Caries of the wisdom tooth: to treat or remove
Many doctors for some reason believe that wisdom tooth has no functional value. And if there is any problem, it is better to remove it. But is it worth it to remove only due to the fact that there has developed cavities? In fact, a lot depends on the situation. Because the wisdom tooth gives little trouble since his teething. It can be dystopianism, impacted, which further complicates the situation.
Why is there tooth decay in eighth tooth
As you know, this is the last tooth in the dentition. Basically, this is the reason of development of carious process in it. It is difficult in order to clean it of plaque and food debris. It is especially hard when the wisdom tooth is not fully erupted yet. Because of the overhanging piece of gum, it’s even harder to clean. So it is more subject to dental caries and its consequences than other teeth.
The clinical manifestations of the caries process
It all depends on how the tooth started. Due to the inaccessibility of the process develops rather quickly. If it’s a surface stage, then the patient did not bother. He may not even notice the presence of the cavity. On examination revealed a small cavity within the enamel tissue. It does not contain nerve endings, so there were no complaints of pain. With regard to secondary caries, the patient will feel pain from sweet, hot and cold. Objectively find the cavity medium in size, with the softened dentin. The probing will be painful in the enamel-dentinal border.
Deep caries is characterized by more intense pain from all the stimuli. But they are of short duration, are immediately, if you remove the irritant. Caries has deeper lesions, sometimes there is only a thin wall between it and the cavity of the tooth. Conducting the probe is felt on the bottom of carious cavity. Percussion in all cases negative. Indicators of electroodontodiagnosis in the normal range. Mucosa around eight unchanged. Reaction to thermal stimuli is positive if moderate and deep carious lesions. There are cases when a tooth has already cut through tooth decay. And while he will not cut the patient may be unaware of its presence. This is due to the ingress and accumulation of microbes under the hood of the gingival, which then penetrate the tooth.
What action to take upon detection of caries of the third molar
In fact, a lot depends on the situation. Some doctors believe that to remove a particular tooth is always possible. Therefore, if possible, it is advisable to cure it. This opinion is due to the fact that when the patient will lose other large molars and he will not be able to put the implants, you can make a bridge. Support will be the eighth and fifth teeth.
In some cases it is better to remove the wisdom teeth if you experience tooth decay on it:
- Missing tooth-antagonist, has the opposite. In such cases, do not see the point in this tooth on, because it does not perform any function;
- The carious process has gone too deep, the tooth cannot be restored;
- The development of caries on distopian or impacted wisdom tooth;
- Due to the anatomical structure or any disease the patient is unable to open mouth fully and it is impossible to get to the tooth to cure it properly.
How does the removal of
Extraction of wisdom teeth is always considered a complex surgical procedure and requires greater responsibility. Takes more time than normal delete. Is performed under local anesthesia on the upper jaw are often used infiltration with vestibular and palatal sides. Bottom prefer to hold the conductor. Often used trusolino anesthesia.
The stages of removal of the eighth teeth:
- The conduct of anesthesia;
- The separation of the gums from the teeth tearing their connection;
- Forceps or Elevator;
- Extraction of wisdom teeth;
- Primary delaying wisdom tooth;
- Suturing if necessary.
To avoid the occurrence of alveolitis after third molar removal, one should conduct a thorough mechanical and medicinal treatment. For the same reason that the occurrence of dental caries in this tooth, the wound can get contaminated with bacteria. Therefore it is better to take measures to prevent it.
Conservative treatment of caries of the third big molar
If you do not have the above-mentioned cases, treating the traditional method. In any case, it is more difficult to treat due to inaccessibility. Anesthesia is also more difficult to carry out if it is the top tooth. And for the bottom just make chorusline. After anesthesia proceed to the dissection cavity. Drilling is best done with a water jet. This will ensure a safe preparation. Because there is no overheating of the hard tissues and pulp through them. For this tooth on this is especially important because no one person is impossible to predict, as there is a cavity and how it is near or far. New technologies allow us to dissect the tooth to remove diseased carious process tissues. There is no need to form the cavity.
After the cavity is prepared and purified from the damaged dental tissues, it has to be treated with an antiseptic solution. If the decay on the wisdom tooth did not go far, you can use any solution, but with caution. And with deep lesions, it is better to avoid strong antiseptics because they may seep through the bottom to the pulp and to render it irritating. Then etched enamel and the walls of phosphoric acid for ten seconds. Then, you should rinse at least the same amount of time to even have a bit left. The name itself tells us how it is harmful action will have on the mucosa. Then you need the tooth to isolate it from liquids, saliva with cotton rolls and dry the cavity. It acquires a matte finish. Apply bond system. After it is covered with a thin layer. In the case of deep caries treatment by first installing the gasket material with the calcium content. He will strengthen the bottom of the cavity and applies only to this area. Insulation is applied to all wall boundaries. Then layer by layer put the seal and gleaming. The seal in the end sanded and polished.
Complications of caries of the wisdom tooth
As mentioned above, in this tooth it is developing rapidly than in others. Therefore, in the untimely appeal to the dentist can be faced with unpleasant consequences.
- The infection will go on a tooth nerve to become inflamed and he.
- Develops pulpitis, sometimes the course may be chronic in nature and a patient only discovers this during an exacerbation. If left untreated pulpitis or to take any measures, the infection in root canals goes to the periapical region, provoking the development of periodontitis.
- Periodontitis is more difficult to treat due to the inaccessibility, impassable channels. Therefore, in these cases I prefer to delete it.
- If the patient had not sought help may develop abscess — podzakonnye abscess. In this situation, the tooth is removed immediately and carry out an incision in the gums all over the inflammatory process.
- From abscess can occur osteomyelitis — suppurative inflammation in the jaw bone.
- If the lower jaw very often develop abscesses and phlegmon of the soft tissues. In such severe cases need urgent hospitalization to the operation.
What to do if there is caries of the wisdom tooth? This can be determined only by the dentist. He assesses the situation from all sides and chooses the right method of treatment. But there are cases when the patient requests to remove the tooth, because they believe that it will create more problems, if to keep it. But again, it all depends on the situation. To remove or to treat depends on each individual case. We all grow differently with different shape and number of roots. So you should approach it seriously and see what’s best for the patient. It should take into account all the details and small moments to make the right decision.