the eruption of the tooth can be caught in the gingival-bone and other adjacent tooth barrier.
What are the Conditions Requiring Extraction of Wisdom Tooth?
Tooth Decay
Saliva, bacteria and food particles accumulate in the socket opened by the newly erupted tooth, threatening both the wisdom tooth and the molar next to it. It is quite difficult to detect and treat this type of caries. Severe pictures may occur that cause pain and infection and result in an abscess.
Gum Disease (Pericoronitis)
In the gingiva of a partially erupted wisdom tooth, an infection focus occurs where bacteria and food residues are stored. This causes bad breath, pain, edema and trismus (the inability to open the mouth completely). The infection can spread to the cheek and neck via the lymph. This infection-prone ground around the wisdom tooth is easily a candidate to become infected every time.
Pressure Pain
If pressure is applied to neighboring teeth during eruption, pain may also be felt due to compression. In some cases, this pressure leads to wear.
Orthodontic Causes:
Many young individuals undergo orthodontic treatment to correct crooked teeth. Since the eruption pressure of wisdom teeth will be reflected on other teeth, there will be mobility in other teeth, crowding may increase.
Prosthetic Causes
In a mouth where prosthesis is planned, wisdom teeth should be taken into account. Because, after wisdom tooth extraction, it will be necessary to make a new prosthesis according to the changing mouth structure.
Cyst Formation
Cystic cases caused by an impacted tooth have been observed. The cyst causes bone destruction, enlargement of the jaw, and displacement or damage to the surrounding teeth. To prevent bone destruction, the tooth should be extracted and the cyst should be cleaned. Rarely, if this cyst spreads to very large areas, it can turn into tumors or cause spontaneous fractures of the jawbone.