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WISDOM TEETH SURGERY OR DISIMPACTION

What are wisdom teeth?

Wisdom teeth are the upper and lower third molars, located at the very back of the mouth. They are called wisdom teeth  because usually they come in between ages 17 and 21-when a person is old enough to have gained some wisdom.

What causes problems with wisdom teeth?

Wisdom teeth that are healthy and in the right position usually don't cause problems. You may have a problem if any of the following occur:

  • Your wisdom teeth break through your gums only partway because of a lack of space. This can cause a flap of gum tissue to grow over them. The flap can trap food and lead to a gum infection.
  • They come in crooked or facing the wrong direction.
  • Your jaw isn't large enough to give them room. Your wisdom teeth may get stuck (impacted) in your jaw and not be able to break through your gums.
  • They are so far back in your mouth or crowded that you have trouble cleaning around them.
  • A cyst forms. This can damage the bone or roots.

What are the symptoms?

If your wisdom teeth are causing problems, you may have symptoms such as:

  • Pain or jaw stiffness near an impacted tooth.
  • Pain or irritation from a tooth coming in at an awkward angle and rubbing against your cheek, tongue, or top or bottom of your mouth.
  • An infected swelling in the flap of gum tissue that has formed on top of an impacted tooth that has broken partway through the gum.
  • Crowding of other teeth.
  • Tooth decay or gum disease if there isn't enough room to properly clean your wisdom tooth and nearby teeth.

Most problems with wisdom teeth affect people between the ages of 15 and 25. 

How are they treated?

Wisdom teeth that cause problems should be removed, or extracted. This can be done by a dentist or an oral surgeon.

The dentist or surgeon will open the gum tissue over the tooth if needed and remove the tooth. Sometimes a tooth will be cut into smaller pieces to make it easier to take out. After the tooth is removed, you may need stitches.

While you wait to have the teeth removed, you can take steps to reduce pain and swelling.

  • Put an ice pack on your cheek for 15 to 20 minutes at a time. Do not use heat.
  • Rinse your mouth gently with warm salt water every 2 to 3 hours. To make your own salt water, mix 1 tsp (5 g) of salt in a cup [8 fl oz (240 mL)] of warm water.
  • Try an over-the-counter pain reliever such as ibuprofen ornaproxen. Carefully read and follow the directions.