Age-related changes in bite: why do they appear and what to do?

Removal of wisdom teeth due to caries

Why are wisdom teeth most often affected by caries?

Most often, caries of wisdom teeth develops due to the fact that they are located far enough away and do not participate in the act of chewing.
And if the teeth are not involved in the act of chewing, then it is extremely difficult to clean them due to the fact that the teeth are cleaned not only during hygiene, but also during each meal - on their own. On the picture

– what caries looks like on the bottom eight.

You can see how the lower wisdom tooth is removed due to caries HERE. By the way, there, in clinical cases, you can see how the removal of an upper wisdom tooth occurs.

Often the patients themselves neglect these teeth, brush the eights less carefully and caries develops quite quickly, the wisdom tooth begins to hurt, so it will be easier to remove such a tooth than to treat it.

Can caries cause wisdom tooth removal?

Should wisdom teeth with caries be removed? Yes. Removal of the figure eight, if there is caries, is carried out due to the inappropriateness of its treatment.

In most cases, we do not chew with these teeth, and treating wisdom teeth is quite difficult and problematic. And most importantly, this makes absolutely no sense.

Removing the bottom eight can be seen HERE

There is also a situation when the wisdom tooth is strongly inclined, “lying” and covered with caries. In this case, there is also absolutely no point in treating wisdom teeth.

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If your wisdom tooth gets injured: chipped or cracked?

Should it be removed? A chip, crack, or injury to a wisdom tooth is a 100% indication for removal

wisdom tooth There is absolutely no reason to fight to save him.

Caring for an older cat's teeth

According to statistics, 70% of cats over 12 years old lose teeth. However, as we have already said, this depends much more on the characteristics of care, and not on age. And the statistics are explained by the fact that not all owners, unfortunately, take responsibility for the health of their pets, especially if they are elderly (but for a cat, the age of 14-15 years can be considered as such).

Read more about the age of cats: How old is a cat by human standards?

You should take care of your older cat's teeth in the usual way - brushing with toothpaste or gel two to three times a week. To do this, place your pet on your lap with his back to you, press his head with one hand and lift his lip with your index finger.

You can clean with a toothbrush or a finger brush. Movements are performed on the upper teeth - from top to bottom, and on the bottom row - from bottom to top. Toothpaste for cats does not foam and does not require rinsing.

After the procedure, pet your pet and treat her to something tasty, thus encouraging and calming her.

A cat's enamel is worn out as it ages, so you need to be more attentive to the condition of its oral cavity. Visit a veterinarian - if necessary, he will prescribe treatment or remove the diseased tooth.

Wisdom teeth during orthodontic treatment

Removal of wisdom teeth before orthodontic treatment

During the period of orthodontic treatment, when the bite is being corrected, the figure eights are also most often removed. Why?

Before orthodontic treatment, we need to remove teeth that are preventing all the remaining teeth - 28 teeth - from moving into place. As a rule, wisdom teeth do not provide freedom for such activities. We remove them and then perform orthodontic treatment.

In what cases are wisdom teeth not removed during orthodontic treatment?

In the case of large jaws, when the wisdom teeth are in an absolute row and they close correctly, in the correct occlusion, we do not need to remove them. We can leave them, we can also treat them, take care of them, like other teeth.

CENTERY OF ELITE BRITISH CATS, KITTENS ELITE BRITISH

Cats' teeth are one of the indicators of health and good nutrition. Cats' teeth should be strong, white, and have the correct bite.

DO CATS' TEETH CHANGE? DO CATS' TEETH CHANGE?

Many kitten owners, having acquired a small pet, ask the question “do kittens’ teeth change?” Kittens' teeth, of course, change. Read more about tooth loss in kittens here.

CHANGE OF TEETH IN KITTENS

So, the kitten’s teeth are changing, the symptoms are: excessive salivation, the desire to gnaw everything that the kitten comes across, also, when cats change teeth, a short-term loss of appetite is possible. Also, the change of teeth in kittens is expressed by symptoms of swelling of the gums, not very pronounced redness. The replacement of baby teeth in kittens takes on average 3 months. See the table for the change of baby teeth in cats by age.

Kittens begin to change teeth at the age of 3 months. A kitten's teeth fall out at the age of 3-5 months. So a 5-month-old kitten’s teeth should already be fully formed; the change of teeth in cats less often ends at the age of 7-8 months.

