Wisdom tooth: to remove or not?

Health Tips

A beautiful smile is the key to health and success, but often teeth give us discomfort, especially the so-called wisdom teeth. Currently, wisdom teeth are detected in 92% of the adult population, in 25% they remain unerupted, and in about 8% of people they do not form at all. Goodshapetips asked a dentist about the features of the growth of wisdom teeth and possible complications.

Complications during teething

So let’s talk about wisdom tooth. What is its peculiarity? Wisdom teeth (“eights”) are large molars, the last (third) in a row of molars. They usually erupt only by the age of 18-25, but they may not appear at all during life. In general, in women more often the “eight” may be completely absent, and in men there is a lack of upper wisdom teeth.

The problem lies in the difficult eruption of the “eights”, because by this age all the other teeth have long formed a row, and there is simply no room for wisdom teeth.

An important role in the problem of the appearance of wisdom teeth is played by the absence of predecessors, i.e. milk teeth, which in due time could prepare the way for eruption. Yes, and the jaws themselves by the age of 18-20 have already become quite hard.

Often wisdom teeth grow, significantly deviating in different directions.. Such wrong deviation called dystopia, teeth that are “stuck” in the jaw that do not appear above the gum are impacted, and the delay in eruption itself is retention. This variant occurs in 25% of people.

caries and inflammation

Often, when wisdom teeth erupt, a number of complications occur.

Inflammatory processes in the periodontal tissues. This is the most common pathology. In the process of growth, the tubercles of the “eights” often remain covered by the gum mucosa. The so-called “hood” is formed. It is exposed to constant trauma, and the abundance of microbes in the oral cavity contributes to the onset of inflammation.

Remains of food fall under the “hood”, they cannot be cleaned out, they serve as a source of nutrition for microflora. Purulent inflammation is formed. This condition is called pericoronitis..

The main symptoms of this process are increasing pain in the area. tooth, which can give to the temple, ear, occur when swallowing and opening the mouth, since muscles and lymph nodes are involved in the process. Also, a reaction from the body is often observed: temperature rise, malaise, headache. The mucosa above the wisdom tooth is painful, pus can be released from under it when pressed.

The appearance of such symptoms requires the immediate intervention of a dental surgeon, since the disease can spread with the involvement of bone tissue in the process. Before contacting a doctor, you must take painkillers and rinse your mouth with a solution of salt and soda (one teaspoon per glass of water at room temperature).

In no case should warm compresses be applied during inflammation (it will sharply aggravate inflammation), put painkillers on the inflamed gums (it won’t help, but you are guaranteed an additional ulcer) and try out recipes from a girlfriend who had everything exactly like that.

The treatment for pericoronitis is to excise the mucous “hood”, you may be prescribed anti-inflammatory therapy and painkillers. If such conditions are repeated (relapse), then the tooth must be removed.

Tooth extraction and possible complications

The next problem with teething is caries. It occurs due to the inaccessibility of the tooth itself, daily oral hygiene not able to remove microbial plaque. This leads to caries. Often, even with successful eruption, teeth appear already with lesions. enamel.

Since they are in close contact with neighboring molars, they can cause caries in them too. If the tooth is not cured in time, then caries will turn into inflammation of the nerve – pulpitis.

It often happens that a wisdom tooth, as it were, props up an adjacent tooth. It exerts pressure, which can lead to blurry, indistinct complaints of the patient: incomprehensible periodic or constant pains radiating to the temple, ear, lower jaw, a feeling of discomfort. Also, with their pressure, wisdom teeth can cause a change in bite, for example, crowding of teeth, more often anterior. To diagnose this condition, it is necessary to conduct an x-ray examination.

During growth, wisdom teeth can cause inflammation of the branches of the trigeminal nerve.which is also accompanied by severe pain with spread even to half of the head.

The wisdom tooth can serve as a source of cyst formation in the jaw. Sometimes the disease can be asymptomatic and detected by x-ray examination of adjacent teeth by chance. But cysts tend to grow and increase in size. Inside them, a cystic secret is formed – a fluid, and it, in turn, presses on the bone, which gradually resolves. Cysts can suppurate, and then there is a very serious inflammation.

Teeth that have grown incorrectly, when chewing, can permanently injure the mucous membrane of the back of the cheeks.. This leads to the occurrence of traumatic ulcers. The attachment of microbes contributes to long-term healing process. As a result, scar tissues are formed, which are again subjected to injury. It is clear that a chronic injury to any part of the mucosa is very dangerous. Neoplasms in this case is not uncommon.

“Eights” is shown to be removed in case of damage to caries or its complications, but only in cases where it is impossible effective treatment. Also, those teeth are removed, the structure of the roots of which does not allow for high-quality filling.

The tooth must be removed if it has erupted partially, and inflammation in the soft tissues occurs repeatedly (repeating pericoronitis).

There are times when tooth begins to grow, but does not erupt. At the same time, it can cause neurological facial pain, damage the roots of adjacent teeth, and cause their displacement. Certainly, only removal will fix the situation. This also applies to teeth that cause permanent trauma to the mucosa during chewing.

Removal of wisdom teeth can be quite traumatic, which often leads to complications. The hole after such removal heals slowly. There is a danger of alveolitis – inflammation of the hole. Usually, a clot fills the hole after tooth extraction, which protects it from germs, and later contributes to tightening.

If such a blood clot does not form or is washed out, then a “dry socket” occurs. The complication is not harmless and requires the intervention of a surgeon. Under local anesthesia, the bone walls are cleaned and processed, anti-inflammatory and wound healing drugs are introduced, and recommendations are given for hygiene.

Many make a typical mistake – after tooth extraction, they begin to rinse their mouth vigorously, this can cause alveolitis. Rinsing is strictly prohibited!

In some cases, after the removal of a tooth in the lower jaw, numbness of the lips, chin, and tongue occurs. Sometimes sensitivity comes back in a few days. If this does not happen, the doctor prescribes treatment and the recovery process will take a long time.

When it is necessary to remove a tooth that lies entirely in the bone, then under local anesthesia, the surgeon cuts out a mucous flap and removes the bone above the tooth. Then the tooth is removed, sometimes in parts. After the flap is sewn, and special preparations are introduced into the hole.

Remember, the sooner you consult with a dentist, the sooner you will be helped. Do not forget that it is always easier to prevent a disease than to treat it.


Photo: shutterstock.com

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