When wisdom teeth (third molars) get severely decayed, they often cause discomfort and food lodgment, making it difficult for patients to maintain oral hygiene. Extraction is the most reliable treatment option in such cases.

Patient Information

Age/Gender: Not specified

Medical History: No significant medical history reported

Chief Complaint: Patient complained of food lodgment in the lower right back tooth region.

Clinical Examination

  • Tooth involved: Lower right third molar (tooth 48).
  • On clinical examination, Caries/decay was present in 48 with food lodgment and structural damage.
  • IOPA X-ray was taken to assess the root and bone condition.

Treatment Plan

Since the tooth was grossly decayed and had a poor prognosis for restoration, the best treatment option discussed and accepted by the patient was:

  • Extraction of tooth 48 under local anaesthesia.

Treatment Procedure

  • Local anaesthesia was administered to ensure the patient’s comfort.
  • Tooth 48 was carefully extracted.
  • The procedure was uneventful with minimal trauma to surrounding tissues.
  • A gauze pressure pack was given to achieve hemostasis.

Post-Operative Care

The patient was instructed:

  • Bite on the gauze for 30–45 minutes to control bleeding.
  • Avoid spitting, rinsing, or using a straw for 24 hours.
  • Take prescribed medications as advised.
  • Maintain a soft diet and avoid chewing from the extraction side initially.
  • Maintain oral hygiene and report back for follow-up.

Outcome & Prognosis

  • Extraction site healed uneventfully.
  • Patient reported relief from food lodgment issues.
  • Long-term prognosis is good, with proper healing expected in a few weeks.

Conclusion

This case highlights how decayed wisdom teeth can often lead to food lodgment, discomfort, and infection risk. With timely intervention and extraction, patients can achieve relief and maintain better oral hygiene. Regular dental check-ups help in detecting such problems early and planning preventive treatment before complications arise.

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