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 an oral condition where people may have an overcrowding of teeth in their mouths due to the growth of extra teeth which are known as supernumerary teeth, in dental terms. This problem may hit people of any gender, background and medical history. This is caused when an extra tooth bud is found in the tissue from which the teeth typically grow. The most common cases are those that affect children who are already suffering from Down's Syndrome.

This article will tell you all about coping with and correcting the issue.

1. Problems Experienced: Let us first understand the various problems that a patient may experience. To begin with, there may difficulty when it comes to eating and chewing as too many teeth will make this task cumbersome. Also, this condition may prevent the normal teeth eruption process. Further, these teeth may fuse with the permanent teeth in the mouth of the patient. And finally, all this can also lead to the formation of a cyst or tumour.

2. Check Ups and Diagnosis: In order to treat this problem, the dentist will first of all conduct a thorough check up of the mouth of the patient and try to find the exact cause of the ailment. This will also be done with the help of lab tests based on blood samples as well as a dental X-ray. Further, the most important thing that the dentist will try to check is whether or not the supernumerary teeth are affecting the growth of the permanent teeth, in any way. 

3. Tooth Extraction: Once the dentist has had a look at the problem, he or she will be in a better position to take a call regarding whether or not the supernumerary teeth need to be removed. In most cases, these teeth will not be removed unless the said tooth is loose, which in turn can present the risk of choking by passing into the lungs. If tooth extraction has been decided upon, then the orthodontist or the dentist will do so by administering local anaesthesia first. Depending on the severity of the condition, the tooth may have to be cut and removed in pieces while the doctor has to ensure that there is enough space left for the permanent teeth to grow and find a place for themselves. 

4. Alignment: After the process of extraction is done, the dentist has to ensure that there is proper alignment of the teeth with the help of proper orthodontic methods for the remaining teeth to grow in a proper manner. Endodontic treatment will be used for fused treat in order to work on the tooth pulp and tissue in the surrounding area.

How to Correct Severe Hyperdontia?

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

3 primary causes of tooth cavity you shouldn't ignore!

Permanently damaged regions on the enamel of the teeth that later develop into holes or openings are known as cavities. They are a common dental problem and can affect people belonging to all age groups. If left untreated, they can lead to infection, severe toothache, and even tooth loss.

Cavities can be caused due to a number of factors. Some of those factors are discussed below-

1. Bacterial action

Cavities can be caused due to tooth decay by the action of bacteria. Bacteria are naturally found in the mouth and they thrive on food and drinks that contain sugar. If the sugar is not cleaned off the teeth, bacteria can react with it to produce acids. This results in the formation of bacterial plaque that sticks to the teeth, resulting in cavities.

2. Frequent snacking

Eating too frequently can result in the formation of cavities as more food intake means more bacteria and bacterial plaque contain harmful acids. These acids remove the mineral content in the hard surface of the tooth. This erosion can lead to cavities and expose the tooth to decay.

3. Unclean tooth

If the tooth is not cleaned well and regularly using good brushing and flossing techniques, cavities can occur more frequently. Unclean teeth are exposed to the risk of cavities more than healthy and clean teeth. In fact, unclean teeth can pose a serious threat to the inner layers of your teeth as well as make the bacterial action more frequent and dangerous.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 5 Natural Ways to Never Let Your TEETH Turn Yellow!

3 Primary Causes of Tooth Cavity You Shouldn't Ignore!

The tooth may look a tiny structure, but is a very complicated one. Structurally, it has very high concentrations of minerals and vitamins, all essential for optimal dental health. Reduced or increased amounts of these substances can lead to obvious defects in the teeth, which may impair aesthetics and sometimes even the functioning of the tooth.
While calcium is one mineral that would immediately come to mind, there are a lot of other vitamins and minerals too which play a significant role both in tooth formation and in optimal dental health. Listed below are some of these, along with their role in dental health.

Vitamins:

Vitamin a: often associated with vision, vitamin a is essential for production of good amount of saliva which maintains healthy mucous membranes. Reduced saliva increases predisposition to decay and gum disease and also increases bad breath.

Vitamin d: needless to say, with the strength of the jaw bones, a good amount of calcium is required to boost bone mineral density.

