Should You Remove Wisdom Teeth?

 It is simple to understand the logic behind taking early action. There may be no issues now but there’s a possibility that problems will arise in the future. It is better to prevent worst case scenarios rather than be put in the position to deal with them. While you may have no painful wisdom teeth issues yet, the removal of wisdom teeth and your healing procedure is going to be less difficult and faster if you consider early removal. A reputable oral health practitioner is the best authority to get more informed about the procedure and feasibility of extraction.




The possible complexities of having wisdom teeth removed ought to not be causes for severe anxiety. Most people have a perfectly uncomplicated extraction with little or no down time and minimal discomfort.



Wisdom teeth may grow sideways, emerge only part way from the gum or remain trapped beneath the gum and bone.

Wisdom teeth present potential problems when they are misaligned - they can position themselves horizontally, be angled toward or away from the second molars or be angled inward or outward. Ask your dentist about the positioning of your wisdom teeth. He or she may take a dental X ray periodically to evaluate for the presence and alignment of your wisdom teeth. Your dentist may also decide to send you to an oral surgeon for further evaluation.

Anthropologists note that the rough diet of early humans resulted in the excessive wear of their teeth. Normal drifting of the teeth to compensate for this wear ensured that space was available for most wisdom teeth to erupt by adolescence. The modern diet, which is much softer, and the popularity of orthodontic tooth straightening procedures produce a fuller dental arch, which quite commonly doesn't leave room for the wisdom teeth to erupt, thereby setting the stage for problems when the final four molars enter the mouth.



As wisdom teeth grow, their roots become longer, the teeth become more difficult to remove and complications become more likely. In addition, impacted wisdom teeth are more likely to cause problems as patients age.



Before surgery, your oral and maxillofacial surgeon will discuss with you what to expect. This is a good time to ask questions or express your concerns. It is especially important to let the doctor know about any illness you have and medications you are taking.



Most wisdom tooth extractions are performed in the oral and maxillofacial surgery office under local anesthesia, intravenous sedation or general anesthesia. Your oral and maxillofacial surgeon will discuss the anesthetic option that is right for you.



Typically mesioangular impactions are the most difficult to extract in the maxilla and easiest to extract in the mandible, while distoangular impactions are the easiest to extract in the maxilla and most difficult to extract in the mandible. Frequently, a fully erupted upper wisdom tooth requires bone removal if the tooth does not yield easily to forceps or elevators. Failure to remove distal or buccal bone while removing one of these teeth can cause the entire maxillary tuberosity to be fractured off, thereby tearing out the floor of the maxillary sinus.

 

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