Why wisdom teeth may not erupt properly
Irregular teeth can be explained by the fact that they start to erupt at a late age, when the dentition is almost fully developed. The bone tissue becomes dense and hard, making it very difficult to break through.
In the modern world, wisdom teeth are not really needed by humans. Our ancestors needed them to chew raw meat.
In addition, wisdom teeth do not have the same guides as milk teeth.
What to do if the eruption of a tooth is too late
Removal of a retained tooth is a decision to be made by the dentist during an oral examination. If the eruption is late, but the person is not experiencing any discomfort or severe pain, and the scans are normal, the tooth may be left untouched and waited for to erupt. In some cases, the dentist may make a small incision in the gum to help the tooth erupt more quickly. However, if the tooth does not erupt properly and there is severe inflammation, it may need to be removed an operation.
Indications for removing a retained wisdom tooth:
- the patient has severe pain.
- orthodontic treatment is ineffective.
- severe inflammation develops.
- a follicular cyst has grown on the wisdom tooth.
- the molar is misaligned - the tooth has grown sideways, moved under another tooth or rotated on its axis.
Before procedure, the patient must be fully examined to rule out any contraindications.
Atypical tooth extraction - what is it
Atypical tooth extraction is performed with dental instruments used in oral surgery, borer, forceps and dental elevators.
An atypical tooth extraction cannot be performed without an assistant. Preferably, the operation should take place in a hospital. Not every dentist can perform such a procedure.
How the procedure is done in a hospital.
- The dentist needs access to the affected tooth. Once the anaesthetic has taken effect, the dentist will cut through part of the periosteum.
- The outer bone wall is removed using a drill, borer or dental chisel.
- Once the tooth has been extracted, the next step is to remove the root. The dentist uses an elevator to do this.
- If necessary, the crown of the extracted tooth is sawn off.
- Sharp edges of the bone wound are smoothed.
- The wound is cleaned with hydrogen peroxide or furacilin. Rinsing will help remove small pieces of debris and promote faster healing.
- Stitches are applied and the jaw is fixed.
After the operation, the patient will be monitored by a doctor for some time.
Algorithm for extraction of a retained tooth
First, the patient makes an appointment with the dentist. The dentist carries out an examination, takes a picture of the jaw and, if necessary, a CT scan. Then he orders tests. Based on the results of these tests, the dentist will decide whether or not to perform the surgery.
Сomplications of wisdom tooth extraction
Teeth that have not yet broken through can be deep in the bone, so extraction can be difficult. A difficult extraction of a retained wisdom tooth can sometimes cause trauma to the mouth. There may be numbness of the tongue, gums and cheek. This usually goes away on its own after a few months or weeks.
Serious complications can include fractures of the jaw and breakage of neighbouring teeth or prostheses. To avoid such problems, it is best to have the retained teeth removed by an oral surgeon in hospital. With the right equipment and medication, the operation will not take long and recovery will be easier.
On the scheduled day, the patient will be given an analgesia. The narcosis can be general or local. The anaesthesia takes effect within 4-10 minutes. The specialist then makes an incision in the gum and uses special instruments to remove the tooth.
The extraction site is filled with a special medicine. The edges of the mucosa are sutured. The dentist recommends proper oral care and subsequent rehabilitation. The patient will also be prescribed medication.
A follow-up visit is usually scheduled in ten days. The specialist will examine the patient and remove the stitches.
Jaw care after wisdom tooth extraction
After the extraction of retained wisdom teeth, the patient needs to recover from the operation. In the early stages of recovery, the patient may experience pain, bleeding from the gums and loose stitches.
There may also be swelling of the tissues, pain when eating and pain when opening the jaw. If the pain does not go away within two days, you should consider taking painkillers. The most effective painkillers are «Ketanov», «Ketarol» and «Naiz». «Ibuprofen» also works well.
Your doctor may prescribe special lotions and anti-inflammatory drugs to help you recover quickly. It is important to see a doctor after a few days.
The cost of having a retained wisdom tooth removed varies (depending on the clinic).
What not to do after the operation
You should not eat for two hours after the procedure. It is also forbidden to drink hot or cold drinks.
For the first few hours, chew your food with the opposite side (the side that was not operated on).
Do not touch the extraction site with your tongue, fingers or other objects, and avoid rinsing your mouth. You will not be able to brush your teeth until the day after the tooth has been removed.
At the first consultation, the doctor will tell you in detail about which teeth need to be treated first, about the condition of your gums and about which design you need to choose in order to fill in the missing teeth.
About what actions and manipulations need to be carried out. Learn how to take good care of your mouth so you don't have to go to the dentist as often as possible.
After discussing the above aspects, your dentist will draw up a treatment plan, guide you by the stages, timing, cost of the upcoming treatment, make, if necessary, computer diagnostics of the teeth and make an appointment for you at a convenient time for you to start treatment.
It is worth restoring a lost tooth as early as possible, because delaying such a process can lead to unpleasant health consequences and undesirable costs in the future.
Patients who seek help for tooth loss too late unwittingly start the process of destruction of other adjacent teeth, because the load during chewing is not evenly distributed.
Dental implantation is one of the most reliable and effective procedures that allows you to restore one or more teeth.
The method of dental implantation is now very popular, because it helps patients to restore lost teeth both in the upper and lower jaws without grinding pine teeth, which is always carried out during prosthetics (crowns).
With implantation, the number of lost teeth does not matter. Dental implantation is considered to be the only right way out of care for everyone, because the healing rate of implants today is over 99%!
