Many people wonder: wisdom teeth treat or delete? They begin to grow in adulthood, and often with pain. According to the medical numbering, they are called "eights", as well as molars. In order to make the right decision, it is worth considering all the situations when you can save the G-8 or still delete it.
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Do wisdom teeth treat?
Such molars because of their anatomical features difficult to treat. But if the doctor is highly qualified, then it is not difficult for him. G8 treatment is more laborious than ordinary teeth, and the patient spends a lot of time and money on it.
The difficulty of treatment lies in the fact that their roots and root canals are mostly curved, so it is difficult to put a filling in a high quality manner. In addition, wisdom teeth grow the last in the dentition, and during treatment it is difficult for the patient to open his mouth wide enough so that the doctor can work comfortably. At the same time, the patient often has an emetic reflex. All this leads to the fact that the treatment is carried out poorly and subsequently complications often arise.
Therefore, the question arises: is it worth treating a wisdom tooth or is it better to remove it? Most importantly, the treatment was not in vain.
What problems arise when teething
As a result of the eruption of the "eight" The following problems may occur:
- The eruption process itself can be difficult due to the fact that it occurs in adulthood, when the jaw bones are fully formed. "Eight" is very hard to make its way, causing inflammation of the tissues. This increases the temperature of the body and can cause severe pain in the oral cavity, which can be given to the ear and throat.
- The gum in the eruption site is not prepared at all for this, because there were no milk teeth.
- The adjacent tooth can cause caries, because usually the wisdom tooth is located obliquely to the next and between them pieces of food are stuck. During oral hygiene, a toothbrush often does not reach this place, and over time, caries develops there.
- "Eight" can be located under the gum or inside the jaw bone. She begins to put pressure on healthy roots, as a result of which they begin to dissolve. This contributes to the emergence of severe headaches, as well as the pain can be given to the ear, throat and jaw. If this condition lasts too long, and the tooth does not appear, you should consult a doctor.
When it is necessary to save the wisdom tooth
- For prosthetics. There are situations when the sixth and seventh teeth are missing, or only the seventh tooth, and also when the six and the seven are still in place, but they should be removed soon. The wisdom tooth in this case is needed for fixed prosthetics.
- If the "eight" has an antagonist. For example, the lower left wisdom tooth antagonist will be the upper left wisdom tooth, between them they must be closed. Removing one of them will cause the other to move out of the jaw due to the lack of resistance and load. And this is fraught with his loss. Therefore, if the "eight" has an antagonist and is involved in the process of chewing, it is not recommended to remove it. The exception is when a molar cannot be qualitatively cured.
- Pulpit "eight". If pulpitis is formed, root canals are necessarily sealed.Channels with good maneuverability can be properly filled. But it is necessary to decide whether this molar will be necessary for prosthetics, whether he is involved in the process of chewing, or is it worth it to remove it.
- Periodontitis of the wisdom tooth and cyst. If the root canals are good, then the treatment of periodontitis or cysts will be successful, but it can last for a very long time, 2-3 months.
Indications for the removal of wisdom tooth
Is it worth removing the "eight"? There are for this certain indications:
- If the molar is positioned incorrectly. It may lie flat or have a large crown inclination. This cannot be used for prosthetics, and is not suitable for chewing. The large inclination of the crown to the side of the cheek forces the person to bite her constantly. A non-healing wound of the mucous membrane can trigger the development of cancer. Such molars are not worth saving.
- Not enough space in the dentition. There are cases when the wisdom tooth begins to erupt, and there will not be enough space in the dentition. There is crowding, which can lead to the fact that normal teeth will shift to the central incisors. The erupting "eight" thus frees itself a place. To prevent this, it is removed, even without allowing to completely cut through.
- Too much crowding. If the normal teeth themselves are very crowded, then the “eight”, which begins to erupt, will aggravate the situation even more.
- When the wisdom tooth destroys the molar, standing in front. "Seven" often suffers from a wisdom tooth that has erupted, which usually has a slope and rests on it with a crown. The enamel of the healthy “seven” suffers from this and caries appears. It is impossible to save the seventh and qualitatively treat it without removing the “eight”.
- If pericoronitis occurs. Having cut through, the wisdom tooth may take such a position that the mucous membrane in the form of a hood covers part of its crown, forming between them a space in which various microorganisms intensively multiply. As a result, edema and inflammation of the mucous membrane occurs, it begins to seethe. In this case, you can remove the "eight" or save it by removing the hood.
- If the crown is very destroyed. With a strong destruction of the crown as a result of caries and the impossibility of its restoration, the “eight” must be removed.
- Objective reasons. These include obstruction of root canals or an increased vomiting reflex. For these reasons, remove the "eight".
Thus, everyone must decide for himself whether there is a need for wisdom tooth extraction. The dentist must necessarily explain all the positive and negative points of the removal, which may have consequences when deleting or saving. Most doctors, nevertheless, are inclined to believe that the G-8 should be removed only as a last resort.