Third Principles in TMJ Surgery and hands-on fresh frozen cadaver dissection course for TMJ surgery TME Patolojilerinin Yönetiminde Karşılaşılan Zorluklar Toplantısı IAOMS-AÇBİD ortak kongresi 9-13 Mayıs 2018 tarihleri arasında Antalya' da GerçekleştirilecektirAÇBİD - IAOMS anlaşmasıACBID 2017 11. Uluslararası Kongresi 19-23 Nisan 2017 Tarihlerinde Gerçekleştirildi
Third Principles in TMJ Surgery and hands-on fresh frozen cadaver dissection course for TMJ surgery
We are proud to annonce our third hands-on fresh frozen cadaver dissection course for TMJ surgery for the first time in Turkey.
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TME Patolojilerinin Yönetiminde Karşılaşılan Zorluklar Toplantısı
TME Patolojilerinin Yönetiminde Karşılaşılan Zorluklar Toplantısı 24 Şubat 2018 tarihinde Ankara Plaza Otel’ de gerçekleştirilecek...
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IAOMS-AÇBİD ortak kongresi 9-13 Mayıs 2018 tarihleri arasında Antalya' da Gerçekleştirilecektir
IAOMS-AÇBİD ortak kongresi 9-13 Mayıs 2018 tarihleri arasında Antalya' da Gerçekleştirilecektir
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AÇBİD - IAOMS anlaşması
AÇBİD' in, "International Association of Oral and Maxillofacial Surgeons" tarafından Türkiye'yi temsil eden mesleki dernek olarak ...
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ACBID 2017 11. Uluslararası Kongresi 19-23 Nisan 2017 Tarihlerinde Gerçekleştirildi
ACBID 2017 11. Uluslararası Kongresi 19-23 Nisan 2017 Tarihlerinde Gerçekleştirildi
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What are wisdom teeth, where are they located, how and in what conditions should they be treated?

What are Wisdom Teeth?
Wisdom Teeth are the last teeth that grow inside of the human oral structure. They are found at the upper and lower jaw, behind the second large molar teeth sets and at the far back of the teeth arcs. They are named wisdom teeth since they appear only once a person reaches age 20.

Why do Wisdom Teeth tend to create complications?

Within the human development process, wisdom teeth are the last set of teeth that grow and take their place on the arc. For this reason, they are the teeth that have the greatest potential of lacking necessary space for protrusion.

Different theories have been made regarding the reasons why wisdom teeth to stay hidden within the jaw bone. The first such theory attributes this situation to the fact that the modern human consumes softer and more processed food compared to its ancestors. Due to this fact, there is too little wear in teeth, which results in lack of space for wisdom teeth to grow into. Upon research conducted on members of tribes that continue to live in primitive life styles, it was observed that wisdom teeth find enough room to grow out.

Another reason is the fact that wisdom teeth initially grow in the horizontal direction throughout their normal development process, only to change this direction first to mesio-angular and eventually to vertical as the tooth and the jaw bone grow. The teeth remain hidden underneath in case the rotation in the axis of the teeth is not completed.

What kind of complications may I face due to wisdom teeth?

The pressure caused by buried teeth result in bone destruction in adjacent teeth, consecutively leading to tooth or tooth gum problems. Especially the half-protruding wisdom teeth in distorted positions form uncleanable areas where food remains accumulate and cause tooth cavities. Especially, half-protruding wisdom teeth may again result in soft tissue infections due to uncleanable areas forming around the teeth.

It may result in resorption (loss) in the roots of adjacent teeth.  

Bone resorption (loss) due to old age causes buried wisdom teeth to get closer to the surface of the alveolar ridge (the jaw bone). Placing removable prosthetics that are supported by the oral mucosa (tooth gums) and the alveolar ridge (jaw bone) upon these wisdom teeth, causes ulceration in the mucous area covering the buried wisdom teeth. It is also possible in this case for the buried teeth to open up inside the oral cavity and get infected.

It should be noted that the dental folicule remains buried along with the wisdom teeth. This dental folicule has the potential to transform into varios odontegenous cysts (dentigerous cysts, keratocysts) and tumors (ameloblastoma). 

Patients with myofacial pain who do not have complications such as disfunction syndromes or temporomandibular joint disorders maybe cured, especially when the mysterious pain is located in the retromandibular region of the mandibula, by the removal of the buried wisdom teeth.

Buried teeth in the lower jaw (especially wisdom teeth) cause the adjacent parts of the jaw bone to weaken, hence resulting in a greater potential for a case of broken bone after being subject to trauma.  

Buried teeth may cause difficulties in teeth movements required by orthodontic treatment and they must therefore be pulled out before the treatment starts.

