Wisdom Teeth: Which Come Out and Which Stay?
The decision is driven by the problem the tooth causes, not by the tooth itself.
When removal is indicated
- Recurrent gum infection around a partly erupted tooth
- Decay on the back surface of the neighbouring molar
- A horizontal tooth pressing on the adjacent root
- An uncleanable deep pocket with bone loss
- A cyst-like lesion seen around the tooth on a radiograph
- A position that repeatedly traumatises cheek or gum
- Advanced, untreatable decay in the wisdom tooth itself
Wisdom teeth that can be kept
A wisdom tooth that has erupted fully, sits in a good position and can be reached with brush and floss does not need removing; if it meets an opposing tooth it also contributes to chewing, and it can be filled or root-treated like any other molar. The second group is teeth wholly enclosed in bone with no symptoms: with no connection to the mouth the infection risk is low, so they are monitored with periodic radiographs for root resorption in the neighbour or cyst formation. A symptom-free impacted tooth does not need removing merely for existing.
Pericoronitis: the recurring gum infection
A partly erupted wisdom tooth keeps a flap of gum over it. Food and bacteria collect beneath the flap where a brush cannot reach, so the area becomes painful and swollen and opening the mouth may be difficult. It usually settles with local cleaning and antibiotics, but the anatomy is unchanged, so it returns months later — which is why removal is generally advised after a second or third episode. Spreading facial swelling, difficulty swallowing or fever should not be left to wait.
Getting Here, Booking and Emergencies from Mehmet Akif Ersoy
Route, booking and emergency arrangements for patients from Mehmet Akif Ersoy.
Getting here from Mehmet Akif Ersoy
Mehmet Akif Ersoy lies in the Kepez district of Antalya; Kepez is one of the central districts, about 6 kilometres from the clinic. We also see patients from neighbouring areas that share the route from Mehmet Akif Ersoy, such as Kızıllı, Özgürlük, Ünsal, Yeni Emek. You can ask for the location on WhatsApp when travelling from Mehmet Akif Ersoy.
Appointments for Mehmet Akif Ersoy
At this distance, splitting treatment into visits is no problem for patients from Mehmet Akif Ersoy, and attending reviews is easy too. As with patients from Kepez generally, appointments for families from Mehmet Akif Ersoy can be scheduled consecutively.
Emergencies from Mehmet Akif Ersoy
Setting out from Mehmet Akif Ersoy at night is quick; come without delay in an emergency, and calling as you leave means preparation is done in advance. For patients coming from Dental Clinic in Mehmet Akif Ersoy, the clinic is open 24/7 and in an emergency the order is set by severity rather than arrival time. For spreading facial swelling, difficulty swallowing or breathing, or toothache with fever, go to the nearest emergency department.
Surgical Preparation Before a Denture
A denture fits well only when the bone and soft tissue beneath it are suitably shaped. If irregularities left after extractions are not corrected, even the best denture is uncomfortable.
What is corrected
What is addressed before a denture:
- Sharp bony spicules and irregular ridge crests
- Bony prominences on the palate and inner lower jaw (tori)
- High muscle and frenal attachments catching the denture border
- Flabby tissue caused by a long-standing ill-fitting denture
- Retained root fragments and impacted tooth remnants
Why it is done at the same visit as extractions
During extraction the bone is already exposed; correcting it at the same visit avoids a second operation and healing completes in one go. Placing grafts in the sockets also preserves bone volume and keeps the implant option open for later. The denture plan should therefore be discussed before the extractions.
The problem of flabby tissue
A denture that has lost its fit can resorb the bone beneath while leaving loose, mobile soft tissue in its place. A denture made over that tissue does not stay put and moves with every bite. The answer is surgical correction of the tissue or a specialised impression technique. The way to prevent it is relining the denture in good time.
