Recently, I saw an article on the Internet "Female wisdom teeth have been inflamed repeatedly for several years, and a hole in the cheek" has been rotten. The article is that a woman with wisdom teeth repeatedly inflamed for several years, each time relying on anti-inflammatory drugs to carry hard, did not expect that finally the left cheek was punctured by abscess, got a cheek fistula. Not only must the wisdom teeth be removed, but the teeth in front of the wisdom teeth are also implicated and removed together.
According to the doctor, because the patient usually does not pay attention to oral hygiene, the emergence of wisdom teeth pericoronitis, and long-term has not been completely treated, resulting in the destruction of the alveolar bone defect, the cheek is penetrated by abscesses.
Considering that the patient has been ill for a long time, resulting in a large range of local inflammation at the root tip of the wisdom tooth, because the wisdom tooth root is closer to the lower alveolar neural tube, and the second molar has been completely necrotic, he decided to treat the patient in two steps: first effectively control the patient's local inflammation, and then perform wisdom tooth extraction and second molar extraction.
Many netizens below the article asked: Do wisdom teeth have to be removed?
In fact, not necessarily, whether wisdom teeth to be removed can be determined after checking with a doctor. In general, wisdom teeth that meet the following conditions can be left untreated.
1. Orthostatic wisdom teeth do not need to be extracted, that is, the position of wisdom teeth germination is very positive, and there are opposites of the upper and lower teeth, which can perform normal chewing functions.
2. There are also some wisdom teeth that can be retained through treatment, such as the position is very positive, but there are gums covered on the tooth surface, which can be surgically performed to form a normal bite; if the wisdom teeth do not grow correctly, but there is room for growth, they can also be corrected to retain.
These 6 wisdom teeth retain little value:
1. Sprout incomplete wisdom teeth
Incomplete wisdom teeth can easily cause inflammation of the periodontal periodontal periodontal, it is recommended to pull out, long pain is not as good as short pain.
2. Carious wisdom teeth appear
If the wisdom tooth decays, in addition to the very simple tooth decay that does not have a deep occlusal surface, it can be compensated. Those adjacent face tooth decay, which requires good technique, and the decay is very deep, and even needs root canal treatment, it is recommended to remove it and eliminate future problems.
3. Wisdom teeth with forward-leaning obstruction
That is, the wisdom teeth are at an angle of about 45 degrees on the second molar. If this wisdom tooth is not extracted, it is easy to cause adjacent tooth lesions, and in severe cases, wisdom teeth and second molars need to be removed, which will seriously affect our chewing function.
4. Wisdom teeth that are arranged too tightly
If the wisdom teeth themselves have insufficient space to grow and are too tightly arranged with other teeth, there will be more serious diseases such as gum swelling and tooth pain. To avoid recurrence, it is recommended to remove the inflammation as soon as possible after it subsides.
5. Wisdom teeth that are not easy to clean
Because wisdom teeth grow in the innermost part and are difficult to clean, even wisdom teeth with long positions are prone to tooth decay. To avoid involving other teeth, it is recommended to remove wisdom teeth as early as possible.
6. There are no wisdom teeth on the bite
If there is no opposing wisdom teeth to bite on the opposite side, excessive germination of wisdom teeth will affect the bite, resulting in swelling and pain in the opposite gums. And over time, it may also cause large and small faces.
Dr. Chen tips: friends who have wisdom teeth need to pay more attention to oral hygiene, brush their teeth in place in the morning and evening, wisdom teeth should also be carefully brushed to prevent wisdom teeth inflammation; rinse mouth in time after meals to avoid food residues; floss the teeth every day for deep cleaning.