WISDOM TEETH?!

Wisdom Teeth…wise literally but really it doesn’t live up to its name. This teeth is in no way wise. The only wise thing about this teeth is for one to remove it. The wisdom teeth refers to the last set of teeth – the premolar. This teeth is supposed to be helpful to the mouth but only when healthy and properly aligned, but more often, they are misaligned and require removal.

You often remember the teeth when it begins to pain you. The pain begins at puberty (late teens or early twenties) and it comes with a feeling that you are growing a teeth, but the funny thing is that it never grows out. The pain can be mild or severe and mysteriously it cycles i.e comes and go. It seems to happen once or twice in a year or two years, and may vary with different people.

When wisdom teeth are misaligned, they may position themselves horizontally, be angled toward or away from the second molars, or be angled inward or outward. Poor alignment of wisdom teeth can crowd or damage adjacent teeth, the jawbone, or nerves. Wisdom teeth can also be impacted — they are enclosed within the soft tissue and/or the jawbone or only partially break through or erupt through the gum. Partial eruption of the wisdom teeth allows an opening for bacteria to enter around the tooth and cause an infection, which results in pain, swelling, jaw stiffness, and general illness. Partially erupted teeth are also more prone to tooth decay and gum diseases because their hard-to-reach location and awkward positioning makes brushing and flossing difficult.

Surgery usually is done to get rid of this teeth. In the advance countries, teenagers above 16 years old often remove this so called wisdom teeth even before going through the pain. This is done to avoid a more painful or more complicated extraction that might have to be done a few years later. After removal, facial swelling in the area of the tooth extracted occurs and should be treated with heat after the first 24 hours of icing the area. Repeat as necessary. Rinse your mouth with warm salt water after meals and before bed. Do not use commercial mouth rinses. Stitches, if used and if not of the self-dissolving type, need to be removed by your oral health care provider in about 1 week. Complete healing doesn’t occur for a few weeks to a few months following the extraction. However, usually within the first week or two, enough healing has taken place for use of your mouth to be reasonably comfortable in the area of the extraction.

Sometimes there are complications after having your wisdom teeth removed and they include:
Dry socket – a common complication that occurs when either a blood clot has failed to form in the extracted tooth socket or else the blood clot that did form has been dislodged. Without clot formation, healing will be delayed. When it happens, dry socket typically occurs 3 or 4 days following the extraction and is accompanied by pain (ranging from “dull” to moderate to severe) and a foul mouth odour. Your dentist or oral surgeon will treat the dry socket by placing medication in the socket.
Paresthesia – a rarer complication of wisdom teeth extraction. Wisdom teeth entrapped in the jawbone are often close to nerves. Sometimes these nerves can be bruised or damaged during the tooth removal process. The result is a numbness (called a paresthesia) of the tongue, lip, or chin that can last a few days, weeks, months, or may even be permanent.

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