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

A missing tooth can be responsible for causing different health issues. Along with these, a person loses his ability of chewing with missing teeth, develop problems related to speaking and his overall facial appearance also gets affected.

In case of a missing tooth or several missing teeth, it is best advised to get dentures fitted. Dentures are false teeth, which are fitted in the oral cavity in place of lost natural teeth.

Here are several reasons why it is important to fill up a missing tooth:
1. Shifting of tooth: when a tooth is lost, the surrounding teeth start drifting or moving in the open gap where the lost tooth used to be. The surrounding teeth are shifted out of the alignment. This affects the appearance of your face, and your teeth seem crooked and misplaced. It is necessary to replace a missing tooth with dentures in order to restrict the shifting before it is too late.
2. Tmj syndrome: after a tooth is lost and the surrounding teeth start shifting, the alignment is changed. This gives rise to problems with biting and creates issues with the jaws. The upper jaw and the lower jaw fail to meet correctly, and this causes strain and damage to the jaw joint. This phenomenon is called tmj syndrome.
3. Decay of tooth and gum diseases: after the shifting of surrounding teeth when a tooth is lost, the teeth alignment changes. This makes it difficult for a person to reach several areas in the gum with a toothbrush or floss. This makes plaque and bacteria accumulate in that area and they cannot be reached or cleaned. Tooth decay and gum diseases or periodontal diseases that are likely to affect those spots. These diseases and disorders cause further tooth loss.
4. Alteration in facial appearance: a missing tooth should be replaced properly and a dentist must make sure that the root of the missing tooth is removed. In case the root is not removed totally, bone deterioration is likely to occur. Bone loss occurs in the jaw area, and this may result in a change or alteration in your facial appearance. A timely replacement of a missing tooth will prohibit bone loss from the jaw area, and you will be saved from any kind of alteration in your facial appearance, which might affect your looks and self-esteem greatly.

A missing tooth should never be ignored and in case you lose a tooth, you should see a dentist as soon as possible. By filling up a missing tooth, you will be able to save yourself from several issues related to the mouth and gums.

Why to Fill Up a Missing Tooth?

Often regarded as less painful and much milder than more serious diseases like periodontal disease, Gingivitis involves the inflammation, redness, irritation and swelling of your gums. People who suffer from Gingivitis are normally unaware of it because of its mild nature, but it might turn out to be serious in some cases and can lead to periodontitis and tooth loss. 


Signs and symptoms
Since Gingivitis is seldom harmful, people who suffer from it are, in most cases, hardly aware of having it. Nevertheless, here are a few signs and symptoms which may indicate that you have Gingivitis:
1. Tender, puffy gums
2. Gums easily bleed whenever you brush or floss your teeth
3. Swollen gums
4. Change in color from a healthy pink to a dusky red
5. Receding gums
6. Bad breath


Causes
Gingivitis is most commonly caused by bad oral hygiene and maintenance. Bad oral hygiene usually supports the formation of plaque and tartar. Because plaque forms and re-forms quickly, it requires daily removal. If you don't give your teeth the attention it needs, plaque can further result in the formation of tartar, which is a heavier and denser substance than plaque and acts as a protective barrier for bacteria. It is even more difficult to remove it and you may require dental cleaning.


Treatment
The main aim of treatment is to reverse the symptoms of Gingivitis and to prevent further development of the disease into more serious dental issues and diseases.
Professional treatment of Gingivitis includes:
1. Initial evaluation and assessment
2. Thorough cleaning with the help of professional dental tools and instruments
3. Instructions on effective flossing and brushing techniques at home
4. Regular cleaning and professional checkups
5. Fixing of crowns and other dental restorations to help prevent the growth of plaque and tartar 


Symptoms and Treatment of Gingivitis

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?

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!

Bad breath isn't just an indication of what you eat. Apart from being a turn off for people who come in contact with you, it could also hint at health problems.

Here are 5 reasons that cause bad breath and ways to overcome the same.

1) Unhealthy Teeth And Gums - Most of the bad breath and halitosis problems result due to unhealthy teeth and gums. Basically, people who don't take care of their dental hygiene are prone to the problem. 
Solution - Clean your teeth and rinse your mouth properly to get rid of the annoying rotten egg stench.

2) Lack Of Hydration - If you are not drinking enough water, you can have bad breath. Saliva washes away smell causing bacteria. But not having enough water will lead to lesser saliva, which will lead to dead and rotting cells that will stink. 
Solution - Drink atleast 8-10 glasses of water daily, at regular intervals.

3) Allergies - Nose and asthma related allergies are one of the leading causes of bad breath. 
Solution - Make sure that you get rid of the allergies via proper care. Also, hydrate more when you have any allergy, like sinus problems or tonsil infection, it helps in clearing allergies out.

4) Eating the wrong stuff - Garlic, uncooked onion and too many spices can also lead to bad breath. 
Solution - Use moderate spices and always rinse your mouth after each meal. Also, avoid foods that are high in sugar as they promote more bacteria. 

5) Acid Reflux - If getting gaseous feeling in the pit of your stomach is a common problem for you, then you might have bad breath too. Heartburn, indigestion and acid reflux are common causes of bad breath. 
Solution - Avoid foods that can cause a reflux and try light eating. It will take care of other health problems too.

If you have any questions on improving oral and dental hygiene, please click on 'Consult Privately.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Bad Breath - 5 Reasons You Might Suffer From It And What Can You Do About It

Don't wait any longer, manage your Public Health Dentist online with a Lybrate doctor today

Consult for Public Health Dentist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES