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Wisdom tooth and its removal
May 7, 2013
Wisdom teeth are the 8th teeth among. In total at the person four wisdom teeth. Feature of such teeth — emergence is later than them. Wisdom teeth are cut through most often during the period between 18 and 25 years of life.
Modern stomatologists say that the wisdom tooth is a rudimental organ of the person that is explained by the fact that in the course of evolution people began to eat much less than rigid and firm food. The name at a wisdom tooth, obviously, appeared because it grows much later, than other teeth.
If wisdom teeth are cut through normally, then they fully function. However often such teeth grow incorrectly that as a result provokes developing of diseases of a mouth and gums. Besides it is very difficult to clean them as wisdom teeth in back part of a mouth are located. By the way, approximately 8% of people have no wisdom teeth at all.
Features of growth of wisdom teeth
Often the wisdom tooth is cut at the person incorrectly. In view of the fact that in a maxillary arch there is not enough place, such teeth often grow in not physiological situation. As a result, in the course of growth of tooth the person is hurt by a gingiva, and tooth often injures in process of growth mucous cheeks. Sometimes the lower wisdom teeth grow, bending to nearby tooth. Owing to impossibility to watch fully hygiene of such tooth caries, an ulitis develops, the dental plaque, pain appears. If symptoms of diseases are brightly expressed, extract tooth.
However, even with the correct growth of a wisdom tooth it is cut painfully. Often the person complains that because of growth of a wisdom tooth at him the gingiva swelled up, the jaw hurts, and periodically even body temperature rises. Sometimes weight of a state is defined depending on that how many it is cut teeth at once. If the person suffers from the specified manifestations, he should address the stomatologist. He will advise anesthetics and will tell, than to rinse an oral cavity during growth of a wisdom tooth.
Sometimes at a prorezyvaniye of the lower wisdom tooth at the person inflammatory process between the appeared tooth a gingiva develops. This disease is called perikoronarity. To cure it, the doctor carries often out excision of a gingiva which hangs over tooth. On condition of frequent repetition of such state it is necessary to pull out a wisdom tooth.
Often with a growth of wisdom teeth the phenomenon which is called the "locked" tooth is observed. The jaw of the person grows completely approximately to twenty-year age. But all the same the size of a jaw of the modern person is often too small in order that wisdom teeth developed normally. The matter is that the person prehistoric had jaws much more in view of features of his food. People modern often just do not have place in order that the wisdom tooth grew normally. As a result, in the course of growth it remains in a jaw. This phenomenon is also called "the locked teeth". Such teeth can be or completely locked, or the part of a crown nevertheless punches a gingiva, but farther does not leave. At such teeth often roots expand diversely that conducts to diseases of gums, inflammatory processes and other problems. Teeth can be locked both in a gingiva, and in bones of jaws. If they become an origin of diseases, it is necessary to extract such teeth surely.
To define, tooth and in what way it can be removed is how exactly locked that traumatizing was minimum, the x-ray film surely becomes.
It should be noted that at some people wisdom teeth grow easily and correctly, without pain and other unpleasant symptoms. The main determinal factor in this case is the jaw size.
The person cannot independently estimate a wisdom dental health. Therefore it is necessary to address surely on routine inspection the doctor who will conduct comprehensive examination and if necessary will make a x-ray film. It is especially important to go for reception to the stomatologist if the patient is hurt by a wisdom tooth. The doctor will define whether there are symptoms indicating the pathological growth of tooth. It is important to tell surely the doctor whether the gingiva hurts, whether the cheek swelled as the wisdom tooth climbs. If pain from this process very strong, the specialist, considering this and other factors, defines whether to extract the growing tooth. If the doctor defines existence of other problems (caries, a pulpitis), then he will make the decision on whether it is worth treating a wisdom tooth, or its removal will be more reasonable.
If to the person extracted a wisdom tooth, then after this process the doctor in details tells about rules of conduct at first after such stomatologic intervention. After an odontectomy of wisdom it is important to execute all its instructions that healing was fast and successful.
