Is your wisdom tooth causing pain?
Several hygienic reasons for wisdom teeth removal include:
- Less crowding that may cause alignment issues with your teeth
- Prevent damage to adjoining teeth
- Reduce the risk of oral disease and inflammation
- Lessen facial pain
- Prevent cysts, tumours, and jaw damage
Otherwise known as molar teeth, they begin to erupt or move between 18 to 25 of age.
Some individuals may not notice any discomfort depending on how wisdom teeth erupt. Monitoring the movement of all teeth is an important reason why regular dental check-ups are essential, particularly from a young age.
There are several warning signs when third molar teeth require treatment:
- Swollen or bleeding gums
- Swelling of the jaw, glands or ear ache
- Bad taste in the mouth
When left untreated, neglecting impacted wisdom teeth may have long term ramifications.
- Damage to your neighbouring teeth. As a result, this can lead to alignment problems.
- Tooth decay or gum disease
Removing wisdom teeth is a personal choice. Our dentists at Amazing Smiles are here to provide their professional opinion and recommendations to benefit your oral health.
As soon as you begin to experience the warning signs of wisdom tooth impaction, it is crucial to schedule a dental check-up and raise these concerns with your dentist. Prevention is the best form of dental treatment. Dentists perform oral x-rays (OPG) to examine the positioning of both upper and lower wisdom teeth.
What are molar teeth?
Wisdom teeth are our last 3rd molar teeth to develop and erupt into the jaw bone with the rest of the other teeth. They start developing at the age of 16 as teeth without roots and begin migrating up and out. Often at age between 19 to 21 most wisdom teeth would have pushed up through the gum and line up with the rest of other teeth. However, majority of time there is no room or space for the teeth to erupt into and they will be termed as impacted wisdom teeth. There a few technical term dentist use to classify the severity of impaction and they include: horizontal, vertical and distally impacted.
Most of these impacted wisdom teeth will need to be surgically removed. At Amazing Smiles our dentist have experience in dealing with most surgical impacted wisdom teeth.
Why are OPG needed in dentistry?
Initially, the dentist will take an orthopantomogram (OPG) to assess the position of the tooth and its connection to other teeth, nerves, blood vessels or sinus. Sometimes with complex root structures or close to nerves, the dentist may need to take a special 3D x-ray called a Cone Beam x-ray.
What is General anaesthetics for wisdom teeth removal?
The dentist can give patient option of having the wisdom teeth removed under general anaesthetics or local anaesthetics. General anaesthetics is a procedure where the patient is put to sleep by the anaesthetist at the private hospital. General anaesthetics will require patient to be booked into the local private hospital for day surgery where they will be admitted in the morning and released in the afternoon. The procedure can take longer than 1 hour depending on how many teeth to be removed and how difficult it will be. The patient will be given instruction on how to take care for after extraction and medications.
How about Local anaesthetic procedure of wisdom teeth extraction?
Patient can choose to have a “green whistle” Penthtox to use to help relax during local anaesthetic extraction. The dentist once identified the site is numb and patient only feels pressure then can proceed to open and expose the wisdom tooth. At Amazing smiles the dentist have the latest dental equipment like peziosurgical handpiece to make removing teeth a whole lot quicker and less trauma to the tissue. This is excellent for the patient as it will mean faster healing and less pain for the patient. Once the tooth is removed the tissue is sutured back closed. The patient will be given post operative instruction. This instruction include: minimal rinsing in the first 48 hours and lightly brushing around all teeth. Rinsing is possible with Luke warm water after couple of days and taking anti inflammatory tablets (eg Neurofen) for pain relief. Cold pack can be placed on the outside cheek area to help reduce swelling.
Why do wisdom teeth cause so much pain?
The cause of wisdom teeth pain can be due to:
- Gum infection around wisdom tooth which is called pericoronitis. This is where the wisdom tooth (most often the lower) is only partial erupted and there is a flap of gum around the tooth that gets infected if it is not clean. Often the gum would be red and swollen. In severe cases there will be a pus discharge from the area and even swelling outside of the face. This will lead to restriction in opening. The treatment for pericoronitis will depend on the severity but initially can give patient a course of antibiotic, clean out the gum with ultrasonic or even taking our the offending tooth. On rare circumstances it maybe related to the top wisdom tooth biting down on this gum and causing this trauma. So taking out the top wisdom tooth is a recommendation.
- Decay in wisdom tooth can be a source of pain. This where the decay is so large that it has cause nerve damage and a toothache.
- Impacted wisdom tooth causing decay to the adjacent tooth. This decay maybe large enough to cause nerve damage to this adjacent tooth.
Can we leave wisdom teeth and not remove them?
Unless molar teeth have fully erupted into the available space, dentists advise removing them. The reason for this is:
- Uninterrupted wisdom teeth can form benign cysts that damage and weaken the jawbone.
- Horizontal Impacted wisdom teeth can cause decay to adjective teeth. As a result, this may lead to that tooth needing extensive work like root canal therapy.
Decay of wisdom teeth
- The movement from molar teeth can apply pressure to other teeth causing teeth alignment issues that may require orthodontic treatment.