📝 From the Dentist’s Desk

When the Seven Was Not to Blame – The Case of the Hidden Eight and Lockjaw

Dr Bartosz Leończak

Dr Bartosz Leończak

Specialist in Oral Surgery


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💡 From the Doctor’s Desk: When the seventh tooth was not to blame — a case of an impacted wisdom tooth and trismus.

Impacted wisdom tooth case

👤 Challenge

A 30-year-old patient came to Warsaw Dental Center after three weeks of increasing pain in the area of the lower left seventh tooth. Four other dentists suspected an issue with the seventh tooth and suggested root canal treatment or extraction. Meanwhile, trismus developed and the patient could no longer open his mouth properly.

🔍 Diagnostics

Dr Bartosz Leończak ordered a CBCT scan, which revealed the true cause: an impacted lower left wisdom tooth fully hidden in the bone, lying horizontally and close to the root of the seventh tooth. A local inflammation had formed around the tooth, which spread to the soft tissues and caused trismus.

💡 Treatment

  1. Antibiotic therapy — to reduce swelling and allow the mouth to open.
  2. Surgical removal of the wisdom tooth — the tooth was carefully sectioned into smaller fragments and removed under magnification, which helped preserve healthy bone structure.

⚙️ Recovery & Result

The swelling subsided as expected, and the sutures were removed after 7 days. The patient returned to normal function and was grateful for the precise diagnosis and gentle treatment.

📍 Before & After

Before

  • Pain, trismus
  • 4 incorrect diagnoses
  • No effective treatment

After

  • Accurate CBCT diagnostics
  • Impacted wisdom tooth removed
  • Patient free of pain and trismus


Przed
Po

Removal of the impacted wisdom tooth — result by Dr Bartosz Leończak.

“I felt lost and frustrated — only at WDC did I find a specialist who solved my problem.”

💭 Doctor’s Reflections

  • Precise CBCT diagnostics help save healthy teeth.
  • Impacted wisdom teeth can remain hidden for a long time.
  • An experienced oral surgeon can resolve complex cases painlessly.

“Every pain has a cause — you just have to know how to find it and eliminate it effectively.”

📌 Takeaway

Not every toothache means there is an issue with the visible tooth. Sometimes the cause is hidden deeper — that’s why it’s worth trusting experience and advanced 3D diagnostics. If you feel that something is wrong — don’t wait, book a consultation with Dr Bartosz Leończak today.

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Warsaw Dental Center Leończak Sp.k.

NIP: 1182180875

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