Bursa Wisdom Tooth Surgery and Oral Surgeon Guide

Impacted wisdom tooth extraction—especially in the lower jaw—creates fear and many questions for patients.

Here are the most common concerns:

“Will I have numbness after impacted tooth extraction?”

“Can my lower lip or chin stay permanently numb?”

“The root is close to the nerve—what will happen?”

“Do I need an oral surgeon for wisdom tooth surgery in Bursa?”

This guide explains impacted wisdom tooth extraction, numbness risk, nerve proximity, oral surgeon selection, and the effects of wisdom teeth on bad breath and oral health—written clearly and optimized for SEO. It is especially prepared for patients in Bursa and surrounding regions.

What is an Impacted Wisdom Tooth?

A wisdom tooth (third molar) is the last tooth to erupt in the mouth. Typically:

1. It erupts between ages 17–25
2. Some people never develop them
3. Some fully erupt without problems
4. Others remain partially or completely impacted under the gum or bone

Impaction types include:

1. Fully impacted (not visible, buried in bone/gum)
2. Partially impacted (half in the mouth, half under the gum)
3. Angled or tilted toward the adjacent tooth

These conditions may negatively affect chewing and oral hygiene.

Why is Impacted Tooth Extraction Necessary?

Not every impacted tooth must be removed, but most wisdom teeth eventually cause problems. Extraction may be recommended due to:

1. Recurrent pain and swelling (pericoronitis)
2. Bad breath caused by food trapped under the gum flap
3. Cavity or root resorption on the neighboring tooth
4. Cyst formation around the wisdom tooth
5. Interference with orthodontic treatment

For these reasons, oral surgeons in Bursa often recommend planned wisdom tooth surgery before complications arise.

Role of the Oral Surgeon (Bursa Perspective)

Not every extraction is simple. Cases such as:

1. Impacted lower wisdom teeth
2. Roots very close to the nerve
3. Previous infections or cysts

are safer in the hands of an experienced oral surgeon.

An oral surgeon evaluates:

1. Jawbone structure
2. The relationship between the tooth root and nerve canal
3. Lower and upper jaw anatomy
4. Sinus and nerve location

This is why Bursa patients frequently say: “A jaw surgeon should evaluate my wisdom teeth.” It significantly reduces numbness and other risks.

What Is Numbness? Why Can It Happen?

Numbness after impacted tooth extraction is mainly associated with lower wisdom teeth, due to the proximity of the inferior alveolar nerve, which provides sensation to:

1. Lower lip
2. Chin
3. Occasionally the teeth and gums

During the surgery:

1. The nerve may be compressed
2. Bone around the nerve may be removed
3. Swelling (edema) may put temporary pressure on the nerve

This may result in temporary numbness.

Temporary vs Permanent Numbness

Temporary Numbness

1. The most common type
2. Caused by swelling, pressure or surgical manipulation
3. Improves gradually over days or weeks
4. Tingling sensations are a sign of recovery

The oral surgeon monitors your healing and may suggest medications or B-vitamin support.

Permanent Numbness

1. Very rare
2. Occurs if the nerve fibers are severely injured
3. Requires evaluation by the surgeon and, if needed, neurology

With modern CBCT imaging and experienced surgeons in Bursa, permanent numbness risk is significantly reduced.

Preoperative Evaluation: X-ray, CBCT and Nerve Mapping

Before extraction, the oral surgeon performs:

Clinical Examination

1. Pain, swelling and gum condition
2. Mouth opening capacity
3. Jaw joint assessment
4. Overall oral hygiene

Panoramic X-ray

Shows:

1. Tooth position
2. Root shape and curvature
3. Basic jawbone structure

CBCT (3D imaging)

Used when:

1. Roots appear close to the nerve
2. Cysts or complex anatomy is suspected

CBCT provides:

1. Exact nerve-to-root distance
2. Root angulation
3. Bone thickness

This reduces surgical risk and helps the surgeon decide if root fragments should be left to protect the nerve.

How Is Impacted Wisdom Tooth Surgery Performed?

The procedure includes:

1. Local anesthesia
2. You feel no pain—only pressure.
3. Gum incision
4. A small flap is opened to access the tooth.
5. Bone removal
6. Only the necessary amount of bone is gently removed.
7. (Classic burs or piezosurgery can be used.)
8. Tooth sectioning
9. The tooth is divided into pieces to reduce bone stress.
10. Root control
11. The surgeon checks if removing every root is safe.
12. Very small fragments near the nerve may be intentionally left.
13. Cleaning and suturing
14. The site is cleaned and stitches are placed if needed.

Depending on complexity, surgery takes 20–60 minutes.

After Surgery: Numbness, Pain and Bad Breath

Normal early symptoms:

1. Mild–moderate pain
2. Swelling (peaks on day 2)
3. Limited mouth opening
4. A feeling of pressure in the area

If numbness occurs:

1. Report it to your surgeon
2. Mild numbness on the first day can be normal
3. If it does not decrease over several days, a follow-up is essential

Bad breath:

Mild odor in the first days is normal.

However, persistent bad breath or foul taste may indicate:

1. Poor cleaning
2. Food stuck in the extraction site
3. Early infection

Consult your surgeon if it continues.

Choosing the Right Clinic and Oral Surgeon in Bursa

Prefer centers that offer:

1. Experienced oral surgeons
2. Digital imaging (panoramic + CBCT)
3. Proven experience with impacted wisdom tooth surgery
4. Sterile surgical environment
5. Clear pre- and postoperative instructions

With proper planning and technique, impacted tooth extraction is safe and predictable. Risks such as numbness, swelling and bad breath can be minimized with the right approach.

Conclusion

1. Impacted lower wisdom teeth may have roots close to the nerve, increasing numbness risk.
2. Detailed planning with an oral surgeon using panoramic X-ray and CBCT reduces this risk significantly.
3. In some cases, small root fragments may be left intentionally to protect the nerve.
4. Persistent numbness, severe pain, swelling or bad breath should be evaluated by a surgeon.

If you live in Bursa and have questions about impacted tooth extraction, nerve risk or wisdom tooth surgery, consulting an experienced oral surgeon is the safest first step.