The last teeth that come to humans are molars called “wisdom teeth,” which appear in both sexes at the age of twenty. There are known cases in women over eighty years of age in whom, at the end of their lives, wisdom teeth appeared and caused great pain when they came; And cases of a similar phenomenon are also known in men. This happens, when it happens, in people in whom wisdom teeth did not appear in the early years. Wisdom teeth are the last of your teeth to appear (erupt) in your mouth. Sometimes a wisdom tooth gets stuck (affected) below the surface of your gums and grows at a strange angle, which can lead to complications. Wisdom teeth usually grow through the gums in their late teens or early twenties. At this point, the other 28 adult teeth are usually in place, so there isn`t always enough room in the mouth for wisdom teeth to grow properly. It is difficult to predict future problems with wisdom teeth included. However, here`s the rationale for preventive extraction: wisdom teeth agenesis differs by population, ranging from virtually zero among Tasmanian Aborigines to nearly 100% among indigenous Mexicans. [9] [10] The difference is related to PAX9 and MSX1 genes (and possibly other genes). [11] [12] [13] [14] Odontogenic cysts are a less common pathology of the included wisdom tooth. They are described as “cavities with liquid, semi-liquid or gaseous contents with an odontogenic epithelial wall and connective tissue on the outside”. However, studies have shown that cysts are prevalent in a small percentage of affected wisdom teeth that are extracted.
The most common types associated with affected third molars are root cysts, dentiger cysts and odontogenic keratocysts. [25] In this video, an expert explains why people have problems with their wisdom teeth and available treatments. The wisdom teeth included are classified according to the direction and depth of impact, the space available for tooth eruptions, and the amount of soft tissue or bone they cover. The classification structure allows clinicians to estimate the likelihood of impacts, infections and complications associated with wisdom tooth extraction. [20] Wisdom teeth are also classified according to the presence of symptoms and diseases. [21] The treatment of an eruptive wisdom tooth is the same as any other tooth in the mouth. In case of involvement and pathology, such as caries or pericoronitis, treatment may be dental restoration, salt water rinsing, local treatment of infected tissue above impaction,[22]: 440-441 oral antibiotics, operculectomy or, if these failed, extraction or coronanectomy. After removing wisdom teeth, you can expect mild discomfort, accompanied by slight bleeding and swelling.
Your oral surgeon will give you instructions on wisdom teeth management to mitigate these side effects. Once your sedation dissipates sufficiently, a friend or family member will take you home. Your dentist will refer you to an oral surgeon for consultation. During this visit, the surgeon will assess the health of your wisdom teeth and take dental X-rays to determine their exact location. They will also discuss sedation options with you. Wisdom teeth extraction is usually performed under local anesthesia, IV sedation or general anesthesia, depending on your specific needs. General anesthesia is rarely required for wisdom teeth extraction. It is only used occasionally if the procedure is performed in the hospital. In this case, however, you should be able to go home the same day of the procedure. If a wisdom tooth doesn`t have room to grow (wisdom tooth included), causing pain, infection, or other dental problems, you`ll probably need to let it pull.
Wisdom teeth extraction can be performed by a dentist or oral surgeon. Your dentist or oral surgeon may recommend that your wisdom teeth be extracted even before problems occur. This is done to avoid a more painful or complicated extraction that may have to be done a few years later. Removal is easier in young people when the roots of wisdom teeth are not yet fully developed and the bone is less dense. In the elderly, the recovery and healing time tends to be longer. Within 24 hours of removing your wisdom tooth, you should avoid the following: Removal of asymptomatic wisdom teeth without disease and without signs of local infection as a prophylactic method has long been controversial in the dental community. There is not enough reliable scientific evidence for dentists and policymakers to determine whether disease-free asymptomatic altered wisdom teeth should be removed. Therefore, the decision depends on a combination of clinical expertise and patient preference. If the tooth is preserved, regular check-ups are recommended to detect any problems that may arise. Given the lack of high-quality evidence, more long-term studies currently need to be conducted to reach a reliable scientific conclusion. [26] Your dentist says it`s time to remove your wisdom teeth. They may refer you to an oral surgeon who will perform the procedure in their office.
