Teething Wisdom Teeth:


great deal of controversy regarding whether or not these teeth need to be removed as they can cause a lot of pain in the gums while they erupt. It is generally suggested that teeth that remain completely buried or un-erupted in a normal position are unlikely to cause harm but if these impacted teeth are in an abnormal position their potential for harm should be assessed. A tooth becomes impacted due to lack of space in the dental arch and its eruption is therefore prevented by gum, bone, another tooth or all three.
Occurrence of pain:
Lack of space occurs because our jaws have become smaller through evolution and we do not loose teeth through decay as frequently as in the past, and our diet is such that our teeth do not wear down as much. When a wisdom tooth is partially erupted, food and bacteria collect under the gum causing a local infection resulting into pain. This may also result into bad breath, pain, swelling and trismus that are inability to open the mouth fully. The infection can spread to involve the cheek and neck and once the initial episode occurs, each subsequent attack becomes more frequent and more severe.
Pressure Pain:
Pain may also come from the pressure of the erupting wisdom tooth against other teeth and in some cases this pressure may cause the erosion of these teeth. There are many orthodontic Reasons in which many younger patients have had prolonged orthodontic treatment to straighten teeth. Wisdom teeth may cause movement of teeth particularly the front teeth when they try to erupt and this will compromise the orthodontic result. Prosthetic Reasons include patients who are to have dentures constructed should have any wisdom tooth removed. If a wisdom tooth erupts beneath a denture it will cause severe irritation and if removed, the patient will need to have a new denture constructed as the shape of the gum will have changed after it is done.

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