Changing teeth in kittens

Cats change their teeth gradually, starting with the front incisors. Changing teeth in kittens in the photo.

Kittens' teeth change, just like children's. The process is quite lengthy, but painless for pets.

An adult cat has only 30 teeth, so when the molars come in, you can notice signs of gum irritation. At this time, it is necessary to periodically examine the teeth to ensure that the gums do not become inflamed. Also, when a cat’s teeth change, the animal may lose its appetite.

Tooth loss in cats usually goes unnoticed and you can even skip this period.

HOW TO HELP A KITTEN WITH A CHANGE OF TEETH?

When replacing baby teeth with molars, offer the kitten dry food. This way, you will ease the period when the animal’s gums itch. Also, dry food for kittens contains the necessary amount of minerals that a kitten needs during the period of active growth. Nutrition should be balanced. Additionally, you can let your pet play with toys that can be chewed and your wires will remain intact.

Please note that additional vitamins can be given only after prior consultation with a veterinarian, and only with his approval. After all, if the kitten is healthy and eats a balanced diet, there is no need for additional vitamins.

When changing teeth, you can use special veterinary dry food for the oral cavity.

SYMPTOMS OF TEETH CHANGE IN KITTENS

In most cases, people skip the teething period of kittens. However, there are symptoms that cannot be ignored. The baby may refuse to eat if the gums are very sore. Bad breath can also occur when changing teeth. Carefully examine the animal's oral cavity and if severe redness or ulcers appear on the mucous membrane, consult a doctor immediately.

A situation quite often occurs: the molar has already erupted, but the baby tooth stands in place like a fortress. There is such a term - the hole is the place from which the tooth grows. So, molars do not grow from the same socket as baby teeth. In this situation, just observe, if the baby tooth does not fall out for a long time, and the gums are inflamed, then, therefore, the tooth is bothering the kitten, contact the veterinary clinic for advice, it may require removal.

WHY SHOULD YOU PAY SPECIAL ATTENTION TO CHANGING TEETH?

When teeth change, a kitten develops a bite. If a baby tooth does not fall out on time, this can provoke further incorrect formation of the jaw position and bite.

There are also concepts such as jaw misalignment, underbite or overbite - in the process of changing teeth you can significantly influence the situation and reveal positive dynamics. It is recommended to brush your teeth and take regular daily proper care of your cat during the period of intensive growth and development.

WHAT TEETH DO KITTENS CHANGE?

Kittens lose their milk teeth: incisors, canines, molars, premolars; then all the molars grow accordingly.

Impacted and dystopic wisdom teeth

Impacted wisdom tooth

- this is a tooth that has not erupted; it is located in the bone tissue, in the gum. The general practice is that few dentists decide to remove an impacted figure eight, since it is a complex procedure.

In the clinics of the German Implantology Center, removal of impacted wisdom teeth is carried out as planned; our experience allows us to perform surgery of this level.

Why don't wisdom teeth erupt?

The wisdom tooth does not erupt due to the fact that it is dystopic: there is a neighboring tooth in front of it, which is in the way.

This wisdom tooth is usually tilted. Or there is absolutely no room in the jaw, it is located at the corner of the jaw: there is no place for it to cut through, there is no way.

Dystopic tooth

A wisdom tooth is a tooth that is erupting or has erupted incorrectly. Or it cannot erupt and occupies the wrong position in the jaw.

Typically, such teeth displace other teeth, deforming the jaw. It is impossible to treat them, and straightening them is also extremely difficult. In these cases, we remove the dystopic wisdom tooth. As a result of dystopia, cheek injuries may also occur due to chronic biting. Therefore, it is better not to postpone the removal of the dystopic eight “for later”.

Removal of wisdom teeth in pregnant and lactating women

Removal of wisdom teeth in pregnant and nursing mothers

Is it possible to remove wisdom teeth during pregnancy? Pregnant and lactating women can have their wisdom teeth removed only in case of exacerbation of one of them or necessity, when it is impossible to solve this problem conservatively. In a planned manner, it is better to remove wisdom teeth after the end of the feeding period.

Are there any special features of removing wisdom teeth during pregnancy?

We try to perform tooth extraction on all our patients as carefully, comfortably, and carefully as possible. Therefore, as a rule, there are no technical features. But if any intervention in the form of wisdom tooth removal is urgently required (because there is no other alternative), we must consult with the attending physician - a gynecologist and, accordingly, coordinate all our actions.

