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Wisdom Teeth |
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As in many areas of dentistry today, a preventative approach regarding wisdom teeth
is recommended. Wisdom teeth are the last to “erupt” (emerge through the gums),
and when they align properly and the surrounding gum tissue is healthy, they do
not have to be removed. Unfortunately, this is not normally the case.
Wisdom teeth or “third molars” are often removed because most people simply do not
have sufficient room in their mouth for all teeth to grow-in and align properly.
They may grow sideways, partially emerge from the gum, or even become trapped beneath
the gum and bone. Such “impacted” teeth can move into adverse positions as they
seek a pathway to emerge.
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Poorly positioned or impacted teeth can cause many problems. When they are partially
erupted, the opening around the tooth traps bacteria that can cause infections.
The results are swelling, stiffness, pain and illness. Pressure from an erupting
wisdom tooth can also move other teeth and disrupt natural alignment. The most serious
problems involve tumors or cysts that can form around impacted wisdom teeth, causing
destruction of the jawbone and other healthy teeth.
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Removal of impacted teeth usually resolves such problems. Early removal is recommended
to avoid more serious issues and decrease surgical risks. With an oral examination
and panoramic X-ray of the mouth, Dr. Morgan or Dr. Rogers can evaluate the position of the wisdom
teeth and assess the likelihood of present or future problems. We recommend beginning
these wisdom teeth evaluations in the mid-teenage years.
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Removal of wisdom teeth is normally performed with local anesthesia and nitrous
oxide; IV sedation is also available upon request. After removal, gauze is placed
in the mouth to control bleeding. The gum tissue may be sutured (stitched) if necessary.
After surgery, a post-operative kit will provide care instructions, and prescriptions
for pain and antibiotic medications. We will also schedule a follow-up appointment
for about one week after surgery.
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