جراحی دندان عقل نهفته روی عصب یکی از پیچیده ‌ترین و حساس ‌ترین انواع جراحی‌ های دندانپزشکی است که نیاز به دقت و تخصص بالایی دارد. Impacted wisdom tooth If it is located near the nerves of the jaw and face, it can cause serious problems; From pain and infection to the risk of permanent damage to sensitive nerves. But contrary to common fears, with the advancements in technology and the skill of surgeons, this surgery has become a safe procedure with successful results. Knowing the right time to perform this surgery, how to perform it and possible risks can help you make an informed decision to maintain your oral health.

How is wisdom tooth surgery performed on the nerve?

Wisdom tooth surgery is a complex procedure that requires high precision and expertise. In this type of surgery, the wisdom tooth must be removed very carefully due to its location near the mandibular nerve or facial nerve to avoid damage to the nerve. First, the doctor checks the exact position of the wisdom tooth and its distance from the nerve using radiographic images such as panoramic or CBCT. Then, using local anesthesia or general anesthesia, the target area is numbed. The surgeon makes a small incision in the gum and accesses the tooth through it. In some cases, the wisdom tooth may be split into smaller pieces to make it easier to remove. During surgery, the surgeon must carefully protect the nerve. It is necessary to use special techniques and precise tools to prevent nerve damage. After tooth extraction, the gum is closed with stitches and the patient usually experiences a partial recovery after a few days. To reduce complications and pain after surgery, painkillers and follow-up care are recommended.

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Reducing the probability of nerve damage using low power lasers

Low-power lasers (LLLT) have been proposed in recent years as one of the new adjuvant methods in wisdom tooth surgery, especially in cases where the root of the tooth is located near the inferior alveolar nerve. The low-intensity energy of these lasers stimulates cell activity, increases the metabolism of neurons, and improves local blood flow without causing heat or tissue destruction. These changes in total help to reduce inflammation after surgery, reduce pain and more importantly, reduce the possibility of occurrence or exacerbation of nerve damage.
Studies have shown that irradiating low power laser before or after surgery can accelerate the process of regeneration of nerve fibers and significantly reduce the amount of numbness of the lip or chin after surgery. This non-invasive, safe and complication-free method is used by Dr. Tare Hashemi and can play an important role in reducing the risk of nerve damage as a valuable supplement along with precise surgical techniques.

Is wisdom tooth surgery painful?

Nervous wisdom tooth surgery can be associated with some pain, but this pain is usually under control. During surgery, local anesthesia is used so that the surgical area is completely numb and the patient does not feel any pain during the operation. After surgery, there may be pain and swelling for the first few days, which is usually reduced with painkillers and antibiotics. The intensity of the pain varies depending on the condition of the patient and the position of the wisdom tooth, but in most cases the pain decreases over time. Temporary numbness in the surgical area, especially if the wisdom tooth is close to the nerve, may last for a few days or even weeks, but this numbness is usually not permanent.

What are the risks of wisdom tooth surgery lying on the nerve?

• Damage to the mandibular nerve: One of the main risks is damage to the mandibular nerve, which can cause permanent or temporary numbness in the chin, lips and tongue.
• Infection : If proper hygiene is not followed or wounds are not properly treated, infection may occur in the surgical area.
• Severe bleeding : Excessive bleeding may occur during surgery that requires immediate medical intervention.
• Long-term pain : After surgery, there may be severe and long-term pain, especially if there is damage to nearby tissues.
• Damage to adjacent teeth: In the process of removing wisdom teeth, there is a possibility of damage to the side teeth or jaw structures.
• Swelling and bruising: Swelling and bruising in the surgical area, which is usually temporary, is another risk of surgery.

Accelerating the repair of impacted wisdom tooth surgical site by using blood growth factors (PRF)

Personal blood growth factors or PRF (Platelet-Rich Fibrin) is considered one of the effective biological methods to increase the speed of tissue repair after wisdom tooth surgery, especially in areas close to the nerve. PRF is prepared from the patient's own blood and is rich in platelets, natural fibrin, cytokines and growth factors effective on tissue repair. With gradual release, these compounds strengthen vital processes such as angiogenesis, cell proliferation, granulation tissue formation, and bone formation. Placing the PRF membrane in the surgical cavity reduces inflammation, controls bleeding, reduces pain, and most importantly, accelerates the integration of soft and hard tissue. Also, since the substance is taken from the person's own body, it does not cause any allergic reactions or unwanted complications. The use of PRF can shorten the patient's recovery period and significantly improve the final result of surgery in terms of tissue repair.

How long is the recovery time after wisdom tooth surgery?

Recovery time after wisdom tooth surgery usually takes between 1 and 2 weeks, but in some cases it may take several months for complete recovery. In the early days after surgery, there may be swelling, bruising, and pain in the surgical area, which is usually reduced by taking painkillers and antibiotics. Initial recovery includes reduced swelling and pain, but numbness or burning may remain in the surgical area for several weeks. In cases where the nerve is damaged, this sensation may take longer to recover. Proper care after surgery, such as maintaining oral hygiene and avoiding hard foods, helps speed up the healing process.

How to reduce the pain after surgery of the wisdom tooth lying on the nerve?

1. Use of painkillers: The doctor usually prescribes painkillers such as ibuprofen or acetaminophen to reduce pain. In more severe cases, stronger painkillers such as tramadol or oral painkillers may be prescribed.
2. Antibiotics: Using antibiotics to prevent infection and reduce inflammation can help reduce pain.
3. Placing ice on the surgical area: Using an ice pack in the first 24 hours after surgery can reduce swelling and pain. Place ice on the surgical area for 15 to 20 minutes and then rest for 20 minutes.
4. Adhering to a soft diet: Consuming soft and cool foods helps to prevent irritation of the surgical area. Hot or hard foods can aggravate the pain
5. Adequate rest: Adequate rest and sleep help to heal faster and reduce pain.
   Adherence to post-surgery care: using prescription mouthwashes and maintaining oral hygiene can prevent infection and reduce pain.