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Tooth Extraction Health Feed

Do Your Wisdom Teeth Really Have to Come Out?

Dr. Ratnika Agarwal 91% (282 ratings)
BDS, Certificate in Cosmetic Dentistry, Certified in Orthodontics, Certification in Prosthodontics & Periodontology, Advanced Endotontic Course On Root Canal
Dentist, Pune
Do Your Wisdom Teeth Really Have to Come Out?

Do Your Wisdom Teeth Really Have to Come Out? 

How to recognize when there's a problem

Once you’ve moved into your late teen years, you may think the teeth you see are the only teeth you’ll ever get. But there’s a strong possibility that isn’t true.

Your wisdom teeth can still break through, or erupt, even in early adulthood.

Knowing more about your wisdom teeth and how they behave can make it easier to deal with problems that arise and the need for extraction. Here, we answer common questions that our patients ask about wisdom teeth:

Q: Does everyone have wisdom teeth?

A: No, not everyone is born with a full complement of teeth. In fact, the wisdom teeth are the most common congenitally missing teeth.

Q: How do you know when there’s a problem with your wisdom teeth?

A: Pain in the upper or lower jaw can often be the first sign that your wisdom teeth are causing problems. You may feel a sensation of pressure in the back of your mouth. Also, the gum tissue around the erupting wisdom tooth often becomes sensitive, swollen and inflamed.

However, you may also feel no pain at all.  But the absence of pain doesn’t necessarily mean there isn’t a problem. “A lot of folks don’t have any symptoms,”. “That’s why you should have your wisdom teeth examined by a dentist to determine if extraction is appropriate.”

Q: Is removal always necessary?

A: If your wisdom teeth are impacted, thereby preventing adequate oral hygiene, it’s often best to have them removed.

Teeth that erupt in an upright and functional position often don’t need to be removed,  as long as they cause no pain and aren’t associated with decay or gum disease.

However, even wisdom teeth that come incorrectly can develop problems over time because they are so far back in the mouth and difficult to clean. So if you keep your wisdom teeth, be sure to brush and floss them well, and see your dentist regularly.

Q: What happens when a wisdom tooth is impacted?

A: It’s common for people to have impacted wisdom teeth. These teeth are buried, either partially or completely, in the soft tissue or jaw bone, and are more susceptible to disease and other problems.

The problem is you can’t clean impacted wisdom teeth properly, so they can start to decay, and you can develop gum disease. Although less common, cysts or tumors can also develop around impacted teeth.

Dentists generally evaluate impacted teeth on a case-by-case basis to determine whether to remove them, he adds. If a tooth is fully impacted in bone and X-rays show that eruption is unlikely, your dentist will often recommend removal to prevent future problems.

Q: What problems can occur after removal?

A: Mild to moderate pain is normal and expected after an extraction, but a few other complications are also possible. Here’s a rundown of what you can expect and how your doctor would likely treat each possibility:

  • Pain. Some pain and swelling are likely to occur with all extractions. In most cases, non-steroidal anti-inflammatories paired with a limited dose of narcotic medications can help control most pain. Ice is recommended for the first 24 hours to minimize swelling.
  • Dry socket. Though rare, this is one of the most common true complications following surgery. It typically occurs four to seven days after a tooth is extracted when the blood clot needed for healing dissolves too soon. Your dentist likely will treat it with an oral antiseptic solution or a specialized dressing depending on the severity of pain.
  • Subperiosteal abscess. This is a pus pocket that develops when bone and tissue debris are trapped between the healing extraction socket and the tissue covering the bone. Your dentist can drain the abscess and provide you with antibiotics to help clear up any infection.
  • Bacterial infections. Postoperative bacterial infections are rare, occurring in fewer than 6 percent of all cases. Your dentist may give you a dose of antibiotics before surgery to sidestep problems with infection. After surgery, antiseptic mouth rinses or additional antibiotic regimens are sometimes needed.

Q: Is there any way to avoid problems with your wisdom teeth?

A: Ultimately, you have little control over your wisdom teeth. “Other than keeping up with oral hygiene and going to the dentist on a regular basis, there are not much patients can or need to do,” 

 

Tooth Extraction - How To Expedite The Recovery Process?

