Oral and Maxillofacial Surgery
The removal of impacted or buried teeth, cysts, and tumours as well as implant placement fall under the specialty of Oral & Maxillofacial Surgery. Certain jaw reconstructions to improve the bite and wisdom teeth removal are also performed by oral and maxillofacial surgeons.
Many times, however, wisdom teeth — the third molars in the very back of your mouth — don’t have room to grow properly and can cause problems. Erupting wisdom teeth can grow at various angles in the jaw, sometimes even horizontally.
Sometimes wisdom teeth only partially emerge through the gums. Other times, they remain completely hidden. Wisdom teeth that aren’t able to emerge normally become impacted, or trapped, within your jaw.
If the wisdom teeth emerge partially through the gums, a passageway is created, which can cause problems. And because this area is hard to see and clean, it can become a magnet for bacteria that cause gum disease and oral infection.
Many dentists believe it’s better to remove wisdom teeth before the roots are fully formed, when someone is younger and more likely to recover faster from surgery. This is why some young adults have their wisdom teeth removed before the teeth cause problems and become more firmly rooted in the jaw.
Wisdom teeth removal may be necessary if you experience changes in the area of those teeth, such as:
- Repeated infection of soft tissue behind the lower last tooth
- Cysts (fluid-filled sacs)
- Damage to nearby teeth, such as decay to the tooth infront of the wisdom tooth
- Gum disease
- Extensive tooth decay
Wisdom teeth may not need to be removed if they are:
- Fully erupted
- Positioned correctly and biting properly with their opposite teeth
- Able to be cleaned as part of daily hygiene practices