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Posts for tag: wisdom teeth
The reason for extracting a tooth may be all too obvious — the tooth is too decayed or damaged to attempt saving. The reason for extracting a wisdom tooth, on the other hand, may not be so apparent: from the perspective of pain or reduced function, you may not notice a thing. Our recommendation to remove a wisdom tooth is based primarily on what may be occurring out of view below the gum line and its potential threat to adjacent teeth.
Teeth grow and develop below the gum line in the jaw, and then push their way through the gums as they appear in the mouth (eruption). After a normal eruption, the enamel-covered crown is visible above the gum line; the remaining tooth root (about two-thirds of the tooth’s length) resides below the gum line. Because wisdom teeth, or third molars, erupt rather late between ages 17 and 25, they may lack the room to erupt properly due to crowding from other teeth that have already erupted. This can cause the wisdom tooth not to erupt fully through the gums, leaving the crown trapped below the gum line, a condition known as impaction. For the tooth, impaction increases the chances of infection, cyst formation and gum disease around it.
An impacted wisdom tooth can also cause problems for the adjacent teeth as well. The impacted tooth may begin to press against the roots of other teeth; the resulting pressure can damage the other roots, increasing the risk for disease or future tooth loss. A person may not even know they have this problem since there’s often little to no noticeable pain or symptoms.
It may seem counterintuitive, but the best time to remove a wisdom tooth is when it’s not causing immediate problems. There will be, however, signs found during examination (particularly x-rays or CT scan) that future problems are in the making. By extracting an impacted wisdom tooth at the appropriate time, we can avoid more serious problems in the future and improve oral health.
If you would like more information on wisdom teeth and your oral health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Removing Wisdom Teeth.”
The third molars, called “wisdom teeth” because they usually become visible when a person is 17 to 25 — supposedly the time we achieve wisdom, may have adverse effects on adjacent teeth. Most adults have four wisdom teeth, although some people have more; and some, none at all. The wisest thing to do about wisdom teeth may be to have them removed if they are poorly positioned.
What is an impacted wisdom tooth?
If a wisdom tooth is pushing against gums, other soft tissues, or adjacent teeth at an awkward angle, it is referred to as “impacted.” Usually this occurs when there is not have enough room in the jaws for these last molars to fit next to their adjacent teeth. They can disrupt the gum tissue attachment of their neighboring teeth and the surrounding bone leading to periodontal disease and, ultimately, their loss.
In many cases, impacted teeth are painless, and those who have them have no warning of the problem. Thus it is important to have routine dental exams during the time when the third molars are coming in.
When should wisdom teeth be removed?
It is better to remove wisdom teeth early rather than waiting until periodontal (gum) disease has set in. As individuals age, keeping their wisdom teeth may lead to more serious problems. Periodontal defects tend to get worse in the presence of retained third molars. Furthermore, there is a higher incidence of postoperative symptoms in people over 25.
What are the pros and cons?
Removing impacted third molars can have a negative influence on the periodontal tissues of adjacent second molars. A number of techniques, such as scaling, root planing, and bacterial plaque control, can be used to minimize periodontal problems and promote healthy healing.
Surgical removal of wisdom teeth will involve some mild to moderate post-operative discomfort. Use of aspirin or ibuprofen for a few days after surgery will provide pain relief and control most swelling and symptoms. Antibiotics may be prescribed to ensure infection-free healing. It is important to keep the socket area clean by washing and rinsing with saline or antibacterial rinses. Careful surgery will promote good healing with minimal periodontal consequences to adjacent second molar teeth.
To decide whether your wisdom teeth should be removed, you will need an evaluation to assess the clinical health of the wisdom teeth, the neighboring teeth, and other vital structures. X-ray and digital imaging techniques play an important role in determining the exact position of the wisdom teeth in the jaw. A full assessment and consultation will include all the risks, benefits, likely consequences, and alternative treatment options. This will provide you with the wisdom you need to determine what is best for your wisdom teeth.
To learn more about wisdom teeth, read “To Be or Not to Be: What are the consequences of an impacted wisdom tooth?” Or contact us today to discuss your questions or to schedule an appointment.
Thinking or knowing you have an impacted wisdom tooth can be alarming news for some people. Unfortunately, one of the main reasons for this feeling is due to the mythology surrounding wisdom teeth...and especially impacted wisdom teeth. While an impacted wisdom tooth can cause intense pain, some people are quite shocked to learn that they even have impacted wisdom teeth, as it is causing no pain at all.
