Wisdom teeth, also known as third molars, are the last teeth to emerge, typically between the ages of 17 and 25. Located at the very back of the mouth, these teeth often require special attention to determine if they are properly positioned and healthy. Here’s what you need to know about wisdom teeth and their removal:
When should wisdom teeth be removed?
Wisdom teeth may need to be removed if they cause:
- Pain or discomfort
- Infections or gum inflammation
- Cysts or damage to the jawbone
- Gum disease
- Tooth decay or harm to nearby teeth
If you notice any of these symptoms, it’s important to visit your dentist for an evaluation.
What are impacted wisdom teeth?
Impacted wisdom teeth occur when there isn’t enough space for them to emerge properly. They may grow at odd angles, even horizontally, and can remain trapped within the jawbone. Common symptoms include pain, swelling, and infection. Impacted teeth can lead to severe oral health problems, so dentists often recommend removing wisdom teeth before they fully develop or become impacted.
Are there subtle reasons for wisdom teeth removal?
Even if wisdom teeth aren’t causing immediate issues, they may still pose risks in the future. Dentists frequently advise removing wisdom teeth in teens or young adults to prevent complications as they age. Additionally, wisdom teeth may be removed as part of broader orthodontic, periodontal, or restorative treatment plans.
What happens if I don’t remove them?
In some cases, dentists take a “wait and see” approach, monitoring wisdom teeth over time. If there is enough room for them to emerge properly and they remain healthy, removal might not be necessary. However, ongoing dental checkups are crucial to ensure they don’t cause problems later in life.
For expert advice and care, contact our dental office for a consultation on wisdom teeth removal. Protect your oral health by staying proactive!
Understanding and Treating Gum Disease
Gum disease is a serious problem, and you should treat it as soon as possible by following your dentist’s recommendations. Also known as periodontal disease, it has several treatments depending on the severity of the issue.
Initial Steps to Address Gum Disease
Your first course of action is to completely revamp your oral hygiene habits. Daily flossing and brushing after meals are essential habits to develop. You must have a clean mouth before you go to bed. If you smoke, it’s important to quit, as your oral health depends on it.
If you haven’t been keeping up with regular professional checkups and cleanings, now is the time to start again. Long-term gum health is greatly impacted by the plaque, tartar, food debris, and bacteria left on teeth. Hardened calculus, or calcified plaque, can be removed using a process called scaling, which may require local anesthesia.
Evaluating Progress
Your dentist will monitor your progress to see if your gum tissue is recovering. If you respond well to treatment, gum disease may be managed with these initial steps alone. However, for more severe cases, oral surgery may be necessary.
Advanced Treatment Options
Surgical procedures can regenerate and repair soft gum tissue as well as hard tissues such as bone or teeth. Your oral surgeon will aim to reduce or eliminate gum pockets—open areas beneath the gum line—improving gum-to-tooth attachment. The goal is to restore normal oral functions and aesthetic appearance.
Sedation Options
For patients undergoing oral surgery to treat gum disease, various sedation dentistry options are available, including local anesthesia, IV sedation, or conscious oral sedation. Discuss your options with your oral surgeon to determine the best choice for your specific needs.
Act Now
Don’t delay in treating gum disease. Take the necessary steps to ensure a lifetime of better oral hygiene and gum health.
Are dental issues holding you back? Take control of your oral health by booking an appointment with our experienced team at our Ottawa dental office.
Also called third molars, wisdom teeth are the last set of teeth to erupt. Usually, people get their wisdom teeth in during their late teens and early 20s. Although some individuals have no trouble with their wisdom teeth, many people end up having these teeth removed because they may become impacted and create dental health issues. Learn more about wisdom teeth with this Q and A:
Do I need to have my wisdom teeth removed?
If your wisdom teeth aren’t causing problems, you can leave them alone. Typically, wisdom teeth are crooked or impacted, which can generate problems with the surrounding teeth. Also, wisdom teeth can be harder to keep clean, so the risk of decay on these teeth is higher.
When should I have these teeth taken out?
For optimal results, most dentists recommend wisdom teeth removal for patients when they are between 16 and 22 years old. The formation of the roots isn’t complete, so you have fewer complications.
Are there any risks?
As with any surgery, you can have issues arise, but the biggest concerns are nerve damage and dry sockets. Older patients have a greater chance of nerve damage because the root has more fully developed. Dry sockets occur when the post-surgery blood clots dislodge.
Does my age matter?
Some adults don’t experience any symptoms until they are in their 30s, 40s, or 50s. You can have these teeth extracted at any point, but when you get older, surgery is more difficult and the recovery takes longer. If you have trouble with your wisdom teeth, contact your dentist right away for a complete exam.
