The last molar teeth in the mouth are called as wisdom teeth. While in some people they erupt completely into the mouth and function with no problem whatsoever, in others, they remain embedded in the bone, erupt incompletely, erupt at an angle, or are covered by bone or a flap of tissue. They are absent in many.
Of late, dentists recommend removal of wisdom teeth, more a preventative than remedial measure. Some of the reasons for wisdom tooth removal are listed below-
Impaction: Often, wisdom teeth do not have enough space to erupt in their normal position. This can only be evaluated properly on an x-ray. If the x-ray shows that the tooth is unlikely to erupt because of being blocked by a root or bone, this needs to be removed.
Pericoronitis: The tooth partially erupts into the mouth but is covered by a flap of gum. This attracts food and bacteria to accumulate, leading to decay and infection, a condition called as pericoronitis. Very common in the lower wisdom teeth, it leads to severe tooth pain, painful swallowing and swelling of the lymph nodes. This is the most common cause for wisdom teeth to be removed. An x-ray will reveal the tooth to be infected and sometimes periapical abscess may also be present.
Cysts: Impacted teeth can develop fluid-filled cysts which can cause severe and even permanent damage to the jaw bone, adjacent teeth and nerves. Dentigerous cysts are the most common type.
Alignment: Misaligned wisdom teeth exert a constant mild pressure on the adjacent teeth which can hamper the alignment and reverse the effects produced by braces. The bite may be altered also, thereby necessitating removal.
Adjacent Tooth Damage: If the malposed wisdom tooth is causing pocket formation or decay in the adjacent teeth, it is time to get them removed.
Recurrent Sinus Infections: With their proximity to sinuses, there could be constant pain and pressure and infection of the sinuses. This is another indication for their removal.
However, not all wisdom teeth need to be removed. If they have erupted fully, are healthy, produce a good bite, and can be cleaned easily, they do not require removal.
During the teenage years and through 20s, check with your dentist on the health of the wisdom teeth. X-rays can be taken to monitor them and for early identification of problems. If they need to be removed, it is easier to take them out when you're young. The bone surrounding the impacted tooth is less dense, and therefore easier. The ability of the body in general and the jaw bones in particular to heal is also better at a younger age. 


Wisdom Teeth - When To Get Them Removed

Unlike other teeth which erupt at specific period of time, the wisdom teeth, in normal adults, erupt anytime from late teenage years to adulthood. The refined food habits in the recent times have reduced the need for a third molar. Also, our jaw sizes have reduced with evolution, and oftentimes, there is less space for these to erupt completely, causing their impaction. The chances of infection developing within the tooth and in the surrounding tissues is very high, requiring removal. Before you go ahead with removal, know the following four things.

Get a buddy: In addition to the effects of anesthesia, there also would be moderate pain and discomfort, depending on how traumatic the extraction was. It is always best to have someone accompany you for the visit. This also helps you reach home safely without having to drive.
Numb tongue and lips: The wisdom tooth removal is done under a local anesthesia where the entire quadrant is numbed before the procedure. Therefore, the chances of chewing on the tongue and the lip are quite high. Be careful to consciously avoid this as there are a lot of people who do not feel pain, but continue to chew on the tongue or lip and end up with injuries.
Pain Management: Once the effect of anesthesia wears off, the pain will slowly set in, and will depend on how traumatic the extraction was. It is always advisable to take a pain killer before the anesthetic effect wears off, usually 30 to 40 minutes after the extraction process is over.
Diet: For the first couple of days, stay on a completely soft diet with nothing spicy, hard, or hot to eat. One of the best things to have after an extraction is an ice cream, which can be continued for a couple of days after the extraction. Yogurt, smoothies, milkshakes, mashed vegetables and well-cooked rice are all good food choices.
Smoking: If you have had an extraction, avoid smoking for at least a week. The negative pressure created during smoking can dislodge the clot that is formed in the tooth socket. This can lead to a complication called dry socket, which can be very painful. Avoid smoking at all costs, especially with wisdom tooth extractions.
Postoperative follow-up: Based on the complexity of the extraction, a postoperative follow-up would be required. Be prompt in following up with your dentist for suture removal, check on socket healing and postoperative irrigation of the surgical site. Resume routine oral hygiene practices as recommended by the doctor.
Wisdom tooth removal requires a little extra caution as compared to a normal extraction, the ideal thing to do is to follow your dentist s advice.