Could prosthetic teeth be created by using wisdom teeth?

The location of the wisdom teeth, as well as the shapes of their roots, are factors that determine whether or not they can be used in the creation of prosthetic teeth. There are no problems associated with the use of wisdom teeth for the creation of dental prosthetics, as long as the teeth bears a suitable structure.

It is said that wisdom teeth get cavities easily. Is this true?

The cleaning of wisdom teeth, which are located in a hard-to-reach spot far behind the dental arc, is usually difficult. Wisdom teeth that do not grow into suitable locations cause food waste to accumulate in the surrounding area. For all these reasons, it is difficult for wisdom teeth to be cleaned and risk for cavities is higher.

How can I prevent complications caused by wisdom teeth?

Patients need to get routine check ups from their dentists. Radiography data obtained from the wisdom teeth region show important information pertaining to the teeth such as their shapes, sizes, locations and whether they may lead to complications in the future. Teeth that seem to be prone to future complications need to be treated appropriately before problems arise.

Can the wisdom teeth be removed only through surgical procedures?

There is no principle that suggests the removal of every wisdom tooth through surgery. The dentist decides on the method of removal as a result of clinical and radiological examinations. It is rather wrong to think that the removal of every wisdom tooth could be a difficult process. The location, size or shape of the tooth which is planned to be removed determine whether the removal procedure will be a normal tooth-pulling or a surgical operation.

What awaits me in the removal surgery?

The difficulty of the process depends on the size, location and shape of the wisdom tooth. A simple tooth-pulling approach may result in a slight swelling and bleeding accompanied by minor pain. It is also possible to carry out more complex forms of tooth-pulling tht require more specialized processes. Precautions taken and advice given by your dentist should help minimize the side-effects.

What should I be wary of during the post-operative period following the removal of wisdom teeth?

Great caution should be exercised in terms of wound care following the removal of wisdom teeth. In order to help the wound heal quickly and without complications, advice from the dentist should be strictly followed. The wound location should not be tampered with. Otherwise, pain, infections or bleeding may arise.

Patients should not chew with the wound region during the first 24 hours following the operation. Also, smoking is entirely prohibited until it is clear that the wound region has fully healed, since smoking increases bleeding and disrupts healing. Spitting is prohibited during the post-operative duration. Small amounts of bleeding is unimportant but spitting of this blood may increase bleeding, dislocating the blood clot required for bleeding to stop and the wound to heal.

The bleeding must be kept under control. In case it feels like the bleeding has increased, the dentist must be consulted as soon as possible.

In case stitches have been sewn at the region following the operation, great care must be taken to maintain the cleanliness of the stitches. The stitched area must also be cleaned with gentle and careful brush strokes while the patient brushes his teeth, effectively removing any kind of food remains.

In order to let the blood clot, the compress must be kept in the mouth for half an hour following the surgery. The compress may be replaced with a new one after this duration in case the bleeding continues.  A cold-compress applied after the operation slows down the blood circulation in the area and prevents swelling of the face. The method of application should be done in periods as follows: 20 minutes of cold-compress - 20 minutes of recess time - another 20 minutes of cold compress - and so on.

Drugs prescribed by the medicine must be used thoroughly and without being skipped.

Must I use antibiotics after treatment?
Unless the patient has a systemic disease or a condition which causes a weakness in his immune system, it is not necessary to use antibiotics after normal tooth-pulling procedures. However, the use of antibiotics is recommended for more complicated procedures that usually require surgical intervention, such as removal of buried teeth or roots.

Patients who carry cardiac valve prosthetics, who have a history of bacterial endocarditis, carry complex cyanotic congenital heart disease or other diseases such as hypertrophic cardiomyopathy; in addition to those who have weak immune systems, those who previously received radiotherapy or those who suffer from chronic kidney failure all need to use antibiotics in a planned schedule prior to and after the tooth removal process.

As is known to all, the third molar teeth are the last teeth to grow inside our mouth. These usually grow between ages 17 and 25. The issue of whether to leave these teeth in the mouth need to be discussed. If they grow in the correct position and they do not harm the surrounding tissues with their existence, it would not be a problem to leave them inside the mouth. However, it may be decided to remove a tooth that is adjoined with the jaw bone and grown into an abnormal position (detected through radiograph), considering the complications it may cause in the future. In case the dental arc is narrow, the growing of the tooth may be obstructed by teeth gums, bones or the adjacent teeth.

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Derneğimizin 23 Haziran 2013 tarihindeki 4. Olağan Genel Kurul toplantısında yönetim kurulu olarak seçilmiş bulunmaktayız. Kurul toplantısına katılan ...
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