Wisdom teeth, also known as third molars, are the last teeth to push through the gum (erupt) generally between the ages of 18 to 24 years of age. In some patients a wisdom tooth may not have enough space to fit in the mouth properly, this is known as an impacted wisdom tooth.
Although it is possible your wisdom teeth may initially cause no problems, ultimately problems may arise particularly when they only have enough space to partially cut through the gum. This is knows as impacted wisdom teeth.
You may have difficulty opening your mouth or swallowing when a wisdom tooth is causing trouble and the following conditions are common when wisdom teeth are impacted:
An impacted wisdom tooth may have a flap of gum resting over the top of the tooth. This flap of gum may allow food particles and bacteria to get trapped. This could trap develop into an infection starting around the top of the tooth. Infection and inflammation (swollen red gums) can cause pain, swelling and jaw stiffness.
A wisdom tooth may push nearby teeth out of their correct position. This could lead to crowding of front teeth.
A cyst is a fluid filled sack that may form around a wisdom tooth. The cyst could damage bone, weaken the jaw or cause problems to other teeth or gums.
Damage To Nearby Molars
An impacted wisdom tooth may keep pushing against the molars next to it. This could lead to damage of other teeth.
Of course no one wants their wisdom teeth removed unless it’s necessary. We are very conservative about any tooth removal and ensure that an X-ray (OPG) is taken before the final decision is made to remove them or not.
If one or more of your wisdom teeth need removal we offer every option available to make it the most comfortable experience possible. This includes dental sedation or referral to an excellent specialist oral surgeon if a general anaesthetic is required.
An infected wisdom tooth can cause serious medical problems. Therefore, it is important to contact us straight away to make an appointment for an assessment. During this appointment we may need to gently cleanse away the infection around your wisdom tooth. Often pain killers and/or antibiotics are prescribed to help alleviate the pain and infection the wisdom tooth may be causing well before it is actually removed.
Al Tabeeb Dental Centre are extremely gentle if you need tooth extraction. However, we never extract teeth unless it is absolutely necessary or it is an extreme situation beyond repair. We thoroughly assess all other options first and the reasons why you may require an extraction.
Fortunately with the advent of advanced technology, teeth that were once considered impossible to save can often be effectively treated. Many teeth with very complex problems can now be saved with treatments such as root canal treatment, porcelain crowns or periodontal (gum) treatment.
There Are Times, However When Tooth Extraction May Be Essential Such As:
- Wisdom tooth problems.
- Severe decay, trauma or bone loss around your tooth.
- Baby teeth that won’t naturally fall out and block the adult tooth from coming through.
- Orthodontic treatment (braces or Invisalign) but only in limited cases after all other options are considered.
Often, it is important to replace the extracted tooth to help avoid other complications or aesthetic concerns. Nearby teeth may drift and lead to chewing difficulties, jaw joint pain, food trapping, decay or gum disease. Some of these complications could also lead to further tooth loss.
If your extracted tooth needs replacement, we will explain all options with you in order to give you the best possible outcome. Several options are considered such as Dental implants, bridges or occasionally partial or full dentures.
We always consider extractions as the last resort. However, if it is essential, we ensure the extraction procedure is safe and as comfortable as possible. Highly effective numbing cream and virtually painless injections are used to help take away the pain, fear and anxiety often associated with dental extractions. Dental sedation also known as twilight sleep sedation, relaxant medication or referral to specialist for a general anaesthetic is also available.