Do You Need Wisdom Teeth Removal?
Understanding Wisdom Teeth
Wisdom teeth, known in dental terms as third molars, are the last set of teeth to emerge in the mouth, typically appearing between the ages of 17 and 25. They are named wisdom teeth because they develop during a time when individuals are considered mature enough to possess wisdom. In early human history, these teeth played a crucial role due to a coarse diet that led to wear and tear on the earlier molars. However, modern diets have evolved, leading to smaller jaw sizes and less space for these teeth to emerge properly.
Why Wisdom Teeth Get Impacted
In many cases, wisdom teeth remain buried or partially emerge due to insufficient space in the jaw, leading to impaction. Statistics show an 18% to 30% prevalence of lower third molar impaction. Impaction occurs when a tooth fails to emerge in its functional position within the expected time, often because the jaw doesn’t accommodate it. While typically associated with wisdom teeth, impaction can also affect other teeth, such as canines.
Do Wisdom Teeth Always Cause Problems?
If wisdom teeth fully emerge and are accessible for cleaning, they rarely cause issues. Problems arise when they become impacted or only partially erupt. Partially emerged wisdom teeth can lead to several issues, such as:
– Pericoronitis: This inflammation of the gums around the tooth can lead to pain, difficulty opening the mouth, and swallowing problems.
– Decay: Constant food lodgment near partially emerged wisdom teeth can cause decay in both the wisdom teeth and adjacent molars. Deep decay can result in infections that spread to the bone and soft tissues.
– Cysts: Rarely, these teeth can be associated with cysts that erode the jawbone.
Symptoms of Problematic Wisdom Teeth
When wisdom teeth cause issues, common symptoms include:
– Pain and swelling around the tooth or face
– Difficulty opening the mouth
– Referred pain in the jaw, ears, or eyes
– Persistent discomfort due to decay or infection
These symptoms often necessitate wisdom teeth removal to alleviate ongoing pain and prevent further complications.
When Should Wisdom Teeth Be Removed?
Wisdom teeth removal is advised under several conditions, including:
– Recurrent episodes of pericoronitis
– Early signs of dental decay, especially in angled teeth that are hard to clean
– Need for orthodontic treatment, such as braces
– Association with dental cysts or other jaw lesions
The Role of X-rays in Wisdom Teeth Removal
X-rays are crucial for determining the position and angulation of impacted wisdom teeth. They help plan the surgery by revealing the anatomy of the tooth and surrounding bone. In cases where the tooth is near the jaw nerve, a dental CT scan may be needed to assess the exact relationship and ensure safe extraction.
Wisdom Teeth Removal: What to Expect
Wisdom teeth removal is generally performed under local anesthesia, effectively controlling pain. The procedure’s duration depends on the tooth’s position; upper wisdom teeth are typically easier to remove, while lower impacted ones may require 30-45 minutes of surgery. For those apprehensive about dental procedures, options such as sedation or general anesthesia are available to ensure comfort.
Post-Surgery Recovery and Potential Complications
After wisdom teeth removal, patients can expect mild to moderate facial swelling, discomfort, restricted mouth opening, and difficulty eating, typically lasting 4-5 days. Recovery usually takes about a week, with no restrictions on regular activities. Some rare complications include prolonged bleeding, dry socket, or temporary numbness affecting the lower lip and tongue if the nerve is involved.
Impact on Appearance and Chewing
Once healing is complete, wisdom teeth removal does not affect chewing efficiency or appearance. Instead, it often improves oral hygiene since the area becomes easier to clean without the presence of the wisdom teeth.
For more information, consult East Wind Dental Care at (503) 614-0198 or visit www.eastwinddentalcare.com. Our office is located at 7546 NE Shaleen St, Hillsboro, OR 97124.