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Impacted Third Molar (Wisdom Tooth) Surgery

Surgical extraction of partially or fully impacted wisdom teeth.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ağız ve Diş Sağlığı department. Book Appointment →

What is Impacted Third Molar (Wisdom Tooth) Surgery?

Impacted third molar surgery involves the surgical removal of wisdom teeth that fail to erupt fully due to insufficient space, malposition or pathology. Pell-Gregory and Winter classifications guide surgical complexity based on depth and angulation (mesioangular, distoangular, vertical, horizontal).

Modern protocols use 3D CBCT for inferior alveolar nerve relationship assessment, piezoelectric surgery for selected cases, coronectomy for high-risk nerve proximity and platelet-rich fibrin to enhance healing and reduce dry socket risk.

Symptoms

Recurrent pericoronitis with operculum inflammation
Caries on the second molar distal surface
Periodontal pocket on the distal of second molar
Cyst or tumor associated with the impacted tooth
Pain or pressure radiating to the jaw and ear
Trismus and difficulty in mouth opening
Halitosis from food impaction

Risk Factors

Mandibular ramus retrognathia
Distal angulation or horizontal impaction
Smoking (delayed healing, dry socket)
Poor oral hygiene with chronic pericoronitis
Diabetes mellitus and immunosuppression
Long-term bisphosphonate therapy
Coagulopathy or anticoagulant use

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Recurrent gum infection or pain around the wisdom tooth
  • Detected impaction on routine dental radiograph
  • Orthodontic planning requiring extraction
  • Caries or periodontal compromise of the adjacent second molar
  • Pre-emptive removal in high-risk young adults
  • Pathologic findings (cyst, tumor) on imaging

Treatment Methods

01
Pre-operative panoramic and CBCT imaging
02
Pre-operative chlorhexidine rinse and antibiotic prophylaxis when indicated
03
Local anesthesia or IV sedation depending on complexity
04
Mucoperiosteal flap and surgical bone removal
05
Tooth sectioning and atraumatic extraction
06
Coronectomy if inferior alveolar nerve at high risk
07
Wound irrigation, hemostasis and primary closure
08
Post-operative ice, analgesics and soft diet for 3-5 days

Which Department to Visit?

You can visit our Ağız ve Diş Sağlığı department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ağız ve Diş Sağlığı Department

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Diş Çürüğü

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Diş çürüğü, ağız bakterilerinin şekeri fermente ederek ürettiği asitlerin diş minesi, dentin ve pulpayı tahrip etmesiyle oluşan kronik bir hastalıktır.

Diş Eti Hastalıkları (Periodontal Hastalıklar)

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Periodontal hastalıklar, diş eti (gingivit) ve diş çevresindeki kemik ile bağ dokusunun (periodontit) bakteri kaynaklı iltihabıdır; tedavi edilmezse diş kaybına neden olur.

Impacted Tooth

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An impacted tooth — most often a wisdom tooth — has not erupted fully and remains in the jaw bone or gum. It can lead to pericoronitis, caries and cysts.

Dental Implants

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A dental implant is a titanium screw placed in the jawbone that supports a crown, bridge or denture, providing the closest possible function and aesthetics to a natural tooth.

Teeth Whitening

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Teeth whitening lightens tooth color using hydrogen peroxide or carbamide peroxide gels. In-office (professional) bleaching uses higher concentrations with light activation for faster results; home bleaching uses custom trays with lower concentrations over 1–4 weeks. Safety depends on healthy teeth, correct concentration, isolation of gums and transient sensitivity management.

Orthodontics

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Orthodontics is the dental specialty that corrects the alignment of the teeth and jaws, providing both aesthetic and functional benefits at any age, from childhood through adulthood.

Gingival Recession (Gum Recession)

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Gingival recession is the apical displacement of the gingival margin with exposure of the root surface. It may be localized or generalized and results from mechanical trauma, periodontal disease, thin biotype or anatomic factors. Recession can cause root sensitivity, caries and aesthetic concerns; management includes cause elimination and surgical root coverage when indicated.

Bad Breath (Halitosis)

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Halitosis is a chronic problem that affects a substantial part of the population. It is most often of oral origin and can interfere with social interactions.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.