Wisdom tooth

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Wisdom teeth, or third molars, are the last teeth to develop and appear in the mouth. They are called "wisdom teeth" because they usually appear during a person's late teens or early twenties, which has been called the "age of wisdom". The normal position of wisdom teeth is behind the upper and lower second molars. Many times the jaws are not large enough to accommodate the four wisdom teeth. This is why wisdom teeth cause more problems than any other teeth in the mouth. In fact, for nine out of ten people at least one wisdom tooth remains underneath the gum due to lack of space in the mouth.

                                     

Wisdom teeth, or third molars, do not always erupt properly when they decide to make an appearance. It's wise to get an early opinion from your dentist on getting wisdom teeth pulled before they become impacted, causing pain, swelling, infection, cavities or gum disease.

When a wisdom tooth is blocked from erupting or coming into the mouth normally, it is termed "impacted". A tooth may be only partially impacted, meaning it grows in crooked and breaks through the gum only partially, or it may fail to break through at all and thus remains totally impacted. Serious problems can develop from partially impacted teeth, such as pain, infection, and crowding of, or damage to, adjacent teeth. For totally impacted teeth, more serious problems can occur if the sac that surrounds the impacted tooth fills with fluid and enlarges to form a cyst. This enlargement can hollow out the jaw and result in permanent damage to the adjacent teeth, jawbone and nerves. If the cyst is not treated, a tumor may develop from the walls of the cyst and a more involved surgical procedure may be required for removal.

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Many problems with wisdom teeth can occur with few or no symptoms, so there can be damage without your knowing it. It is important to know that as wisdom teeth develop, their roots become longer and the jawbone denser. Thus, as a person grows older, it becomes more difficult to remove wisdom teeth and complications can become more severe. In addition, as people age there is an increased chance of the symptoms mentioned above. For these reasons, the dental or oral surgeon may recommend the removal of wisdom teeth even if they are not yet causing obvious problems, particularly for young adults.

Impacted wisdom teeth often grow at an awkward angle making their removal more difficult. As a person grows older the tooth becomes longer and the jawbone denser. Partially or fully impacted wisdom teeth are more likely to pose serious problems in older individuals.

 After a Tooth Extraction: Home Care for Your Mouth

When you've had a tooth extracted (removed), you need to take care of your mouth. Doing certain things, even on the first day, may help you feel better and heal faster.

Control Bleeding: To help control bleeding, bite firmly on the gauze placed by your dentist. The pressure helps to form a blood clot in the tooth socket. If you have a lot of bleeding, bite on a regular tea bag. The tannic acid in the tea aids in forming a blood clot. Bite on the gauze or the tea bag until the bleeding stops. Slight oozing of blood on the first day is normal.

Minimize Pain: To lessen any pain, take prescribed medication as directed. Don't drive while taking any pain medication as you may feel drowsy. Ask your dentist if you may take over-the-counter medication, if needed.

Reduce Swelling: To reduce swelling, put an ice pack on your cheek near the extraction site. You can make an ice pack by putting ice in a plastic bag and wrapping it in a thin towel. Apply the ice pack to your cheek for 10 minutes. Then, remove it for 5 minutes. Repeat as needed. You may see some bruising on your face. This is normal and will go away on its own.

Get Enough Rest: Limit activities for the first 24 hours after an extraction. Rest during the day and go to bed early. When lying down, elevate your head slightly.

Do's

Below are some things to do to help your mouth heal.

- Do eat a diet of soft, healthy foods and snacks. It may be easier for you to eat soft foods soon after your extraction. Also, drink plenty of liquids.

- Do brush your teeth gently. Avoid brushing around the extraction. And don't use any toothpaste. Rinsing toothpaste from your mouth may dislodge the blood clot.

- Do keep the extraction site clean. After 12 hours you may be able to gently rinse your mouth. Rinse 4 times a day with 1 teaspoon of salt in a glass of water. Check with your dentist first.

Don'ts

Below are some things to avoid while you're healing.

- Don't drink with a straw. Sucking on a straw may dislodge the blood clot.

- Don't drink hot liquids. Hot liquids may increase swelling. Limit your alcohol use. Excessive use of alcohol may slow healing.

- Don't smoke. Smoking may break down the blood clot, causing a painful tooth socket.

Call Your Dentist If:

  • Pain becomes more severe the day after your extraction.
  • Bleeding becomes hard to control.
  • Swelling around the extraction site worsens.
  • Itching or rashes occur after you take medication.

CAUTION: Rinse your mouth very gently. Otherwise the blood clot may be dislodged.

 
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