Removing wisdom teeth
Are your wisdom teeth bothering you? There can be many different causes. Whether it is lack of space or failure to actively break through, these teeth simply will not fit into the dental arch.
We divide the problems that arise from this into two stages:
the tooth is partially erupted and visible in the mouth cavity but not integrated into the dental arch;
the tooth is not visible, since bone or gingival (gum) tissue cover it.
The harm that wisdom teeth can cause
A problem wisdom tooth can promote caries attacks; because it is unevenly integrated, it is often difficult to clean and it may lead to caries that also attacks neighboring teeth. In addition, partially erupted wisdom teeth cause recurring gingival infections that can even lead to recession of the gum line. Painful swellings may develop around the tooth crown, with characteristic gum pockets that are virtually impossible to get at. Swollen lymph nodes? Only the dentist can prevent further complications at this point. Frequently, follicular cysts will develop if the wisdom tooth is still covered by bone or gum tissue. The tooth is then no longer salvageable and must be removed together with the cyst. Wisdom teeth in the lower jaw are can also be tricky. Their roots tend to grow in the wrong direction and wind up putting pressure on the root of a tooth in front to the point of root breakdown (resorption). If we remove the wisdom teeth, the remaining set of teeth can remain healthy.
When wisdom teeth can remain…
Do we absolutely have to extract wisdom teeth? Not necessarily.
Extracting wisdom teeth
If the tooth has to be removed, there are two options: if it is a partially erupted wisdom tooth with most of the crown visible, a simple extraction will do. If it is a completely retained (unerupted) tooth it will be removed surgically under a well-tolerated local anesthetic. Anxious patients can choose to be helped under Twilight Sleep anesthesia. A small incision in the covering gum tissue gives access to the tooth. With the gum tissue opened, we excise the jawbone. Next, we extract the wisdom teeth in one piece or in pieces using specialized instruments. The resulting hole is then cleaned and we finish by suturing the gum tissue.
Depending on the type of extraction, you should expect some swelling after removal of wisdom teeth. Wet compresses will bring perceptible relief. Eating and drinking will also be slightly more difficult in the days afterward. You can help your body heal wounds by avoiding caffeine and cigarettes and by only eating wholesome food. Can you brush your teeth? Yes, but gently.
Removing wisdom teeth