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Wisdom Teeth Tips

Wisdom Tooth Extraction With Close Nerve - Must Know!

Dr. Anju Thomas 84% (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.

3 people found this helpful

Wisdom Tooth!

Dr. Puneet Kansal 90% (877 ratings)
MDS - Orthodontics, BDS
Dentist, Meerut
Wisdom Tooth!

Wisdom Tooth!

Wisdom Tooth!

Dr. Jagrati Maharishi 92% (347 ratings)
B.D.S
Dentist, Jaipur
Wisdom Tooth!

An insight of wisdom tooth.

3 people found this helpful

Wisdom Teeth Removal - When Is It Necessary?

Dr. Premendra Goyal 93% (828 ratings)
BDS
Dentist, Mumbai
Wisdom Teeth Removal - When Is It Necessary?

Wisdom teeth are known to be the final molars to grow out and complete the set of permanent teeth. They generally start to erupt during the late teens or the beginning of the twenties. 

In case of some people there is a possibility that the wisdom teeth 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4429 people found this helpful

Wisdom Teeth

Dr. Kamedh Chowdhary 92% (180 ratings)
MDS - Periodontics
Dentist, Thane
Wisdom Teeth

Wisdom teeth can sometimes pose various problems if they are infected or if they cause bone loss. Some advice removal of wisdom teeth on a precautionary basis. Removing of tooth/teeth which are otherwise healthy can sometimes be questionable. Always take a second opinion if you are in doubt!

2 people found this helpful

Is Your Wisdom Tooth Giving You Night Mare!

Dr. Sumit Agarwal 88% (106 ratings)
MDS - Oral & Maxillofacial Surgery, BDS
Dentist, Siliguri
Is Your Wisdom Tooth Giving You Night Mare!

By the age of eighteen, the average adult has 32 teeth; 16 teeth on the top and 16 teeth on the bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth or molar teeth are used to grind food up into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your third molars, also known as" wisdom teeth.

Why should I remove my wisdom teeth?

Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to erupt successfully.

These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the tooth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain and illness. The pressure from the erupting wisdom tooth may move other teeth and disrupt the orthodontic or natural alignment of teeth. The most serious problem occurs when tumours or cysts form around the impacted wisdom tooth, resulting in the destruction of the jawbone and healthy teeth. Removal of the offending impacted tooth or teeth usually resolves these problems. Early removal is recommended to avoid such future problems and to decrease the surgical risk involved with the procedure.

Oral examination

With an oral examination and x-rays of the mouth, our doctors can evaluate the position of the wisdom teeth and predict if there may be present or future problems. Studies have shown that early evaluation and treatment result in a superior outcome for the patient. Patients are generally first evaluated in the mid- teenage years by their dentist, orthodontist or by an oral and maxillofacial surgeon.

All outpatient surgery is performed under appropriate anaesthesia to maximize patient comfort.

Removal

In most cases, the removal of wisdom teeth is performed under local anaesthesia, or general anaesthesia. These options as well as the surgical risks (i. E. Sensory nerve damages, sinus complications) will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured and gauze is placed in your mouth to bite on to control bleeding. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge, your post-operative kit will include postoperative instructions, a prescription for pain medication, antibiotics and a follow-up appointment in one week for suture removal. If you have any questions, please do not hesitate to call us.

Our services are provided in an environment of optimum safety that utilises modern monitoring equipment and staff that are experienced in anaesthesia techniquesAny wisdom tooth related problem get connected to us to get your smile back.

4 people found this helpful

Is You Wisdom Tooth Troubling You?

Dr. Sumit Agarwal 88% (106 ratings)
MDS - Oral & Maxillofacial Surgery, BDS
Dentist, Siliguri
Is You Wisdom Tooth Troubling You?

By the age of eighteen, the average adult has 32 teeth; 16 teeth on the top and 16 teeth on the bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth or molar teeth are used to grind food up into a consistency suitable for swallowing.

The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your third molars, also known as" wisdom teeth.

Why should I remove my wisdom teeth?

Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to erupt successfully.

These poorly positioned impacted teeth can cause many problems. When they are partially erupted, the opening around the tooth allows bacteria to grow and will eventually cause an infection. The result: swelling, stiffness, pain and illness. The pressure from the erupting wisdom tooth may move other teeth and disrupt the orthodontic or natural alignment of teeth. The most serious problem occurs when tumours or cysts form around the impacted wisdom tooth, resulting in the destruction of the jawbone and healthy teeth. Removal of the offending impacted tooth or teeth usually resolves these problems. Early removal is recommended to avoid such future problems and to decrease the surgical risk involved with the procedure.

Oral examination

With an oral examination and x-rays of the mouth, our doctors can evaluate the position of the wisdom teeth and predict if there may be present or future problems. Studies have shown that early evaluation and treatment result in a superior outcome for the patient. Patients are generally first evaluated in the mid- teenage years by their dentist, orthodontist or by an oral and maxillofacial surgeon.

All outpatient surgery is performed under appropriate anaesthesia to maximize patient comfort.

