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

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

 Hives  or  urticaria  can be defined as an outbreak of reddish swollen bumps on the skin surface. This happens because of the body s response to involuntary histamine release by the skin s blood vessels (which in turn, cause a leakage of blood plasma). The infection generally lasts for about 5-6 weeks, varying significantly in sizes and shapes. Although it is not a serious medical condition, hives can posit considerable discomfort to the affected person (coupled with severe itching and a constant burning sensation near the spot).

Although the exact reason behind the development of this condition is still unknown, researchers suggest that there are some factors that initiate the disorder.

Hives can occur as a result of insect or parasite bites.
In some cases, this disorder might occur as a side effect of painkillers or anti-inflammatory drugs.
Excessive intake of alcohol or foods rich in proteins such as eggs, fish, nuts, chocolate, berries etc. might also cause hives.
Excessive exposure to the harmful UV rays of the sun or high levels of stress can also result in hives.
Also, suffering from serious underlying medical conditions such as cancer, hepatitis or thyroid disorders might drastically aggravate chances of chronic hives as well.
Symptoms

Development of numerous reddish welts around the face or the arms along with a severe itchy sensation, recurrent feeling of tightness around the chest and constant dizziness.
Oral inflammation
If not treated immediately after diagnosis, this disorder might cause life- threatening allergic reactions such as Anaphylaxis (a condition which narrows down the bronchial tubes and causes significant breathing troubles) and auto-immune disorders such as rheumatoid arthritis.

The homeopathic preparations useful for treating hives have been mentioned below:

Apis mellifica: This medication works best for a case of hives that has resulted from insect or parasite bites. Other symptoms that are taken care of by this medication include severe itching and a stinging sensation that worsens at night or with exposure to cold, coupled with mild fever.
Arsenicum album: This homeopathic preparation is effective to cure hives that include symptoms of a burning sensation, abnormal swelling, and constant restlessness.
Ichthyolum and Astacus: This preparation is effective to cure chronic hives caused due to serious medical conditions such as uric acid, tuberculosis, or excessive alcohol consumption. People suffering from this particular type exhibit symptoms such as a large appetite, irritability, and a constant itchiness.

Can Homeopathy Treat Hives?

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, commonly known as hives, usually occurs due to an allergic reaction. Sheetapitta is a similar condition in Ayurveda, as the symptoms are similar. Sheetapitta is comprised of two words-  sheeta  (cold) and  pitta  (warm). The condition occurs due to dominance of cold (existing in kapha and vata dosha) over pitta dosha.

Causes of Sheetapitta/urticaria-
Ayurveda believes, sheetapitta is caused due to the following reasons-

Excess intake of pungent (katu) and salty (lavana) food, mustard
Over consumption of sour gruels
Sleeping during the day
Contact with cold substances
Exposure to cold wind
Improper emesis (vomiting)
Insect bite (keeta damsha)
Coming in contact with poisonous bugs and insects (krimi samsarga)
Effect of seasonal changes on the body
Due to the factors mentioned above, especially because of exposure to cold wind, kapha and vata doshas become aggravated, and inevitably combine with pitta dosha. These spread all over the body and produce rashes on the surface of your skin.

Symptoms-
A person having sheetapitta/urticaria will encounter these symptoms-

Itching/pricking sensation
Nausea/vomiting
Fatigue
Tastelessness (aruchi)
Thirst (pipasa)
Lethargy
Reddish discoloration of the eyes (rakta lochanata)
Fever
Ayurvedic approach to cure Sheetapitta-

Ayurveda focuses on eradicating the doshas and purifying of the body toxins with Ayurvedic medicines & Panchkarma procedures. This is the essential part of Ayurvedic approach to cure urticaria. Abhyanga (massage), svedana (fomentation), vaman (induced vomiting) and virechen (induced lose motion) are very effective in treating Urticaria.

Ayurvedic treatment for Urticaria (Sheetapitta)-
Ayurvedic treatment for urticaria involves body purification therapy like Samshodhana, and oral medications. Some popular, effective techniques used in the treatment are-

Applying mustard oil all over the body
Applying mustard oil mixed with Saindhava lavana and Yavakshara
Use of a herbal powder named Eladi choornam that contains natural ingredients like elaichi
Applying medicated paste prepared from Haridra and Doorva, Kushta and Ghee over the rashes
Apart from these, herbs such as Guduchi, Yashtimadhu, Amalaki are recommended in the treatment of sheetapitta
Although urticaria is not a fatal condition, it can seriously affect one s quality of life. Many people suffer from urticaria for several months or years. Continual intake of conventional medicines reduces body s immunity. Moreover, the incidence of recurrence of this condition is often found. Thus, Ayurveda has an upper hand in treating hives, as it offers a comprehensive and permanent solution for this problem.

Sheetapitta - Causes, Symptoms & Ayurvedic View On It!

One of the most important functions of the skin is protection. During this process, it comes in contact with various substances including chemicals, pollen, dust, and other pollutants. While it does protect the overall body from all these, there is some damage that is inevitably done to the skin through these exposures. Different skin and different bodies react differently to these, and while some may have no reaction, others develop allergies. This is also defined by how strong the person s immunity is.

Hives is one of the most common skin allergy responses. While it is not easy to pinpoint what causes the allergy or the hives, the causative agent can be nailed by observing patterns and excluding out some of the causative agents. There are a set of regular household and surrounding items that could lead to urticaria, and working around these can help pin down the source.

Origin: When the body encounters a foreign body, it produces what are known as histamines. When they are produced, the plasma in the cell leaks out, producing a red and swollen appearance. Hives are red, itchy, raised patches on the skin. They are seen in about 20% of the population. Hives are usually allergic in nature, implying that they occur when there is a foreign substance that induces an allergic reaction. Hives can appear either due to coming in touch with some substance or due to eating some allergy-inducing substance.

Hives can be acute or chronic. Acute is when the hives appear in response to an allergic reaction. These usually disappear in a matter of days to a week at the maximum. In some people, they could be chronic and can last for months together.

Treatment: Given that they are allergic in nature, managing hives includes a combination of immediate treatment as well as preventive measures. While most are topically managed, others might require systemic intervention also.

Once the hives have developed, the following can help in the relief of symptoms and prevent from spreading further. The redness and swelling will take some time to disappear.

Avoid tight-fitting clothes
Use cool compresses on the hives
Avoid warm or hot shower
Stay in a cooler room
Avoid itching the hives
Use topical moisturizer to prevent dryness
Use topical steroid cream to manage the inflammation
Take a systemic antihistamine or an injection of epinephrine if required.
While these help in managing the hives which have occurred, preventing is via the following.

Avoid the source once identified
If the source is not yet known, record when the hives are occurring
Manage stress and see hives appear much less
Increase moisturizer use
Keep an antihistamine handy so you can take it immediately in case of suspected hives. 

Urticaria (Hives) - The Best Way It Can Be Treated!

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