The lights at the rear of each jaw called wisdom teeth. They arrive usually when they are between 18 and 25 years and can sometimes damage the tooth in front of it is crowded.
It can be difficult to keep the wisdom teeth clean because they lie far back in the mouth and is covered by mucous membranes. It can lead to bacteria that can cause holes gather there.
If you have a wisdom tooth which poses problems can, for example,
- get hurt
- find it difficult to gape
- become swollen cheek or gums.
Wisdom teeth that give trouble usually either pulled out with pliers or surgery. If you are concerned about the treatment can get tranquilizers and there is great fear can become anesthetized.
Before the treatment, you always get a local anesthetic and pain medication. If you have a gum disease may need to be given antibiotics or antibacterial liquid before.
You get hurt and it may bleed a little when the anesthetic after treatment. Have you had stitches in the gums may need to visit the Cosmetic dentist a week after surgery to remove the stitches.
When to seek medical care?
If you have pain and swelling around a wisdom tooth can turn to a dentist or call the medical advice.
If cheek swollen, you may find it difficult to open your mouth, you get a fever or swelling spreads downward to the neck should seek care directly at a clinic or emergency room.
What happens in the body
Wisdom teeth that do not fit often have an inclined position within the jawbone.
So did the tooth its name
Adult humans usually have thirty-two teeth. Sixteen sitting in the upper jaw and sixteen in the lower jaw. The lights at the rear of each jaw is called in many countries of the wisdom teeth. This is because they usually break out when you are between 18 and 25, an age when under the old idea acquired a certain wisdom.
If you lack so-called tooth buds to one or more wisdom teeth, you will never get the teeth. One can also have more tooth buds than usual and then an extra tooth growing up.
Lack of space in the jaw
Wisdom teeth are formed and break up the last of the teeth. It is common that there is no place left in the jaws when the wisdom teeth will come up.
The shortage has become more common in human development. It depends on several factors, such as today’s food is easier to chew so that we use our jaws and teeth less. This will keep your teeth their original size and not worn down.
Sooner tooth was always away
During a period considered dentist to a wisdom tooth to come to a disease that should be treated. Since the 1980s, the approach changed, and now the wisdom tooth be left alone if it is not expected to cause problems in the future.
During adolescence, the dentist using x-ray sometimes predict if the wisdom tooth can lead to problems.
When should wisdom teeth removed?
An operation can do more harm than good, especially when it comes to wisdom teeth that are deeply stored in the bone of the middle-aged and older people. In those cases, healed the wound often poorly after surgery, and it can be formed pockets in the gums and become difficult to keep clean.
If you are about 25 years old or younger and have a wisdom tooth that does not come, it may in many cases be good to remove it to prevent future problems. The decision depends on the tooth position and the risk of future damage. If you are older than about 25 years are only the tooth removed if it makes you get trouble.
You must decide if you want to pull a wisdom tooth or not, but the dentist can advise.
Symptoms and diagnosis
Pain and swelling common
There are several problems that can occur in and around a wisdom tooth. Common symptoms that you suffer from pain and swelling.
Problems with gums
When a tooth breaks through, you often feel a temporary irritation of the gums around the tooth. For wisdom teeth, it can often take a long time to break up, and then you can sometimes get a more long-term inflammation of the gums.
If the wisdom tooth does not come out quite the gums around the tooth to get a different look than usual. Often pockets formed in the gums in which bacteria can collect. Sometimes also covered part of the tooth tuggyta of gums. When you bite together can a tooth in the opposite jaw irritate the gums so that it becomes inflamed or ulcerated. It swells up and will even more trapped. It happens most often in the lower jaw.
Cheek swollen, and it may be difficult to gape
An acute inflammation of the gums around wisdom teeth is a very painful condition with swelling of the cheek, lockjaw and sometimes fever. Such inflammation in the lower jaw can spread down the throat and cause deep infections, and sometimes even cause breathing difficulties. Therefore, inflammation is always treated and you should seek treatment immediately at a clinic or emergency room.
