Posts for tag: wisdom teeth
As permanent teeth gradually replace primary (“baby”) teeth, most will come in by early adolescence. But the back third molars—the wisdom teeth—are often the last to the party, usually erupting between ages 18 and 24, and the source of possible problems.
This is because the wisdom teeth often erupt on an already crowded jaw populated by other teeth. As a result, they can be impacted, meaning they may erupt partially or not at all and remain largely below the gum surface.
An impacted tooth can impinge on its neighboring teeth and damage their roots or disrupt their protective gum attachment, all of which makes them more susceptible to tooth decay or periodontal (gum) disease. Impacted teeth can also foster the formation of infected cysts that create areas of bone loss or painful infections in the gums of other teeth.
Even when symptoms like these aren’t present, many dentists recommend removing the wisdom teeth as a preemptive measure against future problems or disease. This often requires a surgical extraction: in fact, wisdom teeth removal is the most common oral surgical procedure.
But now there’s a growing consensus among dentists that removing or not removing wisdom teeth should depend on an individual’s unique circumstances. Patients who are having adverse oral health effects from impacted wisdom teeth should consider removing them, especially if they’ve already encountered dental disease. But the extraction decision isn’t as easy for patients with no current signs of either impaction or disease. That doesn’t mean their situation won’t change in the future.
One way to manage all these potentialities is a strategy called active surveillance. With this approach, patient and dentist keep a close eye on wisdom teeth development and possible signs of impaction or disease. Most dentists recommend carefully examining the wisdom teeth (including diagnostic x-rays and other imaging) every 24 months.
Following this strategy doesn’t mean the patient won’t eventually have their wisdom teeth removed, but not until there are clearer signs of trouble. But whatever the outcome might be, dealing properly with wisdom teeth is a high priority for preventing future oral health problems.
If you would like more information on wisdom teeth and their potential impact on dental health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Wisdom Teeth: Coming of Age May Come with a Dilemma.”
Via a recent Instagram post, pop diva Ariana Grande became the latest young celebrity to publicly acknowledge a dental milestone: having her wisdom teeth removed. The singer of hits such as “Break Free” and “Problem” posted an after-surgery picture of herself (wearing her signature cat-eye eyeliner), with a caption addressed to her teeth: “Peace out, final three wisdom teeth. It’s been real.”
With the post, Grande joined several other celebs (including Lily Allen, Paris Hilton and Emile Hirsch) who have shared their dental surgery experience with fans. Will "wisdom teeth removal" become a new trending topic on social media? We aren’t sure — but we can explain a bit about the procedure, and why many younger adults may need it.
Technically called the “third molars,” wisdom teeth usually begin to emerge from the gums between the ages of 17 and 25 — presumably, around the same time that a certain amount of wisdom emerges. Most people have four of these big molars, which are located all the way in the back of the mouth, on the left and right sides of the upper and lower jaws.
But when wisdom teeth begin to appear, there’s often a problem: Many people don’t have enough space in their jaws to accommodate them. When these molars lack sufficient space to fully erupt (emerge), they are said to be “impacted.” Impacted teeth can cause a number of serious problems: These may include pain, an increased potential for bacterial infections, periodontal disease, and even the formation of cysts (pockets of infection below the gum line), which can eventually lead to tooth and bone loss.
In most cases, the best treatment for impacted wisdom teeth is extraction (removal) of the problem teeth. Wisdom tooth extraction is a routine, in-office procedure that is usually performed under local anesthesia or “conscious sedation,” a type of anesthesia where the patient remains conscious (able to breathe normally and respond to stimuli), but is free from any pain or distress. Anti-anxiety medications may also be given, especially for those who are apprehensive about dental procedures.
So if you find you need your wisdom teeth extracted, don’t be afraid to “Break Free” like Ariana Grande did; whether you post the results on social media is entirely up to you. If you would like more information about wisdom tooth extraction, please call our office to schedule a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”
Have questions about getting your wisdom teeth removed? We have answers!
Maybe your wisdom teeth have just started to come in or perhaps you’ve had them for a while but are unsure what to do about them. No matter your situation your St. Louis, MO dentists Drs. Jeffery and Jodi Johnson can answer all your questions about wisdom teeth and why they should be removed.
Why do wisdom teeth need to be removed?
This third set of molars usually come in between the ages of 17 to 25 and your St. Louis general dentist may recommend getting them removed if:
- They’re impacted: Since these teeth come in at the back of the mouth very rarely do they come in normally. Wisdom teeth are often impacted, meaning that they never fully erupt. This can often cause pain and other issues.
- They are at a bad angle: Sometimes wisdom teeth come in crooked and press against other teeth, which can also cause damage.
- There isn’t room in your mouth: There may not be enough room in your mouth for accommodating another set of teeth. Instead of causing issues like crowding and crookedness, these teeth will need to be removed.
- You have a cavity: If you can’t get back into the molars to properly brush and floss this can increase your chances of decay or infection.
What should I expect during my dental consultation?