Dr. Anupreet Kaur Choudhury 91% (8669 ratings)
BDS, MDS - Oral Medicine and Radiology
Dentist, Kolkata
Tooth Extraction - How To Expedite The Recovery Process?

A healthy set of teeth is essential for good living. However teeth problems are widespread and you are susceptible to it at any age, at any time. Though there are medications available for tooth problems, sometimes extraction of the tooth remains the only plausible solution. 

You may have to undergo tooth extraction for multiple reasons. Some of them are:

1. Unaligned teeth
In case you are suffering from unaligned teeth, chances are that you may suffer from what in technical terms is known as "crowded mouth." In such a situation you have difficulty in eating as there is not enough room for the teeth in the mouth. Extraction of tooth, in this case, remains the only way to rectify it and align the teeth in a better fashion.

2. Infection
Sometimes if you suffer from a tooth infection, it tends to quickly spread to the pulp, affecting and damaging the blood vessels and different nerves. Though medications are available, if the intensity of the infection increases, extraction of tooth remains the only option.

Procedure

There are different steps that are involved in the extraction of teeth. They are:

1. Local anesthesia
Like all other surgeries, administering a local anesthesia is the first step. If you are undergoing a tooth extraction, the dentist or the surgeon will inject an anesthesia that will create numbness and soothe you of the ensuing pain.

2. Cutting away gum and bone tissues
After the anesthesia, the dentist will proceed to extract the infected tooth. In order to this, the doctor cuts away the gum and the tissues covering the tooth. After the root of the infected tooth has been exposed, the dentist would then with the help of forceps, sever it from the jaw.

After the surgery, you must observe certain precautions to expedite the recovery process. Some of them are:

1. Take painkillers
After the tooth extraction, the possibility of suffering from an ensuing pain is incredibly high. Therefore, in most cases the dentist prescribes certain painkillers and you must take them regularly.

2. Change the dressing
The operated area will be covered with bandages to preclude any infection. However, the dressing must be changed from time to time. If the same dressing remains for a long time, chances of an infection increase.

3. Complete rest
After the extraction, you must take complete rest and not engage in any form of physical activity.

4. Avoid certain foods
Just after the surgery, the operated area remains tender. Therefore, you must eat food that requires less effort to chew like soup, pudding, ice cream etc. You must also abstain from smoking and drinking for some time.

1 person found this helpful

Tooth Extraction Care Tips!

Dr. Aman Bhatia 92% (410 ratings)
MDS - Periodontics, Certified Implantologist, BDS
Dentist, Panchkula
Tooth Extraction Care Tips!

1. Bite firmly on the gauze pads covering each extraction site for atleast 30 min to help stop the bleeding
2. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 48 hours.
3. Do not forget to take the medicines as prescribed by the doctor.
4. If possible chew on the opposite side of your extraction site. Drink lots of liquids and eat soft, nutritious foods. Strictly avoid hard, hot food & drinks for first 24 hours.
5. Avoid excessive mouth opening, yawning, spitting etc
6. If bleeding continues, call your dentist.

Sir I have one tooth extracted and after a month I have one tooth root canal but after one year I feel pain nearby root canal tooth. When I go to dentist they x ray my tooth where two teeth are infected under middle of teeth. What should I do root canal or tooth extraction, please suggest a better option by taking the future in mind.

Dr. Isha Malhotra 93% (6447 ratings)
BDS
Dentist, Gurgaon
Sir I have one tooth extracted and after a month I have one tooth root canal but after one year I feel pain nearby ro...
You may kindly go for root canal treatment and cap .. nothing will happen to you and later get a cap placed so that you can use teeth ... For biting and chewing atleast at the back ..
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Tooth Extraction - All About It!

Dr. Vikram Singh Atwal 91% (210 ratings)
PCAD, MCID Implant, BDS, Advanced Aesthetics
Dentist, Chandigarh
Tooth Extraction - All About It!

A healthy set of teeth is essential for good living. However teeth problems are widespread and you are susceptible to it at any age, at any time. Though there are medications available for tooth problems, sometimes extraction of the tooth remains the only plausible solution. 

