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• Dear Practitioners, I hope I will be clear since english is not my mother tongue. 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? 7) I'm Italian, but I'm at the moment in Romania. Do you know any good Maxillofacial surgeon in Romania to suggest me? 8) To decrease the usage of drugs, I'm using a natural method to decrease the pain, really effective. I'm putting some garlic on the painful teeth-gum. Are there any side effect using it for several days, even in a open wound in the gum? 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


 
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