Removal of a Retained Wisdom Tooth

At Dynasty Stomatology Clinic in Czech Republic, we perform tooth removal regardless of its position or the complexity of the case. The procedure is carried out by an experienced dental surgeon under anesthesia, ensuring a comfortable and safe experience. Schedule an appointment to evaluate your condition and choose the best treatment option.

Causes of Tooth Retention

Retention occurs when a wisdom tooth is unable to erupt naturally and remains in the bone or soft tissues. This can be caused by both anatomical and external factors.

Key causes include:

• Lack of space in the dental arch for the third molars;
• Incorrect position of the developing tooth, preventing eruption;
• Thick or dense gum tissue;
• Late development of the wisdom tooth, when the jaw is already fully formed;
• Hereditary factors affecting jaw size and shape;
• Past trauma or inflammation in the area of tooth formation.

These factors can lead to the formation of an unerupted tooth, which may result in discomfort, inflammation, and shifting of neighboring teeth.

Types of Retention of a Problematic Tooth

Retention can take different forms, depending on the tooth’s location in the jawbone and surrounding soft tissues. The exact type of retained tooth is diagnosed by a doctor based on clinical examination and radiograph or CT scan results.

Main types of retention include:

In difficult or complex cases, the tooth may be sectioned into fragments by the surgeon for safe removal.

Should Retained Teeth Be Removed or Left Untouched?

A retained wisdom tooth (also known as an eighth) is a potential source of problems, even if it causes no painful symptoms at the moment. Its impacted or partially erupted position can lead to infection, inflammation, damage to adjacent teeth, and even misalignment of the dental arch.

Wisdom teeth (eights) removal is recommended in the following cases:

• Presence of pain, swelling, or inflammatory response in the gum tissue near the tooth;
• Pressure on neighboring teeth, which may alter bite alignment;
• Formation of a cyst or abscess;
• Repeated injury to the cheek or gum tissues;
• Poor oral hygiene and increased risk of caries;
• As part of orthodontic or implant treatment planning.

Prompt extraction of a retained tooth helps avoid complications and preserve overall oral health. The entire procedure is typically performed under local anesthesia by a qualified dentist or oral surgeon, who applies a tailored surgical intervention strategy based on the location and condition of the tooth.

Contraindications

Extraction of an impacted eighth tooth (wisdom tooth) in case of abnormal position is not performed in the following situations:

• Acute inflammatory processes in the oral cavity;
• Blood clotting disorders;
• Uncontrolled diabetes mellitus;
• Acute infectious diseases;
• Vascular-nerve system anomalies in the extraction area;
• Pregnancy, especially during the first trimester;
• Severe somatic conditions in a decompensated state.

Diagnostics Before Extraction

If tooth extraction is indicated, a thorough medical examination is conducted before the intervention to determine the type of retention, the exact location, and the condition of nearby teeth and soft tissues. The diagnostic process may include:

• Examination by a dentist;
• Evaluation of patient concerns and symptoms;
• Panoramic x-ray (OPG);
• CT scan for detailed imaging.

How an Impacted Wisdom Tooth Is Extracted

Extraction of a retained wisdom tooth is typically done via surgery under local anesthesia. The procedure begins with an incision in the gum tissue over the affected tooth. A flap of soft tissue is then lifted, and if access is limited, a portion of the overlying bone is carefully removed.

If the tooth is deep or abnormally positioned, it may be sectioned into parts, which are then extracted one by one. After removal, the wound is thoroughly cleaned with an antiseptic. If necessary, a protective material or healing solution is placed in the socket to provide faster recovery. The area is sutured, and the stitches are usually removed after 7-10 days.

Healing occurs without complications when attention to post-operative care is observed. Swelling and discomfort usually subside within a few days. In rare cases, antibiotics may be prescribed if there is a risk of infection or spread of inflammation.

It’s important to follow all medical advice and seek help immediately if severe pain or signs of infection appear.

What Recommendations Should Be Followed After Impacted Wisdom Tooth Extraction?

To ensure proper healing and avoid complications, it is important to follow these recovery guidelines after the extraction of an impacted eighth tooth (wisdom tooth):

• Take all prescribed medications as directed;
• Follow a gentle diet, avoiding hot and hard foods;
• Do not rinse the mouth during the first 24 hours to preserve the protective blood clot;
• Avoid physical exertion and overheating;
• Make sure no food debris remains in the wound;
• If swelling, pain, or lack of improvement occurs, consult a doctor immediately.

Cost of Impacted Wisdom Tooth Extraction

The price of extraction for a retained eighth tooth is calculated individually. The total cost depends on factors such as:

• The location and depth of the tooth;
• The complexity of surgical access;
• Whether tissue sectioning is required;
• The use of additional imaging, like CT scans;
• Type of anesthesia and medications used.

You can undergo tooth extraction of any complexity at Dynasty Stomatology. The surgery is performed by an experienced dentist using specialized tools and materials in a comfortable setting. We strictly follow safety protocols and apply the latest medical technologies.

Appointments are available via the online form or by phone. Contact us, and we will provide the most suitable solution, tailored to your specific case.