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Tuesday, October 4, 2022

Oh, this wisdom tooth: treat or remove?

The pleasures of adult life are not only work, bills, family, and that's it. But also annoying "eights" - wisdom teeth, which brought a lot of trouble to almost everyone. Do they always need to be removed?

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It is cheaper to take care of your teeth and show them to the dentist in time for prevention than to treat them. But such an approach is unlikely to help when it comes to wisdom teeth – almost always, such “growing up” goes through pain and, in the subsequent – through an unpleasant operation.

Learn not to miss the moment when the first teething problems of the “eights” begin if you should get rid of them or try to heal them.

When do we get wisdom teeth?

Wisdom teeth should start growing when you are at the age of 18-20. But for some, they may not erupt until the age of 40. This is a form of atavism since the teeth previously used to help our ancestors chew tough foods have long since lost their usefulness.

In the process of evolution, the jaws begin to adapt to changing eating habits. Previously, our ancestors chewed hard meat and ate raw vegetables and fruits. Now our diet has changed very much, and there is no need for the jaw to grow; there is no stimulation of the chewing muscles. Accordingly, the lower jaw does not reach the right size to have a place for a correct full-fledged eruption of the wisdom tooth.

Hence all the problems – “eights” only for the lucky ones erupt without much difficulty, while others have inflammation and even serious deformations in the jaw.

Troubled “eight”

When the wisdom teeth finally decide to come out, all the other teeth had long since taken their places. And “eights” sometimes begin to cut incorrectly, injuring soft tissues and forcing their neighbours to move. Typically, this is accompanied by inflammation and discomfort over the whole dentition. But sometimes, it doesn’t even say anything about the fact that a wisdom tooth can climb incorrectly.

Often people go to the orthodontist with such problems. They see that crowding of the front teeth appears; however, they don’t even think about the wisdom tooth. But they see that the incisors began to find one on top of the other, or pains appear in the seventh tooth. Therefore, it is very important to diagnose promptly such a pathology.

Wisdom Tooth
Wisdom Tooth

People often go to the dentist when they realize they can no longer be tolerated. Often there are already inflammatory complications and acute pain. Of the additional problems – a sore throat, which “gives” to the ear, and lymph nodes in the neck (and, it seems, in the entire jaw and head too), there is an elevated temperature. Here, unequivocally, the wisdom tooth needs to be removed.

If the wrong “eights” are not removed in time, then not only inflammation can occur around such a tooth, but cysts can also form. If the cyst is located on the lower jaw, it begins to destroy the jaw structure, moving to its branch. It is fraught even with pathological fractures. If cysts appear on the upper jaw, they can grow into the maxillary sinus and cause purulent processes and sinusitis.

A wise decision

Most likely, you will have to part with the wisdom tooth. Even if you are among the lucky ones who got them out without complications, it is unlikely that the G-8s will be healthy for a long time: most often, it is these teeth that are attacked by caries – it is extremely difficult to clean them thoroughly, and dentists cannot get close to them during treatment. 

All over the world, the standards of insurance policies for dental care have introduced the removal of wisdom teeth at a fairly young age – at 14-15 years old, until they have had time to erupt, and the roots are not fully formed. The removal is the least traumatic during this period.

A conventional X-ray examination is performed to understand how a tooth is cut. And now, “eights” of any complexity can be removed without hospitalization thanks to 3D computed tomography during the operation. Everything takes place under local anaesthesia – doctors assure that now these unpleasant procedures are painless.

The patient is given the proper therapy during the perioperative period with painkillers, decongestants, and antibiotics. And if sutures are applied, they are removed 7-8 days after the operation. The sooner you notice a problem with wisdom teeth, the easier it will be for the doctor to help you, not waiting for the complications these teeth cause.

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