Ana

Good luck tomorrow.

We'd like to think that possibly what your dentist has stated is simply very thorough "informed consent" information, to the point of overstating what they actually anticipate is most likely to happen. Hopefully your actual level of risk is substantially less than what you currently imagine.
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Where the potential for complications with paresthesia are comparatively higher, we would make sure we were in the most capable hands possible, meaning an oral surgeon as opposed to a general dentist.

Based on your mention of a "3d scan" (a type of imaging that most general dentists don't have in their office), we're assuming you have that issue covered.
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There should be clear reasons why the tooth needs to be removed, including an explanation of why the issues associated with leaving it exceeds the expected risk for permanent nerve damage. (We have pages that discuss general reasons why wisdom teeth should be extraced and others that may not be such valid reasons.)

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In terms of questions to ask about how the procedure will be performed to help prevent nerve trauma from occurring, only your doctor can determine the approach that's best.

For a horizontally positioned tooth, we would imagine some degree of sectioning would be planned for (see above on this page). That would be positive to know because usually that means the tooth can be removed relatively less traumatically.

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Generally, we would just focus on the fact that the tooth has good reason to be removed. That we are in the hands of a highly trained and skilled practitioner. And that you and they want the exact same thing, the most uneventful extraction process for you possible. Once again, good luck.

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