Extraction of Wisdom Tooth - Things To Remember!

Urticaria or hives are red, raised lesions that occur anywhere on the body, usually around the trunk, hands and legs. They appear as small round rings or large patches that changes shape, may itch and be surrounded by a red flare. They can be acute or chronic, with acute almost always being an allergic reaction. It is often due to unknown causes, ranging from chronic irritation to parasitic infection to temperatures to water types.

Homeopathy treats diseases as a whole, and similarly, when treating urticaria tries to identify associated symptoms and thereby treat the cause also. After a detailed discussion about predisposition and associated symptoms, a customized remedy will be prescribed, which may include one of the following common homeopathic remedies.

Apis Mell: The hives consist of isolated patches that are painful, tender, itch at night, feel like bee stings, become purple. There is burning pain, slight fever, and warmth of the surrounding skin. It is worsened by changing weather and exercise, causing severe itching and burning. The patient may already have asthma.
Arsenic Album: The urticaria is caused by eating shellfish and causes burning and restlessness. The condition gets worse being at the seaside and by getting into sea water. Arsenic is also useful to treat urticarial symptoms during the recession of the lesions. The person also could be down emotionally with depression, despair, indifference and irritability. If the lesions are more severe, the restlessness is also severe. It is worse after midnight, from 1 to 2 a.m.
Rhus toxicodendron: Prepared from the leaves and bark of the plant poison ivy, Rhus works on multiple body systems including skin, joints, eyes, extremities, and overall vitality. In addition to urticaria, it is also used in cellulitis, arthritis, fevers, etc. It is effective if the urticaria has a burning sensation, inflamed reddened rash that is worsened by cold and improved by warmth.
Urtica urens: Made from a plant called stinging nettle, which itself has a tendency to produce urticaria, it is used when there is urticaria from bee stings or after eating shellfish. The lesions are red with severe burning and itching, recurring every year, could be associated with weather changes.
Natrum Muriaticum: The common salt sodium chloride is potentized, and its inner healing power activated. It is used for chronic urticaria, where the lesions develop after severe irritation.
Dulcamara: The lesions develop followed a general prickly sensation setting in and at night when it is cold and damp. The hives are irregular white patches surrounded by a red area that itch badly. The hives are associated with violent cough, swelling of the lymph nodes, fever, restlessness, sleeplessness, decreased appetite, nausea, vomiting, bitter taste, and intense aching in pit of stomach.

Urticaria - 6 Homeopathic Remedies For Hives Disease

Wisdom teeth are known to be the final molars to grow out and they complete the set of permanent teeth. They generally start to erupt during the late teens or in the beginning of twenties. 

In case of some people, there is a possibility that the wisdom teeth may never erupt, while others may even grow four and more wisdom teeth. 

Do all wisdom teeth create dental problems?
No, if a wisdom tooth has completely erupted through the gum and tissue, without actually harming the teeth next to it, it does not require to be extracted. But, this is only if the individual is able to clean and brush it thoroughly. The wisdom teeth should be properly examined and dental care is necessary to prevent any complications. 

When do wisdom teeth need extraction?
Proper oral care of the teeth will keep them healthy and clean. But there may arise a situation, in which the removal of the wisdom teeth is quite necessary:

1. In certain cases, the wisdom tooth may erupt at a weird angle, compromising the teeth next to it. This may make it difficult to clean the teeth thoroughly, thus resulting in the onset of bacterial growth and periodontal disease. In this case, the wisdom teeth should be removed as soon as possible. 

2. While the wisdom teeth grows out, it may happen that there is not enough space for it to grow properly. As a result the adjacent teeth may face pressure due to crowded teeth, leading to headaches, toothaches and jaw pain. It is best that the wisdom teeth is extracted in this situation.

