1. Why do many people grow wisdom teeth only when they are middle-aged?
Wisdom teeth generally erupt around the age of 20, so they are called wisdom teeth. Some people say that wisdom teeth grow only in middle age, but this is not true, only at this time the symptoms appear. The wisdom teeth erupt the latest and there is no extra space to accommodate them, so they cannot grow sufficiently and may lead to a series of pathological conditions, such as inflammation, osteomyelitis, decay of the second molar, facial ulcers, jaw cysts and even tumors. Therefore, wisdom teeth should usually be extracted as soon as possible.
2.Many people reflect that wisdom teeth have bad odor, what is this situation?
Firstly, there may be infection and inflammatory exudation; secondly, the abnormal contact between wisdom teeth and neighboring teeth, there is a gap, which is easy to food embedment and cannot be removed by brushing, the residual food fermentation and corruption, resulting in odor.
3.What should I do if I have acute pericoronitis? What diseases can be complicated by acute pericoronitis of wisdom teeth? Does it need to be extracted?
Acute pericoronitis should be treated by a doctor with local anti-inflammatory measures, oral antibiotics and, if necessary, an infusion. Possible complications.
1. It may spread locally and cause abscesses in the surrounding tissues, leading to tonsillar abscesses and peri-tonsillar abscesses. If the disease is delayed, it may cause local osteomyelitis, and the inflammation may spread to the cheeks and form facial ulcers.
2. Some systemic symptoms appear, with generalized fever, stomach chill, dizziness, and vomiting. Tooth extraction is usually not performed during the acute inflammatory period, and the extraction procedure is only performed after the acute inflammation has subsided or turned into the chronic period.
4. What is an obstructive tooth? How do I know if it is an obstructive tooth? Do all blocked teeth have to be extracted?
Obstructed teeth, as the name suggests, are teeth that do not erupt smoothly, most commonly wisdom teeth. It is best to seek the help of a dentist for diagnosis as it is not easy for the general public to make an accurate diagnosis because they do not have the expertise. Some people think that as long as an obstructed wisdom tooth is upright, it is normal and can be left in place, but this is not true. There are three main forms of blocked wisdom teeth: upright, anteriorly inclined, and horizontally positioned, and they should be removed as soon as the diagnosis of blockage is established. As soon as the diagnosis of obstructed wisdom teeth is established, they should be removed as soon as possible because they are potentially harmful to the body. An obstructed wisdom tooth is the 3rd molar (8th tooth from front to back) and can cause damage to the 2nd molar (7th tooth from front to back) in front of it, which is very important for proper chewing function and if damage occurs, it can have a greater impact on eating and even affect the quality of life. In addition, if the 2nd molar is extracted due to pathology, the restoration will be very difficult. From the point of view of protecting the 2nd molar, the obstructed wisdom teeth should also be extracted as early as possible.
5. Why do some people have 4 wisdom teeth and some have 2?
Most people have 4 wisdom teeth, but some people only have 1, 2 or none. The reason for this varies from person to person and is not clear. If it is an obstructed wisdom tooth, it should be extracted as soon as possible, especially for women who are preparing for pregnancy.
6.What kind of examination is needed before extraction and what method is currently used for extraction? Is it painful? What is the cost?
First of all, the physician needs to have a clinical consultation to have an understanding of the general condition; then he needs to conduct local clinical examination and X-ray examination to understand the blockage situation and determine the surgical plan.
Currently there are two main extraction methods.
1.Traditional extraction: It may require hammering and chiseling, which is the commonly used method at present, with the disadvantage that the vibration is relatively large. Especially for the low bone ambulant obstructed teeth, it is very difficult to perform extraction by this method, the process is long, the chance of postoperative complications is high, and there is a risk of mandibular fracture, etc.
2.Minimally invasive tooth extraction: special tools or turbines are used to cut and decompose the tooth to eliminate the resistance, and then extract it. It is less traumatic and less shocking, especially for the low bone ambiguous obstructed teeth or residual roots, but it requires higher technical level of the physician and has the risk of serious complications such as septal emphysema.
Wisdom tooth extraction must be performed under local anesthesia, and good local anesthesia can ensure that the procedure is performed in a completely painless state.
1. In the past, local anesthesia injections also caused pain, and pain occurred when anesthesia was not fully effective.
2. At present, there are advanced painless anesthesia injectors that can perform local anesthesia injection under painless condition, so patients need not worry about this at all.
The cost of tooth extraction surgery needs to be determined according to the degree of obstruction of the blocked wisdom teeth or the complexity of the surgery, generally ranging from 200 ~ 500 yuan, excluding medicine and other special costs (such as bone grafting materials, cyst removal, etc.), and for rare and difficult teeth may also require inpatient extraction.
7. If wisdom teeth are extracted, what are the things that patients should pay attention to in the surgery?
Under the premise of good anesthesia, it is enough to release the tension, relax yourself and cooperate well with the doctor according to the doctor’s instructions. There is no need to be too nervous after wisdom tooth extraction.
8. What should I pay attention to when recovering from wisdom tooth extraction? What should I pay attention to in terms of diet? How long does it take to recover?
The traumatic reactions of conventional surgery include pain, swelling, skin bruising and bruising, which will naturally ease after the wound heals. For diet, eat foods that are easy to chew. For the first day after tooth extraction, it is better not to brush or rinse your mouth for the time being. It is better not to smoke or drink alcohol for a week and not to stimulate the wound. Generally, the wound can be removed after a week or so of clinical healing.