DENTAL INCLUSIONS – SALIVARY GLANDS

DENTAL INCLUSIONS

The lack of harmony in the development and size of said bones also cause anomalies in the contour of the face. Orthognathic surgery’s interventions are used to treat this dentofacial deformities.

The third molars (‘wisdom teeth’) break through in most patients between 18 and 24 years old. Some people have a jaw and mandible large enough to accommodate these new molars, and in them they break through in a physiological way, without causing any troubles.

Other people don’t have enough room to accommodate the new teeth in their jaw and mandible, and they can break through normally, being in that way ‘impacted’ or ‘included’ (totally or partially covered by the gum)

A partially or totally included third molar can cause infections (very frequently, especially when it’s partially connected with the mouth), damage to the adjacent teeth (caries, periodontal pathology), cysts and, in rare occasions, tumors.


Should I extract the tooth ?

No one can guarantee that their third included molar is going to give them problems, but it will probably appear. When complications appear, the extraction usually is more unpleasant and/or complex.

When should be extracted?

With the help of a clinical exam and an ortopantomography, your maxillofacial surgeon can often predict if your third included molar is going to cause problems or not in the future. In this case, he/she will usually recommend the extraction of said tooth, instead of waiting for complications to appear. The extraction is usually simpler in younger patients, because the roots aren’t fully developed and the bone is less dense.

How will I feel after the surgery?

Usually after the procedure, it’s going to be for a few days swollen and uncomfortable. If you follow the aftercare instructions of your maxillofacial surgeon, and take the medication this one recommends, you can speed up the recovery and reduce the discomfort.

SALIVARY GLANDS

Salivary glands surgery is aimed to treat benign and malign tumors, glandular lithiasis, infectious processes or gland trauma. Salivary glands divide in greater (Parotid, Submaxilliary and Sublingual) and lesser, spread in all the oral cavity.

The surgery of the parotid gland is intimately tied with the anatomical complexity of this face’s region, and very specifically by the connection with the facial nerve. The submaxillary gland is in the submandibular cervical compartment and it’s related, among other structures, with the marginal branch of the facial nerve and with the lingual and de hypoglossal nerve.

The sublingual gland it’s located on the floor of the mouth and it’s related, among other elements, with the lingual nerve and the excretory duct od the submaxillary gland.