Wisdom Teeth Removal (Extraction)
What are wisdom teeth( జ్ఞానదంతం)?
What are wisdom teeth( జ్ఞానదంతం)?
Wisdom teeth are the third molars and last on each side of the upper and lower jaws. Most people will have four wisdom teeth at the back of the mouth two on the top, two on the bottom. In many individuals, the wisdom teeth aren't visible because they have become impacted (not erupted ) under the gingival tissue due to the space problem. The wisdom teeth usually erupt when an individual has crossed adolescence and becomes a young adult that is between 18-24 years. Due to the age at which they erupt, these teeth have been called the wisdom teeth. Wisdom is a misnomer and their eruption is not associated with wisdom. previously, these wisdom molars were functional as the size of the jaw bones were bigger and sufficient to accommodate all. With evolution, the sizes of the jaw bones have reduced resulting in impacted (not able to come) or incompletely erupted or misaligned wisdom molars. Now wisdom teeth are classified as vestigial organs like the appendix.
Do all wisdom teeth need to be extracted?
Not all wisdom teeth need to be extracted. When a wisdom tooth erupts cleanly through the tissue without disturbing the adjacent tooth, the wisdom tooth can be retained in the mouth as long as the person is able to brush and clean it. The condition of the wisdom teeth changes a lot between the ages of 18 and 21. patient advised that wisdom teeth are examined regularly to determine the proper diagnosis and course of action in this age group.
"Removal of wisdom teeth will not affect the wisdom"
Types of Impacted wisdom teeth
Causes
Wisdom teeth( జ్ఞానదంతం) become impacted when they don't have enough space to come out of the jaw bone. Types of impacted teeth like this
- Mesial impaction
The tooth is angled towards the front tooth This is the most common type of impaction. - Vertical impaction
These teeth are coming in straight, but there isn’t enough space in the mouth to accommodate them. - Horizontal impaction
A horizontal impaction means wisdom tooth that has grown sideways within the bone.Instead of growing vertically towards the gum line, the tooth is probably growing directly toward existing teeth. - Distal impaction
Distally impacted teeth are tilted against the front tooth - Bony impaction
The term bony or hard tissue impaction means that the tooth still lies primarily within the jawbone. - Soft tissue impaction
A soft tissue impaction is one where the upper portion of a wisdom tooth (crown) has penetrated through the bone but has not yet fully erupted through the gum tissue.
Complications
Some problems caused by impacted teeth
- Damage other teeth: If the wisdom tooth pushes against the second molar, it may cause second molar damage and increase the risk of infection .some times leads to crowding of the other teeth .
- Cysts: In rare cases, cysts or tumours may form around impacted wisdom teeth. These potentially destructive pathologic lesions can cause damage to adjacent teeth, bone, and other anatomic structures. Pathologic fracture of the jaw is a risk when these lesions enlarge and eat away at the supporting bone. If any of these lesions are seen on an x-ray, their removal becomes urgent.
- Decay: Partially impacted teeth seem to be at higher risk of caries than other teeth. This most likely happens as a result of difficult brushing and since food and bacteria get simply collected between the gum and a partially erupted tooth.
- Pericoronitis(Gum disease): It is an inflammation of the soft tissues that surrounds a partially erupted wisdom tooth due to difficulty in cleaning impacted, partially erupted wisdom teeth.
Prevention
- You can't keep an impaction from occurring, but keeping regular dental appointments check ups enables your dentist to monitor the growth and emergence of your wisdom teeth. Regular dental X-rays may indicate impacted wisdom teeth before any symptoms develop
"removal of wisdome teeth will not affect the wisdom"
pericoronitis
upper wisdom tooth
upper wisdom tooth
Pericoronitis is an inflammation of the soft tissues that surrounds a partially erupted wisdom tooth. It is a common problem that usually affects young adults.Most of the pericoronitis cases occur in lower wisdom teeth.
upper wisdom tooth
upper wisdom tooth
upper wisdom tooth
Crowded upper wisdom teeth within the maxilla usually lean sideways and rub against the cheek. This could cause ulcers on the cheek, mastication issues and chronic ulceration which sometimes leads to carcinoma.Brushing upper wisdom teeth is also very difficult.it may lead to caries or gum infection.
canine impaction
upper wisdom tooth
canine impaction
Impaction of maxillary and mandibular canines is very common problem.Maxillary canines are the most commonly impacted teeth, second only to third molar
Missing Molars
When to Call Your Doctor
canine impaction
Wisdom teeth are molars, your toughest, widest teeth that grind food. But some people don’t have all their wisdom teeth. They’re the ones most commonly missing from adult mouths. Some would theorize that our jaws have changed over the years due to changes in our diet.
When to Call Your Doctor
When to Call Your Doctor
When to Call Your Doctor
Call to your dentist right away if You have a difficulty in breathing or swallowing or severe pain or bleeding continuously even after 2 hours surgery. Your face or jaw stays swollen for more than a few days. You feel numbness or notice pus or foul smells.
Surgical Extraction
When to Call Your Doctor
When to Call Your Doctor
Surgical extraction is the method by which a tooth is removed from its socket, after creating a flap and removing part of the bone that surrounds