Some people will have their wisdom teeth grow-in without much problems. Most people now a days though, do experience some wisdom teeth problems - and these people in most cases will need to have their wisdom teeth extracted. Of course, many people may just need to extract one or 2 of their wisdom teeth, and not all of them. This depends on what is going on in the mouth, and the patients preference. As we will discuss, with modern dental imaging x-rays, your dentist or oral surgeon can provide a good treatment plan for your particular case.
Wisdom teeth are the last set of molars to erupt. They usually erupt between 15 and the mid twenties if they are going to erupt. This time of life is called the, “Age of Wisdom,” which is where the term, “Wisdom Teeth,” originates. Dentally, wisdom teeth are referred to by dentists as third molars.
Third molars are numbered as tooth #1, Tooth #16, Tooth #17, and Tooth #32. Hence, if your dentist or oral surgeon is removing all 4 of your wisdom teeth - they will write extraction of 1,16,17,32 third molar extractions will be done.
We get asked many third molar teeth questions - a common wisdom tooth problem question about when are my wisdom teeth suppose to grow in? Do you have a specific Wisdom Teeth Question or Third Molar Pain Question want to ask us? Simply Ask our Best Dentists Your Wisdom Tooth Question and we will have our Best Dentists Answer Your Molar Tooth Question.
All four Wisdom teeth are not likely to fit into the dental arch. More than 85-90% of people have at least one wisdom tooth that gets stuck in the bone or gum tissue due to lack of space or angle of eruption. It has been hypothesized that as we have become more civilized, our diet has become softer and more refined. This has decreased the bending and flexing of the jaws when chewing is done. Therefore; there is less wear between the teeth resulting in larger teeth. Thus, occupying all of the space and leaving no space for the wisdom teeth to erupt.
In our modern times, we have also become more esthetic minded. Crowding is typically resolved by orthodontics which may or may not utilize all of the available space. Again, leaving no space for the wisdom teeth to erupt into the dental arch. The genetics around the third molars are not that well understood. Each of the four wisdom teeth may not form or may not form to the normal tooth size. Extra third molars can also rarely be present.
In most countries, your general dentist will perform wisdom teeth extractions. Oral surgeons do many of the complicated wisdom teeth extractions. Also, periodontists many times will do wisdom tooth extractions as well. Periodontists do gum surgery and can extract teeth if necessary as well.
All wisdom teeth do not need to be extracted. In some cases, your wisdom teeth may be functioning teeth that are used to chew. Unfortunately though, many times wisdom teeth can cause gum inflammation and tooth pain. With that said, let us now discuss all the reasons why third molars might need to be extracted.
Reasons why wisdom teeth are extracted - third molar extraction may be necessary?
First, even if these wisdom teeth do erupt, they are rarely in occlusion in a way where they are really used to chew. They are very difficult to keep clean due to their position. Wisdom teeth are poor candidates for extensive dental restorations due to their position, size and variation, and lack of use for chewing. If dental caries (Cavity) or Periodontal disease develop in conjunction with the tooth, then it should be extracted. Investing time and money into wisdom teeth is usually not going to be a wise investment. This should only be done if there was loss of a molar early due to trauma or bad cavities. Wisdom teeth can be used as a abutment for crown and bridge work. They can also rarely be moved forward to substitute for missing first or second molars. Of course, having good dental x-rays and dental imaging tools can help in this.
Second, when teeth stay in the gums or bone, many later complications can result. The white part of the tooth or crown does not attach to the gum tissue. This creates a space near or in the mouth where there is fluid, it is warm, close to a food source, and it is dark. These are all of the criteria for an infection to get started.
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Later the lining of the gum tissue that surrounds the impacted tooth can degenerate, form cyst, and even transform to other more serious lesions. None of this can happen if the teeth are removed.
