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Wisdom tooth removal risk? (cbct shared)
Hi I have a wisdom tooth which is coming in a slant manner but also touching some nerve below. I've been told that this is risky to remove. But I'm having intermittent pain when trying to eat something hard or hot/cold.
Is attempting extraction on this going to cause severe nerve damage? And is the wisdom tooth anyways risky for future?
Answers (14)
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When the third molar is close to the nerve and it causes damage to the nerve then coronectomy is performed by the surgeon
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Nerve is close to tooth but extracting it will not carry a permanent damage to your nerve…just a proper treatment plan and careful planning…..you will be relieved from your pain.
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I will prefer you to visit oral and maxillofacial surgeon near you.
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Based on your description and the scan images, it appears that the wisdom tooth is impacted in a tilted position and is close to the nerve, which is why you have been advised that removal carries some risk.
To answer your concern clearly: nerve damage is uncommon, but the risk depends on how closely the tooth roots are related to the nerve on a CBCT scan. In such cases, an experienced oral and maxillofacial surgeon may recommend modified techniques such as sectioning the tooth or coronectomy to significantly reduce nerve injury risk. When proper planning is done, permanent nerve damage is rare.
Since you are already experiencing intermittent pain and sensitivity, this tooth can cause repeated infections, decay of the adjacent tooth, and worsening symptoms in the future if left untreated. I strongly recommend consulting an oral surgeon with your CBCT scan to decide the safest approach. Early, planned treatment is safer than waiting for an emergency situation.
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See an oral and maxillofacial surgeon
They will either remove the full tooth if nerve damage is not going to be a problem or only remove the crown portion
Do not leave it as it can cause pain infection and problem to the front tooth which is more likely to further damage if left untreated as front tooth is going to be the main tooth for life
So see the oral surgeon and get it treated immediate
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See the oral surgeon
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Do not panic it’s common and treatable
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Yes, it may risk the nerve damage. First of all you should undergo oral prophylaxis , especially in that region gently.
You may first check with coronectomy procedure
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If you do not have a periapical infection ( infection below the roots, in the bone) you can go for a procedure called as Coronectomy. In this only the crown portion of the tooth will be removed and the surgeon will leave the roots in the bone for further observation.
It’s a safe procedure in this case.
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Instead of full tooth removal only the crown portion can be removed and kept under observation in order to save the nerve from paresthesia.this procedure is known as coronectomy
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Yes . It's wisdom tooth it is impacted tooth near to the nerve .
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Recommend for surgical removal in local anesthesia.oral surgeon will do the surgical removal. parsthesia due to neroprexia or nerotamisis ( pressure to the nurve or injury) can happen but not for all cases but this can resolve slowly by nerve regeneration and collateral supply
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Adv to do it early . pain or infection can occur anytime
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Yes this is risky to remove..But if proper precautions are taken it can be removed without damaging the nerve..
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consult a oral maxillofacial surgeon
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Hello
You can get the tooth extracted from an oral surgeon.
They have the expertise in these cases, so kindly consult with them once and get it extracted accordingly
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No but only if you get it done by an experienced oral n maxillofacial surgeon. He understands the nerves , muscles , attachment anatomy better than any dentist. Yes if you left it untreTed , as visible in the picture it vl keep causing you pain and damaging the nerves.
Consult an experienced oral n maxillofacial surgeon . Provide him with all ur opg , xray etc
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If nerve is not tightly wrapped around root dentist can remove whole tooth.If whole extraction is not possible Dr.can remove only crown portion of the tooth(coronectomy) and keep the root there to avoid nerve damage..
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Dr. Arti Choudhary
Cosmetologist
4 yrs exp
Jaipur
From the CBCT images and your description, your lower wisdom tooth appears to be impacted and tilted, and it is lying very close to the inferior alveolar nerve. This is a common situation and does make the extraction technically more complex, but it does not automatically mean severe nerve damage will occur.
With modern imaging like CBCT, surgeons can carefully plan the procedure and reduce risk significantly. In such cases, options like sectioning the tooth or performing a coronectomy (removing only the crown and leaving roots near the nerve) may be considered if nerve proximity is very high.
If the tooth is already causing intermittent pain, sensitivity while chewing, or food lodgement, it can create future problems such as infection, decay in the adjacent tooth, gum swelling, or cyst formation. So leaving it untreated can also carry risks.
The chances of permanent nerve damage are generally low, especially when the procedure is done by an experienced oral and maxillofacial surgeon, though temporary numbness can occasionally occur and usually recovers over time.
I would advise consultation with an oral surgeon who can clinically correlate your CBCT and explain whether full extraction or coronectomy would be safer in your case.
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Dr. Tanvi Agarwal
Dentist
7 yrs exp
New Delhi
Hello,
Based on the CBCT, the wisdom tooth appears close to the nerve, so removal does carry some risk, but that does not mean severe or permanent nerve damage is inevitable.
With proper planning and technique, the risk is usually temporary numbness, not permanent damage. In selected cases, partial removal (coronectomy) is also considered to protect the nerve.
Leaving the tooth untreated can cause recurrent pain, infection, decay of the adjacent tooth, or worsening nerve symptoms over time. Since you are already having pain, it does need active management rather than ignoring it.
A clinical examination along with CBCT findings will help decide the safest approach for you.
Hope this helps.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.