Ottawa dental office for wisdom teeth – PermaSmile!
While minor gum recession can be treated by your dentist with deep cleaning and antibiotics, serious gum recession can only be treated with oral surgery. A loss of bone and gum pockets that are very deep require gum surgery to address the pain and damage left by acute gum recession.
Three treatments are used primarily in the treatment of serious gum recession, in order of invasiveness: pocket depth reduction, regeneration, and soft tissue graft. Pocket depth reduction involves a deep cleaning of the affected area. The periodontist folds the gum tissue back and utilizes tooth scaling and root planing to remove any tartar and plaque built up around the tooth. Once the gum pockets are clean, the surgeon pulls the gum tissue gently around the tooth, eliminating the deep pockets altogether or significantly reducing their depth.
Regeneration utilizes a similar treatment to pocket depth reduction, but it also addresses any bone loss that occurred due to acute gum recession. In this process, a regenerative agent such as graft tissue, membranes or tissue stimulating proteins is added to the affected area. The gum tissue is then tucked into place and stitched down. Over time, the regenerative agent will work to rebuild lost bone and tissue, leaving healthy and thriving tissue behind.
The most common soft tissue graft is taken from the patient’s own mouth, either by removing tissue from the roof of the mouth or from the gum tissue near the affected tooth. The healthy gum tissue is placed in the affected area, over the exposed tooth root, protecting it from infection and damage.
To prevent the need for oral surgery to address your receding gums, have good oral hygiene habits. Brush, floss and see your dentist twice a year for checkups and professional cleanings. Talk to your dentist if you have any other questions about how to reverse or prevent gum recession.
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Wisdom teeth are the third set of molars and the last adult teeth to erupt into the mouth. Most people have four wisdom teeth, two on the bottom and two on top. Many people do not have enough room for these molars to emerge completely, causing them to become impacted in the gum. Impacted wisdom teeth are difficult to clean, making them more susceptible to decay and disease. Other dental problems caused by impacted wisdom teeth include pain, damage to surrounding teeth, and bite alignment issues. For these reasons, your dentist may recommend having the impacted teeth removed to prevent future problems.
Surgery to extract an impacted wisdom tooth or set of wisdom teeth is usually an outpatient procedure done in your dentist or oral surgeon’s office. If the tooth or surrounding area are deemed to have an infection prior to the procedure, surgery will be delayed, and your dental professional will likely prescribe antibiotics to help heal the area.
On the day of surgery, local anesthesia will be administered to numb the area where the extracted tooth will be removed. Depending on the severity of your case, your dentist or oral surgeon may also utilize a general anesthetic.
Once the anesthesia has taken effect, an incision will be made to open up the gum and any bone blocking the tooth will be removed. Your dentist or surgeon will then separate the tissue connecting the bone to the tooth and extract the tooth. Some teeth are too large to remove in one piece, in which case your surgeon will cut the tooth into smaller pieces to make it easier to remove. Finally, the incision is closed with stitches and packed with gauze to help alleviate bleeding.
Long-term complications from impacted wisdom tooth surgery are rare. To ensure a successful recovery from this or any oral surgery, be sure to follow all aftercare instructions provided by your dentist or oral surgeon.
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Wisdom teeth are the third set of molars, and usually emerge in the late teens or early twenties. Standard dental practice is to remove wisdom teeth prior to them being fully formed when the roots have not yet had a chance to develop and fully root into the jaw. Younger patients usually have an easier recovery from surgery and many dentists believe early removal prevents future dental problems associated with wisdom teeth.
If your wisdom teeth were not removed as they emerged, there are some signs and symptoms that would indicate the need for extraction including:
- Wisdom teeth that are impacted, which means they have become trapped in the jawbone or gums.
- Wisdom teeth that are emerging at an awkward angle, causing pressure on adjacent teeth.
- Wisdom teeth that do not fit in your mouth, causing crowding of the surrounding teeth as well.
- Wisdom teeth that are suffering from decay or disease caused by the inability to keep them cleaned properly.
- Wisdom teeth that have developed fluid-filled cysts near the gumline.
- Wisdom teeth that are causing pain due to any of the above reasons.
The decision about whether or not to remove your wisdom teeth should be made in consultation with your dental professional. Your dentist or oral surgeon can assess the position and health of your wisdom teeth and make a recommendation for treatment.
If extraction is recommended, they may choose to extract one tooth or all four molars at once. Recovery from the outpatient procedure takes just a few days, and you will quickly be back to normal. Contact our dental office if you are experiencing any of these symptoms listed to determine if you should consider wisdom tooth removal to ensure your future good oral health.
