wisdom tooth

wisdom tooth

1.  Challenges of wisdom tooth due to lack of space in the dental arch

Some challenges with wisdom tooth can occur when the dental arch is narrow, and there is usually not enough room for all the teeth to erupt.

It is possible for a wisdom tooth to remain in the bone without moving on to the arch and thus no real concern. However, a wisdom tooth can become infected or erupt in a way that damages the neighbouring tooth. This occurs frequently in the lower jaw.

An extraction can be performed as a preventive measure depending on the position of the tooth as revealed on the panoramic X-ray. This operation, referred to as Germectomy, should ideally be performed during the teen years of 12 and 15.

A wisdom tooth can also evolve in an ectopic way relative to the arch (green arrows). An extraction may be essential to deal with this.

In the event of “pericoronitis” (i.e. inflammation of the tissues which support the tooth), the partly protruding wisdom tooth will allow bacteria present in the mouth to infiltrate to the ligaments and the bone resulting in pain, discomfort, difficulty in opening the mouth, and difficulty  in eating.

In the first instance, the dentist can prescribe antibiotics, mouthwash and anti-inflammatory drugs and everything can be sorted out. However, if this persists, the tooth in question will have to be extracted.

A wisdom tooth, while evolving, can cause cysts (red pointers), caries (orange pointers) or displacement (blue pointers) of neighbouring tooth.

Wisdom tooth

In the event of “pericoronitis” (i.e. inflammation of the tissues which support the tooth), the partly protruding wisdom tooth will allow bacteria present in the mouth to infiltrate to the ligaments and the bone resulting in pain, discomfort, difficulty in opening the mouth, and difficulty  in eating.

In the first instance, the dentist can prescribe antibiotics, mouthwash and anti-inflammatory drugs and everything can be sorted out. However, if this persists, the tooth in question will have to be extracted.

wisdom tooth

A wisdom tooth, while evolving, can cause cysts (red pointers), caries (orange pointers) or displacement (blue pointers) of neighbouring tooth.

wisdom tooth

2. Due to deep caries

Due to its position and its sometimes-complex anatomy, devitalization of wisdom tooth is almost impossible. In case of pulpitis of the tooth (orange pointers), extraction is most often required.

wisdom tooth

3. Due to potential contact between a wisdom tooth and the gum

If a wisdom tooth is in contact with the gum, it usually results in a continuous ulceration of the latter which might transform into a cancer. There is thus the need extract it.
This can also interfere with the opening and closing of the mouth.

wisdom tooth

Wisdom teeth extraction

The extraction of the wisdom tooth is a delicate act that any dentist can perform. But in some complex cases, the dentist may refer the patient to a specialist oral surgeon. The extraction can be performed at the dental clinic or at a hospital.

In most cases, the extraction is performed under local anaesthesia. There are very few indications for extraction of a wisdom tooth under general anaesthesia.

Following extraction of a wisdom teeth

When the effect of the anaesthesia wears off, the patient may feel some pain. The latter is generally addressed by taking pain killer and anti-inflammatory drugs.

Following the extraction, the patient is advised to avoid hot, sour, and salty food over the next few days. Preference should be for soft, warm, or cold diet.

Sometimes swelling may occur on the third day, a normal occurrence in the healing process. The application of the ice pack will decrease this phenomenon.

The postoperative consequences vary from person to person. But the healing time will be longer for smokers as well as for persons with diabetics and reduced immunity.

The following drugs are usually prescribed:

·         Antibiotics for 5-7 days from the day of extraction.

·         Non-Steroidal anti-inflammatory drugs to help decrease any swelling.

If you have any tooth related problems, take the most important step by booking an appointment with us today. You will be glad you did.

 

MALL 169, No. 169, Adetokunbo Ademola Crescent, Wuse II, Abuja | Tel: 08091149418 | 08171466381

www.bellevuedental.care | info@bellevuedental.care

 

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