Before you get your wisdom teeth out you will meet with us. During your visit we will discuss any pre-existing health problems you may have, any drug allergies, current medications you’re taking, and the anesthesia (general, local or IV sedation) we’ll use. This is also your time to ask us any questions you may have about your upcoming surgery.
What is a wisdom tooth extraction like?
Once anesthesia has taken effect we will make incisions into the gums, remove any bone that may be covering the tooth and then break up the tooth into removable pieces. Once the tooth is removed and the area is cleaned we will stitch up the gums and place gauze over the area to reduce bleeding and to allow a blood clot to form. The whole process usually takes about 45 minutes or less.
What is the recovery process like?
We will give you a list of take-home instructions on how to care for your mouth as it heals. For the first day you’ll want to eat only soft foods and as you heal slowly start to incorporate more foods back into your diet. Your stitches may also dissolve within a few weeks, or you may need to come in to have them removed.
If you want to talk about your wisdom teeth and what the best course of action is for your smile, then it’s time to call our St. Louis dental office today to schedule a consultation.
A few days before the Oscars, Vanity Fair magazine asked Academy Awards host Neil Patrick Harris to name his most treasured possession. Was it his Tony award statuette for best leading actor in a musical? His star on the Hollywood Walk of Fame? The stethoscope he wore while playing teenaged doctor Doogie Howser on TV? No, as it turns out, the 41-year-old actor’s most treasured possession is… his wisdom teeth. Yes, you read that correctly. “Oddly, I still have my four wisdom teeth,” Harris said. “I refuse to let them go or I’ll lose my wise parts.”
How odd is it for a 41-year-old to have wisdom teeth? Actually, not that odd at all. While it is true that wisdom teeth are often removed, there’s no one-size-fits-all approach to this. It all depends on whether they are causing problems now, or are likely to cause problems in the future.
The trouble wisdom teeth cause is related to the fact that they are the last molars to come in, and that molars are large in size. By the time wisdom teeth appear between the ages of 17 and 21, there often is not enough room for them in the jaw. Sometimes it’s because you may have inherited a jaw size that’s too small for your tooth size; and generally speaking, the size of the human jaw has evolved to become smaller over time.
If room is lacking, the adjacent molar (that came in earlier) can interfere with the path of eruption — causing the wisdom tooth to come in at an odd angle. The wisdom tooth can hit up against that other tooth, possibly causing pain or damaging the adjacent tooth. This is known as “impaction.” Sometimes the wisdom tooth breaks only partway through the gum tissue, leaving a space beneath the gum line that’s almost impossible to clean, causing infection. A serious oral infection can jeopardize the survival of teeth, and even spread to other parts of the body.
If a wisdom tooth is impacted, will you know it? Not necessarily. A tooth can be impacted without causing pain. But we can see the position of your wisdom teeth on a dental x-ray and help you make an informed decision as to whether they should stay or go. If removal is the best course of action, rest assured that this procedure is completely routine and that your comfort and safety is our highest priority. If there is no great risk to keeping them, as Neil Patrick Harris has done, we can simply continue to monitor their condition at your regular dental checkups. It will be particularly important to make sure you are reaching those teeth with your brush and floss, and that you keep to your schedule of regular professional cleanings at the dental office. All healthy teeth are indeed worth treasuring.
If you would like more information about wisdom teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”
Not long ago, Glee star Lea Michele had all of her wisdom teeth removed. This is a very common procedure that people in their twenties, like Michele, often undergo to prevent serious dental problems down the road. The actress found that the procedure really was actually not very difficult to tolerate.
“Feeling all better from my surgery!” she tweeted to fans a few days later. “Back to work tomorrow.”
Why do wisdom teeth so often cause problems? For one thing, they come in years later than the other 28 permanent teeth — usually between the ages of 17 and 25. By that time, there is often no room in the jaw to accommodate them. As man has evolved, the jaws have actually become smaller in size — often creating a lack of space for the wisdom teeth to erupt into proper position. If wisdom teeth become blocked (impacted) by other molars that are already there, infection and damage to neighboring teeth may result.
Sometimes the wisdom teeth themselves cause the problem by growing in at an odd angle. They push against other teeth, often compromising the adjacent tooth's supporting bone. While you would think pain would occur if any of these problems were present, that does not always alert us to a wisdom-tooth problem. It's usually diagnosed with the help of x-rays.
Wisdom tooth extraction is often performed in the dental office using a local anesthetic (numbing shot) to keep you from experiencing any pain, along with conscious sedation to help you relax. The type of anesthesia that's best for you will be determined before the procedure.
After we gently remove the tooth or teeth, you may need to have the site sutured (stitched) to promote healing. You will rest for a short time before going home, and may need to have someone drive you, depending on what type of anesthesia you were given.
Once you get home, you should apply an ice pack on the outside of your cheek for about five minutes on, five minutes off for as many hours as possible to help reduce any postoperative swelling on the first day. Starting on the second day, the warm moist heat of a washcloth placed on the cheek and hot salt water rinses will make you more comfortable. You may want to eat soft foods and brush your teeth very carefully during the recovery period, which lasts only a few days as Lea Michele discovered. Before you know it, you'll be “feeling all better!”