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Wisdom teeth are the 3rd set of molars in the really back of your mouth. These teeth usually are available during the late teen years or early in the adult years. If a wisdom tooth gets stuck under your gum or does not have enough room to break through the gum, it’s considered “impacted.” Impacted wisdom teeth are more vulnerable to disease, dental caries, and other oral problems.
Partially impacted wisdom tooth.
Some individuals with impacted wisdom teeth will not notice any problems at all, while others will have apparent symptoms. An impacted wisdom tooth may break through the gums, and part of the tooth crown can be visible. This is called a partially impacted wisdom tooth. A partially impacted wisdom tooth may trigger food to become trapped and make cleaning up the tooth harder.
Fully impacted wisdom tooth
The wisdom tooth is considered fully impacted when it is completely lying under the gum level. It is not visible at all in the oral district. The only way to diagnose and see a fully impacted wisdom tooth is by using an x-ray.
If the tooth ends up being infected or causes other concerns, you may have signs such as:
- Discomfort or swelling around the jaw
- Red, swollen, or bleeding gums
- Bad breath
- An undesirable taste in your mouth
- Issues opening your mouth
- An ache in the wisdom tooth area
In other cases, the wisdom teeth might be completely asymptomatic. The impacted tooth might never break through the gums. This is called a fully impacted wisdom tooth, as we already mentioned above.
Risk factors for impacted wisdom teeth.
Sometimes, the tooth grows in at the wrong angle, which can trigger it to become impacted.
in between the ages of 17 and 25.
Have a small jaw structure.
If any of your familiar has had the same situation.
How to make a diagnose of impacted wisdom tooth?
X-ray picture (orthopantomography) is the most accessible tool to make a diagnose of an impacted wisdom tooth.
The dentist will examine the picture and will immediately understand if the tooth is impacted.
A CBCT scan might be necessary if the mandibular nerve looks very close to the impacted tooth. In this case, it is important to understand the 3D relationship between the nerve and the tooth to avoid complications after the surgery.
Many wisdom teeth are asymptomatic, that’s why it will not be necessary to remove them.
Your Oral Surgeon or Dentist will explain to you all the benefits and risks of the tooth removal surgery and guide you on the best decision to take for your health.
Usually, if the wisdom tooth is often triggering inflammation and pain, the dentist is inclined to go with the surgery. If the tooth does not bother you at all, the dentist will probably let the tooth in its place.
How to treat an impacted wisdom tooth?
Your wisdom teeth do not generally need to be removed if they’re impacted; however, they aren’t causing any problems. This is because there’s no tested benefit of doing the surgery. Furthermore, the surgery carries quite a lot of risks. So what’s the benefit to remove an asymptomatic wisdom tooth? No one.
If there are symptoms, surgery is recommended to remove your wisdom tooth.
It’s better to remove wisdom teeth during a young age.
Usually, a General Dentist can remove the wisdom tooth. Still, if the tooth position is complicated or any other issue might trigger dangerous situations, it’s better to refer the surgery to a Dental Surgeon.
The wisdom tooth extraction procedure is the following:
- Local anesthesia
- An incision on the gum to reach the tooth
- Removal of the tooth
- Cleaning of the infection
- Close the wound with sutures
Time of the surgery: 30-60 Minutes.
Recovery from wisdom tooth extraction
After your wisdom teeth have actually been removed, you may have swelling and discomfort, both within and outside your mouth. Occasionally, some moderate bruising is also visible. This is generally worse for the very first three days, but it can last for approximately two weeks.
You might trigger infection or postponed healing, both of which are more likely to happen if you smoke during your recovery. Another possible problem is “dry socket, ” a dull, aching feeling in your gum or jaw, and sometimes a bad odor or taste coming from the empty tooth socket. Dry socket is more likely to happen if you do not follow the after-care guidelines provided by your dental practitioner. Please read our article about the guidelines on how to heal correctly after tooth extraction.
How to handle the wisdom tooth pain at home
If you trigger a toothache in the wisdom tooth district and you still did not meet your dentist, you can help yourself in the acute situation by following these tips:
Hydrogen Peroxide rinse:
Rinse your mouth with hydrogen peroxide mixed with water and try to let the solution works in the wisdom tooth district.
Repeat the rinses 3 times a day.
Rinse your mouth with salt water might help reduce the gum’s inflammation as much as the hydrogen peroxide. Rinse 3 times a day.
Painkillers and OTC medications:
They might help you to handle the intense pain during the day.
If there is an infection going on around the wisdom tooth, it is necessary to start using antibiotics to reduce the infection and calm down the intense pain.
Complications of non treated impacted wisdom teeth.
If an impacted and problematic wisdom tooth isn’t extracted, it can cause specific issues, such as:
- Crowding of nearby teeth
- Difficulty flossing
- Damage to other teeth
- Gum diseases
Some dentists will suggest surgical treatment for impacted wisdom teeth because of these possible issues, even if they don’t cause signs.
There are no current guidelines to prevent the impacted wisdom teeth.
It’s well known that correct daily oral hygiene is very helpful in preventing oral issues. We recommend you read this article with the best practices to achieve healthy teeth.
It’s not always necessary to remove a wisdom tooth if its position is correct and not creating any problem.
If you often struggle with inflammation around your wisdom teeth, then its definitively time to take action.
Please book an appointment with your dentist. He is the only one who can give you the best suggestion on which solution you should take.
Surgery or not surgery, don’t be scared! Everything is going to be okay!
Read also 10 tips to avoid dental anxiety