The accumulation of plaque or microbiological agents in the space between the impacted teeth and gums gives rise to condition called "Pericoronitis" causing pain and infection. As age increases, the bone becomes thick in the region making surgical procedure tougher; the repeated pericoronitis cause functional malocclusion resulting in joint pain. Moreover the prolonged impacted teeth are susceptible to give rise to odontogenic cysts and tumors.
The procedure to remove the impacted wisdom teeth is a simple and safer procedure. A careful assessment of the teeth, bone and adjacent is made by studying the OPG or the jaw x-ray, a cone beam CT or a CT itself.
After assessment, the bone lying over the impacted tooth is carefully removed. Minimal removal of tooth is essential as preservation of bone will aid in faster healing. Hence sacrifice of tooth or splitting of tooth is preferred that bone.
As it can be observed, in this case, the crown or the upper portion of tooth is split and through this space, the roots are carefully removed. The socket cleaned of debris and the closed with sutures. Similar procedure is done on both sides. Depending upon the amount of bone to be removed post-operative swelling may occur. For milder cases, regular work may be resumed on the next day itself. Pain and swelling are usually controlled by regular pain killers and appropriate antibiotics prescriptions.