When teeth are deeply damaged and incapable of being saved, despite distinctly broadened possibilities of tooth restoration and retention that the modern dentistry offers, eventually the only remaining option is the extraction of the tooth.
In case of wisdom teeth the most frequent bases for their extractions are gum inflammations / suppurations that damage the adjacent teeth, or the displacement of the whole row of teeth due to pressure (e.g. following a mandible orthopedic treatment). These problems stem mostly from the fact that in fully-teethed jaws wisdom teeth lack space necessary for them to break through and to adjust themselves properly in the row.
A - crown
B - enamel
C - dentine
D - gum
E - tooth pulp
F - cement
H - nerves & blood vessels
Most of the time the main issue is for an experienced dental surgeon to accomplish a protective extraction through the possibly smallest access. This allows not only to reduce the extent of the inevitable post-operational swelling and pain. It is also a successful way to secure problem-free healing and regeneration of the wound in the bone – provided that following the healing there is enough bone for the implant, and that the reduction of the bone in the toothless sections of the jaw remains small.
Tooth extractions are, by and large, complaint-free with the use of a local anesthetic, but if you wish to undergo a semiconscious sedation (analgo-sedation, private payment), it can be arranged. In most cases the postoperative wound hurts little or not at all.