Wisdom Teeth & Their Removal

The wisdom teeth are the last molars found in the back of the mouth. Most people have  first molars (six-year molar), second molars (12-year molar ) and third molars (18-year).  We often see the third molars (wisdom teeth) erupt at the end of the teenage years.  Often times the mouth is too small for these four additional molars, requiring extraction soon after they begin erupting into the mouth.  Serious problems can develop from impacted (partially blocked) wisdom teeth like infection and damage to adjacent teeth.  Consequently removal of  an impacted wisdom tooth is indicated.

Impacted Wisdom Teeth

When should molars be extracted – The following symptoms indicate a problem with a wisdom teeth (third molars) and require an x-ray to confirm this.  Infection in mouth.

  • Pain
  • Facial Swelling
  • Swelling of gum line behind the last molar.

In situations as above, Forum Dental Group recommends immediate removal of wisdom teeth.  This will eliminate a continued problem that may ultimately destroys second molars. Third molar impaction is very common dental developmental disorder-the jaw bones are too small for the size of the teeth.

Why molars should be extracted? – Due to impacted third molars the following problems may appear requiring extraction.

  • Reoccurring Percoronitis – Pericoronitis is an infection located in the surrounding tissues of a wisdom tooth that has not fully emerged through the gums into its proper position (partially erupted tooth). Severe pain is often associated with an unpleasant mouth odor due to the infection.
  • Cysts and tumors – Cyst and tumors can develop in the tissues associated with wisdom teeth.
  • Crowding-This can cause adjacent teeth to move out of correct alignment
  • Damage to neighboring tooth- When misdirected wisdom teeth attempts to erupt it can cause resorption (dissolve away) of the roots of 2nd molar.

The wisdom tooth in this illustration is destroying the second molar with its hard enamel crown dissolving away the softer cementum on its root surfaceEnamel crown dissolving the roots of a second molar

After Effects of Molar Extraction

  • Some bleeding may occur for some hours after molar extraction.
  • Swelling Trauma from extraction can cause swelling.  Any swelling which does occur can be kept to minimum by placing ice on face, in the area of the extraction.
  • Activities– avoid strenuous activities for 24 hours after tooth extraction.
  • Food and Eating After molar extraction a soft or liquid diet is suggested for 24 hours.
  • Brushing and cleaning It is important to maintain good oral hygiene during healing process. On the day of extraction, brushing the teeth directly near the extraction should be avoided.

If you have questions regarding wisdom teeth or other removal give us a call at Forum Dental Group (425) 357-1818 or ask it here.

Comments

  1. Ruth says

    My son is going into the military service in a year. Should he have his wisdom teeth pulled now by you or should we have him just wait for the service to do it? He needs his wisdom teeth out anyway, we are aware of that….but would it be easier and less complicated in your office?

    • admin says

      Good question Ruth:
      When the removal of wisdom teeth is determined necessary, it is best done when the roots are approximately two-thirds formed, usually in the adolescent years. Removal at this time allows for an easier procedure and decreases the risk of damage to the nerves or other teeth in that area. This can only be determined by seeing an x-ray of the area.

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