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Wisdom teeth extraction - Is it a wise decision?
Wisdom teeth extraction was requested by patient's orthodontist. The two lower wisdom teeth were fully impacted and couldn't be seen in the mouth. Surgical extraction procedure was performed and fully closure of extraction sites was achieved. The surgery was uneventful. However is it necessary? Were the wisdom teeth really pushing other lower teeth forward? Were they causing front teeth crowding? Would they compromise orthodontic (braces) result? Researches suggested remo

Dr Changjie Guo
Jul 30, 2017


What a cute wisdom tooth!
This wisdom tooth had a very curved root with root tips like hooks. The extraction was performed very carefully to avoid root fracture. #wisdomtooth

Dr Changjie Guo
Jun 30, 2017


Amalgam foreign body removed in jaw bone.
This x-ray showed something unexpected when we were planning dental implants . An amalgam foreign body was detected on 3D cone-beam CT. Most foreign bodies are embedded in the soft and hard tissue of oral cavity either by trauma or a dentist iatrogenically. Amalgam is the most common embedded material. Even though some scientists and the public claim amalgam causes health issues, there is no scientific clinical study has established a link between dental amalgam and health p

Dr Changjie Guo
Jun 23, 2017


Wisdom tooth surgical extraction.
This horizontally impacted wisdom tooth caused pericoronitis, which involved gum infection, inflammation and pain. The wisdom tooth needed a surgical extraction. The tooth was sectioned and surgically removed under local anaesthetics. The postoperative recovery was uneventful. #wisdomtooth

Dr Changjie Guo
Mar 31, 2017


A wisdom tooth has got wiser.
After extraction , this wisdom tooth showed a small extra root in between two major roots. But there was no root canal inside, which could be absent or calcified. #wisdomtooth

Dr Changjie Guo
Jan 23, 2017


Dental abrasion - all the hard work paid off in a wrong way!
Dental abrasion is the loss of tooth structure due to mechanical force by a foreign element. The most common source of this wearing is toothbrushes. But it also can be dental floss, toothpicks and any dental appliances. In this case, the patient came in as an dental emergency , complaining of severe toothache and shooting pain. He brushed so heavily that all the enamel and dentine was brushed away, and eventually exposed the nerve. Unfortunately, he couldn't afford root cana

Dr Changjie Guo
Nov 12, 2016


It's wise to have wisdom teeth checked.
Impacted wisdom teeth may cause pain, decays and gum inflammation. But sometimes wisdom teeth can cause more serious problems. In this case, a large infection cyst associated with lower right mandibular wisdom tooth gave the patient severe pain. The patient had to be managed by a oral and maxillary surgeon who performed an urgent operation to remove the cyst and wisdom tooth under general anesthetics. The pathology showed it was an odontogenic keratocyst. It is wise to have

Dr Changjie Guo
Aug 9, 2016


An Extra Tooth
Supernumerary teeth or hyperdontia are defined as those in addition to the normal series of deciduous or permanent dentition. They may occur anywhere in the mouth. They may appear as a single tooth or multiple teeth, unilaterally or bilaterally, erupted or impacted and in mandible/maxilla or both the jaws. The appearance of supernumerary teeth cannot be prevented. The main treatment for an extra tooth is its removal. Removal of the supernumerary teeth is ideal for patients

Dr Changjie Guo
Jun 16, 2016


Wisdom tooth removal
This grossly decayed and impacted wisdom tooth caused a lot of pain. The treatment had no other options apart from wisdom tooth removal. The curved root made the extraction more difficult. It was removed uneventfully with proper management.

Dr Changjie Guo
May 27, 2016
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