Wisdom teeth extraction

Wisdom teeth extraction is sometimes necessary. Wisdom teeth can be pulled, but also cut out. Wisdom teeth are often a source of misery because they do not come in properly or are inaccessible for cleaning. In both cases, an infection can occur and the wisdom tooth is removed. Some dentists remove wisdom teeth preventively.

What is a wisdom tooth?

The name wisdom tooth has nothing to do with the distance of the tooth (ver-stand, so far position). In the past, a wisdom tooth was also called a wisdom tooth. Reason comes with age, so do wisdom teeth. The name is therefore derived from the fact that wisdom teeth come in later. On average, these molars emerge between the ages of 17 and 21. For some people they never get through.
The wisdom teeth come from the time of our ancestors, when we still ate leaves. The wisdom teeth were needed to grind green food. Through years of evolution, our diet has changed, causing the jaw to become smaller. This means that the wisdom teeth have little space in the jaw, but still come through in 85 percent of people. Wisdom teeth have become completely useless.

Wisdom teeth carry infections

Due to the narrow jaw, wisdom teeth cannot come in properly. Often there is an edge of gum sticking out over it, which can cause infections. The wisdom teeth are also located at the very back of the mouth. Due to the narrower jaw, we can hardly reach the wisdom teeth. Keeping these clean is difficult, resulting in infections. Wisdom teeth often cause more harm than good, because we don’t need them to eat.
Another problem that wisdom teeth can cause is biting the cheek or gums. Many wisdom teeth do not come through properly due to the cramped space. There is then a greater chance that the cheek or a piece of gum will become stuck between the wisdom tooth and the opposite tooth. This causes wounds that are difficult to heal and can become infected. An infection can ultimately endanger the adjacent molars that may be lost.

Removal of the wisdom teeth: preventive or not?

There are dentists who want to remove the wisdom teeth preventively. This is because wisdom teeth can often cause many problems. However, it is not recommended to have this done. If wisdom teeth come in straight and are easy to maintain, they will not cause any problems and can therefore remain in place. In addition, it is sometimes also useful: sometimes a tooth is lost. This has created space for the wisdom tooth. On the other hand, preventive removal of the wisdom teeth is recommended to
prevent later problems such as cavities, gingivitis, cysts or even a tumor. The patient must decide for himself which is more important. By means of an X-ray in young people, the dentist can see whether the wisdom tooth is already erupting and to what extent it will emerge straight or crooked. If it is decided to leave the wisdom teeth in, an x-ray will have to be taken regularly to monitor developments. Nowadays, almost every dentist takes an x-ray every few years as standard.

Wisdom tooth extraction

There are two ways to remove a wisdom tooth: by pulling and by cutting out. The first option, extraction, can only be done once the wisdom tooth has erupted. Extracting the tooth is preferable because the wound is smaller and recovery is faster. The pain is also much less. The tooth extraction is done under local anesthesia. It can be an unpleasant procedure, especially in terms of the tight feeling on the tooth and the cracking that accompanies it. In general, most patients recover quickly and the after-pain is not too bad.

Cutting out the molar

Wisdom teeth are also healed if they have not yet erupted. This procedure is much more difficult than extraction and is usually performed by a dental surgeon. It is recommended to do this before the age of 25 to allow the jawbone and gums to recover. Patients over the age of 25 often have more difficulty recovering and sometimes the recovery process does not proceed as desired. The excision is also done under local, often much heavier anesthesia. The oral surgeon must drill into the bone to remove the wisdom tooth. After the procedure, there may be temporary numbness. The cheek can swell considerably and the after-pain can last for three days. The blood loss is also greater than when the tooth is extracted.
If fever occurs after the procedure, a bad smell from the mouth or pain that continues to increase as well as heavy bleeding that cannot be stopped, contact the oral surgeon or dentist.

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