Bacteria may cause inflammation
Although not wisdom tooth erupts, bacteria from the oral cavity to enter the gum, usually by a pocket in the gum on the tooth that is in front of the wisdom tooth. If the bacteria grows, it can lead to inflammation.
When you get a hole in the wisdom tooth
Wisdom teeth are sitting far back in the mouth. They are often partially covered by mucous membranes.Therefore it is difficult to keep them clean, and one can get an accumulation of bacteria in the teeth that lead to the formation of holes.
It can sometimes be difficult to get the hole repaired due to the wisdom tooth is difficult for the dentist. Maybe you want to not afford a tooth repair. Then the tooth instead pulled out.
Damage to the teeth next to wisdom tooth
Wisdom teeth that do not fit to come up properly often have an inclined position inside the jawbone. Sometimes the wisdom tooth to tooth crown clashes with the root of the tooth front. Then the second root surface of the tooth being damaged.
If the wisdom tooth is damaged tooth in front of the grave, takes the dentist not remove the wisdom tooth because it is often full. Instead usually the damaged tooth is removed. The wisdom tooth may then be more space and may in some cases be grown up and replacing the removed tooth.
Many people believe that wisdom teeth are of lower quality than the other teeth, but it’s usually not.
If you get cysts
Wisdom teeth that are embedded in the jawbone without contact with the oral cavity rarely suffer from any diseases. Often, they can lie dormant in the bone throughout life without problems.
However, the film lying around the tooth crown in some cases filled with liquid. This forms a fluid-filled cavity called the cyst. The cysts can displace the jawbone so that it thinned out or displace the wisdom tooth or any other tooth next to the upset. In some cases, the cyst also attack neighboring teeth roots.
Dental Cysts rarely symptoms, and is often detected by chance when the teeth X-rayed. Occasionally they give trouble, either by their size or because they become infected. Then you get hurt and become swollen.
Cysts surgically removed
If it has formed a cyst usually both the tooth and the cyst removed in an operation. Jawbone heals then again. All cysts surgically removed are examined under a microscope. If you have a special type of cyst that can easily recur usually get regular check-ups for a few years after the operation.
Other problems with wisdom teeth
Sometimes you just have a wisdom tooth. If it has no teeth in the second jaw that face when you bite together, it can sometimes happen that it is growing so much that you get discomfort when chewing. It is also possible that the wisdom teeth grow crooked so that they irritate the lining of the cheek or tongue.
Teenagers and wisdom teeth
When you are in adolescence tend dentist examine wisdom teeth, take X-rays of them. If a wisdom tooth seems to cause problems, it is removed as soon as possible.
Care and treatment
Examination and x-rays
If you come to the dentist because you have aches or swelling around a wisdom tooth examined the tooth and x-rays taken. We must talk about their general health and taking medications or are allergic to any medicine.
If the wisdom tooth should be removed, a general dentist yourself pulling out, or surgery to remove the tooth. It can also be referred to a specialist käkkirurgisk.
You may need a penicillin first
If the pain is due to inflammation of the gums around the tooth may first need medical treatment. The area around the tooth is cleaned. Since you often get a germicidal liquid to rinse your mouth with. Sometimes you even penicillin. The dentist would rather not pull out a tooth during inflammation because there is a risk that bacteria then spread in the body. Penicillin reduces infection and swelling around the tooth. When it’s time for a possible intervention, it becomes easier to gape and discomfort afterward is usually less.
In severe cases, the infection spread to the throat can be hospitalized for observation for some days.
When the tooth is pulled out with forceps
It is common that a wisdom tooth can be pulled out with forceps. But the tooth must have come up so much that the dentist can get a handle on it. Generally, the wisdom teeth in the upper jaw easier to release than the lower jaw. This is because the jaw bone in the upper jaw are not as hard as that of the lower jaw.
Whether the tooth to be pulled out, or if you need an operation should begin with that you get local anesthesia and pain medication.
When the tooth surgically removed
If the wisdom tooth is not reached, or have a little complicated appearance according to the X-ray image, you have to go through a minor surgery to remove it.
