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Getting smart about wisdom teeth

Getting smart about wisdom teeth

Wisdom teeth got their name because they are the final teeth to develop, usually in the late teens to early twenties, at a time when a person becomes fully mature or “wise.” Wisdom teeth are the third and final set of molars in the very back of the mouth. Most people have four total (two upper and two lower), but others never develop them at all. Wisdom teeth can be a valuable chewing aid, but often they are poorly aligned or don’t develop properly.

How do I know if I have them?:
Unless you start to feel them breaking through, you may not know whether you have wisdom teeth or not. Ask your dentist to examine you to see if these teeth are healthy and properly positioned. An x-ray may be required, and your dentist may refer you to an oral surgeon to be evaluated further.

Do wisdom teeth hurt?:
You don’t always feel anything with your wisdom teeth, but sometimes they are very bothersome. You may experience pain when they erupt in awkward positions, especially if the teeth rub against your mouth. Other problems include stiffness in the area, infected swelling of the gums, tooth decay, gum disease, and tooth crowding.

Why remove them?:
Your dentist or oral surgeon might suggest that your wisdom teeth be extracted. They can often predict if your wisdom teeth may crowd or damage other teeth, your jawbone, or nerves. Sometimes removal is appropriate before problems arise, in an effort to avoid more complicated or painful extractions later. Removal is usually simpler and less risky in young people. If your wisdom teeth are not extracted, it’s important for your dentist to continue monitoring them because problems may develop later.

What does impacted mean?:
Wisdom teeth may be impacted, which means they are enclosed in the soft tissue or jawbone or they only partially erupt through the gum. Impacted wisdom teeth are almost always removed to avoid risks of infection, tooth decay, and gum disease.


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When Should Wisdom Teeth Be Removed?

When Should Wisdom Teeth Be Removed?

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. Consult with your dental professional 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.


We treat patients from Ottawa and the surrounding area

Dealing with Wisdom Tooth Pain

Dealing with Wisdom Tooth Pain

Whether you are a teenager or an adult, you may have pain associated with your wisdom teeth. In a perfect situation, these back molars erupt last and fit right into your mouth without problems. Many people are not so lucky, however. It is common for these teeth to attempt to come in, but have nowhere to grow in the space where your other teeth are already established. This can result in a very painful toothache.

The first step you should take is visiting your dentist, where x-rays will be taken to see exactly what is happening in your mouth. The x-rays will be examined to determine the angle the teeth are growing, how much room is available for them to develop, and if there is any infection present. Depending upon the examination results, surgery may be necessary to remove your wisdom teeth.

Your dentist will look for signs that indicate your wisdom teeth need to be removed. The main indications for tooth removal include:

  • A tooth embedded in your gums
  • A tooth that is only partially erupted
  • The presence of a cyst around the tooth
  • A tooth growing in an awkward angle

If your dentist recommends removal, it is usually suggested to have it done as soon as possible to avoid further problems and continued pain. Sometimes it is necessary to remove only a single tooth, and in other cases multiple teeth may need to go. The complexity of the removal depends on whether the teeth are embedded, the angle of growth, and other issues. Your dentist will advise you on the safest and most effective plan for taking care of your wisdom teeth and getting rid of the pain.


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Removing Impacted Wisdom Teeth Through Oral Surgery

Removing Impacted Wisdom Teeth Through Oral Surgery

Wisdom teeth are the last adult teeth to erupt into the mouth, generally emerging between the ages of seventeen and twenty-one. They are the third set of molars and are in pairs: two each on the top and bottom arch of teeth. While some patients don’t have wisdom teeth, most do. Many of those who do have them don’t have enough room for those teeth to erupt fully, causing them to be wedged under the back of another tooth, impacted in the gum.

Impacted wisdom teeth are very difficult to clean, and can negatively affect the surrounding teeth. They are highly vulnerable to disease and decay and may lead to tooth pain and damage to adjacent teeth. For these and other reasons, a dentist may recommend that the teeth be extracted through oral surgery as soon as necessary to prevent any problems.

Extraction of wisdom teeth is typically an outpatient procedure done in an oral surgeon’s office. A healthy patient can proceed with a typical surgery, but if any infection is detected, the surgery can’t move forward until the infection is cleared up through the use of a full course of antibiotics. Once the surgery is moving forward, the surgeon’s team will administer some form of anesthesia to numb the area surrounding the tooth or to possibly sedate the patient through IV sedation dentistry.