By definition, an impacted wisdom tooth is a third (and last) molar that gets jammed against an adjacent tooth or other important structures such as gum, bone nerves, blood vessels. And having an impacted wisdom tooth does have its consequences — even if you are unaware you have one. The most common issue is gum (periodontal) disease. This is the main reason why it is so important to have a problematic wisdom tooth removed early when you are young and before periodontal disease has started. If left untreated, you risk damaging and/or losing the impacted tooth and adjacent teeth.
The key to managing wisdom teeth is to monitor them closely through thorough routine examinations and x-rays between the ages of 17 and 25, the time when wisdom teeth typically appear. This is so vital because it allows us to predict the way your wisdom teeth will erupt (become visible) or come into proper position with useful biting function. We can use these visits and x-rays to monitor development so that we are best equipped to determine if or when wisdom teeth need to be treated or removed.
It is also important to contact us as soon as you think you may have an impacted wisdom tooth that is causing pain, swelling or even infection. We can put your mind at rest with the facts of what needs to be done after we've completed our exam.
If you feel that you or a family member has an impacted wisdom tooth, contact us today to schedule an appointment to discuss your questions. Or you can learn more now about the symptoms and treatment options of impacted wisdom teeth by continuing to read the Dear Doctor magazine article “Wisdom Teeth.”
Anytime you have a tooth that does not erupt (surface) correctly but rather stays submerged below the gum you have a problem. Sometimes this situation can cause significant pain, while other times it can be totally pain-free. When this occurs to a wisdom tooth (third molar), you have what is commonly referred to as an impacted wisdom tooth. This generally occurs when there is insufficient room in the mouth, and the wisdom tooth “impacts” or butts up against an adjacent tooth.
Third molars come in typically between the ages of 17 and 25, when a moderate amount of “wisdom” is supposedly achieved. Most people have four wisdom teeth; however, it is possible to have more or less. The key to not having issues generally depends upon one main factor: having adequate space for them to grow and erupt into proper position.
The most common consequence of having an impacted wisdom tooth is gum (periodontal) disease and damage to adjacent healthy teeth. This makes removing the impacted tooth so important. Another problem with impacted wisdom teeth is that they can affect other adjacent structures like gum, bone, nerves, blood vessels and sinuses. They can also become cystic, a condition in which the submerged tooth is surrounded by a closed sac or membrane that can cause possible infection and loss of bone.
We stress the importance of routine dental exams between the ages of 17 and 25 to catch problems with wisdom teeth before they start. The best time to remove a wisdom tooth is when it is not causing problems and the sooner and younger you are the better!
To learn more about the symptoms and treatment options of impacted wisdom teeth, continue reading the Dear Doctor magazine article “Wisdom Teeth.” Or, you can contact us today to schedule an appointment to discuss your questions.
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Edward C. Joseph, D.D.S.
Burbank, CA 91505
Our Blog
Archive:
- 2019
- July (7)
- You May Need to Postpone an Upcoming Dental Visit if You Have Shingles
- How Dentists Provide Your Child the Benefit of X-Rays as Safely as Possible
- How Early Dental Visits Can Improve Your Child's Oral Health
- 3 Things You Can do to Help Promote Your Child's Dental Development
- 4 Affordable Ways to Transform Your Smile for a Once-In-A-Lifetime Moment
- If You're Older, be on the Lookout for Root Cavities
- Don't Use Benzocaine Products to Ease Your Baby's Teething Pain
- June (6)
- Primary Teeth are Critical to Future Dental Health and Worth Preserving
- As Summer Heats Up, Be on Your Guard for Tooth Injuries
- Do This for Your Dental Health Before, During and After Cancer Treatment
- A Detailed 'Smile Analysis' Sets the Stage for a Successful Makeover
- Affordable Veneers Can Give You a New Smile
- Provisional Restorations let you Try out Your New Smile First
- May (6)
- 3 Tips for Successful, Safe Home Teeth Whitening
- Your Sinus Infection Might be a Sign of a Tooth Problem
- Tooth Loss: A Health Risk for Older Adults
- Manage Your GERD Symptoms to Prevent Enamel Erosion
- Simple Steps to Follow if Your Child has a Toothache
- Your Teenager's Teeth May Not Be Mature Enough for Veneers
- April (6)
- There's Still Hope for a Re-Infected Tooth After Root Canal Treatment
- Gum Disease Could be Affecting More Than Just Your Mouth
- Get a Look at Your Future Makeover Look Now with a 'Trial Smile'
- Dentures with Implants Could Help You Avoid Bone Loss
- Transforming Your Smile with Veneers, Step by Step
- April Is National Facial Protection Month
- March (6)
- Here's How to Manage School Snacks and Your Child's Dental Health
- You Don't Have to Live with a Gummy Smile. Here's How We Can Change it!