3. In case a wisdom tooth develops a cavity, it should be extracted. 

4. An impacted wisdom tooth, that is, if it has only partially grown out of the tissue, should also be extracted before it can cause serious complications.

All About Wisdom Teeth

If stressed, consuming certain food and medications can trigger skin rashes. This kind of rash is called hives. It is also known as urticaria. Anyone can be affected by hives, at least 20% of people are affected by hives at some time or the other in their lives. The itching could be severe or mild. It starts as a patch of scaly white skin that develops into red welts over time. To make sure the itching does not worsen, scratching, emotional stress, alcoholic drinks and exercise should be avoided.

Symptoms
1. Itchy bumps that are raised and are either red or flesh coloured
2. If the hive is pressed in the middle, the skin whitens this symptom is called blanching.
3. The hive formation can appear anywhere, disappear and then reappear somewhere else.

Common Triggers
1. Certain food like shellfish, eggs, peanuts and other nuts
2. Certain medicines like antibiotics, ibuprofen and aspirin
3. Insect bites or stings
4. Physical causes like pressure, sun exposure, cold, exercise and heat
5. Latex
6. Blood transfusions
7. Bacterial infections
8. Pet allergens
9. Viral infections like the common cold, hepatitis and infectious mononucleosis
10. Certain plants like poison ivy and poison oak
11. Pollen

Treatment
There is no distinct cure for hives. But you can control its symptoms in the following ways:
1. Antihistamines help in blocking histamines, which cause the allergy symptoms. Non sedating or low sedating Antihistamines will be mostly recommended by your doctor.
2. If episodes of hives are several, it may require limited treatment with prednisone. Prednisone will be able to lessen the symptoms.
3. If the symptoms get severe enough so much so that it swells up your tongue and you have problem breathing, then the doctor might prescribe an epinephrine. However, these symptoms can mean another thing, an anaphylaxis shock. Epinephrine is the only treatment for an anaphylaxis shock.

Prevention
If what caused hives to break out is figured out, then measures should be taken to avoid or eliminate the triggers.
1. Avoid eating food items that triggered the symptoms in the first place
2. If harsh soaps, frequent bathing cause hives, they should be avoided
3. Tight clothing should be avoided
4. If cold triggers hives, then wear warm clothing, wrap a scarf and do not swim in cold water.
5. Avoid sun exposure and wear sunblock
6. If a specific medication is causing the hives, inform your doctor.

All About Hives

Hives, also known as urticaria, is characterized by an outbreak of swollen red bumps on the skin. It may cause symptoms of itching, burning or stinging. The disorder can affect any part of the body including the tongue, throat and face. The size of the bumps can vary, they may join together to form plaques. The bumps or plaques appear and disappear until the disorder runs its course. In case of chronic hives, the bumps can last up to six weeks.

Symptoms
The symptoms of this disorder are formation of bumps on the body, severe itching and pain resulting from the bumps. The symptoms can get aggravated by stress, heat and exercise. You may also experience dizziness, chest pain and a swollen throat.

Causes
Chronic hives can be caused when specific cells in the body release histamine in the blood. The exact cause of this disorder is not known. This reaction of releasing histamine in the blood can be triggered by factors like: 
1. Insects
2. Medications to control pain
3. Scratching
4. Exposure to cold and heat
5. Excessive consumption of alcohol
6. Heavy exercise

Being a female and being young raises your risk of being affected by this disorder.


Ayurvedic Treatment
The first line of treatment for hives is the use of home remedies. The doctor will aim to treat any underlying condition, if any. Ayurvedic remedies for hives are holistic and free from side effects. They are based on natural ingredients that do not cause any adverse effects on the body.

The Ayurvedic treatment for this disorder are

Herbs: Certain herbs like turmeric are very effective to treat this condition. It is known for its anti-inflammatory properties that help relieve its symptoms. A mixture of rock salt and mustard oil can be applied on the affected part to foster speedy recovery.
Diet: You need to follow certain dietary guidelines so that the symptoms do not get aggravated. Avoid taking foods that are sour and salty. Include plenty of buttermilk as it has a cooling effect on the body.

Chronic Hives - How Ayurveda Remedies Helpful in Treating it?

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