Wisdom molar positions types
- Erupted: Molar has completely erupted through gingival tissue and is visible. This happens when there is enough space on the maxilla. Most of the erupted wisdom molars are wrongly positioned, meaning they aren’t aligned with the adjacent teeth. An erupted wisdom molar, used for years in the mastication process can be harder to remove as the maxillary becomes denser around the root. Removing an erupted wisdom molar can be simple or can require complex surgical techniques.
- Inclusion in soft tissue: Molar has erupted, somehow over the bone, yet continues to be fully or partially covered with gingival tissue. The pocket under the gingival tissue frequently retains food waste that decomposes and forms bacterial plaque and scale, which causes inflammation and pain, even infection. Removal normally requires a small incision through gingival tissue to reveal tooth and allow extraction
- Partial bone inclusion: Molar has partially erupted beyond bone level. This takes place where there is less available space. Occasionally, the tip of the molar can be visible, yet generally the tooth is hidden under gums and bone tissue. The molar can be positioned vertically, similar with adjacent teeth or angled (inclined) behind the second molar. Extraction involves an incision and gingival tissue displacement (procedure known as flap), potential removal of a bone part and cutting the tooth into smaller fragments for an easy and delicate removal. Gingival edges lift through conservatory procedure, minimum removal of bone substance and minimally invasive surgery practiced in Implantodent clinics contributes to prevent postoperative inflammation and significant pain.
- Total bone inclusion: Tooth is completely stuck into the maxilla and didn’t erupt beyond bone level. It is possible to be at the same level with the bone or slightly under. This type of wisdom molar is fully covered with gingival tissue and bone substance. Patients with ages between 15 and 21 have wisdom molars completely included into bone, in most cases, because of insufficient space inside the oral cavity. Totally included molars can have different positions – including completely straight, partially inclined to the front (mezial inclusion), partially inclined to the back (distal inclusion), completely on one side (horizontal inclusion) and other variations.
- Complex total bone inclusion: Molar is severely included and wrongly positioned. This aspect makes molar access difficult and extraction will require a more complicated intervention. Patients will be confronted with tumefaction and probably more discomfort.