Impacted wisdom teeth with roots close to the nerve

[phidias81]

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Hello guys! I hope I will be clear since english is not my mother tongue. I know that most of you are still students, but maybe you can give me an advice anyway with the classification and analysis of my Rx. My lower wisdom teeth are impacted and horizontal/inclined. For years they gave me no problems, but now I've been having pain for the last 5 days, so I guess It's not the case anymore to post-pone a surgical operation. I'm 30 years old, male and in general good health. One of the 2 teeth is slightly out, and it has been like this for years without advancing. Now these days I have like a crack in the gum starting from this point, and it's quite painful and swallowed. But the main problem is that according to the Rx and the Tomography, the roots of the teeth are very close to the nerve. For this reason some practitioner I consulted 2 years ago suggested me to don't extract the teeth because I could have a paresthesia, while others said to take it out. So I ask your advice according to my exams that I will attach later in this message. I have some doubts that I summurize with numbers to make it easier for complete answer:

1) I read that to reduce the risk of damaging the nerve, the best option is to use a piezosurgery-ultrasonic tool. Is that right, or are there better techniques?
2) The cost of an operation with piezosurgery is the same as a traditional one, or higher, lower?
3) To understand the risks I'm running, I'm reading several scientific papers with statistics. Could you please help me with the classification of my teeth according to Pell and Gregory, to understand in wich category I'm fitting (IIB, IIC, IIIC, etc.)?
4) Their inclination is to be considered Mesio-Angular?
5) Where is exactely positioned the nerve? In between the root? In direct contact? On the side?
6) I read in some scientific papers that there is a possibility of doing a first surgery taking out only the crown, and then waiting a few months to see if the roots are advancing, creating a safer situation for the exctraction with the roots far from the nerve. What are the disadvantages of this technique?

Please find attached at this link the DICOM files with RX and Tomography

https://www.yousendit.com/download/T2dmTGt6b0JUME1Pd3NUQw

If you don't have a software to read this format, you could try with this free dowload, Radiant viewer, I was using it myself since it's really intuitive

http://tinyurl.com/c2bwmp8

Otherwise I also converted all of the files in simple jpeg images, with all the limitations of this format. You can download it from here

https://www.yousendit.com/download/T2dmTGt6b0I5bEJWeHNUQw

Thank you very much and have a nice day! Davide

 

[Doc Smile]

Well, SDN is not a place to seek medical or dental advice and will be closed by the moderators shortly. Call the nearest dental school to you and have them do it if cost is a major factor in your decision.

But bro, you need to get those suckers pulled out.

 

[phidias81]

I know what you are saying, but as I wrote at the beginning, I would be grateful if you could help me at least with the classification of Pell and Gregory, and the position of the nerve. I already contacted 2 specialists for visits next week, but I would like to read first paper about my situation, to be able to talk with them and understand, and to do this I need to know in with category I'm fitting 🙂

 

[lemoncurry]

SDN is not to be used for medical advice. I recommend you talk in person to your specialist. Closing thread.