Removal

In most cases, the removal of wisdom teeth is performed under local anaesthesia, or general anaesthesia. These options as well as the surgical risks (i. E. Sensory nerve damages, sinus complications) will be discussed with you before the procedure is performed. Once the teeth are removed, the gum is sutured and gauze is placed in your mouth to bite on to control bleeding. You will rest under our supervision in the office until you are ready to be taken home. Upon discharge, your post-operative kit will include postoperative instructions, a prescription for pain medication, antibiotics and a follow-up appointment in one week for suture removal. If you have any questions, please do not hesitate to call us.

Our services are provided in an environment of optimum safety that utilises modern monitoring equipment and staff that are experienced in anaesthesia techniques
 
Any wisdom tooth related problem get connected to us to get your smile back.

2 people found this helpful

Hyperdontia - Too Many Teeth?

MDS - Periodontology and Oral Implantology, BDS
Dentist, Mumbai
Hyperdontia - Too Many Teeth?

When asked about the number of teeth, the immediate response is 32. What most people don’t realize is that this includes that 4 wisdom teeth also, which don’t erupt in 50% of the adults. The revised number is therefore 28. Again, this is what is normal, and there could be variations among people. While some could have lost some tooth and have less than 28, another interesting bunch of people can have more than 28.

This condition of having extra teeth is known as hyperdontia that is hyper for more and dontia for teeth. Also called as supernumerary teeth, they erupt in the same line as other teeth or if there is lack of space, erupt either on the tongue side or on the cheek side of the jaw bone. In severe cases, it could sometimes even give the appearance of a mouthful of teeth.

These vary in shape and size and the following are the common forms of supernumerary teeth.

  1. Mesiodens: The most common form, they erupt between the incisors in the front of the mouth. The extra teeth are usually conical and much smaller than the regular incisors.

  2. Paramolars: These would look like smaller molars and can grow on the cheek or the palatal side.

  3. Distomolars: These are extra-small, additional wisdom teeth and grow beyond the third molars.

Reasons: Not clearly established, but genetics has a key role in their formation. Abnormalities like cleft lip and palate, Ehler-Danlos syndrome, and Gardner syndrome can also lead to supernumerary teeth. It is more common in men than women.

Fixing Hyperdontia: Even if they do not cause any immediate damage, they will be exerting extra pressure on other oral structures and should be removed. The gums and the jaw bones will be under a lot of pressure with the extra load.

Before going ahead with removal, the underlying cause needs to be identified. If there is any anomaly like cleft lip or palate, that needs to be corrected. If Gardner’s syndrome is suspected, then other symptoms also need to be checked for. Once the cause is identified, then removing hyperdontia is just one part of the whole treatment.

A radiograph will help determine,  if there are additional teeth present. A removal plan then needs to be drawn up. After removal, the orthodontist will need to be involved to correct any misalignment with braces. The exact duration and type of treatment will depend on the patient condition. If it was just a conical mesiodens that erupted between the two incisors, then it could just be removed and the space closed in a short period of time. However, if there are many of them, then a planned removal and correction is required. If you wish to discuss any specific problem, you can consult a dentist.

5235 people found this helpful

Wisdom Teeth - Reasons Why You Should Get It Removed!

Dr. Shelly 89% (102 ratings)
BDS
Dentist, Delhi
Wisdom Teeth - Reasons Why You Should Get It Removed!

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 preventive than remedial measure. Some of the reasons for wisdom tooth removal are listed below

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

5543 people found this helpful

Wisdom Teeth - Know Everything About it!

Dr. Meenakshi Vaishnavi 91% (168 ratings)
PGDHHM, BDS
Dentist, Gurgaon
Wisdom Teeth - Know Everything About it!

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. 

It’s not necessary for you to get your wisdom teeth removed if they are correctly positioned in your mouth and do not cause any pain or dental problems. If they are impacted and/or cause crowding in your teeth, a dentist will recommend that you have them removed. There are two ways wisdom teeth may grow.

  1. Some will grow in like regular teeth.
  2. Some will become impacted.

What if they have grown in and don’t hurt?

If this is the case, the decision is up to you. Wisdom teeth that cause minimal crowding and don’t hurt are fine to keep, but a lot of dentists will recommend that they be removed. Why? They are very susceptible to cavities and are not easily cleansable. If your wisdom teeth have cavities and you cannot clean them due to their location, filling the cavities is unwise because you’ll continue to develop more cavities. The easiest way to avoid this problem is to remove the wisdom teeth altogether.

Some reasons that a dentist would recommend wisdom teeth removal include:

  1. Irritation of the surrounding tissue or the signs of a cavity forming.
  2. Inability to achieve a proper and thorough routine cleaning of food and bacteria.
  3. Inadequate space to accommodate full eruption.
  4. Signs of impaction that could lead to damage of surrounding roots.
  5. Uncomfortable contact with other teeth or gums.
  6. Interference of normal jaw function.

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. 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. If you wish to discuss about any specific problem, you can consult a dentist.
3459 people found this helpful
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