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

Hyperdontia is a peculiar and quite rare dental problem which involves the growth of excess number of teeth. It can appear during birth and last till the primary teeth fall out to be replaced by the permanent set of teeth, or appear with the rise of the permanent teeth. If a person shows a tendency to grow more than 20 temporary teeth or more than 32 permanent teeth, he or she suffers from hyperdontia. 

Where do the additional teeth occur?
The additional teeth or supernumerary teeth can appear anywhere inside the mouth or dental arch, but the most common ones are called wisdom teeth and they grow as anterior molars after a certain age. Extra teeth in new born infants are called natal teeth. Occurrence of more than 4-6 supernumerary teeth is rare, although there have been known cases of more than 30 supernumerary teeth. 

Why does hyperdontia occur?
1. Hyperdontia often occurs in association with a few select disorders like cleidocranial dysplasia, Ehler - Danlos syndrome, Gardner syndrome, and cleft lip and palate. 
2. Although the exact cause of hyperdontia has not yet been discovered, some studies have shown that it might be a result of over activity of dental lamina during the phase of tooth development in infancy. 
3. It could also possibly be due to genetic or environmental factors. 

What problems does it pose and how can hyperdontia be corrected?
1. The existence of extra teeth often causes problems in speaking.
2. It may also cause deformation in the mouth region, and impediments in a lot of other functional activities like eating. 
3. In rare cases, the extra tooth/teeth may be agents of tumors or cysts. 
4. Therefore, treatment must be swiftly undertaken so as to remove the extra teeth and prevent rise of further teeth in the same spot. 
5. Sometimes, hyperdontia also leads to overcrowding and misshapen rows of teeth; this can also be corrected with extensive procedures.

All About Hyperdontia

Why most Indian Adults Need Teeth Scaling? 

Huge number of Indians tend to ignore or abuse their dental health. Most adults in the country need regular scaling due to their food and lifestyle habits. 
Teeth scaling is one of the most common methods used for treating gum disease. This procedure helps remove plaque and tartar (causes of gum tissue inflammation) build-up on your teeth. In a nutshell, it reverses the occurrence of gum disease, while preventing further development of it into a serious condition. A non-surgical procedure, teeth scaling is different from a normal dental cleaning as it involves cleaning the tooth areas that are under the gum line. It removes substances that cannot be removed through brushing.

The importance of scaling

In addition to giving you healthy gums, dental scaling is important for reducing your risk of having a heart disease. If you’re wondering how teeth scaling is connected to your heart, here’s how – several studies show that gum disease can increase your risk of heart disease as the bacteria that build up along the gum line get dislodged, enter your blood and attach themselves to the blood vessels, causing the formation of clots. These clots then cause a drop in your blood flow to the heart, bringing about a rise in your blood pressure, and consequently increasing your risk of a heart attack.

How often it must be done?

To keep your gums and teeth in good condition, it is best to go for teeth scaling every 6 months. This is because as you age your saliva becomes thicker with a decrease in its water content. As a result, your mouth becomes more prone to dryness, thereby allowing the food and bacteria to remain longer in the mouth, causing the formation of plaque. A soft sticky film on the teeth, plaque continues to form in your mouth and begins to mineralize into tartar within 10-14 hours. This makes it all the more necessary to get this job done on a regular basis.




Reality Check: 98% Adult Indians Need Teeth Scaling. Why?

If chewing food and retaining a sparkling smile is not enough for you, avoiding toothaches and a visit to the dentist could be reason enough to maintain healthy teeth. Ignoring your tooth health can lead to many problems. Answer yourself the following question. Would you like your teeth inside your mouth or in a glass tumbler beside your bed at nighttime? 

If you opted for the former, then going through the following tips and advices will go a long way in helping you sustain healthy teeth. They are:

1)  Brush and floss twice a day
Brushing and flossing twice a day, on a regular basis will help you maintain healthy teeth and gums in the long run. The ideal time to brush your teeth is 20 minutes after a meal. Opting for a toothbrush with a small head and soft bristles gives you better access to even the deeper portions of your mouth, thus providing comprehensive cleansing to your teeth. Moreover, softer bristles are generous on your gums as well.

2) Nutrition
Whatever you eat, either protects you or makes you more susceptible to diseases and disorders. This stands true for your oral health as well. As such, choosing the right foods early in your life is of vital importance. Foods such as cold drinks, cakes, candies and other such sugary substances facilitate the growth of germ and bacteria in your mouth, resulting in plaque and cavities. Choosing foods that are low in starch and sugar will reduce the development of germs and help eradicate cavities or plaque in the long run.

3) Smoking
Even the pack of smoke that you buy endorses smoking is injurious to your general health. Smoking causes reduced flow of blood to the mouth, which resultantly leads to increased chances of periodontal disease and mouth cancer. Smoking, moreover causes a decline in the ability of the bones and tissues to revascularize (self-heal). All else apart, just stop smoking.

4) Chewing gums
Chewing gums are highly beneficial especially after a meal. They not only increase the flow of saliva in your mouth, but also improves the flow of blood to your brain, thus enhancing your alertness by close to 10%. In addition, chewing gums help neutralize the acid in your mouth, thus helping you cleanse your mouth.

Tips to Maintain Healthy Teeth

Teeth stains are a major inconvenience as a well as harmful for your teeth. Teeth stains can occur due to consuming certain foods and drinks. It can also be caused due to unhealthy lifestyle choices, such as not brushing teeth or flossing. Here a few tips to how to prevent teeth stains. Read on more to find out all about them.

1. Practicing healthy habits: It is a good idea to brush, or use a mouthwash after a having a meal. Keep in mind that the foods and drinks mentioned below can stain your teeth more than others. Coffee or tea, soda, red and white wine, grape or cranberry juice, blueberries, beets, soya sauce and tomato sauce cause teeth stains so while consuming them keep in mind to always brush floss or wash your mouth after consuming these.

2. Drinking with a straw: Drinking with a straw keeps away the stains from your mouth as the liquid doesn't go near the visible front surfaces of the teeth.

3. Brush, floss and rinse with an antibacterial mouthwash: By brushing, flossing and rinsing with a mouthwash on a regular basis you reduce the growth of the bacteria called plaque. Plaque is sticky in nature and promotes the formation of teeth stains. By eradicating plaque you also prevent teeth stains.

4. Get your teeth professionally cleaned:Make sure to visit a dentist at least twice a year. Even while maintaining your teeth by regular brushing, flossing and mouthwash, getting your teeth professionally cleaned is beneficial and can help you guard against teeth stains.

5. Using teeth whitening kits: At-home teeth whitening kits are available in local drugstores, which help in preventing teeth stains. They usually cause slight discomfort, which goes away in a few days' time.

6. Professional tooth whitening: You can also get your teeth whitened by your dentist. In this procedure, the dentist applies a bleaching agent to your teeth after applying a rubber shield on your gums. This procedure usually takes a single or in some instances multiple visits to perform.

6 Tips to Prevent Teeth Stains

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