Do you know about wisdom teeth?
Many people have suffered the sin of wisdom teeth, can not eat, oral pain is really unbearable, especially in adulthood, the cycle of wisdom teeth is particularly long, easy to inflammation, swelling and pain. So, some people hate to pull it out and then quickly. Some people find that it’s not a big deal if they can survive this sensitive period, but experts say that some wisdom teeth must be removed, while others do not need to be removed. So specifically, what kind of wisdom teeth can be kept? What kind of wisdom teeth must be extracted? How do I need to take care of my teeth after extraction?
What do you mean by “wisdom teeth”?
Although there are many people who have wisdom teeth, there are few people who can explain what wisdom teeth are. So what exactly is a wisdom tooth? The scientific name of the wisdom tooth is the third molar, the people call it the wisdom tooth or the standing thing tooth, but also the teeth closest to the throat in the mouth, if all grow out a total of four, two in the upper and lower jaw. Wisdom teeth generally grow between the ages of 18 and 25, but when they grow and how many in total will vary from person to person, with some people showing symptoms in their 30s or 40s or even 40s or 50s, and some people not growing for life. There is no artificial method to prevent their growth. Even for those who have wisdom teeth, they may not grow all the way through, and some people may have only one to two wisdom teeth. Regardless of when or how many wisdom teeth grow, most people experience pain when they grow wisdom teeth, and the position and direction of the wisdom teeth can be abnormal after they grow out.
In the past, human beings ate grass and raw meat, so the function of grinding teeth is extremely developed and plays a very big role, but with the progress and development of society, modern people eat very fine, do not need to chew as strong as the ancient people, and the human jawbone has become small, while the number of human teeth is still 32 has not changed, so that in the relatively small jawbone and the original arrangement of as many teeth, the teeth are very crowded This means that wisdom teeth are actually redundant and are considered to be a trace organ.
Eighty percent of patients with wisdom teeth need to be extracted
My opinion is that not every wisdom tooth needs to be extracted, but of course the following conditions need to be met: some people have very good jawbone development, the teeth fit together neatly, the upper and lower wisdom teeth grow in a normal position and direction, and there is enough space, and there is no tooth decay and no history of inflammation and pain in the soft tissue around the crown of the wisdom tooth. If the above conditions are met, then such wisdom teeth do not need to be extracted, but clinically the percentage is still very small, and most patients will have the following symptoms.
I. Tooth decay: If the wisdom tooth has deep decay, especially if it needs root canal treatment, it is always recommended to be extracted.
Second, affect the neighboring teeth: If the growth space is not enough, the wisdom tooth will push against the adjacent teeth to continue to grow, which may lead to damage to the neighboring teeth and finally two teeth can not be saved.
Third, insufficient space: If the wisdom tooth growth space is insufficient, in the wisdom tooth growth process, there will be more serious gum swelling, tooth pain and other symptoms.
Fourth, not easy to clean: If the wisdom teeth grow crooked, it will be more difficult to clean, and it is easy to have tooth decay. And we know that the tooth is either aesthetic or chewing function inside the mouth, it is neither aesthetic nor functional. Therefore, we suggest him to have it pulled as a preventive measure.
V. No opposing bite: Not everyone’s four wisdom teeth will grow out smoothly. If one wisdom tooth does not have another wisdom tooth opposite to it, it may affect one’s biting relationship.
Sixth, blocked teeth: This type of wisdom tooth, usually buried inside the alveolar bone, when you feel pain, you have to pull it out.
The fuse of wisdom teeth harm – food embedment]
If you do not pay attention to wisdom teeth, it may be this seemingly insignificant little trouble, so that you suffer a lot, the biggest danger of wisdom teeth is extremely easy to cause food embedding, because the wisdom teeth can not be fully erupted in the normal position, so with the front teeth can not form a good contact relationship, then it is easy to have food residue, bacteria, etc. retained in the wisdom teeth and its In this way, it is easy to cause decay of the neighboring teeth in front of the wisdom tooth, and then it may develop into pulpitis.
In addition, the alveolar bone in this area is also prone to resorption, resulting in loosening of the teeth in front of the wisdom teeth. Wisdom teeth that cannot be fully erupted are very prone to wisdom tooth pericoronitis, which tends to occur when you are tired and have low body resistance. Wisdom tooth pericoronitis may recur, and if treatment is not active, it may form infection in the oral and maxillofacial space.
Finally, due to the abnormal position and direction of wisdom tooth growth, it will also affect the biting relationship between upper and lower teeth, which may cause popping of the temporomandibular joint, painful mouth opening, and night grinding.
The decision to pull or not to pull is left to the doctor.
Many people think that as long as the wisdom teeth do not hurt, it is not necessary to pull them out, in fact, this concept is not correct, it will ignore the formation of some inflammation and decay phenomenon, so it is best to go to the hospital to take an x-ray to see the condition of the wisdom teeth, the doctor will assess through oral examination and x-ray, the wisdom teeth need to be pulled or not, from the perspective of prevention, the sooner the problematic wisdom teeth are pulled out, the better. “
As for the charges that many patients worry about, the price of tooth extraction will vary depending on the location of the wisdom teeth and whether they are fully grown or not, generally the price is between 300-1000 yuan per tooth, which is only the cost of tooth extraction. Of course, for some special patients, we will also use general anesthesia.
Special Note】It takes one month to return to normal after tooth extraction
Wisdom tooth extraction is the most fundamental solution to the problem of wisdom tooth disease, which makes people uncomfortable and painful. So, what to pay attention to in the hours after wisdom tooth extraction? In addition to routine examination and evaluation, since wisdom teeth are prone to swelling and pain or inflammation after extraction, it is recommended that acute inflammation should be controlled before surgery, and no rinsing or brushing should be done on the day of extraction; after extraction, do not lick the wound with the tip of your tongue, and do not suck repeatedly; after wisdom teeth are extracted, there is usually swelling, pain, difficulty in opening and painful swallowing, etc. It is recommended that oral anti-inflammatory drugs or painkillers should be taken, and generally 3 The swelling will subside on its own in 3 to 5 days; cold compresses can also be applied; in addition, after wisdom tooth extraction, eat soft or cold food when eating. It takes about one month for the extraction socket to heal completely and grow flat.
When can wisdom teeth be extracted during pregnancy?
Many women go to the hospital for many checkups in the pre-pregnancy period, but at least half of them don’t know that they have to have an oral examination, much less a checkup for wisdom teeth. However, wisdom teeth are likely to cause trouble for pregnant mothers during this period, such as inflammation, swelling and pain. This poses a dilemma for pregnant mothers because they are afraid of the effect on the fetus if they use medication, and they are afraid of aggravating the condition if they do not.
In order to avoid this dilemma, it is best for pregnant women to have the necessary dental checkup one year in advance; if the wisdom teeth of pregnant mothers develop, use some safer drugs under the guidance of the obstetrician and gynecologist, or rinse the soft tissues and the spaces between the teeth with 1% to 3% hydrogen peroxide solution and saline daily, then dab in 3% iodoglycerin and rinse with hydrogen peroxide with twice as much water, and then Gargle with light saline to relieve inflammation and perform local treatment. For wisdom teeth that are more serious and must be extracted, it is recommended that they be extracted between the fourth and sixth month of pregnancy.