Tuesday, 2 March 2021

DOES YOUR LAST TOOTH HURTS???





 Wisdom teeth / Third molars/ Lower last tooth grow in at the back of the mouth, behind your molars. There is a set on the bottom as well as the top. Wisdom teeth often grow in a  crooked, sideways, or otherwise misaligned. As they grow in, they can push on other teeth, causing problems of overcrowding and misalignment for them as well.

Eruption between 18-25 years of age.


Why are third molars called wisdom teeth?

   One major dental milestone that usually takes place between the ages of 17 and 21 is the appearance of your third molars.

    Historically, these teeth have been called wisdom teeth because they come through at a more mature age.

    When they come through correctly, healthy wisdom teeth can help you chew.


Function  of wisdom teeth:

    Wisdom teeth are believed to be "evolutionary relics", and were helpful to our distant ancestors who ate diets that consisted of rougher foods like sticks and reed plants.

    As teeth wore down or fell out, wisdom teeth provided replacements.

    Most mandibular third molars also upright and acceptably replace the second molars after extraction due to caries.

    Nowadays, with modern advancements in oral hygiene and softer diets, we don't need these replacement teeth, but they still grow in.

     Essentially, our mouths can hold 28 teeth, but including wisdom teeth, we have about 32 teeth all vying for space.






Impaction means the wisdom tooth partially erupt through gums which allows habitat for bacteria to enter around the tooth and causes an infection.


   Impacted teeth creates pressure on the adjacent teeth and decreases the amount of bone present on the side of impacted tooth. 

   Food lodgement will be there and difficult for brushing and flossing, will leads to tooth decay, gum swelling.

  NOT TOO COMMON, cyst formation around the wisdom teeth. this causes destruction of bone.


TYPES OF IMPACTION:




SIGNS?

    PRIMARILY,

  •         Pain
  •         Swelling in the region
  •         Tenderness
  •         Bleeding from gums in that area
  •         Swelling around the jaw
  •         Difficulty in mouth opening

  SECONDARILY,

  •         Ear pain
  •         Head ache
  •         Swollen lymph nodes
  •         Painful ulcers
  •         Bad taste
  •         Bad breath 




COMPLICATIONS:

          There are varying degrees of impacted teeth. some partially impacted showing crowns to some fail to penetrate gums fully impacted.

          Crowding of teeth due to pressure on adjacent teeth

          Gum disease and decay due to difficult access to cleaning make them prone to food lodgement  and infection.

           Development of cysts: Wisdom teeth grow in a sac within the jaw and sometimes when the sacs get filled with fluid cyst develop leading to serious complication of damage to jaw bones and nerves in it.




TREATMENT:

       Surgical removal of that tooth under local anesthesia. The oral surgeon opens the gums and remove the teeth and sutures will be placed. Sutures will be removed at 5th-7th day.




Post extraction instructions:

         For an hour after surgery, you should place pressure on the gauze pad covering the extraction site for 1 hour.

         After an hour to drink  juices in sipping only. Do not use a straw.

         After surgery, place a cold compress on your face near the extraction site for 20 minutes. Remove for 10 minutes. Repeat the same. 




         Do not rinse your mouth.

         Do not spit.

         Plan to eat soft foods, such as idly, curd, fruit juice for 2-3 days on the opposite side.

         Do not drink carbonated beverages.

         Do not eat or drink hot and spicy foods for 2-3 days.

         Do not brush your teeth on the day of surgery. Then resume normal home care, gently brushing and flossing.

         Avoid smoking and alcohol.

         Bruising, swelling, and pain are normal in a wisdom tooth extraction. Take your prescribed medication.

                                               


To know more about WISDOM TOOTH contact us @

            GUMS AND TEETH LASER AND DENTAL IMPLANT CENTER @

                     Perumbakkam Main Road,

                     Medavakkam , chennai -100

                     Landmark: Behind MSM food court,

                                         Perumbakkam.

                     Mail Id: care@gumsandteeth.in

Also check us out at www.gumsandteeth.in


         














       





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