After the anesthesia has fully taken effect, the surgeon makes an incision to open the gum and to remove any bone that is blocking the tooth from extraction. The tissue connecting the bone to the tooth will be separated and the tooth will be removed. In some cases, the surgeon will have to break the tooth into smaller pieces to make it easier to remove. After thoroughly cleaning the area and removing any remaining debris, the incision will be closed, stitched and packed with sterile cotton gauze to staunch any bleeding.

The surgeon will provide aftercare instructions. Patients should follow these instructions to the letter in order to ensure the best and fastest healing of the surgical site.


We look forward to seeing you in our Ottawa dental office

Do You Need Oral Surgery to Remove Impacted Wisdom Teeth?

Do You Need Oral Surgery to Remove Impacted Wisdom Teeth?

Evolution has rendered wisdom teeth useless, and a high percentage of these unnecessary molars eventually require removal. When a wisdom tooth, otherwise known as a third molar, cannot erupt into proper alignment, it is called impacted. Oral surgery to extract impacted wisdom teeth may be considered if you have the following problems:

  • Mouth pain and bite problems caused by damage to surrounding teeth created from crowding caused by the extra molars.
  • Jaw and nerve damage caused by cysts that form around the impacted wisdom teeth.
  • Sinus pain, pressure and congestion resulting from problems with wisdom teeth.
  • Inflamed and infected gum tissue created because the area around impacted wisdom teeth is difficult to clean properly.
  • Cavities which develop due to infected gums that allow pockets to form between gums, allowing bacteria to grow.
  • Alignment issues that alter the effects of braces, bridges, crowns and partial dentures due the crowding created by impacted wisdom teeth.

To diagnose impacted wisdom teeth, your dental professional will look for signs of infection or swollen gums. Your dentist will also inquire about your regular oral hygiene habits. The diagnosis of impacted wisdom teeth can be confirmed with dental x-rays, which may also reveal damage to the other teeth or jawbone.

When making a decision with your dentist about wisdom tooth extraction, it’s important to consider your age. Typically third molars erupt between the ages of 16 and 25 years. Younger patients experience considerably fewer complications with oral surgery for wisdom tooth extraction than older adults.

If your dental professional recommends removal due to the diagnosis of an impacted wisdom tooth, ask for a referral to a qualified oral and maxillofacial surgeon to ensure a successful and complication-free oral surgery.


We treat patients from Ottawa and the surrounding area

Wisdom Teeth Can be a Pain

Wisdom Teeth Can be a Pain

Tooth pain can be one of the most uncomfortable types of pain there is. It can make your whole jaw and head ache, interfere with eating, and cause your teeth to be more sensitive. One common reason for a toothache is your wisdom teeth, which are the molars in the very back of your mouth that develop last. Sometimes they don’t even erupt, but they can still be there under your gums causing trouble. If you experience pain related to wisdom teeth, here are some suggestions.

Make an appointment to see your dentist as soon as possible. This way you can find out for sure if your wisdom teeth are to blame for your pain, and decide the best treatment plan for your situation. A dentist examination, which may include x-rays, is the best way to determine exactly what’s going on with your teeth. You may not even be able to see your wisdom teeth, but they might be growing improperly under your gums. Often, wisdom teeth need to be extracted to avoid continued pain or worsening condition. Luckily, wisdom teeth extraction is a common procedure that your dentist or oral surgeon is very familiar with, and can provide you with great treatment that will end up relieving your pain.

While waiting for your dental appointment, try applying an over-the-counter numbing gel such as Oragel. This may help relieve your pain at least for a short time. Also, taking non-prescription pain medicines should help. Acetaminophen and ibuprofen are both good choices to try, especially to subdue the pain when you want to sleep.

Remember that prevention is often the best way to avoid dental pain. Brush your teeth at least twice a day, and floss every day. See your dentist regularly for checkups, because problems with wisdom teeth can sometimes be spotted before you ever begin to feel any pain associated with them. This allows you to deal with the problem before you have to endure a toothache.


If you live in the Ottawa area contact us today

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