Vitamin c: the gums have connective tissue fibers which help bind the tooth to the jaw bone. For good strength of the connective tissue, vitamin c is important. Therefore, vitamin c deficiency can lead to tooth mobility and even tooth loss in severe cases.

Vitamin b complex: there are too many people who would have popped a multivitamin to ward off mouth sores. Niacin and riboflavin especially are essential for optimal mucosal health and reduce inflammation.

Vitamin k: this has multiple roles to play. It helps in improving the body's healing process, blocks substances that break down bone, promotes bone strength, and reduces bleeding disorders.

Minerals: there is a long list of minerals that are essential for optimal dental health, as below:
Calcium: from strong enamel to jaw bone, calcium is extremely important for the tooth to be fully formed. Calcium deficiency can result in hypoplastic teeth that are more prone for chipping and decay.

Potassium: needed to improve bone mineral density. It also works in conjunction with magnesium and prevents from the blood turning too acidic. Acidic blood can suck out calcium from teeth and bones.

Fluoride: proven to be the anti-decay magic medicine, fluoride reduces the incidence of tooth decay. Fluoride gels are applied for children to promote remineralization of enamel which may have initial caries.

Phosphorus: provides support to calcium and potassium in bone formation.

Iron: required for keeping red blood cell count at a good level and fighting infections.

Iodine: this trace mineral is required for absorption of calcium and potassium that is essential for tooth formation.

Zinc: naturally found in saliva, it fights against plaque formation and subsequent infections.

For optimal dental function, ensure your diet has these essential nutrients.

The Best Vitamins & Minerals For Your Teeth

Root canal treatment is a procedure to save or repair a decayed tooth. Without proper treatment, the decayed tooth might get infected and adversely affect the health of the gums as well as rest of the teeth. Abscessed tooth (pus formation in a tooth owing to an infection) may also pose as another major complication if this condition is not treated at the right time. In this procedure, the pulp and the nerve of the decayed tooth are removed; this absence of a nerve in your tooth should not affect your daily routine and also not inflict any pain.

When is root canal treatment needed?
Root canal treatment is only required when dental X-rays show that the pulp has been damaged by a bacterial infection. The pulp will begin to die if it's infected by bacteria, allowing the bacteria to then multiply and spread.

The symptoms of a pulp infection include:

pain when eating or drinking hot or cold food and drink
pain when biting or chewing
a loose tooth
As the infection progresses, these symptoms often disappear as the pulp dies. Your tooth then appears to have healed, but the infection has in fact spread through the root canal system.

Further symptoms eventually occur, such as:

pain when biting or chewing returning
swelling of the gum near the affected tooth
pus oozing from the affected tooth
facial swelling
the tooth becoming a darker colour
It's important to see your dentist if you develop toothache. If your tooth is infected, the pulp can't heal by itself.

Leaving the infected tooth in your mouth may make it worse. There may also be less chance of the root canal treatment working if the infection within your tooth becomes established.

Antibiotics   medication to treat bacterial infections   aren't effective in treating root canal infections.

What happens during a root canal procedure?
A root canal can be performed by an endodontist (root canalling specialist) or a dentist. To treat the infection in the root canal, the bacteria need to be removed. This can be done by either:

removing the bacteria from the root canal system (root canal treatment)
removing the tooth (extraction)
At the very onset, an X-ray will be performed to see the size of the infection and the condition of the surrounding gums. The dentist will then apply anesthesia on that spot. It is important to keep the spot as dry as possible. Next, the dentist will put a rubber sheet around your teeth, after which a hole will be drilled to remove the decayed tissues. After the process, you wash your teeth, either with sodium hypochlorite or normal water.

Before having root canal treatment, you'll usually be given a local anaesthetic. This means the procedure shouldn't be painful and should be no more unpleasant than having a filling.

Root canal treatment is usually successful. In about 9 out of 10 cases, a tooth can survive for up to 10 years after root canal treatment.

Root Canal Procedure For Infected Tooth Nerve!

Don't wait any longer, manage your Periodontist online with a Lybrate doctor today

Consult for Periodontist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES