Is it possible for wisdom teeth removal to injure the trigeminal nerve?

Answer: Hello, I am a dental surgeon. Can wisdom teeth extraction damage the trigeminal nerve? If it is removed in a specialized hospital or a regular dental clinic, please rest assured that you will not have this worry. After all, we are very sophisticated and professional in theoretical and clinical experience. If you let a "free toothsmith" do the extraction, the consequences are not guaranteed. ~ Talking about nerves, there are twelve pairs of nerves in the human brain, and the trigeminal nerve is one of them. The branches of the trigeminal nerve include the maxillary nerve, mandibular nerve, and ophthalmic nerve.

Wisdom teeth removal is actually very simple. However, it is very complicated to remove impacted wisdom teeth (often called impacted teeth). For the same reason, others cost 200 to remove wisdom teeth, but I cost 800-1000. The difference lies in the simplicity and complexity of the extraction procedure. In fact, not everyone needs to extract wisdom teeth. It depends on whether the wisdom teeth can erupt normally and the impact. If the wisdom tooth is impacted or causes pericoronitis, it must be extracted to eliminate future problems.

As far as impacted wisdom teeth are concerned, these teeth are highly complex and are usually buried in the alveolar bone and grow crookedly. The consequence is that they invade adjacent teeth and fall over due to insufficient space for their eruption. It is on the second molar in front of it, making it difficult to clean the second molar and prone to dental caries. Even partial resorption of teeth.

Before extraction, you are usually asked to take a panoramic oral radiograph (around 80 degrees), which is cheap. We mainly rely on X-rays to determine its location, growth direction, number of roots, curvature and its relationship with adjacent teeth. The relationship between the teeth, mandibular ramus, inferior alveolar nerve canal and other anatomical structures determines the appropriate and effective extraction method in turn.

You also need to understand: When extracting maxillary wisdom teeth, the dentist will give you local anesthesia. Sometimes you will not be able to close your eyes or there will be rapid local swelling. Don't be afraid, this is not a medical incident. It was an accident and would not have any sequelae. The inability to close the eyes will recover on its own after the anesthesia wears off, approximately within 2-3 hours. The local swelling will generally return to normal in about two weeks. During this period, the local skin generally goes from red to dark red to yellow to normal. It is just an evolutionary process, so don’t worry. The occurrence rate of the above-mentioned situations is very, very low, and it depends on the individual~

Generally speaking, wisdom teeth extraction is more complicated and the risk is higher than ordinary tooth extraction. In addition to the careful operation of the dentist, it also requires the cooperation and attitude of choosing a doctor. For example, the following four situations may occur:

1. Infection; infection and inflammation after extraction are the most common. Because the wisdom teeth are located at the back of the mouth, close to the pterygomandibular space, the infection can easily spread. In addition, the surgery is complex and takes a long time, which increases the possibility of postoperative infection. Therefore, dry socket is most likely to occur after wisdom teeth removal.

2. Jaw fracture: Since teeth often need to be split when extracting teeth, it is inevitable to use a chisel. If there is improper protection or the own anatomy, it is very likely to cause a jaw fracture. This is the difference between a dentist and a toothsmith.

3. Nerve damage: Sometimes the wisdom teeth may be very close to the maxillary and mandibular neural canals, so the chance of damage during the operation is very high. It often causes lip numbness and other conditions.

4. Not all tooth roots are extracted. Due to their location, it is easy to leave behind the roots when wisdom teeth are removed. Sometimes a decision is made as to whether to proceed with surgical removal. In fact, there is no need to remove the tiny tooth roots without inflammation. It will be absorbed by itself.

Okay, if you still don’t understand something, please go to my blog and read the relevant articles. Good luck with the tooth extraction~