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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.
After drinking the smell lies for very long next day even upto afternoon what to do to get rid of this mouth smell.
Whenever I do scaling so much blood comes out. Even after doing that my problem is not solved as I get blood every now and then. While brushing or when I bite something from front tooth blood comes out or whenever I give pressure over my teeth blood comes. Please help.
My friend is having big teeth which do not suit to his face. Also they are somewhat outwards. Dentist refused to do wiring because of weak gums. Please tell what to do.
Iam 43 years old, I will brush twice daily, I will keep my mouth clean. But from six months my tongue is loosing freshness immediately after eating any thing. Then Iam cleaning tongue frequently which is paining. Pl. Give me some suggestion to avoid this. I have gastric problem.
Hello, sir/mam. My question is to Dentist When I woke up in the morning and my teeth are covered by some like paste. White colour, So what is that and suggest me some medicine or freshener?
More than 5 million teeth are knocked out every year in children and adults. With proper emergency action, a tooth that has been knocked out of its socket can be successfully replanted and last for years. It is important to see a dentist as soon as possible after the tooth is knocked out. Quick action will increase the likelihood of saving the tooth.
Saving a Knocked Out Tooth:
1. Pick up tooth by the crown (the chewing surface) not the root:
Locate the tooth immediately; do not leave it at the site of the accident. The tooth should be handled carefully touch only the crown to minimize injury to the root.
2. If dirty, gently rinse tooth with water:
- Do not use soap or chemicals
- Do not scrub the tooth
- Do not dry the tooth
- Do not wrap it in a tissue or cloth
3. Reposition tooth in socket immediately, if possible:
The sooner the tooth is replaced, the greater the likelihood it will survive. To reinsert, carefully push the tooth into the socket with fingers, or position above the socket and close mouth slowly. Hold the tooth in place with fingers or by gently biting down on it.
4. Keep tooth moist at all times:
The tooth must not be left outside the mouth to dry. If it cannot be replaced in the socket, put it in one of the following:
- Emergency tooth preservation kit
- Mouth (next to cheek)
- Regular tap water is not recommended for long term storage because the root surface cells do not tolerate water for long periods of time.
5. See a dentist within 30 minutes:
Bring the tooth to a dentist as soon as possible, ideally, within 30 minutes. However, it is possible to save the tooth even if it has been outside the mouth for an hour or more.