- March Is the Time to Evaluate Sleep Problems
- Replacing a Missing Tooth isn't Just About Improving Your Smile
- A Dental Exam Could Uncover an Eating Disorder
- Stop Gum Disease Before it Harms Your Health
- February (6)
- Dental Sealants can help Prevent Tooth Decay in Children
- 4 Things to Avoid if You Want to Support Your Child's Dental Development
- 3 Age-Related Dental Problems and what you can do About Them
- Test You're Brushing and Flossing Success with a Plaque Disclosing Agent
- Recessed Gums Could Endanger Your Teeth
- Finding the Right Solution for Your Gummy Smile
- January (6)
- Take a Look into Your Future with a Trial Smile
- Porcelain Veneers Might not be the Best Option for Teenagers
- Orthodontics Could be in Your Smile Makeover Plan
- Topical Fluoride is a Safe Way to Protect Your Child's Teeth from Decay
- Want to Keep Enjoying Winter Sports? Wear a Mouthguard!
- Enhance Your Smile for that Special, Once-in-a-Lifetime Day
- 2018
- December (6)
- Stop Smoking to Reduce Your Risk of Gum Disease
- Conscious Sedation Eases Treatment Anxiety for Young Dental Patients
- 4 Reasons Why You May Need to See a Periodontist for Your Gum Disease
- New Year, New Smile
- Crown Lengthening Might be Necessary for Seniors with Tooth Decay
- Don't Let GERD Ruin Your Teeth's Health
- November (6)
- Moderate Your Child's Juice Drinking to Lower Tooth Decay Risk
- Avoid Bone Loss around Tooth Roots through Regular Dental Care
- 4 Things to Know About Diabetes and Gum Health
- Dentures are Still a Viable Choice for Tooth Replacement
- Cosmetic Gum Surgery Can Help Restore Lost Tissues Around Teeth
- Gum Surgery Can Improve Your Smile and Save Your Teeth
- October (6)
- Try the Conservative Path to Jaw Pain Relief First
- Encourage Your Child to Stop Thumb Sucking by Age 4
- Five Tips for Top-Notch Tooth Brushing
- Ease Your Child's Teething Discomfort with these Tips
- 3 Factors That Could Affect the Success of a Root Canal Treatment
- How to Help Your Kids Form Good Oral Hygiene Habits
- September (6)
- Keep on Course during the 3 Phases of a Smile Makeover
- New Saliva Test may Help Identify Oral Cancer Earlier
- Cosmetic Questions to Ask to Get You on the Right Path to a Better Smile
- FAQs for National Gum Care Month
- Have Your Child's Chronic Mouth Breathing Checked to Avoid Bite Problems
- Look After Your Teeth During Cancer Treatment to Avoid Dental Disease
- August (6)
- Recreational Marijuana Could Increase Your Risk of Gum Disease
- 3 Reasons You Should Consider Tooth Whitening
- What to do if Your Child has a Toothache
- World Cup Soccer Coach-Dentist Saves the Day!
- Can't Afford Dental Implants? Consider Partial Dentures
- Be on the Alert for Gum Disease While Wearing Braces
- July (7)
- The Right Treatment for Your Child's Injured Tooth Increases its Survival
- Encourage Your Child to Stop Thumb Sucking Around Age 3
- You May Need Surgery to Repair the Damage of Gum Recession
- What Happens in a Root Canal Treatment and How it Can Save Your Tooth
- Don't Take a Vacation From Oral Hygiene This Summer!
- We'll Help You Maintain Your Oral Health After Gum Disease
- Tips to Brighten Your Summer Smile
- June (6)
- Good Reasons for Choosing Clear Aligners for Orthodontic Treatment
- What You Can Do to Support Your Child's Dental Development
- June Is National Safety Month: Be Prepared for Dental Emergencies
- Seek Immediate Treatment for this Advanced Form of Gingivitis
- Keep Alert for this Extreme Form of Gingivitis
- Gum Infection Around Tooth Roots Calls for Immediate Action
- 2017
- December (5)
- Extracting Certain Teeth can Boost Orthodontic Effectiveness
- Living with HIV includes Keeping a Close Watch on Your Oral Health
- 3 Ways You Can Help Your Child Feel at Home at the Dentist
- Your Age Won't Necessarily Decide Against Straightening Your Smile
- Air Abrasion Could be a More Pleasant Alternative to the Dental Drill
- May (5)
- Complications from Missing Teeth Could Limit Your Replacement Options
- Look at Your Options for Saving a Tooth First Before Replacing it
- Techniques for Keeping Impacted Canine Teeth from Spoiling Your Smile
- We can Fix a Smile Marred by Absent Front Teeth
- Lasers Could One Day be Commonplace for Treating Gum Disease
- April (5)
- An Affordable RPD Could be the Answer to Your Missing Teeth Problems
- Pediatric Dentists Specialize in Dental Care for Children and Teens
- Plan Ahead to Make Your Smile the Best it can be for Your Big Day!
