What is the Worst that Can Happen if Wisdom Teeth are not Removed?

If a dentist recommends removing wisdom teeth, it would be unwise to delay the surgery indefinitely. To do so may invite a variety of problems including damage to adjacent structures, such as sensory nerves, the maxillary sinus, and alveolar bone. Postponed wisdom teeth removal may be more complicated and require a longer recovery period. Additionally, damage caused by wisdom teeth to adjacent teeth and structures may not be easily repaired.

Tooth Decay

Keeping the back of the mouth clean with daily brushing and flossing is difficult in the best of circumstances. When wisdom teeth are present, good oral hygiene in this area is very difficult; a situation that often leads to cavities. Research has shown that more young adults have decay in the wisdom tooth area than previously thought.

Gum Disease

Wisdom teeth are not like other teeth in that they generally do not have adequate space to erupt. This is due not only to limited space, but also to the fact that gum tissues in the area are not designed to attach to the tooth in a normal way like other teeth. No matter how well someone maintains oral hygiene, it is very tough to keep the wisdom tooth area clean and bacteria free. Bacterial infection and inflammation often results in gum disease that can affect neighbouring teeth.

Involvement of adjacent structures

A young adult’s wisdom teeth generally have incomplete root systems, making surgery relatively uncomplicated. As wisdom teeth mature, their roots lengthen and may become involved with the surrounding structures such as sensory nerves or the maxillary sinus. In such cases, surgery may trigger a greater chance of complications.

Cyst and tumour formation

A fully impacted wisdom tooth sits in the jawbone surrounded by the sac in which teeth develop. Over time, however, this sac may enlarge and even develop unhealthy changes in the cells from which it is made. Problems occur when the sac surrounding the impacted tooth becomes filled with fluid and enlarges to form a cyst. As the cyst grows it may damage the jaw, neighbouring teeth and other surrounding structures. Very rarely, tumours develop from the same tissues that surround an impacted tooth, requiring extensive surgery and reconstruction.

What if wisdom teeth are kept?

If wisdom teeth are kept despite the fact that the dentist or the maxillofacial surgeon advised to remove them, it is important to monitor their health and condition regularly. X-rays and clinical examination should be done in the area every two years. Particular care of brushing and flossing of the area should also be taken into account.

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Why would Somone Need a Root Canal?

No one wants to be announced by the dentist that a tooth needs a root canal. Here are some of the main reasons why a tooth should get root canal therapy. Knowing those circumstances might also help to prevent them:

• An infection that is at the apex of a tooth (periapical lesion) means that the whole pulp tissue is irritated or infected. A periapical lesion can only be seen on an x-ray. In this case the tooth needs a root canal, following antibiotic therapy.
• A cavity can grow and reach the dental pulp chamber, where the pulp tissue is located, including the nerve. The bacteria contained in the decay infect the pulp directly and the tooth would need root canal therapy to stop the infection.
• If a tooth has had an advanced fracture, and there is not enough tooth material left to repair it with a conventional filling, root canal therapy must be done on that tooth to be able to put a post that will hold a filling or a crown.
• If a tooth has suffered from trauma, the pulp can be irritated permanently and needs to be removed from the tooth by root canal therapy.
• The dental pulp can also be irritated by a filling that is too deep, which was done by a dentist following tooth decay that was very at a very advanced stage.

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What Causes Sensitive Teeth?

It is such a burden to suffer from a sensitive tooth. It bothers during meals, while drinking something hot or cold, even sometimes while breathing air through the mouth.

There are many factors that can cause sensitive teeth:

• Brushing the teeth in a hard or strong way can wear out the enamel and cause tooth sensitivity.
• If the gum level recedes, due to gum disease or vigorous brushing, the root becomes exposed, making the tooth sensitive.
• A fracture of a tooth can expose the dentin.
• Cavities and tooth decay can of course cause the teeth to be sensitive.
• Grinding the teeth wears down the enamel.
• Tooth whitening products can cause a temporary sensitivity to the teeth.
• Certain mouthwashes are acidic and long term use can wear away the enamel of the tooth.
• Foods high in acid content, such as soft drinks, citric fruits, or ice-tea, wear out the enamel if consumed excessively.
• Recent dental treatments (fillings, cleanings, root canals or crowns) can cause sensitivity to the repaired tooth for a few weeks.

A severe tooth ache, that is constant and prevents sleep, can be the cause of more serious problems and should be checked by a dentist as soon as possible.

See also in french.