Wisdom tooth extraction

What is wisdom tooth?

The wisdom tooth is actually our third molar tooth, which generally continues to grow in adulthood. In many cases this can cause problems because the wisdom tooth does not have enough space next to the other teeth. Therefore, inflammation can occur, causing the patient immense pain.



Cases of impacted wisdom tooth

Cases of impacted or unerupted wisdom tooth can be classified into total, not stature (total retention), and partial, not stature (partial retention).

In the case of total retention, the wisdom tooth can be found entirely closed in the bone, below the gum, whereas in a partial retention the crown of the wisdom tooth is above the gum.

Wisdom teeth can be found in a variety of positions, but they usually deviate from the normal position.

It is rare for them to take part in the chewing process without any problems, and they are suitable for prosthetic purposes. All in all, we can say that the removal of wisdom teeth is justifiable in all cases. Wisdom teeth in abnormal situations should be removed even if they are not causing problems.

Reasons for removing wisdom teeth

1. Because of the lack of space, wisdom teeth may cause forward compression of the full set of teeth.
In most cases wisdom teeth do not have enough space, so they tend to create space for themselves by pushing the full set of teeth forward towards the midline.

2. The eruption of teeth has a partial obstacle and is able to break through the gums at a certain point.
In such cases a socket may occur between the tooth and the gum. If food debris, pathogens or bacteria make their way to this socket, it may cause very intense pain, lip lock, fever or inflammation. In order to avoid this, it is highly advisable to have the partially erupted wisdom tooth removed.

3. The wisdom tooth can be found in an abnormal position, pointing to the outside of the face.

This is dangerous because after outgrowth it may irritate the facial mucosal (cheek), cutting into it and causing pain.

4. It is worth removing the wisdom tooth before orthodontic treatment.

The reason for this is that the erupting wisdom tooth may cause compression to other teeth, completely destroying the results of the long and complicated orthodontic treatment.

5. The wisdom tooth straining the rear surface of the second molar may cause tooth decay.

A non-self-cleaning situation may develop in the crowded back of the mouth that is hard to reach and cleaned, even with a toothbrush.

6. The unerupted wisdom tooth may cause neuropathy-like pain in the lower jaw.
The wisdom tooth and its roots can be located close to the jaw nerve, and nerve pressure may cause a variety of types of pain from a dull ache to intense pain.

7. The eruption of the wisdom tooth may cause intense pain and lip lock on its own.
In such cases the solution might be the removal of the wisdom tooth or - if there is some chance of a normal eruption – helping its eruption. So in those rare occasions when the wisdom tooth is able to erupt adequately and, for example, the front molar is missing, there are methods to help the eruption. However, preserving the wisdom tooth is only advisable if it is able to take part in the chewing process, if the patient is able to clean it properly or if it can be used later for prosthetic purposes.