The patient came to our Clinic with inflammatory symptoms. Significant asymmetry of the face on the left side was noticeable and palpable, enlarged and painful submandibular lymph nodes on the side affected by the infection. After thorough examination of the oral cavity, it was found that the cause of inflammation is uninjured, partially stuck in the mandible on the left side, so-called wisdom tooth. The gum over the eight tooth was red and strongly scarified.
During gentle pressure a purulent content was coming out of the pouch. The patient was referred to a doctor specializing in severe cases requiring surgery: chiseling of a figure eight. Earlier, a digital pantomographic picture was taken in our clinic. As a result, it was possible to accurately assess the anatomy of the detached tooth and its topography in the bone with term of the nerve channel, adjacent structures and the adjacent tooth. Such an accurate assessment of the situation is very important for doctors in our clinic. It allows you to plan the chiseling of the figure eight, avoid many unnecessary procedures and sometimes also minimize the degree of traumatization of soft and hard tissues.
The overriding goal is that the degree of damage associated with the procedure and, consequently, the pain symptoms is as small as possible. If the location of the roots interferes with the course of the nerve running in this area, our specialists often commission a piece-by-piece computed tomography of a given section of bone. In our clinic we are using the highest quality Morka Tk camera, which allows us to immediately perform test when its necessary.
How does the figure 8 chiselling work ?
In many clinical situations, an additional inflammatory symptom in the difficult sawing of the eight is a truncation, which makes it impossible to perform the dental treatment. The first step in this kind of situation is is antibiotic therapy and planning the episodic excision. In the described patient, due to the lack of such problems, it was decided to immediately carry out the intervention. The dentist gently perform several injections and deposited the anesthetic around the eight tooth. . After a few minutes, the numbness of the lip and lack of ailments indicated a good penetration of the anesthesia and it was possible to perform the procedure without any pain. During the surgery, the patient may feel only the touch, pressure and unpleasant acoustic sensations associated with slight cracks.
During the procedure, depending on the situation, the tooth needs to be cut into several pieces. In this particular situation, the tooth was cut into two pieces. First, the piece of the crown was removed from the arcade of the bottom seven tooth. Then, using the special lever, the roots of the tooth were gently balanced. The operating doctor was forced to minimally remove the bone tissue covering the tooth of wisdom with a special drill. The granulation tissue resulting from prolonged inflammation was also removed. The surgical area was adequately provided with several stitches. Control and removal of stitches planned a week after the procedure. The patient took antibiotic cover before the procedure, which was also continued in the postoperative period in accordance with the recommendations
The patient left the clinic after about 40 minutes with a special dressing to cool down the submandibular area on the left side.