What is a 20-piece Tooth Extraction? Current Prices for 2025 / Mersin Maxillofacial Surgery
Everything That Is Curious About 20-Year-Old Tooth Extraction
As a specialist in oral, dental and maxillofacial surgery, one of the most common problems I encounter in my professional practice is the pain my patients experience related to 20-year-old teeth, jaw jams or infectious tables. In this article, I want to tell you about the 20-year tooth extraction process in the most understandable, scientific and reassuring way. If you’re like, “Does a 20-piece tooth extraction hurt?”, “What happens if it is not withdrawn?”, “ How to do a 20-piece tooth extraction?”, “When will I get better?if you are looking for answers to questions such as ”, ” 20% tooth extraction 2025 prices”, you are in the right place.
What is a 20-piece Tooth?
20-year-old teeth are the third molars that come out in the December of 17-25 years. Each individual can have four pieces. But they don’t always come out properly. Nowadays, with the shrinking of the jaw structures, these teeth may remain embedded or curved.
- In many patients admitted to our clinic in Mersin Yenişehir, we observe that these 20 teeth cause severe pain and gum and jaw bone infections by pressing on the surrounding gum tissue.
Why Do 20 Teeth Come Out?
In fact, 20 teeth are useful molars to increase the chewing efficiency in the mouth. However, thanks to evolution, it has lost its effects over time. But in many people, they continue to develop genetically. In the past, people’s 20 teeth could easily come out because their jaw bone structures were larger, but nowadays these teeth either remain embedded or come out in a curved state because the jaw bone structure has narrowed.
The extraction of these teeth often turns into a painful process. Teeth of 20 that cannot come out properly can damage the surrounding gums, jawbone and neighboring teeth, leading to serious problems.
the main reasons for the appearance of 20-year-old teeth are as follows:
* Genetic predisposition
* Completion of the dental development process
- The fact that the third molars are still programmed in the body
- There is enough space to get out on the back of the jawbone
What Happens If the 20th Tooth Is Not Extracted?
If they remain buried, they can cause negative effects on oral and dental health over time. If the problematic 20th tooth is not removed, it can cause not only local, but also general health problems. While it creates an infection in the gum and jawbone, it also infects the upper respiratory tract, in which case we can also see frequent recurrence of infections such as tonsillitis (tonsillitis infection ) and pharyngitis. 20-Piece teeth that try to come out both embedded and oblique also rot the molar immediately in front of it internally or can form a cyst on the jawbone, which can also inflame the gum. These teeth should be intervened without wasting time.
The problems that a 20-piece tooth that is not pulled can create are as follows:
* Compression and distortion of the tooth sequence (often distortion of the front teeth, increased coloration of crooked teeth, continuous increase in the formation of dental calculi)
* Decaying formation (in the area that cannot be cleaned between neighboring teeth and teeth)
* Gingivitis and abscess
* Risk of cysts and tumors ( cysts and tumors thin the jawbone, cause jaw bone loss)
* Throat infection, tonsillitis and pharyngitis
* Extremely severe pain (ear, temple, under jaw and headache)
* Excessive intra-cheek biting and inflammation or pain of the cheek flesh, cheek squeezing
When is the 20th Tooth Extraction Performed?
the best time for a 20th tooth extraction is the period before the tooth completes its full development. This usually happens between the ages of 17 and 25, and whether 20-Decker teeth will cause problems can be determined by a clinical examination or detailed radiographic evaluation. In other words, the desired intervention method and treatment timing are critical to take measures without damaging the 20-year-old tooth itself and the environment. For example, after the pressure of 20 teeth on the jawbone and the teeth in front of it, the chewing setting in the mouth may change completely and a distortion of the front teeth may occur. After the distortion occurs, distortion treatment is often performed with a long orthodontic treatment process or smooth tooth alignment is provided. For this reason, the method of getting rid of long-term orthodontic treatment, 20-year-old teeth or embedded 20-year-old teeth with timely appropriate treatment methods, tooth extraction may be a treatment option. For this reason, this situation can be clarified by an examination at the age of 16.. At this age, since the teeth have not yet fully settled, the extraction becomes easier and the healing process can occur faster.
Thanks to the interventions made at an early age, the swelling and bleeding condition after 20 tooth extraction becomes more manageable. For this reason, a dentist or maxillofacial surgeon should be consulted without wasting time.
However, 20-year-old teeth may not always be pulled. It is not mandatory to have a tooth extraction at the age of 20 in people whose jaw structure is suitable and does not feel discomfort.
Why Should 20 Teeth Be Removed? Should Every 20th Tooth be Removed?