Whether it is worth extracting a wisdom tooth?
As a rule, the wisdom tooth is extracted in case of severe and constant pain, inflammatory processes, gumboil, existence of a swelling of gums. However all these symptoms are individual, and the final decision is made taking into account features of a wisdom tooth in each case.
Often modern stomatologists express opinion that removal of completely grown wisdom tooth can prevent emergence further of problems with the next teeth. Motivate it with the fact that a wisdom tooth hardly move to cleaning, therefore, on them more often and quicker caries develops. The locked teeth can make the constant pressure upon the next teeth, provoking their deformation, and also over time to become the reason of an inflammation of gums.
If the doctor diagnoses acute inflammatory process which is followed by pain and strong swelling for the patient, then at this stage tooth is tried not to be extracted. In the course of operation the infection can extend and aggravate process of infection. The therapy course with use of antibiotics is in that case appointed.
It is necessary to consider also the fact that often the odontectomy of wisdom is difficult process, especially, if it is about the locked tooth. Surgical intervention in that case can be dangerous to fabrics and nerves, nearby.
However if the doctor considers that it is necessary to extract a wisdom tooth, then the patient has to realize that it is necessary to do it as soon as possible. Otherwise in the future there can be serious problems with health. With age at the person the bone hardens and becomes more dense therefore the odontectomy becomes complicated, as well as the subsequent process of healing.
The doctor sometimes should overcome difficulties, extracting a wisdom tooth. As a rule, the more such tooth was cut through, the easier there takes place removal process. If tooth was located under gingivas, then the gum and, if necessary, a bone tissue is initially opened to provide to it access. Not to delete a lot of bone, the stomatologist often divides such tooth of An several parts. Deleting these parts, the doctor cuts every time only a small opening, therefore, less bone breaks away.
Care of the formed hole provides abstention from strong exercise stresses in the first days in the postoperative period. Several days you should not smoke and drink alcohol. To chew teeth, nearby, also does not follow. Hygiene of a hole has to be observed, however in the first days brush teeth, nearby, it is not necessary.
If the odontectomy of wisdom passed successfully and simply, then and the healing period on condition of implementation of all recommendations, will be rather short. If at the patient pains after a wisdom odontectomy are observed, the doctor recommends to it to accept analgetics in the first days. The difficult odontectomy sometimes leads to emergence of some difficulties during healing. Sometimes the hole after removal does not begin to live long as the so-called "dry crater" is created. At normal process after an odontectomy in a hole there is a clot. If it is dissolved, then on its place access to a bone opens. Development of such complication after an odontectomy is fraught with severe pains which can proceed several days. "The dry hole" can be formed and on site the lower tooth, and after removal of an upper tooth. Therefore the patient should approach very seriously a question of implementation of recommendations of the doctor after a wisdom odontectomy. Gradually deepening is filled with soft tissues, and several weeks later, and sometimes and months it will completely be filled.
Removal of a hood of a wisdom tooth (mucous membrane which hangs over the growing tooth) is carried out at development of an inflammation. This method malotravmatichen also passes easily. After procedure which is carried out under a local anesthesia to the patient rinsing of an oral cavity soda saline solution is appointed, the doctor can sometimes appoint antibiotics. If after removal of a hood inflammatory process continues, the doctor can make the decision on an odontectomy.
One more possible complication is an injury of nerves which are located near a wisdom tooth, in the course of its removal. If it occurs, then after operation of people can feel numbness of language, lips, a chin. As a rule, it is partial. Sometimes it is heavy to patient to open a mouth. Generally such discomfortable manifestations take place in several days, but they can sometimes proceed also several months. On supervision of physicians, similar is felt approximately by every tenth patient after to him extracted a wisdom tooth. Manifestation of similar complications depends also on qualification of the doctor who practices such intervention. Experience of the doctor gives the chance not to affect nerves and to avoid such complication which is called paresthesia.
It should be noted that most often complications during healing develop at smokers. And doctors advise women to extract wisdom teeth in the last days of a menstrual cycle to avoid a big loss of blood.