- Practice Proactive Prevention to Enhance Your Child's Dental Development
- You may need a Periodontist to Fully Treat Your Gum Disease
- January (5)
- Simplify Your Toothpaste Purchase by Looking for These Ingredients
- Get Control of Dry Mouth to Protect Your Dental Health
- Restore a Flawed Tooth in as Little as One Visit with Composite Resin
- You Should Brush and Floss Around Your Implant to Ensure its Longevity
- Keep a Lookout for These Soft Tissue Conditions in the Mouth
- 2016
- November (5)
- 4 Reasons you may want Your Dentist to Whiten Your Teeth
- Clear Aligners Make it Easier for Teenagers to have Their Teeth Straightened
- Follow These Common Sense Steps When Your Child has a Toothache
- Don't Let the Acid in Sports and Energy Drinks Ruin Your Tooth Enamel
- Dental Implants can Replace Your Whole Tooth, Not Just What You See
- September (5)
- Make Efforts to Protect Your Teeth from Disease While Wearing Braces
- What to Expect Before, During and After Implant Surgery
- Lasers Adding New Precision and Efficiency to Root Canal Treatments
- Treating "Burning Mouth" Depends on What's Triggering it
- Take These Measures to Lower Your Child's Tooth Decay Risk
- June (5)
- Crown Lengthening Opens up New Teeth Restoration Possibilities
- Root Canal Treatment Alleviates Pain and Saves Your Tooth
- 4 Reasons Saving Your Child's Decayed Baby Tooth is a Good Idea
- Teens Benefit Most from A Temporary Solution to Missing Teeth
- The Risk for Gum Disease Increases While Wearing Braces
- May (5)
- Mild Pain Relievers may be all you need for Discomfort after Dental Work
- Here's What to Do if Your Child has a Toothache
- Your Case of Gingivitis Could Develop into Something More Harmful
- Sedation Therapy can reduce Anxiety in Children during Dental Visits
- Weigh a Poor Smile's Emotional and Social Cost when Considering Restorations
- March (5)
- Removable Dentures Remain a Viable Option for People with Total Tooth Loss
- Erosion and Other Problems may be Signs of Bulimia
- Is There a Link Between Gum Disease and Cardiovascular Health?
- Surgically Accessing Sinuses can Help Grow New Bone for Implants
- Test Out Your Future Look With a 'Trial Smile'
- 2015
- December (5)
- Dental Amalgam Continues to be a Durable and Safe Tooth Filling
- Sealants Provide a Little Extra Protection for Children at High Risk for Decay
- Saliva Performs Many Functions for Both Oral and General Health
- Three Considerations for Working with Your Dentist on Your Smile Makeover
- Simple or Surgical? Choosing the Right Kind of Tooth Extraction
- 2014
- August (5)
- Dental Hygienist - Your Partner in Preventing Disease and Maintaining Oral Health
- Major Benefits for Tooth Replacement With Dental Implants
- Replace Missing Teeth to Prevent Other Teeth From Moving Out of Place
- Taking Precautions Before, During and After Implants Will Help Ensure Success
- Conscious Sedation can Make Your Child's Dental Visit More Pleasant
- 2013
- December (5)
- Do Clear Orthodontic Aligners Really Work?
- Dental Amalgam Fillings Remain a Safe and Reliable Tooth Restoration Option
- Monitoring Blood Pressure is Important for Both Your General and Oral Health
- Consider all the Cost Factors When Deciding on a Crown Restoration
- New Permanent Teeth - Faster Than Ever!
- October (5)
- Are You an Athlete? Here Are Five Reasons You Should Wear a Mouthguard
- Dental Implant Maintenance: 5 Facts You Should Know
- Advances in Clear Aligners Make Them a Viable Choice for More Teens
- Frequently Asked Questions About Root Canals
- Implant Overdentures: a Marriage of Options for Lower Jaw Tooth Replacement
- 2012
- August (7)
- Tooth Brushing: Don't Overdo It!
- American's Obsession With Bad Breath
- Top 5 Advantages of Dental Implants
- Factors that Can Influence a Dental Implant
- Early Orthodontic Care Helped Child Star Nolan Gould Get Ready for Prime Time
- Child Star Nolan Gould Talks About Tooth Extractions, Orthodontic Treatment
- How Does Tooth Bleaching Work?
- 2011
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