Tooth extraction is performed by a dentist or oral surgeon and is a relatively quick outpatient procedure with either local, general, intravenous anesthesia, or a combination. Removing visible teeth is a simple extraction. Teeth that are broken, below the surface, or impacted require a more involved procedure.
Generally speaking, wisdom teeth removal should be delayed in the presence of infection. Most of the time is preferable to control the infection with antibiotics and oral hygiene first. The tooth extraction of the opposing wisdom tooth is also sometimes advised but that needs to be decided during the consultation with the dental surgeon or the oral surgeon
There is always a risk that impacted wisdom teeth may cause problems. it may occur at inconvenient and unpredictable times. If the wisdom teeth appear to have a high chance of causing problems in the future, the dental surgeon and the oral surgeon may advice removal of wisdom teeth
Impacted wisdom teeth fall into several categories. Mesioangular impaction is the most common and means the wisdom tooth is angled forward, towards the front of the mouth. Vertical impaction means the tooth is angled backwards, towards the rear of the mouth. Horizontal impaction means fully 90 degrees forward. Most of the time wisdom teeth with distoangulation are the easiest to extract in the maxilla and the most difficult in the mandible. The wisdom teeth with mesioangulation are easier to remove in the mandible and more difficult in the maxilla
