Wisdom Teeth Can be a Pain

Tooth pain can be one of the most uncomfortable types of pain there is. It can make your whole jaw and head ache, interfere with eating, and cause your teeth to be more sensitive. One common reason for a toothache is your wisdom teeth, which are the molars in the very back of your mouth that develop last. Sometimes they don’t even erupt, but they can still be there under your gums causing trouble. If you experience pain related to wisdom teeth, here are some suggestions.

Make an appointment to see your dentist as soon as possible. This way you can find out for sure if your wisdom teeth are to blame for your pain, and decide the best treatment plan for your situation. A dentist examination, which may include x-rays, is the best way to determine exactly what’s going on with your teeth. You may not even be able to see your wisdom teeth, but they might be growing improperly under your gums. Often, wisdom teeth need to be extracted to avoid continued pain or worsening condition. Luckily, wisdom teeth extraction is a common procedure that your dentist or oral surgeon is very familiar with, and can provide you with great treatment that will end up relieving your pain.

While waiting for your dental appointment, try applying an over-the-counter numbing gel such as Oragel. This may help relieve your pain at least for a short time. Also, taking non-prescription pain medicines should help. Acetaminophen and ibuprofen are both good choices to try, especially to subdue the pain when you want to sleep.

Remember that prevention is often the best way to avoid dental pain. Brush your teeth at least twice a day, and floss every day. See your dentist regularly for checkups, because problems with wisdom teeth can sometimes be spotted before you ever begin to feel any pain associated with them. This allows you to deal with the problem before you have to endure a toothache.


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Getting smart about wisdom teeth

Wisdom teeth got their name because they are the final teeth to develop, usually in the late teens to early twenties, at a time when a person becomes fully mature or “wise.” Wisdom teeth are the third and final set of molars in the very back of the mouth. Most people have four total (two upper and two lower), but others never develop them at all. Wisdom teeth can be a valuable chewing aid, but often they are poorly aligned or don’t develop properly.

How do I know if I have them?:
Unless you start to feel them breaking through, you may not know whether you have wisdom teeth or not. Ask your dentist to examine you to see if these teeth are healthy and properly positioned. An x-ray may be required, and your dentist may refer you to an oral surgeon to be evaluated further.

Do wisdom teeth hurt?:
You don’t always feel anything with your wisdom teeth, but sometimes they are very bothersome. You may experience pain when they erupt in awkward positions, especially if the teeth rub against your mouth. Other problems include stiffness in the area, infected swelling of the gums, tooth decay, gum disease, and tooth crowding.

Why remove them?:
Your dentist or oral surgeon might suggest that your wisdom teeth be extracted. They can often predict if your wisdom teeth may crowd or damage other teeth, your jawbone, or nerves. Sometimes removal is appropriate before problems arise, in an effort to avoid more complicated or painful extractions later. Removal is usually simpler and less risky in young people. If your wisdom teeth are not extracted, it’s important for your dentist to continue monitoring them because problems may develop later.

What does impacted mean?:
Wisdom teeth may be impacted, which means they are enclosed in the soft tissue or jawbone or they only partially erupt through the gum. Impacted wisdom teeth are almost always removed to avoid risks of infection, tooth decay, and gum disease.


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Don’t Fear Wisdom Tooth Extraction

Many people are afraid of getting their wisdom teeth out based on horror stories from the internet or scary tales exaggerated by others. The best way to fight these fears is to learn more about the procedure and what you can truly expect.

The first thing to know is that wisdom teeth extractions are the most common oral surgeries. Most oral surgeons perform an average of one a day, so that experience has provided skill and expertise in the procedure. Also, you will be under some degree of anesthesia. Whether it’s general anesthesia or even just nitrous oxide (laughing gas), you won’t feel anything during the surgery and won’t remember what happened afterwards.

One common fear is the bleeding associated with wisdom teeth extractions. While there is some bleeding from the site after surgery, it is usually easily controlled by following the after-care instructions. You will be told to gently bite on gauze in that area of your mouth, and change it frequently. Propping your head up will help limit the bleeding also.

Swelling is another reason some fear this surgery, but it should be gone in just a few days. You can hold ice packs to the outside of your cheek off and on for the first 24 hours to decrease the swelling.

The recovery process should go smoothly if you follow your oral surgeon’s advice. Have someone drive you to and from the appointment, and eat soft foods at first. Do not use a straw for the first few days, and avoid touching the area with your fingers or tongue. Also, do not smoke for at least the first 24 hours following surgery.

While there are risks associated with any surgery, most wisdom teeth extractions are without complications and recovery is complete in just a few days to a week. The benefits of having the surgery outweigh the risk of ignoring your dentist’s advice to have your wisdom teeth removed.

