Dental Surgery Center

Tooth Extraction

Wisdom teeth are the third molars that usually erupt between the ages of 18–25. They may also erupt later, partially erupt, or not erupt at all. Therefore, after consulting a dentist, they may need to be removed due to lack of space or improper positioning.

Wisdom tooth extraction is the most common oral surgery procedure, although these teeth are removed only when necessary. A panoramic X-ray or CT scan is required for proper evaluation. The main goal of removing wisdom teeth is to preserve other healthy teeth.

A wisdom tooth should be removed when it causes problems in the oral cavity or may lead to future complications. Removal is recommended when:

• Improper eruption or impaction
  If a wisdom tooth grows at an incorrect angle—toward neighboring teeth, the cheek, or the tongue—it can cause pain and pressure. Such teeth often cannot fully erupt and may damage adjacent teeth or cause bite problems.

• Lack of space in the dental arch
  Often there is not enough room in the jaw for wisdom teeth to erupt properly. As a result, they may only partially erupt or remain trapped, causing pain and pressure on other teeth.

• Infection or inflammation
  A partially erupted tooth can become a source of infection because it is difficult to maintain proper hygiene around it. Food debris and bacteria accumulate easily, increasing the risk of infection.

• Tooth decay
  Since wisdom teeth are hard to reach with a toothbrush or floss, they are more susceptible to decay. If severely damaged, extraction may be recommended to avoid complications.

• Damage to neighboring teeth
  Pressure from a wisdom tooth can damage adjacent teeth or even shift them, potentially causing bite problems, pain, or the need for orthodontic treatment.

• Formation of cysts or tumors
  Impacted wisdom teeth can sometimes lead to cysts or benign tumors. Although rare, this is a serious complication that can damage the jaw and surrounding teeth and requires surgical removal.

• Orthodontic treatment
  Wisdom teeth may be removed before or during orthodontic treatment (e.g., braces) to prevent movement of teeth or to ensure enough space.

• Persistent discomfort or pain
  Ongoing pain or pressure in the wisdom tooth area may indicate a problem and the need for extraction.

A wisdom tooth does not need to be removed if it is fully erupted, properly positioned, and causes no issues. In such cases, it can remain as long as it is healthy and does not cause discomfort or health problems.

It is always important to consult a dentist or oral surgeon who will assess your wisdom teeth—clinically and with X-rays—and recommend the most suitable solution for your individual situation.

Sedation

Sedation (conscious sedation) is a medically induced state of reduced awareness characterized by drowsiness or light sleep, from which the patient can be easily awakened. Sedation helps reduce stress, promotes relaxation, and eliminates fear. Patients are not concerned about what is happening around them and may partially or completely not remember the procedure.

A calm and relaxed patient also allows the surgeon to work under optimal conditions.

Immediately after the procedure, the patient is awake and conscious, but may still experience drowsiness, slight coordination difficulties, and trouble concentrating or remembering details related to the procedure.

Therefore, driving is strictly prohibited after sedation, and a companion is required.
It is also recommended not to schedule important meetings, exams, or responsible activities on the same day.

Sedation is Suitable for Patients Who:

• Experience uncontrollable fear
• Require long or complex dental procedures
• Have a strong gag reflex

IMPORTANT

If you have serious health conditions, allergies, or regularly take medication, inform your doctor during the consultation.

Dental Treatment with Sedation

Dental treatment with sedation is becoming increasingly popular, as many people want to reduce stress and discomfort associated with dental procedures. Sedation can be used for adults, children, and elderly patients for procedures such as fillings, prosthetics, implants, root canal treatment, and others.

Patients who undergo treatment with sedation often report a much more comfortable and manageable experience.

Tooth Extraction with Sedation

Tooth extraction with sedation is particularly relevant for patients who require surgical removal, especially in complicated cases such as impacted or partially erupted wisdom teeth. It ensures that the patient does not feel pain or fear during the procedure and allows for a smoother treatment process.

What Should You Know Before Sedation?

• Do not eat for 6 hours and do not drink for 4 hours before sedation
• Wear comfortable clothing with sleeves that can be easily rolled up (for medication administration)

Sedation is performed and monitored throughout the procedure by an anesthesiologist–resuscitator. VIC dental clinics are licensed and equipped with modern equipment to ensure safe sedation procedures.