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The most commonly extracted teeth are perhaps the wisdom teeth. Often there is a lot of stress and anxiety concerning this process but it is otherwise potentially beneficial. Hence this article deals in to the nitty-gritty of a wisdom tooth extraction.
So why would your wisdom teeth need to be removed at all?
The most popular cause for wisdom tooth extraction is the eruption of a wisdom tooth at a site that causes problems for the gums or the other teeth in the jaw. This irritation might extend up to the extent of causing soreness and pain! Besides possible chances of infection also sometimes call for a wisdom tooth extraction.
Pericoronitis is an inflammation of the gum tissue which surrounds the wisdom tooth that has only partly erupted. Almost all cases of Pericoronitis is common among almost all young adults who have wisdom teeth that have recently grown in. This is because the wisdom teeth have caused irritation and swelling in the gums resulting in pain and swelling. This issue typically occurs on the lower jaw rather than on the top.
In certain cases, a new wisdom teeth does not line up with the ones opposite to them on the upper jaw of the mouth. This causes the teeth to press into the gums instead of meeting another tooth and stopping. This results in Pericoronitis leading to a need for extraction.
Caries: Caries are a common issue frequently occurring with a wisdom tooth. This is because the wisdom tooth is difficult to reach while brushing and flossing, and are therefore poorly cleaned. This results in the growth of decay causing bacteria in the area.
Pulpitis: Caries if neglected, further develops into Pulpitis. In this case the dental pulp inside the tooth swells up causing acute pain. If left untreated the infection would further go down and it is hence advisable to get such a wisdom tooth removed.
Yes, in some cases, a pulp or root infection can be treated successfully without the need for extraction. You need to resort to a RCT (Root Canal Treatment). Quite obviously, whether your case would require an extraction or an RCT would suffice, has to be determined by your dentist. In case of an extraction, your dentist may recommend removing the wisdom teeth on both sides to prevent future issues.
A local anesthetic is injected in the extraction site. A simple sedative or even laughing gas may be administered. But if you have severe dental phobia, you may be given a general anesthesia.
The gum area that remains attached to your tooth is removed for the safe removal of the teeth.
The tooth is then removed by cutting from the sides, back and the anterior edge. The fibers connecting the tooth to the jawbone are slowly detached for its safe and prompt removal. Forceps are used for this purpose.
In the final step, the area is carefully cleaned, the sharp bone edges, if any, are smoothed out. If required stitches are also placed at the extraction site to ensure a healthy healing process.
Post your extraction, your dentist and the team of experts working with him will assist you with the healing tips and care that needs to be taken. Apart from application of ice packs and some careful eating for the next couple of days, tooth extraction does not demand repeated re-visits to the dentistry or much of any medication. Only if the pain persists you might have to depend on pain killers for some time.
If you require any further information, do not hesitate to contact Dr. Naman Patel, DDS.