Someone they cause a lot of problems and discomfort, but someone until the end of life does not remember their existence. It's about wisdom teeth. We asked Mikhail Popov, a dentist, an implant surgeon, to tell what to do with them all the same - to leave or remove.
- To begin with, the wisdom teeth got their name due to a rather late teething, usually they appear not earlier 17 years. In medicine, they are called differently - eights or third large chewing molars.
But not everyone has wisdom teeth. Some patients in adulthood do not even have the rudiments of eighth teeth - they should be formed in childhood. Their presence or absence can be determined using x-rays.
Sometimes the wisdom teeth that have already formed in the jaw do not cut through even by the age of 25. However, this does not mean that they will never make themselves felt.
It all depends on the features of their anatomical location. Sometimes it happens that the teeth in the bone lie incorrectly (that is, they are doped) and can never erupt and never interfere with the growth process of the jaws and other teeth.
Each doctor has his own opinion on this matter. I adhere to the hypothesis that when a person has a normal, undeformed dentition, a normal bite, wisdom teeth do not take any part in the act of chewing. But there are deviations.
For example, a special type of bite (mesial) when the lower jaw is advanced. In addition, it happens that the sixth or seventh tooth is missing - they are in front of the wisdom teeth. Due to the prolonged absence of these teeth, the seventh and eighth or separately eighth tilt toward the defect, and the third chewing molar replaces the seventh tooth and partially begins to participate in the act of chewing.
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If the wisdom teeth do not bother (do not they hurt, do not interfere, do not cause injury to the cheeks and surrounding tissues) and do not deform the bite, then you do not need to touch them.
I am even for treating them if a small - within the middle - caries is found there. But on the other hand, if more serious problems begin, such as pulpitis (inflammation of the nerve), periodontitis (when the inflammation extends beyond the tooth canal into the surrounding tissue), then I am in favor of removal.
When you have to say goodbye to eight teeth:
In such cases, you need to contact the orthodontist - a doctor who deals with problems of bite correction. And he will most likely recommend removing the wisdom teeth.
Secondly, this will help to avoid the situation when, after removing the braces, wisdom teeth appear and the dentition is shifted again. Such a patient will have to wear braces repeatedly.
With retention of teeth, inflammatory processes are possible. For example, the so-called hood from the mucosa, or the bone hood: when the tooth cannot cut through and remains covered by the mucous membrane. Pathogens get there (there are enough of them in the mouth). Due to the fact that it is impossible to rinse, treat well under the mucous hood, chronic inflammation begins, which can periodically worsen. Sometimes the mucous hood is excised, but often this is not enough.
Therefore, if the retined teeth begin to bother, you need to consult a dentist surgeon.
When the tooth is not distant, it is removed simply under local anesthesia, without additional manipulations associated with excision of tissues. In the future, if the hole is large, seams are usually applied. Then the seams are removed - and everything heals quietly.
There are situations when the tooth is in the bone tissue and there is a mucous hood above it. He (the tooth) needs to be taken from there. This is already a difficult removal. Tissues above it are carefully dissected under anesthesia, then the tooth is removed. The most unpleasant thing that the patient feels during such an operation is an injection of pain medication.
Removal itself is painless.
In the future, after the end of the action of anesthesia, painful sensations are possible. They last a maximum of five to seven days, some time after that discomfort in the area of the extracted tooth is possible. We prescribe painkillers that completely relieve pain. In some situations, antibiotics are required.
And be sure to control the patient: he regularly comes for examinations so that there are no troubles associated with recovery after removal.
Possible complications arise, as a rule, in the second or fourth day after surgery. The most unpleasant of them is alveolitis. This is infection and inflammation of the hole in the extracted tooth. In the oral cavity we have a lot of bacteria (from the point of view of microbiology - more than in the whole body).
Some of them can get into the hole and cause symptoms such as severe and, if there is a process of suppuration, throbbing pain, unpleasant odor and swelling. If such symptoms appear, you should definitely contact your doctor, preferably the one who removed the tooth. Because only he knows what he did during the operation, what drugs he put in the hole, respectively, he will be able to help the patient the fastest.
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