Wisdom Teeth: To Remove or No

In practice of the surgeon-dentist more often meet patients who have to deal with the removal of wisdom teeth on the lower and upper jaw. Moreover, such teeth is usually are not subjected to caries.

There is a quite natural question: what is the need to remove healthy tooth? The answer is simple - in fact the tooth is not healthy.

So, what happens to the Wisdom Tooth?

Retention - stunting after deadline tooth eruption. Thus in the oral cavity tooth may be partially visible or not visible at all.

Dystopia - the slope of the tooth or rejection its position relative to the dentition, that is also an indication for the removal of wisdom tooth.

Why it is recommended to remove Dystopic and Impacted Wisdom teeth and what threatens them unremoved?

Removal of wisdom teeth can occur in a planned manner, and as a result of acute inflammation. The most favorable removal of teeth a planned, since the removal at an acute inflammatory process is fraught with considerable probability for complications in the postoperative period.

Crown of Impacted wisdom tooth is closed connective pouch. This pouch on the border of enamel and cement firmly adheres to the anatomical neck of the tooth over the entire surface. If the gap between the pouch and the enamel of the tooth increases and filled with fluid, then formed a follicular cyst, which at a sharp increase leads to resorption of the surrounding bone tissue.

As a result, of infection membrane of follicular cyst, can occur it a pyesis resembling purulent abscess. Inflammation can be acute, subacute or chronic. Chronic inflammation cysts is characterized by asymptomatic course and may be accompanied by the formation of a fistula on the gums, at least - on the skin. Because of the prevalence of the process and as a result of an unexpected worsening may develop osteomyelitis. Sometimes inflammation, causing a pyesis follicular cysts, accompanied by a purulent genyantritis.

Impacted tooth may exerts pressure on the surrounding tissue. As a result, possible bone resorption or tissue adjacent tooth. The resorption can spread to the wall hole adjacent tooth, periodontitis, a pulp. Therefore may occur neuralgic pains.

Pericoronitis - an inflammatory disease that occurs in the dystopic wisdom teeth, covered slimy hood. The most common cause of Pericoronitis is soft dental plaque, food particles and other foreign objects that fall under the mucous covering the wisdom tooth. It is accompanied by increased bleeding, pain of varying intensity, redness and swelling of the gums, and suppuration in this area.

The presence in your mouth of incorrectly positioned wisdom teeth often leads to regular biting the cheek, causing chronic injury of the mucous membrane. Under the additional influence of adverse factors, such as smoking, poor oral hygiene, dystopia and retention may contribute to the development of various oral diseases, including of oncological.

Density of a teeth in the anterior region often occurs precisely because of pressure  of the wisdom teeth on all dentition in the longitudinal direction, which also increases the likelihood of caries on the contact surfaces of the teeth.

Removal of Wisdom Teeth

Removal takes place under conduction anesthesia, so during the operation, the patient does not feel pain. During the surgery being done a few notches in place of  operations, it is sometimes necessary dissection of bone tissue and tooth sawing.

After the operation, are closed with stitches, which are removed after 7-10 days. In the postoperative period may occur swelling, pain for 3 days, sometimes there is an increase in body temperature. Suture removal occurs painlessly, with the application of anesthesia.