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When it comes to jaw-dropping moments in life, dealing with impacted wisdom teeth certainly ranks high. These third molars can cause jaw-dropping pain and discomfort, often requiring removal. Let’s explore the astonishing realities of wisdom teeth, from their unexpected arrival to the unbelievable events surrounding their extraction and recovery.
Understanding the Nature
Third molars or Wisdom Teeth that do not have enough space to come out fully and are buried under the gums or bone are called impacted wisdom teeth. They erupt during late adolescence or early adulthood. For many, these teeth come in without any issues. For others, they can grow at odd angles, erupt partially or not break through the gums at all. These mysterious little troublemakers hide in the corners of our mouths like rebellious teenagers at a family reunion. Nothing wise about these teeth!
Impacted wisdom teeth is most commonly seen in the lower jaw than the upper jaw. Understanding the nature of impacted wisdom teeth is essential for identifying the symptoms, seeking appropriate treatment and preventing further complications. An oral and maxillofacial surgeon is specially trained to diagnose and treat impacted wisdom teeth.
What are the types of impacted wisdom teeth?
Mesial Impaction
In this type of impaction, the wisdom tooth is angled towards the second molar, pressing against it. This type is most commonly seen in Singapore.
Vertical Impaction
Vertical impaction occurs when the wisdom tooth usually attempts to come out but is blocked by neighbouring teeth or bone.
Horizontal Impaction
Horizontal impaction happens when the wisdom tooth is positioned horizontally. The tooth may seem like it's lying sideways and sleeping. It is the second most common type of Impaction.
Distal Impaction
In distal impaction, the wisdom tooth is tilted towards the back of the mouth.
Partial Impaction
A partially erupted wisdom tooth can be either horizontally, vertically, or distally impacted.
Full Impaction
A fully impacted wisdom tooth is completely covered by gum and bone and cannot erupt.
What are the symptoms and complications of wisdom tooth impaction?
Jaw dropping expressions are common when describing wisdom teeth pain as individuals experience throbbing discomfort, difficulty chewing and even headaches. The pain can be so intense that it often leads to a visit to the dentist or oral surgeon to remove wisdom teeth. If you experience pain and swelling in your jaw or mouth, it could be a sign of an impacted wisdom tooth. Problematic impacted wisdom teeth can lead to a range of symptoms, including:
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- Pain and tenderness in the back of the mouth or jaw
- Swelling or redness of the gums
- Difficulty opening the mouth fully
- Bad breath
- Unpleasant taste in the mouth
- Headaches or earaches
- Crowding or shifting of nearby teeth
If you experience any of these symptoms, it is essential to consult with a dental professional to check if your wisdom teeth are impacted.
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What are the treatment options for impacted wisdom teeth?
Diagnosing impacted wisdom teeth typically involves a combination of clinical examination, dental imaging (such as X-rays or panoramic radiographs) and evaluation of symptoms.
Treatment options for impacted wisdom teeth depend on the complexity of the case and any associated complications. Sometimes, surgery is necessary to alleviate pain and prevent further problems. If you have a partially impacted wisdom tooth, your dentist may recommend extraction or other treatment options.
The surgical procedure to remove impacted wisdom teeth is typically performed under local anaesthesia or sedation. Post-wisdom tooth removal care involves following a soft diet and specific instructions to prevent complications such as infection or dry socket. This will help your mouth heal properly and ensure a smooth recovery.
What are the complications of untreated impacted wisdom teeth?
If left untreated, impacted wisdom teeth can lead to serious complications that may require wisdom tooth removal, complications include—
- Infection: Impacted wisdom teeth cause pockets where bacteria grow, leading to infection of the surrounding gum tissue and jawbone.
- Swelling and Fever: These are common symptoms due to the infection.
- Cysts or Tumours: Sometimes, impacted wisdom teeth can develop cysts or tumours, which may require more extensive treatment.
- Damage to Nearbouring Teeth: Impacted wisdom teeth can lean on adjacent teeth, causing them to be decayed.
- Sinus Problems: Impacted upper wisdom teeth can cause sinus pain, pressure and congestion.
It is crucial to address impacted wisdom teeth promptly to avoid these potential complications.
Prevention and Maintenance Tips!
While wisdom tooth surgery may be necessary in some cases, preventive measures can help reduce the risk of complications.
- Regular dental check-ups, including dental x-rays, can help detect potential issues with wisdom teeth early on.
- Good oral hygiene practices to keep your mouth clean and reduce the risk of infection.
- Awareness of symptoms: Be aware of the common symptoms of impacted wisdom teeth and seek prompt dental care if you experience any of them.
- Early intervention: If your dentist identifies potential issues with your wisdom teeth, consider early intervention to prevent complications.
Dealing with impacted wisdom teeth can be one of life's most jaw-dropping surprises. From the astonishing pain to the incredible relief after removal, every aspect of this experience can leave a lasting impression. Understanding the process and knowing how to manage symptoms can make this daunting experience a bit more manageable. If you're facing issues with your wisdom teeth, don't hesitate to seek professional advice and take the necessary steps to maintain your oral health.
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References
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Quek, S. L., Tay, C. K., Tay, K. H., Toh, S. L., & Lim, K. C. (2003). Pattern of third molar impaction in a Singapore Chinese population: a retrospective radiographic survey. International journal of oral and maxillofacial surgery, 32(5), 548-552.
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KalaiSelvan, S., Ganesh, S. K. N., Natesh, P., Moorthy, M. S., Niazi, T. M., & Babu, S. S. (2020). Prevalence and pattern of impacted mandibular third molar: An institution-based retrospective study. Journal of Pharmacy and Bioallied Sciences, 12(Suppl 1), S462-S467.