The surgery is done by the dentist inserts an incision in the gum to the bone that covers the wisdom of the city’s roots are visible. With the drill removed as much of the bone to a part of the tooth’s root system visible. Often, the dentist also share the tooth before it can be removed.
Local anesthesia is commonly
It is most common that you get local anesthesia, either the wisdom tooth be pulled out or surgically removed.Most people feel no pain during the procedure. However, press and spans it properly in the jaw at certain stages.
Tranquilizers if you are afraid
Some experience pain despite being given a local anesthetic. There can be various reasons, but most often it’s because it spans and are afraid of the treatment. If you feel very anxious before surgery can get tranquilizers taken one hour before treatment.
When you get anesthesia?
In exceptional cases, you can get general anesthesia, thus becoming anesthetized during surgery. You get anesthetist if you have a very strong fear of surgery, or if you have other problems that make surgery is difficult to perform when you are awake. Since the procedures under general anesthesia requires many professionals working together, they cost a lot and it can be harder to get surgery times.
It often hurt when the anesthetic
When a wisdom tooth is removed, it is good if you keep your mouth as still as possible for a few hours. When the anesthetic starts to drop, you often get hurt. It takes one hour before the anesthetic if the treatment occurred in the upper jaw, and three to four hours for the lower jaw. It also can bleed a little.
The pain may be alleviated by pain medication. Often you get a pain killer is already associated with the procedure. If it bleeds, you can bite on gauze that you also tend to get along.
You get hurt in different ways
It is often swollen in the jaw and difficult to gape day after the treatment. Some get tricky pain for several days after treatment, while others may only minor inconvenience. It has been researched into why the experience of pain is so different and if you can do something to prevent the pain, but conclusive results are not so far. What is clear is that elderly people and heavy smokers among those who often encounter protracted pain.
If the hole becomes infected
It is not unusual to be symptom free for a few days after the treatment, but that during the third day gets hurt. It is usually because you have got an infection in the hole where the tooth once was. Normally filled the hole of clotted blood that forms a kind of cap, but sometimes come loose lump of blood. Then collect food scraps in the hole after a while it starts to ache and healing is delayed.
The infection is rarely dangerous and usually heals without treatment. But you can become symptom free faster if you let the dentist flush into the hole where the tooth has been sitting. Sometimes you also need to get a small tampon with medicine closed down in the hole.
If you have been sewn in the gums usually come back to the dentist a week after surgery for stitches to be removed. Sometimes you get a type of stitch that disappear by themselves.
Sometimes serious problems arise
Sometime you can get unusual and sometimes severe problem when wisdom teeth removed. Here is a description of some complications that sometimes occur.
The tooth may crack
When a wisdom tooth pulled out, it can crack, so that the dentist has been difficult to get any part of it. In some cases, the dentist can leave the parts of the root which is not passed to loosen as they often heal into the jawbone without problems afterwards. If it turns out that healing is disrupted by dental or bone fragments left behind, it may be necessary with a new procedure to remove them.
Nerve damage is usually temporary, but can in rare cases be permanent. In particular branches of the so-called trigeminal nerve which could be damaged. It is sometimes very close to the wisdom of the city’s roots and if the dentist accidentally sticks anesthetic needle into the nerve can be damaged. The nerve can also be damaged by other equipment during the actual treatment.
Damage to nerves can affect sensation in half the lower lip and tongue in half. Although it is not a difficult one needs to turn to emergency care for, it is good to tell their dentist about the feeling in the mouth is affected.
Cracks in the jawbone
The wisdom tooth in the upper jaw is located on top of a very thin legs. When the wisdom tooth is released the bone fracture, such that a portion of the upper jaw also loosens. Then it may be an open hole between the paranasal sinuses and oral cavity.
If the dentist discovers that early interrupted extraction. The tooth and the jaw bone must heal then stuck again. If it is still up to date to remove the tooth must be done by a specialist in maxillofacial surgery.
If the dentist has already taken out the tooth and the piece of bone followed by a maxillofacial surgeon should be contacted. The surgeon can then correct the trouble in the jaw with the so-called slemhinneplastik.