Wisdom teeth Flashcards
1
Q
Where can you find guidelines on the extraction of wisdom teeth?
A
- NICE
- SIGN
- Royal College of Surgeons
2
Q
What are the indications to extract wisdom teeth?
A
- Localised associated infection
- Caries within tooth or adjacent teeth
- Periodontal disease
- Resorption
- Cystic change
- Impact on other teeth
- Orthodontic
- Prosthetic
- Obscure facial pain
- Previous attempted extraction
- Symptomless!
3
Q
What pre-operative assessment should be done?
A
• Medical history • Dental history • Social history • Extraoral examination • Intraoral examination • Radiographic assessment: o Assess impaction – vertical, mesial, distal o Assess local anatomy - especially position of ID canal
4
Q
When you’re looking at a radiograph what are you looking for?
A
- Path of tooth withdrawal
- Point of application
- Obstacles
- Bone removal
- Flap design
5
Q
What are the possible complications?
A
- Pain, infection, swelling, bleeding, dry socket
- Injury to ID nerve
- Injury to lingual nerve
- Displacement of tooth
- Tuberosity fracture
- Oro-antral communication
