When it comes to wisdom teeth, there must be many people in life who have the feeling that “it’s hard to say a word, and if you say too much, you will cry”.
How painful are wisdom teeth? In severe cases, fever and other conditions will appear, just like a serious illness, but when the wisdom teeth are healed and the pain disappears, it is inevitable that “the scars are healed and the pain is forgotten”, and my wisdom teeth are neither painful nor inflamed. Should it be removed?
Do wisdom teeth have to be extracted?
In general, impacted or symptomatic wisdom teeth should be removed as soon as possible. If the wisdom tooth is in a correct position, it does not affect other teeth, it will not cause harm to oral health, and there is no pain and discomfort, it may not be extracted, but it needs to be combined with the clinical examination and comprehensive evaluation of the dentist to determine whether to extract it.
Many people judge whether wisdom teeth should be extracted or not, relying on one word “pain”! But in the following cases, it is necessary to pull out whether it hurts or not.
These wisdom teeth need to be removed as soon as possible
1. Improper position is common in mandibular wisdom teeth
Wisdom teeth grow forward and squeeze adjacent teeth. In addition, rearward, lingual, buccal, or even downward growth can be harmful. The abnormal growth direction of wisdom teeth usually leads to gaps or grooves between the wisdom teeth and the adjacent molars. It is easy to incarcerate food residues. If it is not cleaned for a long time, the adjacent molars will develop caries, pulpitis, apical inflammation, etc. .
2. Pericoronitis appeared
Because most wisdom teeth are not fully covered, part of the crown is surrounded by the gums, forming a blind pocket, and food residues are easy to get in and out, resulting in redness and swelling of the soft tissue around the crown, and empyema in the blind pocket. Patients will have symptoms such as pain, difficulty in opening, and fever. . Pericoronitis can recur repeatedly, and in severe cases, infection of the perimaxillary space and mandibular osteomyelitis may occur.
3. Occlusal dislocation
Wisdom teeth will grow up to four, some people will grow one, and some people will grow several. When wisdom teeth are covered, it is easy to cause no corresponding teeth to bite, resulting in abnormal bite.
4, not easy to clean
Due to the lack of space, wisdom teeth often grow crooked and twisted, so it is often difficult to clean the teeth, resulting in tooth decay.
5. What kind of person should have their wisdom teeth removed?
During pregnancy, women are more prone to pericoronitis of wisdom teeth, which can lead to osteomyelitis, sepsis and even miscarriage. This is because the secretion of estrogen in the body increases during pregnancy, the systemic resistance, local immunity, and anti-infection ability decrease, and the resistance to bacteria decreases, which eventually leads to the susceptibility of inflammation.
Treatment during pregnancy is different from usual, if not treated, adults are more painful; if antibiotics are used, then the fetus may be affected. Therefore, in many cases, doctors can only take conservative treatment, and adults and children suffer.
Therefore, it is recommended to perform a complete oral examination during the pregnancy preparation stage, and timely extraction of impacted wisdom teeth that have occurred or may have pericoronitis of wisdom teeth.
6. Wisdom teeth cannot be extracted when they are inflamed and swollen
If you feel that the gums around the wisdom teeth are swollen and painful, or even cause the face to swell and you cannot open your mouth, it means that you are in a state of acute inflammation. Wisdom teeth extraction at this time may cause inflammation to spread, and may even spread to the whole body, causing serious diseases such as sepsis and bacterial endocarditis.
Under normal circumstances, when wisdom teeth are swollen and painful due to inflammation, it is not recommended to remove them immediately. You can go to the stomatology department for treatment, perform local rinsing and apply medicine, and apply anti-infective drugs systemically if necessary. Wisdom teeth will be removed after the inflammation is gone, no swelling and no pain. The specific method of operation should be decided by a professional doctor after evaluation.
7. There is an optimal period for wisdom teeth extraction
Generally speaking, it is more appropriate to extract wisdom teeth before the age of 30, and the trauma of extraction after the age of 40 will increase. 13 to 30 years old is the best period for wisdom teeth extraction.
Many people do it when they “have to do it”, but they are often unable to do it because their physical condition is not suitable. At that time, it is difficult to completely eradicate the problems caused by wisdom teeth, and the quality of life is seriously impaired.
Some wisdom teeth have already damaged the surrounding teeth, and two or three teeth have to be pulled out at the same time, which will cause even more damage. In principle, once the dysplasia of wisdom teeth is found, it should be removed as soon as possible, otherwise there will be endless troubles in the future.
8. What preparations need to be made for the smooth extraction of wisdom teeth
1. It is recommended to choose the morning for wisdom teeth extraction. Especially if you have high blood pressure, heart disease and other diseases, or the wisdom teeth to be extracted are complex wisdom teeth that need to be incised for further treatment, it is recommended to choose the morning tooth extraction.
2. Women should avoid menstrual periods.
3. If you have systemic diseases such as high blood pressure, diabetes, heart disease, history of drug allergies or other special circumstances, you should inform your doctor in advance.
3. It is recommended to bite the cotton ball for 30 minutes after the operation. Do not brush your teeth and rinse your mouth on the same day. The diet should be mainly liquid food and soft food, and the food should not be overheated. It is not advisable to exercise strenuously on the day, and appropriate cold compresses can be applied to the face to relieve postoperative swelling.
