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Wisdom Teeth
Contrary to popular
belief, wisdom teeth do
not make you smarter.
Otherwise known a s
your third molars, they
are simply your third
set of molar teeth that
develop around the age
of 18- 21 in young men
and women.
Why then do wisdom teeth
cause so many problems
and need to be removed?
Simply because in most
people there is not
enough room in the jaw
bone for the wisdom
teeth to erupt. One
doctor put it best when
he said that you are
trying to put 32 teeth
in an area where there
is only room for 28.
Often times wisdom teeth
become impacted in the
jawbone. Impacted means
that the tooth is either
covered by your gum
tissue called a soft
tissue impaction, or
covered by bone called a
hard tissue impaction.
Some of the problems
wisdom teeth can cause
include a common called
pericornitis.
Pericornitis is an
infection of the gum
tissue around partially
impacted (meaning only
part of the tooth is
visible above the gum
line) wisdom teeth.
Because only part of the
tooth is sticking out of
the gums, this causes an
area where food and
plaque build up.
Wisdom teeth are usually
in an area where it is
extremely difficult to
clean. Therefore the gum
tissue becomes inflamed
and irritated. Symptoms
of pericornitis include
pain, swelling and
inability to open the
mouth (called trismus).
Treatment includes first
relieving symptoms with
antibiotics and mouth
rinses and then removal
of the wisdom tooth.
Destruction of bone can
occur when the wisdom
tooth is partially
impacted. Because you
cannot clean the area,
plaque and tartar
buildup in the back of
the mouth. This can
result not only in
destruction of bone
around the wisdom tooth
but also around the
molar tooth in front of
the wisdom tooth. Due to
their place in the
mouth, wisdom teeth are
more difficult to clean.
The lack of hygiene in
the posterior portion of
the mouth can lead to a
buildup of plaque.
A tooth that is more
difficult to clean
results in the formation
of a cavity or decay on
the tooth. When a wisdom
tooth develops a cavity,
it is better to remove
the tooth than try to
restore it with a
filling. Removal of
wisdom teeth can range
from being a simple
extraction to a minor
surgical procedure
depending on how much
the tooth is impacted.
If the wisdom tooth is
fully erupted, then the
tooth can be usually
removed in one piece. If
it is a full bony
impaction, then the gums
must be moved out of the
way, and the bone
removed to gain access
to the tooth. The tooth
is then removed in
pieces because there is
not enough room to
remove the tooth and its
roots in one piece. The
gum tissue is sutured
back and the area
allowed to heal. Sutures
or stitches may or may
not be placed depending
on the need of the
individual case. |