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Wisdom tooth

Images source: from the web

Images source: from the web

Wisdom Teeth Pain and Other Common Symptoms
Our extensive guide to wisdom teeth pain begins here, 
with a quick guide on why they can cause problems
and what sort of symptoms they can cause.

We will then advise you on:

Wisdom teeth pain relief
What to expect if you need their removal
Recovery after extraction
Dry socket and other complications that may occur 
including pain after removal.

wisdom tooth
source: Why Do We Get Problems With Wisdom Teeth? Wisdom teeth pain symptoms, caused by their ‘impaction’, are a common problem. These ‘third molars’ are the last teeth to erupt into the mouth. There are usually four, one in each corner of the mouth at the back. They most commonly appear between the ages of 17 and 24, but can also erupt much later. Symptoms are common here as they are the last molars to enter the mouth, there is often not enough space for them to fully come through. Therefore they may only partially erupt into the mouth or not come through at all. "Graphic showing the cause of wisdom teeth pain i.e. pericoronitis" Graphic showing the cause of most problems pericoronitis When there is enough room, they will come through into the mouth normally and act as any other tooth. There may be some problems including dental pain as they are growing in, (you may thus occasionally need some mild pain relief such as acetaminophen, paracetamol) but this will clear up once the tooth finds its final position. Pain and other symptoms can arise when there is not sufficient room in the mouth. The tooth may become impacted What is an Impacted Wisdom Tooth? A tooth is described as impacted if it is blocked from erupting into the mouth fully. Thus it will lie at an angle instead of being upright, remaining tipped against the tooth in front of it. Technically, any tooth can become impacted but it is wisdom teeth that are the most often affected, owing to their late eruption. Impacted teeth can cause a range of problems, but it should also be noted that they may cause no problems at all. What Symptoms Might I Get? "Graphic showing the common wisdom teeth symptoms" When a wisdom tooth is problematic symptoms may include: Pain and swelling of the gum overlying the impaction this is due either infection of this operculum or trauma from the tooth above hitting into it, or a combination of both. For example, a swelling that arises from infection may make the upper tooth impinge onto the gum traumatizing it more and causing a vicious cycle. Bad breath, due to infection and/or debris building up in the area. A bad taste in the mouth, for the same reasons. Pus coming out from the swollen gum area. Aches when you open your mouth, as you are stretching the inflamed tissues. Difficulty on opening your mouth. Tenderness when chewing or biting as this hurts the swollen gum area. Pain/ulcers on the inner cheek, where the pointy parts (cusps) of the impacted teeth may be digging into the soft tissues of the cheeks. Ear-ache, as pain can spread outward from the area. The symptoms can occur for a few days and then clear up. It can then come back at any time, often with weeks or months between occurrences. More serious symptoms can develop: Watch out for these signs, and note that they may develop quite quickly: Swollen glands under the chin (‘lymph nodes’). Swelling of the face and jaw, may indicate cellulitis. Muscle spasms in the jaw. Fever and general malaise. Such symptoms may indicate a severe, spreading infection which can be very serious if left untreated. Immediate advice should be sought from your dentist. The cause of these problems is that when a wisdom tooth is impacted, a flap of gum will lie over it. As it is difficult to clean effectively under the gum flap, bacteria will proliferate here and the gum will become inflamed. This inflammation is known as ‘pericoronitis’. Pericoronitis is usually relatively easy to remedy, as it usually remains localized. It is when it becomes a recurring problem (or if it ever gives rise to dangerous symptoms like those above) that extraction must be considered. An impacted tooth can also be present in the mouth without you even knowing about it, because it may not be causing any symptoms. However other problems can also be associated with impacted wisdom teeth:"Image of tooth extraction and forceps" They are prone to decay. This is because food can trap around them and they are difficult to clean. The tooth lying beside will also be at increased risk of decay for the same reason. The tooth may become sensitive and/or painful. Likewise, the area is more prone to gum disease for similar reasons: it is difficult to clean. Rarely, cysts and other such growths may form around an impacted tooth. Therefore even when they aren’t causing pain, or other noticeable symptoms, they should be checked regularly. Your dentist can make sure that all is well in the area, or if any damage begins to occur then the situation can be remedied sooner rather than later. Prevention of Symptoms The cleaner the area and your mouth in general is kept, the less likely that pericoronitis and other problems will occur. Therefore general oral hygiene measures should be adhered to, including flossing in the area of the wisdom tooth and regular use of