Is it necessary to remove a wisdom tooth and in what cases

2024 Author: James Gerald | [email protected]. Last modified: 2023-12-17 14:00

One of the important problems that dentists have to solve is whether it is necessary to remove a wisdom tooth. Doctors have conflicting opinions on this issue. Some believe that the G8s perform useful functions, others are sure that such a decision should be made when there is an urgent need or according to a situation, while others unequivocally recommend removal.

Functions of wisdom teeth

Rudimentary formations in the mouth, such as wisdom teeth, or figure eights, are often the source of problems. The decision of the question whether it is necessary to remove them is taken with an eye to the fact that these teeth perform a number of functions. They support the jaw, prevent it from thinning and loosening of the teeth upon reaching a certain age or with the development of chronic processes.

They can be used for prosthetics if there is no longer anything to support for bridges. The wisdom tooth, if it grows correctly and does not cause any inconvenience, will help with chewing food, if the "sevens" are removed.

Clinical studies have shown that about 8% of people do not grow "eight", even in a small number they appear after reaching the age of 27.

If they are laid down by nature, then they still have some kind of purpose.

Problem segments

Third molars are located at the very end of the dentition and can cause problems for their owners not only in the process of eruption and growth. There are three options when the G8 can lead to serious problems:

1. Dystopia, or crooked, irregular germination.
2. Partial retention is when part of the tooth has not erupted completely.
3. Complete retention - the tooth does not appear at all.

In most cases, eruption is painful. According to scientists, this is due to a decrease in space caused by changes in the nature of the food consumed. The eruption of the figure eight is a physiological process. When he follows a pathological scenario, that is, if a wisdom tooth hurts, then it is time to make a decision - to remove it or not.

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Full retention

Often, the "eight" does not cause a person any negative sensations and is found only when an X-ray is taken for a completely different reason. And that does not mean that it is imperative to remove the wisdom tooth in the gum. Doctors recommend simply periodically assessing his condition in order to exclude the appearance of an inflammatory process or cyst. But there are also cases when removal is inevitable, even if it has not yet come out:

• grows in such a way that it touches the roots of other teeth located in the immediate vicinity;
• can disrupt the normal functioning of the joint of the lower jaw;
• causes pain not only in the place of deployment, but also migraine or cephalalgia.

The decision on the need to remove a wisdom tooth, if there is no antagonist, is made in standard cases - tooth destruction by caries, the occurrence of facial neuralgia, root penetration into the maxillary sinuses, soft tissue injury, or when it grows in an irregular plane, unforeseen by nature.

Sometimes recommended for prosthetics or orthodontics. Their recommendations are the answer to the question of whether it is necessary to remove a wisdom tooth before placing braces. The decision of a specialist can be dictated by various reasons, and there is no definite answer to this question - everything is very individual.

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Reasons for removing the "eight"

Retention or dystopia is not the only reason to think about whether to decide on treatment (often expensive), or get rid of the rudiment so that there will be no problems in the future. These reasons do not depend on age, therefore, it is necessary to ask whether it is necessary to remove a wisdom tooth after 40 years or in a different age period in certain cases:

• the tooth is destroyed by pathological processes, and the doctor sees no point in restoring it;
• is located in a hard-to-reach place or grows incorrectly, and the dentist cannot work with him (this happens with a small jaw and a lack of space);
• causes neuralgia, cephalalgia, migraine, malfunction of the maxillofacial joint;
• the location is unsafe - it causes injuries in the oral cavity or the roots have penetrated the maxillary sinus;
• the rest of the teeth definitely do not have enough space on the gums;
• a dangerous process develops - periostitis, pericoronitis, caries, cyst, carious cavity.

Doctors who are confident in advance that the G8 is unsafe can recommend preventive removal - a kind of insurance against future troubles. However, problems can arise due to surgery. Inflammation of the remaining deep hole, dislocation of the jaw and psychological consequences of the invasion and the process itself are not excluded. If the doctor decisively insists on the removal of the third molar, then he has objective reasons for this from the above.

Outcomes

The wisdom tooth is a kind of rudiment, but still provided by nature. Some dentists are sure that a modern person does not need the G8 at all. In some people, these teeth do not grow at all or grow incorrectly. There are important reasons for removal, and there are many of them. A specialist makes a decision depending on the situation.