Wisdom teeth extraction in Casablanca

Should wisdom teeth be removed?

Not systematically. A well-placed wisdom tooth that can be cleaned and causes no problem can simply be monitored. Extraction is advised for repeated gum infection, decay, pain, damage to the neighbouring tooth or a risky impacted tooth. The decision is made case by case, after examination and imaging.

Why do wisdom teeth cause problems?

There is often not enough room in the jaw. The tooth then stays impacted (under the gum or bone) or comes in crooked. Gum partly covering the tooth can get infected (pericoronitis). A hard-to-clean tooth decays easily and can damage the neighbouring molar.

Assessment: panoramic X-ray and 3D scan

A panoramic X-ray shows the position of the tooth, its roots and their relationship to the lower jaw nerve and the sinus. When the roots are close to these structures, an on-site CBCT 3D scan helps plan the procedure and reduce risks.

How is the extraction done?

It is done under local anaesthesia: you feel pressure, not pain. If the tooth has fully erupted, extraction is simple. If it is impacted, the dentist opens the gum, sometimes removes a little bone, may section the tooth to remove it in pieces, then closes with stitches.

Aftercare

Swelling and discomfort for a few days are normal. A cold pack, soft lukewarm food and the prescribed medicines help recovery. For the first 24 to 48 hours, avoid straws, smoking, vigorous mouthwash and physical effort. A check-up confirms healing and removes stitches if needed.

Risks and precautions

Complications are uncommon: dry socket (alveolar osteitis), infection, prolonged bleeding, temporary numbness of the lip or tongue, and for upper teeth a communication with the sinus. Prior imaging helps anticipate them. Tell us about your medicines (especially blood thinners), illnesses and any pregnancy.