Should You Extract Wisdom Teeth at a Clinic or Hospital? - Dentistry

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Wisdom tooth extraction


I would like to ask the doctor, because I have a cavity in my lower right wisdom tooth, the dentist recommended extraction.
However, after reviewing my X-ray, they noted that it is close to the nerve, and I am a bit afraid because I have heard that improper extraction can damage the nerve.
The dentist assured me that it shouldn't be a problem.
Should I go to a larger hospital for a more detailed evaluation before deciding to extract it, or is it sufficient to have it done at a general clinic?

Wenzi, 20~29 year old female. Ask Date: 2024/01/03

Dr. Lin Jiayong reply Dentistry


Hello: Based on what you mentioned, it is recommended to visit a large hospital to see an oral surgeon for extraction, as it would be more reassuring.

Reply Date: 2024/01/03

More Info


When considering whether to extract wisdom teeth at a clinic or a hospital, there are several factors to take into account, particularly when there are complications such as proximity to the nerve, as in your case.
Firstly, it is essential to understand the anatomy of the wisdom teeth and their relationship to the surrounding structures, especially the inferior alveolar nerve, which runs close to the lower wisdom teeth. If the X-ray indicates that your wisdom tooth is indeed close to this nerve, it is prudent to seek a second opinion or further evaluation from a specialist, such as an oral surgeon. Oral surgeons are trained to handle more complex cases and have the experience necessary to minimize risks associated with nerve damage during extraction.

In general, clinics often handle straightforward extractions, and many general dentists are skilled in performing these procedures. However, when complications arise, such as the risk of nerve injury or if the tooth is impacted, a hospital setting may be more appropriate. Hospitals typically have access to advanced imaging technologies, such as cone beam computed tomography (CBCT), which can provide a more detailed view of the tooth's position relative to the nerve. This information can be crucial in planning the extraction and reducing the risk of complications.

Moreover, hospitals are equipped to handle emergencies that may arise during or after the procedure. If you have concerns about pain management, sedation options, or potential complications, a hospital may offer more comprehensive care. In a hospital setting, you may also have access to a multidisciplinary team, including anesthesiologists, who can provide sedation options that may not be available in a standard clinic.

Another consideration is your comfort level and anxiety regarding the procedure. If you feel particularly anxious about the extraction, a hospital may provide a more reassuring environment, with options for sedation that can help you feel more at ease during the procedure.

In summary, if your wisdom tooth extraction involves potential complications, such as being close to the nerve, it is advisable to seek a consultation with an oral surgeon or a dental specialist at a hospital. They can provide a thorough evaluation, discuss the risks and benefits of the extraction, and help you make an informed decision about the best course of action.
Ultimately, the choice between a clinic and a hospital should be based on the complexity of your case, your comfort level, and the resources available to you. If you decide to proceed with the extraction at a clinic, ensure that the dentist is experienced in handling cases similar to yours and that they have a plan in place for managing any potential complications. Always prioritize your safety and well-being when making decisions about dental procedures.

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