20-year-old teeth are teeth that have completely come out at the very back of the jaw bone, most of the time they cannot come out or remain half-gone. Full, embedded or semi-protruded 20-piece teeth can put pressure on the surrounding tissues, creating the following risks:
* Infection and cyst formation in the jawbone
* Inflammation spreading to the throat, frequent recurrent pharyngitis and tonsillitis infections (tonsillitis)
* Gum swelling, throbbing pain, bad odor in the mouth
* Causing root resorption (jaw bone resorption) by pressing on the roots of neighboring teeth
* If it is close to nerve tissues in the lower jaw, there is a risk of temporary or permanent numbness and tingling after shooting
* intra-cheek biting due to 20 teeth, constant cheek biting does not cause inflammation in the cheek
- If the 20 teeth that have come out completely in the mouth do not contribute to the chewing efficiency and there is no tooth in return, they put pressure on the gum tissue over time, causing throat infection and pharyngitis.
* Difficulty opening the mouth, ear pain, stress on the jaw joint
Especially bacteria that accumulate around half-buried 20-piece teeth can cause infections that eventually reach the throat and lymph nodes. Patients usually contact us with throbbing pain, inflammation in the throat, difficulty swallowing and weakness.
Such disorders indicate that not only a tooth, but also the general health of the body is beginning to be affected.
In the early period, the shooting operations performed while not yet getting too close to the nerves are both more comfortable and the risk of nerve damage is much lower.
Is a 20-piece tooth extraction surgical? Why should a maxillofacial surgeon be preferred?
Every 20th tooth extraction is not the same difficulty. While some teeth can be removed with simple extraction, some are located in a horizontal position inside the bone, adjacent to the nerves. Such situations require advanced surgical expertise and high manual dexterity.
A mistake to be made on the 20-piece teeth, which are the closest teeth to the nerves in the mouth, can lead to temporary or permanent numbness.
For this reason, a dentist who is a maxillofacial surgeon can reduce the risk of complications.
As a specialist maxillofacial surgeon, I am trying to plan the operation with millimeter calculations by evaluating not only the tooth; but also the jaw bone, gum, nerve and vascular structure surrounding it. In this way, I am trying to minimize the swelling, pain and sensation losses that may occur after the procedure.
How is a 20-Piece Tooth Extraction Performed?
A 20-point tooth extraction is not always a standard tooth extraction procedure. many criteria such as the position of the 20th tooth in the jawbone, root structure, relationship with neighboring teeth, distance to the jaw nerve line and damage to the surrounding tissues to the gum directly affect the surgical approach. While some 20-piece teeth can be removed with a simple maneuver, most of the time the procedure;
* Regional local anesthesia,
* Soft tissue (gingival) incision,
* Planned removal of the jawbone surrounding the top that holds the tooth by protecting it,
* Protection of the jawbone and jaw joint by dividing the tooth into several parts,
* Requires advanced surgical steps such as nerve line protection.
In most of my patients, I complete this procedure in a single session, with minimal bleeding, in my special sterile operating room. However, this is only with the physician’s surgical hand dominance, clinical experience, knowledge equipment, field of expertise, anatomical knowledge and respecting the surrounding tissues (teeth, gums and jaw bones), I complete my operation. Tooth extraction should be performed by preserving all tissues with sensitive hand technique.
As a professor of maxillofacial surgery, I perform a clinical examination or detailed radiological evaluation before the procedure in each patient.
Panoramic X-ray, if necessary, using 3D dental tomography (CBCT);
- The angle of the tooth inside the jawbone,
- The distance of the roots to the nerves,
* The curvature or discrete position of the roots,
* The relationship of the tooth with the surrounding soft and hard tissues,
- I analyze bone density and infection spread in detail.
Anatomically, since everyone’s jaw bone structure and the position of a 20-year-old female are not the same, a separate personal special tooth extraction method is applied to each case.
Surgical Planning Is Specific to the Patient
In my clinic in Mersin Yenişehir, all surgical procedures are performed in accordance with infection control protocols under special sterile operating room conditions.
In addition, the patient’s systemic diseases — for example, diabetes mellitus, blood thinners, hypertension, immunodeficiencies — are definitely taken into account before the procedure, and if necessary, a medical consultation is provided and a personalized 20-tooth extraction planning is made.
In accordance with these plans, I not only remove the tooth during the shooting, but also:
- If there is an irregularity on the surface of the jawbone, I apply a bone rasping procedure that will speed up healing and reduce bleeding.
- In cases of abscess or inflamed 20 teeth, the abscess tissues in the jawbone are cleaned with special hand tools and carefully washed with sterile solutions.
