Our wisdom teeth, unlike the rest of the teeth, usually break through the gums late - often even in adulthood. This is often associated with problems: The wisdom teeth hurt when breaking through the gums or find in the jaw enough space. Incidentally, this lack of space has evolutionary-theoretical reasons: For while the ancestral region of the mouth continued to protrude and the jaw was longer, it was shortened here. However, as the number of teeth has not decreased, there is often too little space for the wisdom teeth in the jaw. If this is the case, the wisdom teeth must be removed by an operation.
Symptoms when the wisdom tooth comes
Since the wisdom teeth do not break together with the other teeth, but mostly later through the gums, they often find no room in the mouth. Due to the lack of space, the wisdom teeth break then partially incomplete. This can cause inflammation or abscesses. It can also happen that the wisdom teeth break only in the upper or in the lower jaw. Since they then lack the counterpart, they usually grow well beyond the chewing surface.
Pain in speech and swallowing and pain in the teeth may be signs of a breaking wisdom tooth. If the oral mucosa is swollen or red at the appropriate site, it may indicate inflammation of the wisdom tooth. If there is an inflammation, you should definitely visit a dentist, otherwise abscesses can occur. If the wisdom tooth has too little space, pressure can also build up in the jaw and the roots of the adjacent teeth can be damaged. In the worst case, individual teeth can even fail.
Remove wisdom teeth
Wisdom teeth that have not yet broken open must often be removed because they are feared to cause displacements in the row of teeth. Whether such shifts are actually caused by the wisdom teeth is not scientifically clarified yet. Thus, the removal of the actually healthy wisdom teeth is based primarily on the experience so far. Already broken wisdom teeth should be removed, if
- they cause pain
- they interfere with chewing
- the root or gums are inflamed
- adjacent teeth are affected or
- they have tooth decay
Fully broken wisdom teeth can usually be pulled just like other teeth. Wisdom teeth that are still in the gum, however, must be removed by surgery. This surgery usually takes place under local anesthesia, but in complicated cases the wisdom teeth can also be pulled under general anesthesia. Similarly, when pulling four wisdom teeth at once by some patients a general anesthetic is preferred.
Pull wisdom teeth: This is how the OP runs
If the wisdom teeth have to be removed by an operation, this is usually done under local anesthesia. At the beginning of the treatment, the area around the tooth is numbed, so that the patient does not feel any pain while pulling the wisdom teeth. Once the anesthetic works, the dentist releases the wisdom tooth in the jaw and then removes it. If the tooth is particularly firmly anchored in the jaw or lies transversely in the jaw, it may happen that the dentist has to sever the wisdom tooth. When the wisdom tooth is completely removed, the dentist sews the wound. About a week after the wisdom tooth surgery then the strings are pulled.
During and after wisdom tooth surgery, various complications can occur. So the dentist must be extremely careful during the operation, in order not to hurt nerves. Otherwise, numbness on the face can be the result. After wisdom tooth surgery, the risk of inflammation is particularly high. Therefore, in the first few days should be dispensed with certain foods such as whole grains. In addition, after wisdom tooth surgery, the risk of a jaw fracture is increased, as the removal of the wisdom tooth leaves a hole in the jaw that takes several weeks to heal completely.
If one or more wisdom teeth are removed, pain after the operation is normal. The attending physician usually prescribes a painkiller that relieves the pain. At the latest after about a week, when the wound is closed, the pain should have subsided.
Wisdom tooth OP: Smoking endangers wound healing
Immediately after pulling the wisdom teeth, the wound will bleed a little, the bleeding can then be stopped with a small swab. To minimize the swelling after removal of the wisdom teeth, cold washcloths or wrapped cooling packs should be in stock to cool the cheeks, especially in the first 24 hours after surgery. In addition, the cooling packs can also help to relieve the pain. Ice cold packs should never be placed directly on the skin, but wrapped in a kitchen towel or something similar.
Coffee, black tea and energy drinks should be avoided in the first few days after the operation because the caffeine can increase blood pressure and increase the risk of rebleeding. Likewise, no alcohol should be drunk, as this inhibits blood clotting. In addition, smoking should be avoided after pulling the wisdom teeth, as wound healing is disturbed by the tobacco smoke.
After the wisdom tooth surgery: be careful with food and sport
After removing the wisdom teeth you should restrict yourself during the first days of eating. Whole grains and crumbly foods should be avoided, so that no crumbs get into the wound and can cause an inflammation there. Likewise, milk products should be avoided as far as possible after the surgery. Due to the swelling after pulling the wisdom teeth and possible pain during chewing, it is recommended to consume mainly soups and mushy foods such as applesauce or mashed potatoes.
Sport should be waived after pulling the wisdom teeth for about two weeks, as it can come to bleeding due to the increased blood pressure. Similarly, the visit of sauna and solarium and extended sunbathing should be postponed to a later date. If wisdom teeth have been removed from the upper jaw, you should not sneeze or clean your nose during the first few days after the operation as this can lead to rebleeding.
Dental care after the wisdom tooth OP
If possible, dental care should be continued as usual after pulling the wisdom teeth. If the wound is still fresh, the teeth around the wound can be left out when brushing one's teeth. As soon as possible, these teeth should also be cleaned carefully. If necessary, an extra soft toothbrush can be used for this area. If the brushing of these teeth causes too much pain in the first few days, you can also use a mouth rinse with chlorhexidine. This reduces the risk of infection and reduces the bacterial count in the mouth.