WISDOM TEETH

Зубы мудрости

Чаще всего зубы мудрости не выровнены и влияют на соседние нервы зубов или костяные челюсти. В этих случаях требуется удаление мудрости. Существует также вероятность того, что зубы мудрости вообще не удаляются и остаются. Если оставленные во рту  зубы мудрости могут повредить соседние зубы и нервы, они могут заразиться и, возможно, вызвать системные инфекции и заболевания  других органов в организме, так как бактерии проходят через кровоток из рта в другие органы тела.

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As indicated above what the difficulty is removed from the position of the tooth and the bone quality that surrounds it. The Oral and Maxillofacial our surgeon in each case following a procedure that is painless and lasts from 2-3 minutes up to 10 maximum.

As you can imagine, it is not wise to wait until your wisdom teeth start to hurt you to remove them. The earlier you remove the better. The study of the American Society of Oral and Maxillofacial Surgery - AAOMS recommends that the wisdom teeth are removed by the time the patient is a young adult. The reason is that it is easier to remove wisdom teeth of a young adult, because the root system is not complete. As wisdom teeth grow, their roots extend and can be confused with the nerves of the lower jaw. If this occurs, it is more likely complications will follow.

Many people think that as long as they do not feel pain, they do not have to worry about their wisdom teeth. However, lack of pain does not mean that there is no disease or problem. In fact, wisdom teeth that come out normally can still be prone to diseases, according to a study by the American Organization of Oral and Maxillofacial Surgery. Bacteria presented in the mouth can lead to gum disease and other problems before symptoms inform you that something is wrong. While brushing, flossing and dental care can help prevent these problems to other parts of your mouth, the position of the wisdom teeth makes it very difficult to keep the area clean and free of bacteria. Studies have shown that the bacteria and gum disease often affect the wisdom tooth region and other adjacent teeth in the back of the mouth.

We will ask you for an x-ray to see your wisdom teeth. The x-ray is needed in order to see their exact location and decide if surgical removal is needed. Sometimes three-dimensional imaging is required.

• After surgery you may have pain and swelling in the area for a few days, but these symptoms can largely be prevented with a timely provision of appropriate medication. • Bleeding may occur for several hours after a tooth extraction. Avoid hot liquids (such as coffee or soup). • Often swelling is formed in the facial area of ​​the extraction. To minimize swelling, place a piece of ice, in the area wrapped in a cloth. Apply for 10 minutes and 20 minutes later, repeat. • Pain, the Oral and Maxillofacial Surgery of our center will you provide you with analgesics to reduce pain. • Before the export is likely that the doctor can give you some antibiotics to prevent infection. • After the extraction your diet should be restricted to a liquid diet until all numbness from the anesthesia has gone. Eat soft foods and avoid alcohol. • Continue to brush your teeth, but avoid the adjacent teeth during the first 24 hours. On the second day, repeat gentle brushing your teeth.

After removing the wisdom teeth, the recovery period depends on the degree of difficulty of the operation (if a simple tooth extraction or an impacted wisdom tooth). Usually recovery period lasts from 1 day to 10 days.

Soft tissue injury Sometimes especially when there is such a lack of space in the jaw, the molars manage to find a way to erupt whilst fully but do not go in line with the other teeth. This means that it can be tilted outwards or inside superimposed the line of the other teeth, causing irritation and ulcers on the cheek or tongue.

Pericoronitis Pericoronitis is a problem that occurs mostly in cases of semi -impacted wisdom teeth. In this case a portion of the crown of the tooth is covered by a thin layer of scar tissue below which can penetrate trap food and bacteria, causing inflammation. Prolonged inflammation can progress to infection and abscess around the crown of the wisdom tooth with painful symptoms. Cleaning difficulty - Poor oral hygiene The molars are long in the back of the mouth, in an area difficult to clean even for those who know well how to brush their teeth. Cleaning and removal of plaque around them becomes even more difficult when it is erupted partially. Also, patients with sensitive vomiting reflex particularly find it difficult to reach the toothbrush so deep in their mouth to clean the wisdom teeth. Poor oral hygiene creates an increased risk of developing periodontal disease and Dental Caries. Gingivitis - Periodontitis The increased accumulation of plaque observed in wisdom teeth or because of access difficulty or because of the anatomical position of the tooth (eg. Slope) often creates problems of gingivitis that can progress to periodontitis. Infection may cause destruction of the bone, not only around the wisdom tooth, but also affect the neighboring tooth. Dental Caries The plaque outside of gingivitis can cause tooth decay in wisdom teeth or the adjacent tooth. The adjacent molar faces higher risk of caries from the wisdom tooth, especially if the wisdom tooth erupted tilted forwards it and rests at an angle to the second molar, creating a space between the contact point and the gum. In this area food is accumulated as well as microbes that cannot be removed by brushing alone, and this would rapidly cause decay in the most sensitive area near the gum line. The wisdom tooth is a tooth that can form dental caries more easily than any other tooth in the oral cavity. Orthodontic problems A wisdom tooth in an attempt to rise can cause movement of the remaining teeth impairing proper occlusion, creating overcrowding, and necessitating an orthodontic treatment (or even worse, destroying the result of a preceding orthodontic treatment). Many times it must be exported to safeguard the correct position of the teeth. Cysts Although the incidence of cysts around an enclosed wisdom tooth is low, when they occur, they can cause extensive damage to the jaw bone or the adjacent teeth. TMJ problems Sometimes a wisdom tooth interferes with the smooth movement of the teeth. During mastication exerted pressure on the joint and the muscles of the jaw is caused and this results into headaches, muscle spasms and other problems (Temporomandibular Joint Syndrome - TMJ).

 

Fractured jaw The development of the wisdom tooth at the back of the jaw reduces the mass of the bone at the point where the jaw bone has the smaller thickness and wherein the higher pressure is applied. The reduced mechanical strength increases the probability of a fracture of the jaw, but this is extremely small. The risk is significantly longer and calculable if the wisdom tooth creates periodontal problems, abscesses and cysts, which can destroy and further weaken the jaw bone.

" Can we treat the inflammation with antibiotics alone?" By taking antibiotics the problem is not solved, but disappears for a short time. To permanently solve the problem what is causing it should be attained, i.e. the wisdom tooth. If you feel that you have a problem with your wisdom teeth, you should promptly consult the Oral and Maxillo Facial Surgeon of our center to prevent the extension of inflammation. It is strongly suggested not to expect damage to occur before seeking a visit. Having trouble with your wisdom teeth? To contact us click here. (Contact us). To make an appointment click here.