- Special biological agents are used to stop blood flow in patients with intense bleeding.
- If there is an excess of gums after tooth extraction, these tissues are shaped and restored to their normal anatomical form.
- When closing the surgical area, the gingival tissue is carefully stitched with antibacterial suture materials with high biological compatibility.
Detailed Analysis Is Required For Oral Comfort After 20 Tooth Extraction
The success of surgical tooth extraction is related not only to the removal of the tooth, but also to the repair of the surrounding tissues of the gum, jawbone, neighboring teeth.
Therefore, after the procedure;
* The gingival integrity is repaired again before it deteriorates,
- If bone protrusions or a deformed jawbone have formed in the jawbone due to tooth extraction, the jaw is corrected with bone rasping tools and prevented without damaging the gum tissue.
- An incision is made into the gum tissue for tooth extraction, after tooth extraction, if there is an excess in the gum, it should be cut to the anatomically desired size and sutured last.
Thanks to all these steps, after the procedure:
* Swelling is minimized,
* Tension does not occur in the suture area,
* The healing process accelerates,
* The comfort of daily life is restored as soon as possible.
Is 20% Tooth Extraction Painful?
does a 20-piece tooth extraction hurt? How long does the pain last after that?
During the 20th tooth extraction performed under local anesthesia, due to the nature of local anesthesia, all the intervention stages performed are felt, but no pain is felt. But then, since the healing process of the tissues begins, there may be mild to moderate pain lasting 1-3 days. However, the duration of this pain varies from person to person. Most of my patients I took it on the same day, 2 hours later he was able to eat and drink whatever he wanted, my teacher even said that I had no pain. In order to reduce these pains, most patients go through this process quite comfortably thanks to the drug protocol and ice application recommendations that I have specially planned for you after the procedure.
How Long Does a 20-piece Tooth Extraction Take? How many minutes does an embedded 20-gauge tooth extraction take?
- Non-surgical shots: 20-30 minutes
* Surgical (embedded) Deceptions: lasts between 45-60 minutes
In my own practice, I care about the planning process in equal proportion to the transaction itself. Because a properly planned 20th tooth extraction is completed with minimal trauma in a short time when critical details such as the presence of the patient’s systemic disease, 20th tooth risk analysis are determined.
Things to Be Considered After a 20th Tooth Extraction
what to do and avoid after a 20th tooth extraction.
During the first 24 hours:
- Do not spit, swallow
- Do not use a straw
- Do not rinse your mouth
* Avoid hot food-drinks
- Definitely do not smoke (to avoid jaw bone formation and jaw bone inflammation/ abscess)
The first 3 days:
- Cold compress to prevent swelling and bruising to the tooth extraction area
* Regular use of prescription medications
* Sleep on your back with a high pillow
*Avoid hard foods
- Stay away from smoking
How Much Are the 20% Tooth Extraction Prices in 2025?
The price of a 20th tooth extraction does not depend solely on the “tooth extraction” process. The price varies according to the dental risk analysis, the difficulty of the maxillofacial surgery operation, the dentist’s expertise and medical experience, anatomy knowledge, information equipment, the quality of technological devices and materials used in the clinic.
the main factors affecting the shooting prices as of 2025 are as follows:
- If the tooth is buried or removed
* The proximity of the tooth to the jawbone or nerves
* Pressure or damage caused by neighboring teeth
* Infection, abscess or cyst formed on the gum or jawbone and their size
* Advanced surgical techniques that may be required during the shooting (bone removal, tooth division, nerve isolation)
* Laser-assisted surgery or bone powder insertion, gum transplantation additional treatment procedures Oct.
I would like to underline at this point:
In some cases, the roots of the teeth may be very close to the jaw and lip nerve, may be located in a completely horizontal position inside the bone, or may have melted the root of a neighboring tooth. It is technically difficult to pull a tooth in such cases. In these procedures, beyond the dentist’s knowledge, his experience, manual ability, patience, treatment planning and emergency management are decisive.
Therefore, the prices are not fixed; they become clear after the patient’s panoramic film and clinical examination. I make this evaluation in detail at my clinic in Mersin Yenişehir, I plan the process and possible alternatives by talking with the patient.
Result:
your 20-year-old tooth may be buried or painless. But that doesn’t mean he’s harmless.
These teeth should be carefully evaluated both in terms of the risk of nerve damage, infections spreading to the throat, and the “unnecessary intraoral load” that does not participate in the chewing function.
The correct intervention with a specialist physician in time and field protects both your health and comfort.