20’s Tooth Problems

Teeth, also known as 20-year-old teeth, are the last teeth to erupt in the mouth. Since the third molars, called wisdom teeth, are located very close to the jaw joints, in some cases, they can remain embedded in the gums and affect oral and dental health badly.

Lack of space behind the tooth, gingival, bone or adjacent tooth obstruction may prevent the tooth from erupting. In such cases, the tooth may remain impacted and may come out when any of these obstacles are removed. They cause complaints such as pain around the teeth, earache, limitation in mouth opening. Sometimes cysts can form around them, and sometimes they can cause decay in the front tooth. Since they are left behind due to their location, this area cannot be cleaned well by patients and may cause inflammation in the gingiva.

Should wisdom teeth be extracted?

If the impacted teeth cause recurrent gingival and jaw inflammations between 6 months and 1 year, if there is advanced decay and if there are extensions in the teeth due to the eruption of the wisdom teeth in the upper jaw and the absence of the wisdom teeth in the lower jaw, it is beneficial to extract the tooth.

If the teeth that erupt regularly do not disrupt the tooth sequence, they must be protected. Sometimes, impacted wisdom teeth that have not erupted in the mouth but seen in dental films can stay in place throughout our lives without causing any problems in the mouth. If these teeth do not come out, it may not be a problem for people and they may not need to be extracted.

Surgery is required in cases where the tooth cannot fully erupt or remains embedded in the jaw. How the wisdom tooth surgery will be performed is decided entirely according to the position of the tooth seen in the x-ray images. In cases where the tooth roots are embedded in the jawbone, it is usually not possible to remove the tooth in one piece. In these cases, the wisdom dentist to be extracted is divided into several parts and extracted in this way. Another method is to open an incision in the gum. With the help of this incision, the tooth can be extracted much more easily. After tooth extraction and cleaning of the area, the gum is stitched. These sutures should be removed after a certain period of time after the operation.

After wisdom tooth surgery, the mouth should not be rinsed for 1 day. After the operation, swelling and pain may occur in the mouth. Painkillers can be used to relieve pain, as the physician deems appropriate. In case of swelling, ice compresses can be applied to the area. It is very important not to use cigarettes and alcohol for at least 3 days after wisdom tooth surgery. In the first week, too much cold and hot foods should not be consumed, and acidic drinks should be avoided.