What anesthesia is used when removing wisdom teeth in pregnant and lactating women?

In pregnant and lactating women, after consultation with a gynecologist, we, as a rule, perform anesthesia with a reduced level of adrenaline, so as not to provoke the onset of labor in the later stages, and not to provoke a miscarriage in the early stages.

When can you eat and drink after surgery?

You should not strictly limit yourself in nutrition, you will need strength to recover - you can eat as soon as the anesthesia wears off, namely after 2-3 hours. You can drink it immediately after you remove the cotton swab. Until this point, it is undesirable for food particles or bacteria to get into the open hole.

In the first 3-5 days, you need to take into account several nuances in nutrition so that further healing of the wound goes well:

• food should be warm. Hot or cold food will irritate tissues and cause blood vessels to dilate or constrict, which can cause new bleeding,
• It is better to exclude rough food to avoid mechanical damage to the wound. Soups, purees, baked and boiled foods, minced meat dishes,
• Do not chew food on the side where the tooth was removed to keep the protective clot intact.

Carefully! Many people mistakenly believe that in the first days it is better to drink and eat liquid foods through a straw. But in fact, suction creates a vacuum in the mouth, which can displace the clot or disrupt its integrity. Should not be doing that. For the same reason, you should not spit or suck in your cheeks.

Removal of a wisdom tooth near the maxillary sinus

If the wisdom tooth is located near the maxillary sinuses, there is a certain difficulty in such removal. Why?

If a wisdom tooth is located close to the maxillary sinus, there is a risk that during removal the tooth can be pushed into the maxillary sinus. If you make incorrect technical movements when removing a tooth, or work roughly in some way, you can harm the person and, accordingly, you will then need expensive long-term treatment to remove this tooth.

How can a dentist and orthodontist help?

Timely treatment will help prevent such changes.

In therapeutic dentistry, this is the treatment of caries at an early stage, before there is a need to fill a large area of ​​the tooth. If you cure caries at stages 1–2, when only the enamel and a small area of ​​dentin are affected, the tooth will retain its full functions, and the filling will last for many years.

Regular dental cleanings in a clinical setting are also important for disease prevention:

• Air Flow for removing soft plaque and polishing teeth.
• Ultrasonic cleaning to remove tartar that can no longer be removed by simple brushing. Tartar is one of the risk factors for periodontitis, as it contributes to the accumulation of plaque in the gum pockets.

The orthodontist's job is to correct the bite so that the teeth function correctly. That is, they closed symmetrically, without overloading individual teeth. This allows you to maintain strong enamel, and therefore prevent tooth loss.

You can correct your bite at any age. Adults can wear braces or aligners: both are effective and allow you to quickly - on average within a year, but sometimes faster - achieve the desired result.

Are there any specifics to removing wisdom teeth?

Of course, there are some peculiarities when removing wisdom teeth. The doctor’s task is to make the removal process as accurate as possible, as atraumatic as possible - in principle, like the rest of the teeth. But in the case of a wisdom tooth, there are some peculiarities of anatomy.

The peculiarities are that the figure-eight tooth is located quite far away and quite well hidden. But at the same time, using modern equipment, modern materials and having experience, you can remove wisdom teeth quickly and accurately enough without consequences or injuries.

Competent removal of wisdom teeth

How to remove a wisdom tooth in the least traumatic way?

The wisdom tooth is removed atraumatically after carefully evaluating the computed tomography scan, talking with the patient, and assessing his clinical case. The tooth is separated - divided into parts if it has any bends, slopes, or several roots. And, accordingly, with the help of elevators, luxators - special dental instruments, it is carefully and carefully dislocated.

There is no need to worry about the appearance of some blood after wisdom tooth removal. The removal is carried out under the full supervision of a doctor; the wound after tooth extraction is sutured and sutures are applied. What follows is a standard rehabilitation protocol without any surprises for the patient. The only thing is that after the removal of a wisdom tooth (wisdom teeth), swelling of the mucous membrane is possible.

Why is atraumatic tooth extraction more preferable?

With this removal, the doctor takes care of the health of the patients. So that the healing takes place as comfortably as possible, so that there are no consequences after this, so that the patient in the near future, after 7-10 days, forgets that he had his wisdom tooth removed. It is after this time that possible swelling and pain after removal are completely removed.