You may have to undergo tooth extraction for multiple reasons. Some of them are:

1. Unaligned teeth
In case you are suffering from unaligned teeth, chances are that you may suffer from what in technical terms is known as "crowded mouth." In such a situation you have difficulty in eating as there is not enough room for the teeth in the mouth. Extraction of tooth, in this case, remains the only way to rectify it and align the teeth in a better fashion.

2. Infection
Sometimes if you suffer from a tooth infection, it tends to quickly spread to the pulp, affecting and damaging the blood vessels and different nerves. Though medications are available, if the intensity of the infection increases, extraction of tooth remains the only option.

Procedure:

There are different steps that are involved in the extraction of teeth. They are:

1. Local anesthesia
Like all other surgeries, administering a local anesthesia is the first step. If you are undergoing a tooth extraction, the dentist or the surgeon will inject an anesthesia that will create numbness and soothe you of the ensuing pain.

2. Cutting away gum and bone tissues
After the anesthesia, the dentist will proceed to extract the infected tooth. In order to this, the doctor cuts away the gum and the tissues covering the tooth. After the root of the infected tooth has been exposed, the dentist would then with the help of forceps, sever it from the jaw.

After the surgery, you must observe certain precautions to expedite the recovery process. Some of them are:

1. Take painkillers
After the tooth extraction, the possibility of suffering from an ensuing pain is incredibly high. Therefore, in most cases the dentist prescribes certain painkillers and you must take them regularly.

2. Change the dressing
The operated area will be covered with bandages to preclude any infection. However, the dressing must be changed from time to time. If the same dressing remains for a long time, chances of an infection increase.

3. Complete rest
After the extraction, you must take complete rest and not engage in any form of physical activity.

4. Avoid certain foods
Just after the surgery, the operated area remains tender. Therefore, you must eat food that requires less effort to chew like soup, pudding, ice cream etc. You must also abstain from smoking and drinking for some time.

Importance Of Root Canal Treatment!

Dr. Puneet Kansal 90% (928 ratings)
MDS - Orthodontics, BDS
Dentist, Meerut
Importance Of Root Canal Treatment!

Whether the question is based on cost or time or your health, a root canal is always the best option (not better) as long as your teeth are in a condition to be saved by a root canal procedure. Even a costly and advanced treatment procedure such as a dental implant treatment cannot wholly replicate the function of a natural tooth. So, better save your own teeth.

And regarding the cost of treatment, the price of tooth extraction may be less, but when you add up the cost of replacement teeth with either an implant or a bridge, the cost becomes much more than a root canal followed by a crown.
And you can't leave a lost space without replacing with an artificial tooth as it may lead to a variety of problems. 

Wisdom Tooth Extraction With Close Nerve - Must Know!

Dr. Anju Thomas 85% (14 ratings)
BDS, MDS Prosthodontics
Dentist, Bangalore
Wisdom Tooth Extraction With Close Nerve - Must Know!

If the lower wisdom teeth are partially erupted but there is no sign of any decay or gum infection. Adjacent teeth are also healthy and intact. However, the x-rays showed that the roots of her wisdom teeth are tightly pressed against the nerve in the lower jaw. This nerve provides sensation to the lips and surgery to remove her lower wisdom teeth will carry a high risk of injury to the nerve which may, in the worst case scenario, result in a permanent numbness of the lower lips. As such, I recommended that leave the wisdom teeth alone and only remove them if they cause trouble.

The next option is not very commonly done but is a viable option for cases where the wisdom tooth is very close to the nerve and is painful. The crown can be cut off, leaving the root in the bone. This procedure, known as coronectomy, is gaining in popularity as the complication rate was found to be low. A study following 612 wisdom teeth that underwent coronectomy over five years found a complication rate of less than 1%. For patients with wisdom teeth that are pressed against the nerve, coronectomy is a viable option.

4 people found this helpful

I consulted a dentist and he said that my upper 6th tooth would require surgical dental extraction. He said that it would cost me about 5k. Is the cost okay or can I look for a little cheaper dental extraction?

Dr. Puneet Kansal 90% (928 ratings)
MDS - Orthodontics, BDS
Dentist, Meerut
I consulted a dentist and he said that my upper 6th tooth would require surgical dental extraction. He said that it w...
Tooth may be near sinus area. Go for treatment. Cheap dental facilities sometimes are not hygienic.
1 person found this helpful
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