“Do I need to remove my wisdom teeth prophylactically (ie early) or wait till its painful before I remove it?”

What is Wisdom Tooth Surgery

Wisdom tooth surgery, also known as third molar surgery, is a common procedure that involves the removal of one or more of the third molars, also known as wisdom teeth. These teeth are located at the back of the mouth and often do not have enough room to properly emerge, leading to a variety of problems. In some cases, it may be recommended to remove these teeth prophylactically (early), before any issues arise, in order to prevent future complications.

Impacted tooth

One of the main reasons why wisdom teeth are often removed prophylactically (early) is because they have a tendency to become impacted, meaning they do not fully emerge from the gums. Impacted teeth can cause a variety of problems, including pain, infection, and damage to adjacent teeth. In addition, they can also be difficult to clean, increasing the risk of tooth decay and gum disease. By removing the teeth prophylactically, these issues can be prevented before they occur.

Crowding of other teeth

Another reason why wisdom teeth may be removed prophylactically is because they can cause crowding of the other teeth. The wisdom teeth are the last to emerge, and often there is not enough room in the jaw for them to properly align with the other teeth. This can cause the other teeth to shift and become misaligned, leading to bite and jaw problems. By removing the wisdom teeth prophylactically, the risk of crowding and misalignment can be reduced.

Pericoronitis

In addition to these reasons, there are also other potential complications that can occur with wisdom teeth, such as pericoronitis, odontogenic cysts and even tumors. These growths can form around the impacted teeth and can cause damage to the jawbone and surrounding structures. By removing the teeth prophylactically, these swelling/growths can be prevented from developing.

What to expect during wisdom tooth surgery

The wisdom teeth removal surgery is usually done under local or general anesthesia, depending on the number of teeth that need to be removed, and the patients comfort level. The surgery itself is relatively straightforward, and most patients experience minimal discomfort during the recovery period. Most patient are fully functional within 2-3 days, though pain may persist for up to one week, which can be easily managed via painkillers prescribed.

It is important to note that not all wisdom teeth need to be removed, and the decision to do so should be made on a case-by-case basis by an oral surgeon or dentist. X-rays and other imaging studies may be used to determine if the teeth are impacted or causing problems, and if prophylactic removal is necessary.

In conclusion, wisdom tooth surgery is a common procedure that involves the removal of one or more of the third molars, also known as wisdom teeth. These teeth often do not have enough room to properly emerge, leading to a variety of problems. In some cases, it may be recommended to remove these teeth prophylactically, before any issues arise, in order to prevent future complications such as impaction, tooth decay, gum disease, crowding, misalignment, cysts, and tumors. It is important to consult an oral surgeon or dentist to determine if wisdom teeth removal is necessary for you, and the best plan of action.

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