The removal of wisdom teeth: when and why needed surgery
Today you can often hear the discussion whether to remove a wisdom tooth, or such a procedure is absolutely useless. The process of the emergence of such molars is quite painful, but their removal may be accompanied by the development of many complications. Be sure the dentist explains to the patient why remove a wisdom tooth you need right now, and any complications will be avoided. In fact, eight do not appear at all, but of those whom they blessed with their presence, often at the dentist’s office. When you need to remove wisdom teeth or you need to save them by any means?
Do I need a wisdom tooth
In order to answer the question, why remove the wisdom teeth, you should understand their importance to the human body. It turns out that eight are cut the greater part of the people of the globe. Many thousands of years ago they appeared in the mouth of any man however, today some people lack even the rudiments of such molars. Our ancestors did not think about whether it is necessary to remove a wisdom tooth, because it does not cause them any discomfort.
The evolutionary process has led to the fact that these molars there was a significant decrease in the number of teeth and this is reflected in the structure of the jaw. Scientists say that the main reason for these changes was the predominance in the diet of people of soft food and do not exclude the continuation of this trend in the future.
Dentists often hear the question, do I need to pull out a wisdom tooth and not affect whether it is on the whole organism? It turns out that eight will not perform in the human body, any significant functions — they are just present in the oral cavity. Active participation in the chewing of food taking the remaining healthy teeth, so the presence of the eights does not play a role.
Eights can be used only as:
- a support necessary for the conduct of bridge prosthesis ;
- impeding the loosening of the adjacent molars.
Eights can be another option in the elderly person. This means that over time, a teeth begin to fall out, and eight are becoming actively involved in the chewing of food. Medical practice shows that quite problematic to come across a man whose mouth would be healthy molars. In that case, if the eight appeared in the mouth are painless and do not cause any complications, you may not need to remove them.
There are situations when wisdom teeth cause the owner a lot of trouble and worries, ranging from extreme discomfort in the mouth to serious complications. In some situations it is necessary to remove wisdom teeth, and why do it? Often they are disposed in the case, if eight had defects of different nature. Among them are:
- improper growth of teeth;
- the development of caries in the outer molars;
- if you need to install braces.
In the presence of at least one of the listed reasons for the decision problems whether to remove wisdom teeth, is quite obvious. Not so rarely from those people who have a healthy eights can be heard quite a normal question, is it necessary to remove wisdom tooth? For many people surgery is associated with severe pain, but in many situations, such treatment is necessary.
Indications for surgery
Before you make a decision about the necessity of surgery to remove wisdom teeth, it is important to study all the nuances. It helps to soberly assess the situation and choose the most effective method of solving the problem. It should be remembered that only an experienced specialist can correctly assess the condition of eights, and to make a conclusion about necessity of surgical intervention.
Doctors say that you need to remove wisdom teeth in the following indications:
- detection of abnormal growth of molar teeth in the row;
- the molar has a negative effect on the adjacent teeth, which causes many complications;
- in the mouth there is insufficient space for the emergence of the group of eight, which causes crowding of other teeth;
- the process of teething has passed successfully, but diagnosed the crooked teeth;
- the infectious process in periodontal or pulp, and the inability to hold treatment of curved roots and bad patency of canals.
The abnormal eruption of the wisdom tooth, the lack of necessary space or when high-density bone tissue, it may or may not appear at all. In this case we use the term «impacted tooth», which means that he got out completely. Whether you need a wisdom tooth can be removed or not, or can not worry about that? Many doctors call this situation is not entirely safe. The fact that the seeming prosperity within eight can progress tooth decay. In addition, the molars can put pressure on the whole series and provoking its deformation.
Wisdom teeth that have not erupted from the gums, may represent another threat for the patient is the development of follicular cysts.
The growth of such tumors causes the development of inflammatory process, the formation of fistulas and osteomyelitis. Cysts treat rather problematic because of their inconvenient location, so when they appear to resort to the procedure for removal of wisdom teeth.
The wisdom teeth often decay and this occurs for the reason that it is problematic to access for cleaning. The consequence is the formation of ideal conditions for active reproduction of bacteria. Treatment and installation of seals on some of the molars is quite difficult process, because they are quite uncomfortable and have meandering channels.
During the eruption of eights often over them formed a kind of canopy of the mucous membrane, and is an ideal place for bacteria. The consequence of this is the development of such mucosal inflammation of the gums, formation of pus, as pericoronitis. Mostly this pathological process develops in a long process of eruption of wisdom teeth, which can take several years. The pericoronitis causes pain, rise in body temperature, trouble swallowing, and bad breath.
Contraindications to surgery
Contraindications to performing surgery to remove a wisdom tooth actually is not a lot. Often patients can hear that after such procedure, there is heavy bleeding. Most often, this pathological condition develops in a situation when there was a traumatic removal of the eights and at elevated pressure. This is one of the contraindications to performing surgery to remove wisdom teeth that need to be considered.
In that case, if there is no need to pull out eight, to postpone this procedure is recommended in the following situations:
- diagnostics of illnesses of an inflammatory nature;
- psychological trauma;
- perform other types of operations;
- treatment of other somatic diseases.
