why remove wisdom teeth if no pain

It really isnвt necessary to have your wisdom teeth removed if they are properly positioned and do not cause any pain or other dental problems, such as an infection. However, if they are impacted or they are causing crowding problems for your other teeth, your dentist will most likely recommend that you have them taken out. There are two different ways that wisdom teeth can grow. Some grow in like regular teeth, and some will become impacted. Impacted wisdom teeth are blocked from growing correctly. They usually stay under the surface of your gum line and lay horizontally instead of standing straight up. This is usually the case when there isnвt enough room in your mouth for them to grow straight up. Sometimes, they come out sideways and lean towards another tooth. If you keep an impacted wisdom tooth that slightly comes out it can be difficult to keep because it provides a place for bacteria and plaque to build up. This is not good because it would promote the development of cavities, and it could lead to a much larger infection than just in your teeth. Wisdom teeth that are impacted can sometimes collide with the roots of your molars, which can be very painful. Also, while your impacted wisdom teeth are trying to break through, the wisdom teeth can wear down the tooth next to it and lead to many dental issues. If you decide not to have your wisdom teeth taken out, be sure to floss your teeth on a very consistent basis, being sure to get all the way to the back teeth, and be sure to use mouth wash with fluoride. What Happens if They Have Grown in and Donвt Cause Pain? The decision is really up to you. Wisdom teeth that donвt cause a lot of crowding and donвt hurt are ok to keep. However, many dentists will recommend that they be taken out. They do this because wisdom teeth and the ones they are touching are highly susceptible to cavities and are not easy to clean. If your wisdom teeth have cavities and you canвt clean them due to their location, filling the cavities is not a good idea because new cavities will continue to appear.

The easiest way to avoid any problems caused by your wisdom teeth is to have them removed. When Should Your Wisdom Teeth Be Removed? There really isnвt a set age to have your wisdom teeth taken out. Some people have them taken out when they are teenagers and others wait until they are adults. If your wisdom teeth need to be removed, itвs better to have them out at a younger age because the healing process would be faster. However, if you are already into your 40вs with all of your wisdom teeth and they arenвt causing you any trouble, having them removed is not necessary. Is the Removal Process Painful? It shouldnвt be. With correctly administered anesthesia, the only thing you should feel is some slight pressure or pulling, but not any pain. If you do feel any sort of pain, let your dentist know right away that you are not totally numb. What Can I Eat After Having My Wisdom Teeth Removed? Your dentist will let you know what you can eat after your wisdom teeth have been removed. Some of their suggestions might include pudding, mashed potatoes, soup, applesauce, jello, or milkshakes. If you are experiencing pain where your wisdom teeth care coming in, you need to consult your dentist as soon as possible. At, we can provide you with the proper advice and care that you need to be pain and infection free from the problems being caused by your impacted wisdom teeth. today or. Until next timeвKeep on smiling!
Little evidence exists to support removing impacted wisdom teeth that are not causing pain and swelling, aren t negatively affecting other teeth, and are disease-free, finds a new review in The Cochrane Library. According to the review authors, led by Theodorus (Dirk) G. Mettes of the Radboud University Nijmegen Medical Center in the Netherlands, wisdom teeth third molars that typically make an appearance when individuals are between age 17 and 24 often fail to break the gum line, or do so only partially. These so-called impacted wisdom teeth have the potential to cause a host of problems, including swelling or ulceration of the gums around these teeth, cysts or tumors, and damage, decay, or disease in the second molars.

However, many people can go their entire lives without these teeth causing any problems. Though the general consensus among most dentists and oral surgeons is that troublesome impacted wisdom teeth should be removed, Mettes says, there s a range of opinions on what to do with asymptomatic ones. Some dental care professionals advise patients to have these teeth removed as a matter of course to prevent future problems. Though such prophylactic removal can avoid problems caused by these teeth, extraction surgery isn t without risks. At the very least, patients who elect for surgery will have some pain and swelling that requires time off of work, school, and other pursuits and will incur the cost of the procedure. More serious risks include permanent nerve damage, a broken jaw or infections in the bone and surrounding tissues. As a result, Mettes explains, some care providers prefer a wait and see approach, removing impacted wisdom teeth only when problems arise. This approach can have its own disadvantages, such as allowing problems to advance if patients or their dentists aren t vigilant, or requiring time off and expense for monitoring visits. To help develop a consensus, Mettes and his colleagues combed medical databases for studies that compared those who had asymptomatic wisdom teeth removed to those who retained them. Their extensive search turned up only a single study. Even this research, meant to determine whether removing these teeth in adolescents prevents future crowding of front teeth, was inconclusive. Though care providers and patients decisions on whether to remove asymptomatic impacted wisdom teeth should be based on the best available evidence and combined with extensive clinical experience, little evidence exists for or against this procedure at the moment, Mettes says. Thomas Dodson, D. M. D. , M. P. H. , an oral and maxillofacial surgeon at Massachusetts General Hospital and a member of the American Association of Oral and Maxillofacial Surgeons (AAOMS), emphasizes that the decision to remove is clear-cut if there s disease or dysfunction in impacted wisdom teeth.

However, he says, it can be a tough call for people in whom these teeth are asymptomatic and disease-free. Those tend to be the longer conversations, he says. I rely on patients to tell me what they prefer to do. He notes that the study designs necessary to help care providers and their patients make better decisions randomizing large groups of patients into two groups, one which has these teeth removed and one which has teeth retained are costly and time-consuming. In systematic review after systematic review, each says that more research is necessary, Dodson says. But so far, no one has had the interest to fund the necessary research. TERMS OF USE: This story is protected by copyright. When reproducing any material, including interview excerpts, attribution to the Health Behavior News Service, part of the Center for Advancing Health, is required. While the information provided in this news story is from the latest peer-reviewed research, it is not intended to provide medical advice or treatment recommendations. For medical questions or concerns, please consult a health care provider. Reach the, part of the, at or (202) 387-2829. The Cochrane Library (http://www. thecochranelibrary. com) contains high quality health care information, including systematic reviews from The Cochrane Collaboration. These reviews bring together research on the effects of health care and are considered the gold standard for determining the relative effectiveness of different interventions. Mettes TDIRKG, Ghaeminia H, Nienhuijs MEL, Perry J, van der Sanden WJM, Plasschaert A. Surgical removal versus retention for the management of asymptomatic impacted wisdom teeth. Cochrane Database of Systematic Reviews 2012, Issue 6. Art. No. : CD003879. DOI: 10. 1002/14651858. CD003879. pub3.

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