Giuseppe Spinelli

Extraction of wisdom teeth


Oral Surgery

The avulsion of the octaves (also called extraction of wisdom teeth or third molars) is one of the most performed interventions in oral / maxillofacial surgery.


Although it falls within the scope of routine interventions, the

extraction of the wisdom tooth

is a complex operation that requires, in addition to the operator’s experience, also to be performed only in the case where there are certain clinical indications.


The third molar appears in the arch between 18 and 25 years and, due to its complex mode of eruption and its posterior position in the bony bases, it may undergo a clinical condition called disodontiasis, characterized by gingival inflammation, abscesses, pain, bleeding, difficulty opening the mouth. Sometimes, the wisdom tooth does not complete its eruption and remains blocked at bone level. This condition, called inclusion, can result in abscesses, cysts, caries at the level of the adjacent tooth.


The third molar or wisdom tooth, even when present in the arch, easily meets tooth decay and inflammation, given that it is in a position difficult to reach with a toothbrush. When some of these conditions occur,

wisdom tooth extraction

is recommended


During the visit, the position of the tooth in the arch and its proximity to the nerve structures (inferior alveolar nerve) will be carefully evaluated, in order to determine the possible risk of complications. To this end, specific radiographic examinations are required, which consist of OPT (orthopantomography or panoramic radiography) and TC with three-dimensional reconstructions and reconstruction of the relationship between the inferior alveolar nerve and the roots of the tooth.


Regarding the

extraction of the wisdom tooth or third molar

, of the upper arch, the indications for extraction are the same as for the inferior one, while it is important to evaluate, as well as clinically, also with OPT and / or Tomography the ratio of the tooth of the judgment, with the maxillary sinus.


The extraction (or avulsion) of the wisdom tooth is performed, with antibiotic prophylaxis, generally under local anesthesia. Depending on the needs of the individual patient, it can also be performed under local anesthesia by sedation or under general anesthesia.


The intervention lasts about 30 minutes, depending on the complexity of the case.


If necessary, absorbable sutures are applied in order to promote healing of the post extraction socket and to reduce bleeding. Usually, in the first 2-3 days after the wisdom tooth extraction, swelling of the area and pain of subjective intensity occur, controllable with prescribed antibiotic and pain relief therapy.

Infrequent bleeding and difficulty opening the mouth, sometimes infections can rarely occur.

In order to avoid the onset of complications, it is strongly advised to maintain good conditions of home oral hygiene and to abstain from smoking. It is also advisable to follow a soft and cold diet for 3-4 days, as well as to avoid sun exposure.

After about 1 week after surgery, you can resume normal daily activities, work and sports.