Often from the fairer sex do you have a question, is it possible to remove wisdom teeth during menstruation or from such idea, it is best to give? It turns out that this condition of the female body is not an absolute contraindication to surgery, but it must be taken into account. The fact that after the pullout of eight person loses a large amount of blood and the body can ambiguous reaction to this. In combination with monthly occurs a large loss of blood and the woman may complain of:
- loss of appetite;
- low efficiency;
- the weakness of the whole body.
You should remember that if the eight is the latest in the dental arch, it is best to keep. This is due to the fact that in the future this wisdom tooth will be required for the procedure prosthesis. Save eight recommended and in that case, if it comes into contact with the antagonist tooth on the other jaw. When performing surgery for removal of wisdom teeth possible extension of antagonist because of problems with the act of chewing and the loss of the required load.
Features of the operation
Many patients are concerned about the issue, how to remove wisdom tooth and what method is the most painless. How to pull a wisdom tooth and when it is best to do? The optimal time for surgery is young age of the patient for the following reasons:
- better tolerated the anesthesia and the pain during the procedure;
- minimal risk of complications;
- the process of tissue regeneration occurs much faster.
Unfortunately, often the problems come with the age of the patient, so many people wonder, is it necessary to remove wisdom teeth and what is the procedure? Does this procedure painful and how long is the recovery period? In fact, the outcome of the operation determined by the reason of which was the removal of wisdom teeth.
There are some differences between removing wisdom teeth upper and lower jaw. Typical removal of the upper wisdom tooth is fast and without any problems, what can be said about the lower jaw.
The fact that the bones of the lower jaw are of higher density, and the teeth characterized by the presence of a large number of roots. For this reason, removal of the lower wisdom tooth can be quite a problematic process, and the difficulty of their extraction.
In that case, if the patient concerned severe discomfort, the removal of eight just need. In the first stage of treatment the specialist performed x-ray examination, with which it is possible to determine the location of the roots, their number and the degree of patency of root canals.
In a situation when cause severe discomfort it is the wisdom teeth, removal is carried out after study of the data on the patient’s propensity to develop allergic reactions to various drugs. It plays an important role, because after the removal procedure in the postoperative period assigned to the intake of certain medications. The specialist says the patient has the presence of a disease somatic and infectious origin.
The removal of wisdom teeth is performed using anesthesia, and is usually applied in the anesthesia. In that case, if you want to remove upper wisdom teeth, then apply trusolino anesthesia. This pain relief is performed in the region of a nerve trunk that causes a rapid loss of sensitivity. The removal of wisdom teeth in the upper jaw takes place using conduction anesthesia.
In a situation when it is necessary to remove a wisdom tooth in the lower jaw, is used tuberculina or Saburova anesthesia. In fact, the methodology of this pain are quite complex, but allows you to get a good result for a long time. Difficult situation when removing lower wisdom teeth read the it impacted. In that case, if at least eight visible above the surface of the gums, it is possible to remove without the use of additional surgical intervention. If no such opportunity occurs the destruction of the eight special tools, and is removed in parts.
After the anesthesia had an effect on the fabric, proceed to the main stage removal of wisdom teeth. Specialist tries to minimally injure the gums, so for this purpose special tools are used for the detachment. In the coating of molar muscle tissue is cut with a scalpel and the heaviest is the process of removing those eights that are in a horizontal position.
Depending on the position of the teeth on the upper or lower gum specialist gets a certain set of tools in order to pull the molar. Typically, spot removal, holes are formed large in size, which require suturing. In fact, after the suturing, the healing process goes faster and there is minimal risk of infection in the open wound and its complications. In that case, remove the wisdom teeth due to severe inflammatory process, before the suturing is done treatment mucosa antiseptic drug.
When performing the removal of wisdom teeth, in purulent inflammation of the wound closure usually refuse. This is because in such situation it is necessary to create optimal conditions for the removal of purulent content out.
Usually surgery to remove the molars takes 1 to 10 minutes, and about 3-4 days after this is not a complicated procedure, the patient is assigned to a second reception at the dentist.
Recommendations after the removal procedure
After the patient underwent surgery to remove the tooth, he superimposed gauze soaked in a styptic and antiseptic drug. After about 15-20 minutes, such a tampon should be spit out, since blood is an ideal environment for breeding pathogens and can provoke the development of inflammation.
In addition, it is not advisable to refuse the following procedures:
- the consumption of alcoholic beverages;
- hot baths and Smoking;
- active exercise.
For 2-3 hours after removal of wisdom teeth should abandon eating and drinking hot drinks. In such a situation, it is recommended to drink only plain water at room temperature.
The fact that all of this leads to increased movement of blood in the vessels and can cause bleeding. It is recommended to rest at home and stay a long time on my feet.
When suturing during surgery is not recommended to open your mouth wide and less smile. In the first day after the removal of wisdom teeth, good effect gives attachment to the cheek of ice, wrapped in a towel(it is recommended to keep the chill 15 minutes, then rest, and then a 15 min cold, and so within 2 hours. Most importantly-do not SuperCool). This helps to reduce the swelling of tissues and reduce pain. It is important to remember that after surgery is strictly prohibited applying heat, as high temperatures can trigger the development of purulent inflammatory process. In that case, if the eight threw up on the background of purulent process after the procedure can be administered antibacterial drugs.
Wisdom teeth extraction is a complex process that requires serious professionalism of the doctor. Is it necessary to remove wisdom teeth, will be able to tell the patient specialist. In order to avoid complications after this procedure, you must strictly observe all assignments and instructions of the dentist.