Wisdom teeth are the last adult teeth to erupt into the mouth, generally emerging between the ages of seventeen and twenty-one. They are the third set of molars and are in pairs: two each on the top and bottom arch of teeth. While some patients don’t have wisdom teeth, most do. Many of those who do have them don’t have enough room for those teeth to erupt fully, causing them to be wedged under the back of another tooth, impacted in the gum.
Impacted wisdom teeth are very difficult to clean, and can negatively affect the surrounding teeth. They are highly vulnerable to disease and decay and may lead to tooth pain and damage to adjacent teeth. For these and other reasons, a dentist may recommend that the teeth be extracted through oral surgery as soon as necessary to prevent any problems.
Extraction of wisdom teeth is typically an outpatient procedure done in an oral surgeon’s office. A healthy patient can proceed with a typical surgery, but if any infection is detected, the surgery can’t move forward until the infection is cleared up through the use of a full course of antibiotics. Once the surgery is moving forward, the surgeon’s team will administer some form of anesthesia to numb the area surrounding the tooth or to possibly sedate the patient through IV sedation dentistry.
After the anesthesia has fully taken effect, the surgeon makes an incision to open the gum and to remove any bone that is blocking the tooth from extraction. The tissue connecting the bone to the tooth will be separated and the tooth will be removed. In some cases, the surgeon will have to break the tooth into smaller pieces to make it easier to remove. After thoroughly cleaning the area and removing any remaining debris, the incision will be closed, stitched and packed with sterile cotton gauze to staunch any bleeding.
The surgeon will provide aftercare instructions. Patients should follow these instructions to the letter in order to ensure the best and fastest healing of the surgical site.
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Wisdom teeth, your third set of molars, are named that because they are the final teeth to erupt. They usually come in between ages 17 to 25, and are located in the very back of your mouth on the top and bottom. Your dentist will examine you to find out if your wisdom teeth are properly positioned and healthy. If they aren’t, your dentist will recommend removal.
How do you know wisdom teeth should be removed?
Some of the signs there is a problem with your wisdom teeth include pain, infection, cysts, gum disease, damage to nearby teeth, and tooth decay. If you experience any of these symptoms, see your dentist for an examination.
What are impacted wisdom teeth?
Sometimes your teeth just don’t have room to grow in properly. They can erupt at angles within your jaw, sometimes even horizontally. If wisdom teeth aren’t able to erupt normally they can become trapped, or impacted, inside your jaw. Symptoms of impacted wisdom teeth are pain, infection, and swelling. When teeth are impacted, they can lead to serious problems. Many dentists want to avoid impacted teeth and therefore remove your wisdom teeth before they erupt or grow too big.
Are there less obvious reasons to remove wisdom teeth?
It’s not always clear when these teeth way in the back of your mouth are causing problems, or might in the future. Many dentists remove them in teens or young adults so they don’t cause problems later, or become too firmly planted in the jaw. Also, sometimes wisdom teeth are removed as part of orthodontic, periodontal, or restorative treatment plans.
What happens if I don’t have them removed?
Some dentists prefer to wait and see what happens with time to your wisdom teeth. Make sure you continue to have these teeth monitored, because the risk of problems doesn’t go away with age. Removing wisdom teeth isn’t always necessary, because if there’s room in your mouth and they come in properly, they work just like any other teeth. The key is to watch them to make sure problems don’t arise in the future.
Dental office for wisdom teeth removal
Many oral surgeries go beyond simply removing a tooth, and the cause is not always related to poor dental hygiene. Some reasons for oral surgery just can’t be predicted or avoided, such as injuries, birth defects, or cancer. Great strides have been made in oral surgery, especially for restoration and reconstruction techniques. These are some common reasons that oral surgery is advised.
Tooth loss
Replacing missing teeth with dental implants requires oral surgery so that the titanium implant can be inserted into the jaw. Providing an alternative to dentures and bridges, implants offer a secure and permanent solution that looks very natural. Candidates with adequate bone density, good overall health, and who practice proper oral hygiene are considered for implant surgery. After the implant heals, a crown will be placed on top to complete the restoration.
Impacted teeth
One of the most common oral surgeries is to remove impacted wisdom teeth. Often occurring during the late teen to early adult years, wisdom teeth are unable to erupt properly and must be extracted to prevent future problems.
TMJ
Temporomandibular joint disorders involve the joint where the skull and lower jaw come together in front of the ear. Facial pain, headaches, popping, and jaw problems can result, and dentists try to treat the disorder with solutions like splints, physical therapy, and medications. Severe cases can require surgery to fully correct the TMJ problems.
Injuries
Car accidents, sports injuries, and other trauma can cause broken facial bones or jaws. Surgery may be necessary to realign the jaws, wire bones together, and otherwise repair the injury so that normal function and comfort can be restored.
Cleft repairs
Birth defects like a cleft lip or palate are corrected through oral surgery. Usually a series of surgeries over a span of years is needed to improve the appearance and proper function of the areas affected by the birth defect.
Biopsy
Surgery is performed to remove cancerous tumors or lesions in the jaws or facial bones. This is especially true when the joints or connecting muscles and tendons are involved.
