 Contrary to
popular belief, wisdom teeth do not make you smarter. Otherwise known a s
your third molars, they are simply your third set of molar teeth that
develop around the age of 18- 21 in young men and women.
Why then do wisdom
teeth cause so many problems and need to be removed? Simply because in
most people there is not enough room in the jaw bone for the wisdom
teeth to erupt. One doctor put it best when he said that you are trying
to put 32 teeth in an area where there is only room for 28.
Often times wisdom
teeth become impacted in the jawbone. Impacted means that the tooth is
either covered by your gum tissue called a soft tissue impaction, or
covered by bone called a hard tissue impaction. Some of the problems
wisdom teeth can cause include a common called pericornitis.
Pericornitis is an
infection of the gum tissue around partially impacted (meaning only part
of the tooth is visible above the gum line) wisdom teeth. Because only
part of the tooth is sticking out of the gums, this causes an area where
food and plaque build up.
Wisdom teeth are
usually in an area where it is extremely difficult to clean. Therefore
the gum tissue becomes inflamed and irritated. Symptoms of pericornitis
include pain, swelling and inability to open the mouth (called trismus)
Treatment includes first relieving symptoms with antibiotics and mouth
rinses and then removal of the wisdom tooth.
Destruction of
bone can occur when the wisdom tooth is partially impacted. Because you
cannot clean the area, plaque and tartar buildup in the back of the
mouth. This can result not only in destruction of bone around the wisdom
tooth but also around the molar tooth in front of the wisdom tooth. Due
to their place in the mouth, wisdom teeth are more difficult to clean.
The lack of hygiene in the posterior portion of the mouth can lead to a
buildup of plaque.
A tooth that is
more difficult to clean results in the formation of a cavity or decay on
the tooth. When a wisdom tooth develops a cavity, it is better to remove
the tooth than try to restore it with a filling. Removal of wisdom teeth
can range from being a simple extraction to a minor surgical procedure
depending on how much the tooth is impacted. If the wisdom tooth is
fully erupted, then the tooth can be usually removed in one piece. If it
is a full bony impaction, then the gums must be moved out of the way,
and the bone removed to gain access to the tooth. The tooth is then
removed in pieces because there is not enough room to remove the tooth
and its roots in one piece. The gum tissue is sutured back and the area
allowed to heal. Sutures or stitches may or may not be placed depending
on the need of the individual case.
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