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Wisdom teeth are the last teeth that develop in the jaw behind the molars. These teeth that usually erupt when people are in their early to mid-20s. During early adolescence x rays should be taken to see in what position the teeth are developing to evaluate the future the risk of problems as the teeth approach eruption.
Teeth teeth begin development in the jaw in childhood. The teeth develop from the crown down. Then the teeth are angled and become impacted, they can grow roots that approximate the nerve that runs down the lower jawline. If left to develop fully, it can become more and more complicated to remove them without disturbing this nerve.
If the teeth are in a position that they could erupt, then the teeth can be monitored as they develop and be otherwise left alone to erupt naturally. However, if the teeth are angled so that they will not be able to erupt due to becoming lodged against the other teeth, then the teeth should be evaluated for removal as soon as possible. This monitoring usually starts in early adolescence, around the age of 12. If the teeth are left to complete development when they cannot erupt, their development can cause problems. These problems include, crowding the already erupted teeth, pain due to pressure in the jaw, encroachment on the nerve, and partial eruption which can lead to tooth decay on the adjacent tooth, or infection around the partially erupted tooth.
If a wisdom tooth is left to develop when it will not erupt, there is a chance that the tooth can later become infected making it necessary to remove at some point. As the tooth develop in the lower jaw, the growing structure becomes more difficult and traumatic to remove from the lower jawbone. As the root elongates toward the lower nerve, the risk of damaging the lower nerve in removal becomes greater. Also the amount of trauma that will be caused during the removal becomes greater, making the removal more risky.
It is therefore important that impacted wisdom teeth are removed as soon as they are noticed. Waiting until they become fully formed can lead to more serious complications, including nerve damage. By removing impacted wisdom teeth right away, patients can minimize their chances of experiencing any pain or dental issues down the road.
The removal of wisdom teeth is a common procedure that is very safe. Generally, the young adult will be sedated so that they are unaware of the details of the procedure. Although the level of sedation normally used for this procedure will not allow the patient to remember the procedure, the patient will maintain the ability to follow commands, cough and breathe on their own. During the procedure the patient is numbed with a local anesthetic so they will not feel any pain.
The removal of wisdom teeth is a common procedure that is very safe. Generally, the young adult will be sedated so that they are unaware of the details of the procedure. Although the level of sedation normally used for this procedure will not allow the patient to remember the procedure, the patient will maintain the ability to follow commands, cough and breathe on their own. During the procedure the patient is numbed with a local anesthetic so they will not feel any pain.
After the teeth are removed, the patient will be numb for several hours. It is important to ice the jaws for the first several days after the removal in order to reduce the swelling. Pain medication is usually prescribed along with an antibiotic to prevent any infection. The normal amount of time to feel discomfort and swelling after the removal of the wisdom teeth ranges depending on the size of the teeth, their location and the difficulty of removal. The average amount of time to plan to recover is between 3 and 5 days. Most patients return for their 1 week post surgical appointment reporting no more pain.
The main benefit of having the wisdom teeth removed early when there is a risk of future problems is the avoidance of the problem as well as the avoidance of complications that waiting until the teeth are fully formed comes with. The later the teeth are removed, the more difficult it is for the body to heal. Younger patients tend to heal faster than older patients. Patients without an active infection also heal faster. Also, if the teeth form fully and pose a risk of nerve damage, if the tooth has to be removed due to infection in the future and the nerve does become damaged, nerves do not heal fast. For this reason, it is a huge benefit to be proactive in order to prevent problems.
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