mouthwashes. Your dentist can guide you on this. Source: WHAT ARE WISDOM TEETH? WHAT CAUSES PROBLEMS WITH WISDOM TEETH? WHAT ARE THE SYMPTOMS OF WISDOM TOOTH PROBLEMS? HOW ARE PROBLEMS WITH WISDOM TEETH DIAGNOSED? WISDOM TOOTH EXTRACTION WHAT TO EXPECT AFTER SURGERY RISKS Wisdom tooth and sore throat Headaches associated with gums What is the risk of losing feeling on my face Fear of pulling my four wisdom teeth Wisdom tooth that has come sideways What exactly is a tuberosity? How can it be fixed? pain and tension in my jaw - is it due to wisdom teeth? Wisdom tooth pushing against my molar Puffy cheeks after removing wisdom teeth Will return to normal activities soon? Tooth is broke off, flat to gum line The back of my molar is real swollen Wisdom tooth pushing against my tooth Removed Wisdom tooth growing again Bottom Wisdom tooth pushing out My face hurts a little bit My jaw is killing me My throat is very sore Serious infection after extraction Numbness in lip after extraction Two lower wisdom teeth are coming in I just had all 4 wisdom teeth extracted If nerves are cut when removing wisdom teeth Wisdom tooth related videos Wisdom teeth removal,Care before and after removal of wisdom teeth, Potential complications, Cost of removing wisdom teeth Wisdom teeth present potential problems when they are misaligned How do I know if I have Wisdom teeth? How Are Wisdom Teeth Removed? What Happens During Wisdom Teeth Removal? What Does Recovery Involve After Wisdom Teeth Are Pulled? During the first 24 hours after pulling out wisdom teeth After 24 hours of pulling out wisdom teeth What Are Potential Complications of Wisdom Tooth Removal? How Much Does Wisdom Teeth Extraction Cost? Toothaches really suck. POSTED BY SARAH.SALIM AT 12:49 PM WEDNESDAY, NOVEMBER 18, 2009, I was just reading about wisdom teeth. They're sucha pest. Found a great blog on wisdom tooth info. Really insightful and detailed to the point that I feel nervous just thinking about making an appointment with the dentist. Ah this is hell.. I hope after the XRAY the dentist will tell me my teeth's gonna just come straight out and I don't have to go for surgery. It costs a lot of money to operate and the healing time is meticulous! WHAT ARE WISDOM TEETH? Wisdom teeth are the upper and lower third molars, located at the very back of the mouth. They are called wisdom teeth because usually they come in when a person is between 17 and 21 years or older old enough to have gained some wisdom. Wisdom teeth that are healthy and properly positioned do not cause problems. WHAT CAUSES PROBLEMS WITH WISDOM TEETH? Wisdom teeth may break partway through your gums, causing a flap of gum tissue to grow over them where food can become trapped and a gum infection can develop. Wisdom teeth can also come in crooked or facing the wrong direction. Or, if your jaw is not large enough to give them room, they may become impacted and unable to break through your gums. You may have trouble properly cleaning around wisdom teeth because they are so far in the back of your mouth and may be crowded. WHAT ARE THE SYMPTOMS OF WISDOM TOOTH PROBLEMS? Wisdom teeth often cause no symptoms. Symptoms that may mean your wisdom teeth need to be removed include: Pain or jaw stiffness near an impacted tooth. Pain or irritation from a tooth coming in at an awkward angle and rubbing against your cheek, tongue, or top or bottom of the mouth. An infected swelling in the flap of gum tissue that has formed on top of an impacted tooth that has partially broken through the gum. Crowding of other teeth. Tooth decay or gum disease if there’s not enough room to properly care for the wisdom tooth and surrounding teeth. Most problems with wisdom teeth develop in people between the ages of 15 and 25. Few people older than 30 develop problems that require removal of their wisdom teeth. HOW ARE PROBLEMS WITH WISDOM TEETH DIAGNOSED? Your dentist will examine your teeth and gums for signs of a wisdom tooth coming through your gum or crowding other teeth. You will have X-rays to find out whether your wisdom teeth are causing problems now or are likely to cause problems in the future. WISDOM TOOTH EXTRACTION Before removing a wisdom tooth, your dentist will give you a localanesthetic (means got syringe) to numb the area where the tooth will be removed. A general anesthetic may be used, especially if several or all of your wisdom teeth will be removed at the same time. A general anesthetic prevents pain in the whole body and will make you groggy or cause you to sleep through the procedure. Your dentist will probably recommend that you don'’t eat or drink after midnight on the night before surgery, so you are prepared for the anesthetic. To remove the wisdom tooth, your dentist will open up the gum tissue over the tooth and take out any bone that is covering the tooth. He or she will separate the tissue connecting the tooth to the bone and then remove the tooth. Sometimes the dentist will cut the tooth into smaller pieces to make it easier to remove. After the tooth is removed, you may need stitches. Some stitches dissolve over time and some have to be removed after a few days. Your dentist will tell you whether your stitches need to be removed. A folded cotton gauze pad placed over the wound will help stop the bleeding. WHAT TO EXPECT AFTER SURGERY In most cases, the recovery period lasts only a few days. Take painkillers as prescribed by your dentist or oral surgeon. The following tips will help speed your recovery. Bite gently on the gauze pad periodically, and change pads as they become soaked with blood. Call your dentist or oral surgeon if you still have bleeding 24 hours after your surgery. While your mouth is numb, be careful not to bite the inside of your cheek or lip, or your tongue. Do not lie flat. This may prolong bleeding. Prop up your head with pillows. Try using an ice pack on the outside of your cheek for the first 24 hours. You can use moist heat-such as a washcloth soaked in warm water and wrung out-for the following 2 or 3 days. Relax after surgery. Physical activity may increase bleeding. Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as healing progresses. Do not use a straw for the first few days. Sucking on a straw can loosen the blood clot and delay healing. After the first day, gently rinse your mouth with warm salt water several times a day to reduce swelling and relieve pain. Do not smoke for at least 24 hours after your surgery. The sucking motion can loosen the clot and delay healing. In addition, smoking decreases the blood supply and can bring germs and contaminants to the surgery area. Avoid rubbing the area with your tongue or touching it with your fingers. Continue to brush your teeth and tongue carefully. Your dentist will remove the stitches after a few days, if needed. RISKS After a wisdom tooth is removed, you may experience: Pain and swelling in your gums and tooth socket where the tooth was removed. Bleeding that won’t stop for about 24 hours. Difficulty with or pain from opening your jaw (trismus). Slow-healing gums. Damage to existing dental work, such as crowns or bridges, or to roots of a nearby tooth. A painful inflammation called dry socket, which happens if the protective blood clot is lost too soon. Numbness in your mouth and lips after the local anesthetic wears off, due to injury or inflammation of nerves in the jaw. Rare side effects, including: Numbness in the mouth or lips that does not go away.1 A fractured jaw if the tooth was firmly attached to the jaw bone. An opening into the sinus cavity when a wisdom tooth is removed from the upper jaw. Health issues related to wisdom teeth.....Stephan M Bevan Between the ages of 17 and 25, the majority of people have their final set of molars appear, called wisdom teeth. The name stems from the fact that having these teeth come in later in life gives the person time to learn and gain experiences. The wisdom teeth are the furthest back in a person's mouth and also referred to as the third molars. Usually a person has four of them; however there can be fewer or none at all. There is usually not enough room for the wisdom teeth in a person's mouth. They can be misaligned or not come in at all, so removal of these teeth is typically required. If these molars are positioned incorrectly or angled improperly, they can squeeze other teeth out of place or cause damage to the other teeth, the jaw bone or nerves. By crowding adjacent teeth, there can be a higher risk of trapping plaque and greater susceptibility to decay. If the wisdom teeth do not fully erupt, but are present and caught in the soft tissue under the gums or jawbone, they are considered "impacted". If they are not removed, infection and abbesses can occur, as well as pain, stiffness in the jaw, swelling and general malaise and illness. Due to the location of the wisdom teeth in a person's mouth, they can be difficult to clean. If there is an issue with eruption and the teeth are partially covered, they can be at risk of debris accumulating and are at risk of possible infection occurring. If the gum bed extends over the top of the wisdom tooth and forms a partial cover, it is called an operculum. Due to the challenge with cleaning these teeth, which are exacerbated by this situation, a needless syringe may be required to pressure wash the area in an attempt to remove any trapped particles and plaque. When the operculum does not disappear or if the wisdom teeth do not come in straight, and are caught in an angle under the gum line, extraction is the solution. If a horizontal impaction is left intact, growing ninety degrees forwards, the tooth can grow into the roots of the second molars. The most common situation is when the wisdom teeth are angled forwards, towards the front of the mouth, called a mesioangular impaction. If this is the case, the teeth located on the lower row, on the mandible, are easier to remove. The maxilla holds the top teeth which are the easiest to remove if the wisdom teeth are angled backwards. This is called a distoangular impaction, and is a much rarer occurrence. Symptoms such as redness, pain, and swelling, difficulty opening the jaw, bad odour, or general illness attributed to your wisdom teeth can progress into severe infection if left untreated. If you are suffering any of these warning signs, contact your dentist or health care provider to find the root cause. When wisdom teeth are causing detrimental issues due to improper positioning or fully or partial impaction, they need to be addressed by your dentist to determine the best course of action to keep you healthy. Article Source:
Wisdom teeth FAQ
Wisdom teeth Removal
Wisdom teeth Videos