Symptoms accompanying tooth loss

When the problem is detected at an early stage, treatment is successful. Owners monitor the behavior of their pets in order to notice the symptoms of dental disease in cats in time and begin treatment.

At the veterinarian's appointment

Chewing hurts for a cat

She refuses to eat or chews carefully so as not to touch the sore spot. Becomes aggressive and irritable. Bites and scratches the owner

Meows anxiously. He rubs his face with his paw, washes himself, shakes his head - perhaps the cat’s fang has fallen out. Sits with his mouth open.

The owner must examine the gums and tongue. If there are abscesses and bumps on the jaws, there is an unpleasant odor from the mouth - these are symptoms of diseased incisors.

Saliva flows profusely, the gums are swollen and red. Blood and pus from the mouth are a reason to seek medical help.

When an old cat’s teeth are loose, they don’t think twice about what to do - go to the veterinarian. The clinic relieves suffering for older animals.

Important! Dental problems begin gradually. An attentive owner notices symptoms in time

Treatment in the initial stages of the disease keeps the cat healthy.

Pain after wisdom teeth removal

How long does pain last after wisdom tooth removal?

Pain after the removal of wisdom teeth lasts differently, depending on the sensitivity of the person and how the healing proceeds in general. It hurts after removing the figure eight from several days to, maximum, 7-10 days. Naturally, all pain, all painful symptoms from wisdom tooth removal subside over time.

What should you do if the wound hurts for a long time after wisdom tooth removal?

If you experience prolonged pain after wisdom tooth removal, you should contact your doctor as soon as possible, and he will adjust his prescriptions. If any problems arise, he will solve them.

When should wisdom teeth not be removed?

What can serve as a contraindication to wisdom tooth removal? A contraindication to wisdom tooth removal may be a person’s health condition, as a result of which we cannot subject him to such a surgical intervention.

For example, if the patient suffers a heart attack in the near future, within six months. Or he has some kind of uncompensated disease. In these cases, we first prepare the patient, consult with related specialists, and after that, as planned, we carry out removal procedures.

Oral hygiene for a kitten

During the change of teeth, oral hygiene in a kitten becomes important. It is necessary to teach a kitten to oral hygiene from a very early age, so as not to suffer in the future with an adult cat.

They usually start with a game - when the kitten begins to get used to a special toothbrush for animals and stops being afraid of it. The kitten will be happy to grab the bristly brush, especially when his gums itch. The main thing is to do this constantly, then the cat will get used to this hygiene procedure.

This will allow you to avoid problems such as tartar (tartar in cats) and the development of periodontitis in the future.

Complications after wisdom tooth removal

What may be the cause of complications after removal of figure eights?

Complications after removing the figure eight - yes, they exist. Complications are different: they occur directly during the removal procedure, there are delayed ones, blood vessels may be damaged, and bleeding may occur. There may be a fracture of the jaw, a breakage of a section of bone tissue that is located in close proximity to the wisdom tooth.

Long-term complications – for example, wound infection in the case of unsterile instruments. If the doctor did not warn the patient that he needs to take antibiotics prophylactically for an impacted wisdom tooth.

What are the complications after wisdom tooth removal?

After the removal of a wisdom tooth, there are complications of different etiologies: they can either arise immediately or be delayed. Bleeding may immediately occur, your jaw may break, a piece of bone may break off (both small and large) - then your jaw will begin to hurt. You can tear the mucous membrane, injure a neighboring tooth, break a neighboring tooth, etc. Your gums or throat may begin to hurt.

Delayed complications are oral infection, periostitis, alveolitis, inflammation of bone tissue.

Can the temperature rise after wisdom tooth removal?

After the removal of a wisdom tooth, the temperature may rise in people who are very nervous or have suffered a lot of stress. This will be a vegetative-vascular reaction, and once the temperature can rise to 38.5-39 degrees. Once. It can be brought down by the use of antipyretic drugs and, accordingly, it should no longer be present. There may be a low-grade fever of 37 degrees, 37.1-37.2, for several days after removal. This does not have any consequences, this is normal, but you should, of course, inform the doctor about this so that he takes this fact into account and adjusts his prescriptions.

Can gumboil appear after wisdom tooth removal?