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Calming Your Wisdom Tooth Surgery Fears

Some people would rather endure tooth pain than have their wisdom teeth extracted during surgery. Most of the time, fears are based on irrational tales that people read on the internet or hear from others. The truth is that wisdom tooth surgery is extremely common and most oral surgeons perform them every day without complications. The best way to overcome fear is to learn more about the procedure and recovery.

Procedure:
Extracting wisdom teeth involves opening the gums above the tooth and removing any bone that is blocking the tooth’s ability to erupt. The tissue will be separated to be able to remove the tooth, sometimes even in pieces if necessary. In some cases when bone is removed, a bone graft is needed to replace it. After the procedure is complete, stitches will be placed that will dissolve with time. If this sounds awful, remember that patients don’t feel any pain during the procedure due to sedation and usually don’t even recall anything that happened during treatment.

Recovery:
There are some common outcomes to be expected after wisdom tooth extraction, all of which usually subside within a few days as long as you follow your surgeon’s instructions. Have someone accompany you to and from the appointment so they hear the recovery directions and so you don’t drive. Afterwards, you will be given gauze to bite on at the extraction site. Bite gently on the gauze and change it frequently. Avoid lying flat on your back because bleeding may increase. If you experience swelling, hold ice packs on the outside of your cheeks for the first day. Eat soft foods and avoid using a straw for the first few days, and try not to touch the area with your fingers or tongue. Do not smoke for at least 24 hours after oral surgery. If you follow all these guidelines and any others that your doctor provides, there are few risks and no reason to be afraid of wisdom tooth extraction.


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Why Should You Have Your Wisdom Teeth Removed?

A wisdom tooth is often extracted to correct an existing dental problem or to prevent the possibility of problems that may arise in the future. Some problems associated with wisdom teeth are:

  • Your jaw may be too small to accommodate the eruption of your wisdom teeth, leading them to become impacted (stuck in the jaw, often under the edge of an adjacent tooth) and unable to erupt through your gums.
  • Your wisdom teeth may partially erupt, leaving a flap of soft gum tissue to grow over the tooth. Food, bacteria and germs can get trapped underneath this gum flap, leading to swelling, redness and pain, which are signs of infection.
  • Impacted teeth can lead to a more serious problem, such as acute infection, damage to the surrounding teeth, damage to the bone or the development of a cyst.
  • Wisdom teeth can present at an awkward angle, coming in with the top of the tooth facing sideways, forward or backward.

Removing your wisdom teeth can be a good method to prevent:

  • crowding at the back of the mouth
  • an impacted wisdom tooth stuck in the jaw and never erupting
  • painful gums or infection caused by a flap of gum skin
  • gum disease or tooth decay in the individual wisdom tooth or in the surrounding teeth and gums

You may want to have your wisdom teeth removed when you are younger because:

  • The younger you are, the less developed your wisdom teeth roots are, and the less dense your jawbone, allowing for an easier extraction of the tooth.
  • The majority of problems with wisdom teeth begin between the ages of fifteen and twenty-five.
  • If you have a medical condition that is known to worsen with time, you may choose to have your wisdom teeth out early, while you are in your best health, to facilitate maximum healing.

Wisdom teeth extraction is rarely harmful, but there are risks associated with any surgery. Talk to your dentist today about any concerns you have regarding wisdom tooth extraction.


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Do You Need Oral Surgery to Remove Impacted Wisdom Teeth?

Evolution has rendered wisdom teeth useless, and a high percentage of these unnecessary molars eventually require removal. When a wisdom tooth, otherwise known as a third molar, cannot erupt into proper alignment, it is called impacted. Oral surgery to extract impacted wisdom teeth may be considered if you have the following problems:

  • Mouth pain and bite problems caused by damage to surrounding teeth created from crowding caused by the extra molars.
  • Jaw and nerve damage caused by cysts that form around the impacted wisdom teeth.
  • Sinus pain, pressure and congestion resulting from problems with wisdom teeth.
  • Inflamed and infected gum tissue created because the area around impacted wisdom teeth is difficult to clean properly.
  • Cavities which develop due to infected gums that allow pockets to form between gums, allowing bacteria to grow.
  • Alignment issues that alter the effects of braces, bridges, crowns and partial dentures due the crowding created by impacted wisdom teeth.

To diagnose impacted wisdom teeth, your dental professional will look for signs of infection or swollen gums. Your dentist will also inquire about your regular oral hygiene habits. The diagnosis of impacted wisdom teeth can be confirmed with dental x-rays, which may also reveal damage to the other teeth or jawbone.

When making a decision with your dentist about wisdom tooth extraction, it’s important to consider your age. Typically third molars erupt between the ages of 16 and 25 years. Younger patients experience considerably fewer complications with oral surgery for wisdom tooth extraction than older adults.

If your dental professional recommends removal due to the diagnosis of an impacted wisdom tooth, ask for a referral to a qualified oral and maxillofacial surgeon to ensure a successful and complication-free oral surgery.


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