Dry socket, the most common post-operative 
complication from tooth extractions, delays the 
normal healing process and results when the
newly formed blood clot in the extraction site 
does not form correctly or is prematurely lost. 
The blood clot lays the foundation for new
tissue and bone to develop over a two-month 
healing process. Women who take oral contraceptives 
are at a higher risk of developing
dry socket after wisdom teeth extraction due to 
high levels of estrogen.

Tips for preventing dry socket

Schedule extractions during the last week of the menstrual cycle,
when estrogen levels are inactive Avoid drinking through a straw, 
the suction will interfere with healthier clotting.
Avoid smoking, it can contaminate the extraction site.
Avoid excessive mouth rinsing, which may interfere with blood clotting.

Source: Academy of General Dentistry

Wisdom teeth are third molars that usually appear between the ages of 
17 and 24 (although they may appear when older, younger, or may not appear at all). 
They are commonly extracted when they affect other teeththis impaction is
colloquially known as "coming in sideways. Most people have four wisdom teeth, 
but it is possible to have more or fewer. Absence of one or more wisdom teeth is 
an example of hypodontia. Any extra teeth are referred to as
supernumerary teeth.More from Wikipedia

Mouse Model Explains Troubles Experienced With Human Wisdom Teeth

Wisdom teeth are a valuable asset to the mouth when they are healthy and 
properly positioned. Often, however, problems develop that require their removal. 
When the jaw isn't large enough to accommodate wisdom teeth, they can become 
impacted (unable to come in or misaligned). Wisdom teeth may grow sideways, 
emerge only part way from the gum or remain trapped beneath the gum and bone.
Click here for more information

Wisdom teeth, also known as third molars are the last teeth to erupt. This occurs usually between the ages of 17 and 25. There remains a great deal of controversy regarding whether or not these teeth need to be removed. It is generally suggested that teeth that remain completely buried or un-erupted in a normal position are unlikely to cause harm. However, if these impacted teeth are in an abnormal position (a dentist can show you this on an x-ray), their potential for harm should be assessed. Click here for more information

Banking Baby, Wisdom Teeth For Stem Cells NEW YORK, June 8, 2005—Baby and wisdom teeth, along with jawbone and periodontal ligament, are non-controversial sources of stem cells that could be "banked" for future health needs, according to a National Institutes of Health researcher who spoke today at the American Dental Association's national media conference. Click here for more information

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