After wisdom tooth removal, gumboil may appear. This can happen as a result of a wound becoming infected. For example, the use of non-sterile instruments, non-sterile materials. This can also be a result of the removal of an impacted wisdom tooth, for example, if the doctor “sutured it in tightly”, and there are a lot of bacteria in our oral cavity, and did not prescribe antibiotic prophylaxis. In this case, flux is likely to occur.

Why does bone atrophy occur?

Let us list the main causes of the atrophic process of bone:

• Diseases of teeth and gums. These include periostitis, periodontitis, osteomyelitis, periodontal disease, cysts in the maxillary sinuses, as well as roots, etc. Any inflammatory phenomena in the jaw bone provoke its gradual atrophy;
• No implantation or prosthetics. For example, a patient has had a tooth removed or it has fallen out on its own, and the person is in no hurry to restore the lost dental unit. All this time, the bone tissue atrophies, and other changes also occur: the chewing load is incorrectly distributed due to lack of support and incorrect pressure, the dentition is deformed, etc.
• Advanced age. Unfortunately, in people aged 50+, bone tissue becomes looser, and osteoporosis often occurs. The structure of the bone is disrupted, its density decreases, and its mass decreases. The problem of osteoporosis becomes aggravated if a person is diagnosed with diseases of the heart and blood vessels, central nervous system, thyroid gland, stomach and intestines, etc.
• Congenital abnormalities of the jaw and teeth. It often happens that a person is already prone to bone atrophy from birth. The pathology is accompanied by a reduced jaw size, its underdevelopment and other visible defects that form complexes in people over the years. All these points can be corrected by orthodontic treatment or plastic surgery;
• Congenital abnormalities of the jaw and teeth. It often happens that a person is already prone to bone atrophy from birth. The pathology is accompanied by a reduced jaw size, its underdevelopment and other visible defects that form complexes in people over the years. All these points can be corrected by orthodontic treatment or plastic surgery;

Dry socket syndrome during wisdom teeth removal

Dry socket syndrome in wisdom teeth

The wisdom tooth refers to the concept of dry socket, or more precisely, dry socket syndrome. A dry tooth socket is alveolitis. Dry socket syndrome after the removal of figure eights can occur in this area, especially in the area of ​​the lower wisdom teeth due to the fact that as a result of swallowing, as a result of opening the mouth, muscles tense, which aggravate the occurrence of alveolitis.

What can dry socket syndrome lead to and what to do?

A dry socket after the removal of figure eights can lead to very severe pain that radiates to the temple and ear. This is a very great torment: a person cannot, even if he is not sensitive, he cannot tolerate it, he will definitely take painkillers 4-5 or 6 tablets. And as a result of this, he will still go to the dentist. A dry socket, if it has formed after removal, will not go away on its own. Alveolitis can only get worse - up to inflammation of the jaw. There may be dire consequences.

Gnathologist

Not everyone has heard of this doctor, and this is no accident. This profession is very rare.

This specialist deals with pathologies of the temporomandibular joint. If the patient is bothered by clicking in the joint, pain when opening the mouth, tooth wear, discomfort in the joint when chewing, then it is necessary to contact a gnathologist to eliminate the pathology.

• Pavel
  October 7, 2022 at 08:17

  Thank you for your article, I learned a lot of new things. I had never had any problems with my teeth in my life, so there was no need to understand the areas of dentistry. And now the situation has changed, the first signs of dental ill health have appeared, we have to figure it out. First, I’ll go to my city free dentistry, then maybe I’ll go to a private clinic. Thank you for the clarification

  Administrator

  October 10, 2022 at 01:37 pm

  Hello, Pavla! We are glad that you found the information useful. We invite you to see our specialists if you need dental care.

Recommendations after wisdom tooth removal

What medications should you take after wisdom tooth removal?

The following medications are used after wisdom tooth removal: painkillers, mouth rinses - special, with a strong antiseptic content. Often, an antibiotic is prescribed as therapy after the removal of the figure eight, and we also prescribe probiotics to restore the intestines after taking antibiotics.

Recommendations after wisdom teeth removal

In general, the recommendations are the same as in the case of removing simple teeth. But they should be performed more carefully.

Physical exercise

–
exclude
. Try not to disturb the extraction site, because the wisdom tooth is located in an awkward/unfortunate area where swallowing and opening the mouth will affect the surgical site.