It should only take a few days for you to heal and feel normal again. Sometimes the four wisdom teeth burst normally and do not cause any problems. But often, wisdom teeth grow at an angle or remain totally or partially trapped in the jaw bone or under the gum tissue (impacted). This can lead to a number of problems. Your dentist may recommend wisdom teeth extraction if you: You probably won`t need a follow-up appointment after a wisdom tooth extraction if: Many people develop included wisdom teeth – teeth that don`t have enough space to burst in the mouth or grow normally. Included wisdom teeth can only partially or not burst at all. Wisdom teeth extraction is a common oral surgery procedure that can reduce the risk of dental problems. The decision to remove your wisdom teeth is important, and the choice may not always be clear. Talk to your doctor about whether wisdom teeth extraction is right for you.
The removal of wisdom teeth (or third molars) is one of the most common surgical procedures in the UK. There is also a small risk of nerve damage, which can cause tingling or numbness in the tongue, lower lip, chin, teeth and gums. This is usually temporary, but can be permanent in rare cases. Platelet-rich fibrin (FRP) is a postoperative method of healing the alveolar cavity after removal of the third molar from the lower jaw. FRP is a second-generation result of the isolation of platelets, white blood cells, stem cells and growth factors from blood samples. Studies have shown that when used, there are improvements in pain sensations, swelling and a reduced risk of developing a dry outlet. This method has been shown to only reduce symptoms and is not completely preventive. To date, there is no clear association between the use of PRF after surgery to remove the third molar of the lower jaw and recovery from jaw spasms, bone restoration and soft tissue healing.
Further studies with larger study samples are needed to validate current theories. [27] Displacement of the lower anterior teeth has been a common discussion in the orthodontic community for decades. In the 1970s, it was thought that non-eruptive wisdom teeth produced a forward force that would cause the anterior segment to displace. Recent research has shown that there is no consensus and that the cause is due to a variety of factors. These include dental factors such as crown size and loss of primary teeth. Skeletal factors, which include the growth of the upper and lower jaw, as well as the presence of malocclusions. General factors, including age and sex of the patient. Overall, recent research has shown that wisdom teeth alone do not cause teeth clutter. [30] Once the sedation medications have been administered, your surgeon will administer local anesthesia to numb the teeth and gums. Included wisdom teeth (wisdom teeth trapped in gums or bones) are exposed with incisions so that your surgeon has sufficient access.
Once the wisdom teeth are visible, your oral surgeon gently loosens them and lifts them from their sockets, cleaning the areas and placing stitches. In most cases, stitches fall off on their own within a few days. Most of the time, wisdom teeth extraction does not cause major complications. However, you should call your oral surgeon if you have: The third molars of the lower jaw are the smallest molars of the permanent dentition. The crown usually takes on a rounded rectangular shape that has four or five bumps with an irregular cracking pattern. The roots are significantly reduced in size and can be fused together. [8] Most wisdom tooth extractions do not lead to long-term complications. However, removing the included wisdom teeth sometimes requires a surgical approach, which involves making an incision in the gum tissue and removing the bones. In rare cases, complications can be: Wisdom teeth extraction is usually recommended when other treatments have not worked. Before your wisdom teeth are extracted, the teeth and surrounding tissue are anesthetized with a local anesthetic – the same type used to numb a tooth before filling a cavity. In addition to using a local anesthetic to numb the pain, you and your dentist or oral surgeon may decide that a sedative is desired to control any anxiety. Sedating medications that may be chosen include: nitrous oxide (also known as “nitrous oxide”), an oral sedative (such as Valium), or an intravenous sedative (given by injection into your veins).
If nitrous oxide is administered, you can go home yourself.