When a patient is between the ages of 15 and mid-twenties, they are most likely going to heal better after wisdom tooth removal than if they were to wait until an active infection started or the chronic issues that accompany the body with aging. As we get older more people smoke, use and abuse alcohol and drugs, and develop more chronic issues such as high blood pressure. Chronic issues such as periodontal disease can also complicate healing. When the crowns are fully formed and there is less than half of the root formation complete is often the best time to refer for extraction.
Some recent studies have even shown that erupted and partially erupted wisdom teeth can have the same issues as impacted wisdom teeth. Again, another reason to remove the teeth.
Wisdom teeth do not cause later crowding of the permanent teeth. This is not a reason to extract the teeth. Late crowding is more likely related to rotational jaw growth that can continue into the lower twenties. Wisdom teeth or third molars growing into your mouth, can feel as though the teeth
are being crowded. Many times, if your dentist or oral surgeon notices a semi-impacted wisdom tooth that is coming in more diagonally, then they may recommend to have your wisdom tooth extracted.
A pericoronitis is another reason to treat and extract a wisdom tooth. This is when the tooth is partially erupted and food gets caught between the flap of gum tissue and the partially erupted tooth. Usually, the infection will be drained and irrigated and then antibiotics are given. The removal of the wisdom tooth is done later when the active infection has mostly resolved and the supportive tissues are in a relatively better condition.
Many times Amoxicillin or Clindamycin is used for wisdom teeth infection or inflammation. Any antibiotics prescribed, must make sure not allergic to it. If get rash or lot of itching. Make sure to tell your dentist and do not take if have allergic reactions. Your dentist / oral surgeon can provide something else. We do get asked many Third Molar Antibiotics Questions Online.
Some people do get dry socket problems after having a wisdom tooth extracted. Will usually know have a dry socket, since area that took the tooth out of - will feel as though it is hole that has not healed >> hence, called a dry socket. By having a dental bone graft, usually less likely for a dry socket to happen. If a dry socket does happen, will experience more pain and longer healing time usually. Need to see your dentist and they can evaluate what is going on? Eventually, dry sockets do usually heal.
Wisdom Tooth Blog, Wisdom Teeth Treatment Information:
In this Best Local Wisdom Tooth Information Blog, we will not get too deeply into exactly how Third Molars are extracted. Your dentist, periodontist or oral surgeon can provide better detail about what will be going on with your wisdom teeth extraction - if you will be needing so. Most of the time, Wisdom teeth will be removed in the Oral surgeon’s office with the aid of IV or general anesthesia. Local anesthesia alone can be enough to control the pain of the patient, though in more complicated impacted wisdom teeth cases - IV anesthesia may help more. If the patient has significant medical issues, then the extractions may be done in the operating room.
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Under normal conditions, if not in pain - one can first get a dental cleaning, dental exam and dental x-rays. Good idea to get all dental caries treated. Next, have an evaluation of the supporting gum tissues. The gum tissues should have as little inflammation as possible before the surgery which means getting them as close to possible to ideal health. Healthy tissue bleeds less, holds sutures better, heals faster, and makes for an overall better surgical candidate. Unfortunately, many times - wisdom teeth will need to be extracted in not ideal oral conditions. With people having pain and inflammation in the mouth. When having a wisdom tooth extracted, your dentist or oral surgeon can do. It is not mandatory to be placed in twi-light sleep - regular local anesthesia will get you numb. After the tooth extraction, it is important to follow post-op directions.
Local Third Molar Questions, Best Wisdom Teeth Answers Online:
We answered some third molar questions in this local wisdom tooth blog. We explained that it is better to have your wisdom tooth extracted in a healthier oral condition, if possible. Wisdom Teeth Extraction Question Online & Wisdom Tooth Extraction Treatment Answers Online can be done at DentalChat.
We hope you found this Local Third Molar Blog informative. Best Wisdom Tooth Information, Third Molar Blogging Online, Third Molar Dry Socket Info and Online Wisdom Teeth Extraction Chat article answered some of your dental questions.
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