Of course, wisdom tooth removal is incompatible with subsequent alcohol consumption for several days. Smoking is also strictly not recommended.

Brushing your teeth after wisdom tooth removal

Is it necessary to brush your teeth after wisdom tooth removal or can you wait a few days? You should definitely brush your teeth after removing a wisdom tooth. This needs to be done quite carefully, but at the same time carefully. It is not recommended to rinse your mouth after wisdom tooth removal. That is, the question “what to rinse your mouth with” in this case disappears. Using an irrigator is also not recommended.

Never do

You should never heat your gum or cheek, no warm compresses or salt or other “folk remedies”! It’s better not to do anything at all before going to the doctor. After warm compresses, pus may spread not only in the jaw, but also in the cheeks, throat, and neck. Situations arise that are dangerous not only to health, but also to life.

Contraindicated

• refusal to brush teeth;
• independent opening of the abscess;
• taking medications without the consent of a doctor (except for painkillers).

Removing 2 wisdom teeth at the same time

Removal of two wisdom teeth from one side of the jaw. Pros and cons of this approach.

Two teeth at once on one side is a very good technique. In this case, we immediately remove two teeth and the healing process takes place only once. Accordingly, the pain also disappears once. The healing is in no way burdened by the fact that we remove two of them at once. It’s a good, even excellent approach, and that’s what we do in most cases if the patient doesn’t mind.

An example of removing two wisdom teeth at once - HERE

Bone atrophy - what is it?

Bone atrophy is the process of a gradual decrease in the hard tissue of the jaw bone, while the size of the alveolar ridge is significantly reduced, pronounced nasolabial folds appear, the jaw decreases in size, and a “drooping” of the face occurs. Bone resorption (loss) occurs most often after surgical removal of the root, but a person can be born with this pathology.

Clinical case: a person’s tooth and root were removed a long time ago, and an implant and prosthesis were not installed in their place. Over the course of a year, bone tissue atrophies by approximately 25%.

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Implantation in the wisdom teeth area

Is implantation performed in the area of ​​wisdom teeth?

In the area of ​​wisdom teeth, implantation is not performed in any cases. Due to the fact that there is no space in the jaw to install implants in this area. And, if we look at the jaw, it opens more in the anterior section, and in the posterior section it opens least. If we place an implant, we will not be able to make a normal-sized crown and, accordingly, use these implants for chewing.

During implantation, in case of bone tissue deficiency, the tubercle of the upper jaw or the retromolar space in the lower jaw is used to fix the outermost implants. If there is an impacted eighth tooth in this area, it is removed regardless of the complexity of the operation, since it interferes with the installation of the implant.

Periostitis in children

In children, the inflammatory process usually develops as a result of untreated caries of baby teeth, infectious diseases or injuries. Due to the peculiarities of the physiology and anatomy of the child’s body, as well as due to the immaturity of the child’s immune system, the pathology develops quickly and rapidly, and the infection quickly spreads through the bloodstream and lymph flow, so multiple lesions can form.

Periostitis of the upper jaw in a child requires special attention, which, when localized in the palate, may not change facial features - swelling forms inside the oral cavity and can only be noticed by the characteristic convex swelling on the palate. The abscess gradually grows, capturing the mucous areas of the pharynx and tongue, which causes pain when swallowing and chewing. If a child develops symptoms such as fever, loss of appetite, or painful swallowing, it is imperative to check whether such a condition is caused by developing gumboil.

Cost of wisdom teeth removal in Moscow

The price of removing one wisdom tooth in Moscow clinics, if we talk about low-traumatic removal of both lower and upper wisdom teeth, can start from a price of 15 thousand rubles

and higher. The fact is that when removing a figure eight, the cost of bone material, which is used for small bone grafting, can be added to the price of the removal itself, since after removing a deep-lying figure eight, a void may form, which, you see, needs to be eliminated due to fears of the development of atrophy bones in this area.

But many doctors, both in Moscow and in the regions, neglect bone grafting and simply suturing the wound, thereby reducing the cost of wisdom tooth removal to 8-10 thousand. The choice of price always remains with the patient, but the patient also needs to evaluate the risks of such removal, look a little into the future and understand that saving 5-10 thousand rubles at this step may result in future problems with the 6th and 7th chewing teeth ... But this is a completely different story.