Wisdom Teeth Removal in Shelby Township, Michigan – Part 1 Graphic

Dr. Antolak: Hi, my name is Dr. Antolak at thegentledentist.com in Shelby Township, Michigan. Our phone number is 586-247-3500 in case you’re interested in any dental treatment that you want. At our office we provide a full line of services for our patients so that’s basically one-stop shopping. Today Marshall has agreed, that we can go ahead and record this and put it on YouTube. Say hi, Marshall.

Shelby Township Dental Patient: Hello

Dr. Antolak: Marshall has been, is gassed up right now and I just numbed Marshall up. So he’s good and ready to go. And what we’re going to do is, were going to extract some of his wisdom teeth. And if we look here on this x-ray that we took we can see that these are the wisdom teeth, the third molars of the wisdom teeth. These four teeth here we are going to take out today. We got him nice and numbed up and the thing I’m always concerned about with wisdom teeth is that right in here is the nerve that gives sensation to the lip and the teeth. And it comes like this; it comes around like this, okay? And the roots with the teeth of Marshall makes it a good time to do it because the roots aren’t completely formed here. Sometimes if they get really too long like, for example, this one here it can encroach upon where the nerve is and affect the lips having numbness in the lips and the teeth.

So this is the, the right side. This is the left side. Once again, this is where the nerve will traverses down here, and we’re going to remove this. These are called soft tissue impacted because they are actually, encased, currently, within side the bone within side the soft tissue. It’s kind of sitting in there, so we basically have to make an incision and basically like a banana peel if the peel banana backs we need access to where the tooth is.

You can stop this video now, if any bloody things bother you. If not, then right now Marshall is completely numbed up. And basically, I just want to point out where the teeth are going to be removed over the top here. This is first molar, second molar, and the third molar. It is like in this position right here. So actually, right in here, I can fill his tooth right there. This tooth is just broken through the tissue. So we are going to make an incision here, deflect it back, and then move that. It’s the same axis as his left side. And also his right side is the same thing, right back in.  So the first thing we’re going to do is we’re going to numb him up. You’re completely numb. Your lip feels real fat, Marshall?

Shelby Township Dental Patient: Mm-hm.

Dr Antolak: Yes, okay. So, I use what’s called a bite block. That’s going to help to open real big for me. What that’s going to do is help to stabilize his lower jaw. Okay Marshall, open up wide, please. And so we are going to create an incision here. And Marshall, you just raise your hand if you need me to stop. Okay, bud? Okay. So right now, we are just going to create a little incision here so we can gain access to it. Okay. So now, I am just. Marshall, you are going to feel some pressure, okay. You are not feeling anything, correct?

Shelby Township Dental Patient: Uh-uh.

Dr Antolak: Okay. Good. Just going to feel lots of pressure now, okay. You get to see this on YouTube. Just think, isn’t that fun? So actually we do actually we put videos on YouTube. It’s one of those top of the ones out there because I know there’s lots of you out there, who have an interest in, or probably have a wisdom tooth that might be bugging you or something. Okay, can you suction? So we are basically going to open this up here a little bit. And turn my light on here. It is just right here in this little socket. Okay. So, it is right there. Some pressure. You may feel a little movement around a little bit here. That is all it is. Okay.

So right now, we have gone ahead and selected the tooth sitting right in here. Right underneath that area, I’m just removing a little of the bone around the crease itself. And then I can basically re-attach. Go ahead and remove that. Hey, Marshall, good. I just want to make sure you are comfy here. We’re just going to create a little bit more of a window there for that. Suction right there. So, a lot of pressure now, Marshall. Are you OK? A lot of pressure. So right now, we are just moving the tooth a little bit. Now it can sit right beneath there.

Here it goes. A lot of pressure. There it is. It is like birthing a baby. There it is. So I am just putting a stitch in here. It is just like basically, doing some sewing here. So of course, Marshall is nice and numb, so the idea of when we put a stitch in like this is if we can approximate that soft tissue that was together there, they’ll go ahead and heal nicely together. That’s good. So then we are just going to take that back here, a little further back. Okay, Retractors please. So we’ve put about four stitches which is in this each area here.
We find it’s better to actually take these wisdom teeth out at a younger age, especially because when it encroaches on upon where the nerve is, then you have an issue. Especially if there is not going to be enough room in the mouth and it starts poking through the gums. Now there are some times when. Okay, go ahead. There are sometimes when we can wait and see if there is enough room in the mouth for them to erupt. In those cases, if there is enough room in the mouth for them to erupt, then we can use them, you know?

Why do some people get wisdom teeth? And some people, they may not erupt all the way? Well, you know, it’s through our micro-evolution, we just don’t have the need any more for to eat these course diets that at one time we did. So now we find that that some people just don’t have them now. It’s interesting because when I go to Haiti, almost every person now in Haiti have their wisdom teeth because their jaw none is actually bigger; because here in America we are a blend of many different cultures in different ethnicity groups, and sometimes you get jaws that are bigger, some are smaller so combination of those two factors affects how much space and room there is actually available.
Now when you see these stitches being done, it might seem like were going high, but we actually have to keep that, that incision towards the cheek side because there’s a nerve that runs through and if we get too close to that, then it effects the nerve to the tongue. I guess we could do it as risk free as possible. Now, go ahead. So, we are going to be done with this site here. So he is done with this lower wisdom tooth on his right side.

End of Part 1

Wisdom Teeth Removal in Shelby Township, Michigan – Part 1 Graphic