Monday, June 22, 2020

Wisdom teeth have problems, the sooner you pull the better

Many people will grow wisdom teeth. Not only may there be inflammation and pain during the first few days of germination, but also irregular inflammation after growing up. However, some wisdom teeth have never caused trouble. Ask the people around you if you want to pull it out. The answer is often: Does it hurt? You don't have to pull it if it doesn't hurt. Is this statement correct? Today we asked Shan Zhaochen, director of the Department of Oral and Maxillofacial Surgery, Beijing Stomatological Hospital, Capital Medical University, to answer these questions about wisdom teeth.

Why wisdom teeth can't grow well

"Wisdom teeth" refers to the third innermost molar on the alveolar bone in a person's mouth, and the eighth tooth counts from the center incisor. Wisdom teeth grow on the ends of alveolar bones. The alveolar bones of modern humans have deteriorated in length, width, and strength due to more and more fine eating, resulting in their inability to provide enough space for the emergence of wisdom teeth. Wisdom teeth tend to cause ectopic eruption or obstruction due to lack of space; in addition, the degradation of the wisdom tooth itself will also lead to insufficient number of eruptions and asymmetric eruption.

You should ask the dentist to confirm during regular inspections. If unfortunately the wisdom teeth do not grow out, they should be removed as soon as possible. Because the wisdom teeth that are not growing are located at the end of the mouth that are not easy to clean, the remaining food residues are easily susceptible to bacteria. It is used to invade the human body and may cause wisdom teeth pericoronitis, wisdom teeth or caries, periodontitis, pulpitis and other diseases of adjacent teeth, causing severe pain. Therefore, it is recommended to prevent wisdom teeth that emerge abnormally or asymmetrically.

Do all wisdom teeth need to be pulled out

There are also some indications for wisdom tooth extraction. For example, the impact of wisdom teeth leads to food impaction, which is easy to cause caries in the middle teeth (seventh tooth). Then it needs to be removed to avoid "victimizing neighboring teeth";

Wisdom teeth need to be removed when there is unexplained pain in the jaws and dental cysts.

If the patient needs orthodontic treatment, in order to provide enough space for the arrangement of teeth, it is also necessary to remove wisdom teeth;

Lateral impacted wisdom teeth will bear the root of the adjacent tooth (seventh tooth), which will gradually cause bone resorption of the adjacent tooth root, resulting in the seventh tooth becoming precarious, so the wisdom tooth needs to be removed as well;

If the wisdom teeth grow very well and the teeth are not covered by soft tissue, then such wisdom teeth will be protected from the fate of being “expelled”; on the contrary, if the wisdom teeth gradually emerge, there will still be some soft tissue on it that has not receded, causing repeated incarceration around Food causes repeated periodontal inflammation, so you should consider pulling out.

What age is suitable for tooth extraction

The older it is, the more difficult it is to extract teeth. This is because young patients (generally before the age of 24) have relatively loose and soft bones, small tooth roots, and are particularly good at dislocation. With age, the tooth roots gradually grow thicker and the bones are relatively dense, accompanied by dental cement deposits every year (About 0.07mm per year), tooth extraction operation is more difficult than the extraction of young teeth.

What to pay attention to before and after tooth extraction

Before tooth extraction, the mouth should be kept clean, and adequate sleep should be ensured to avoid sudden syncope due to tension. It is best not to eat within 2 hours after tooth extraction. You can drink water after biting the gauze for half an hour, but do not gargle. Do not gargle or brush your teeth within 24 hours. In case of heavy bleeding, you should go to the hospital for treatment in time. During the recovery period after tooth extraction, try not to eat foods that are too spicy and irritating to the wound. Soft liquid food should be selected.

It is particularly important to note that pregnant women need to be cautious in tooth extraction. Miscarriage is prone to abortion during the first three months of pregnancy, and preterm delivery is prone to occur during the third month of pregnancy. It is generally safer to extract your teeth during the 4th to 6th month of pregnancy. Due to the limited use of medicine for tooth extraction during pregnancy, try to avoid tooth extraction during pregnancy.

Some friends with chronic diseases such as heart disease, diabetes, high blood pressure, and patients taking anticoagulant drugs or anti-osteoporosis and anti-tumor drugs should also pay attention. Before taking teeth, they should explain the medication to the doctor to help the doctor formulate science for you. Reasonable treatment plan.

Can you lose face by pulling wisdom teeth?

Some girls think that wisdom teeth can be thinned, so no matter how good or bad the wisdom teeth are, they have to remove them.

Wisdom teeth grow on the alveolar bone, and the absence of a wisdom tooth will not have a significant effect on the face shape. Most of the crooked wisdom teeth will lie in the jawbone, and those crooked wisdom teeth often germinate only a small part. How much influence can such wisdom teeth have on the shape of the face? The shape of a person's face is mainly supported by facial bones. The reduction in the number of wisdom teeth has a very small effect on facial morphology, does not cause significant changes, and does not bring intuitive visual differences. Therefore, by removing one or two wisdom teeth to achieve the "thin face" effect, I am afraid it is difficult to do so.

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