Inherited from ancestors
The eruption of wisdom teeth usually causes pain, as there is often no place for them in the dentition. This causes inflammation of the gums and pain in the region of the 7th teeth, and over time can lead to a change in the position of a whole row.
Wisdom teeth are rudimentary teeth, that is, they have lost their main meaning in the process of evolution. In ancient people, hard grains prevailed in the diet, the chewing load was greater than that of a modern person.
Today, a resident of the metropolis consumes thermally processed food, which means that the load on the jaw is reduced. This is reflected in the growth and development of the jaw bones, since with a reduction in chewing movements, innervation (supply of organs and tissues with nerves) and blood supply to the bone tissue decrease.
In the process of evolution, the size of the jaws decreases with each generation, there is not enough space for third molars (teeth). But wisdom teeth are programmed to erupt, which means they will do everything to appear.
Remove at the germ stage
Often we see problems with the position and closing of the teeth, which provoked the “eights” (the so-called wisdom teeth). Two teeth growing from opposite sides are able to displace the entire dentition, as a result we see crowding in the anterior area.
In modern dentistry, a hermectomy operation is popular – the removal of teeth in the rudimentary stage. The procedure is carried out for children aged 8-9 years according to indications. If the orthodontist sees that still unformed teeth already negatively affect the growth and development of the jaw bones, it is better to remove them now. That is why the first time a child should be shown to an orthodontist at the age of 6 – to control the growth and development of the facial skeleton.
For children, the procedure resembles the removal of a milk tooth, but timely diagnosis often avoids big problems in the future.
Indications for surgery
In adulthood, the operation is also performed strictly according to indications. Namely:
lack of space for eruption;
difficult eruption, inflammation of the gums with the formation of a “pocket”;
chronic biting of the cheek;
pathology of the temporomandibular joint (can be detected only after diagnosis);
periodontitis / fracture / caries of the adjacent 7th tooth;
caries and its complications.
Removal of wisdom teeth in 95% of cases is performed on an outpatient basis, in a clinic under local anesthesia. You should not be afraid of this operation, but also you should not plan the removal before very important events or events. The removal of “eights” is a priori considered difficult, since the tooth is far away, the anatomy of the roots differs from other molars.
The matter is complicated by the peculiarities of the innervation and blood supply of this area (the proximity of the mandibular canal, where the large nerve is located). But you also need to understand that a tooth that has already erupted and is visible in the oral cavity is most likely easier to remove than an impacted one (located in the thickness of the bone tissue).
Impacted wisdom teeth are more complex, but the qualification of the surgeon who performs the operation is important here. Recovery after removal takes from 3 to 14 days. The maximum swelling is observed on the third day, then the swelling and soreness subside.
But the treatment of erupted wisdom teeth is extremely rare. Why? They are very far away, it is difficult to carry out ideal isolation from saliva with the help of a rubber dam, which means that it is almost impossible to treat them qualitatively.
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