Wisdom teeth extraction stands as one of the most prevalent surgical procedures within the realm of dentistry. These third molars make their appearance as the final set of teeth within the dental arch, typically emerging between the ages of 16 and 25.

However, they can potentially give rise to discomfort, pain, or even exert an influence on the patient’s overall health. Indeed, as wisdom teeth approach the stage of eruption, the surrounding gingival tissue may succumb to inflammation, resulting in the formation of a pocket or pseudo-pocket between the gingiva and the wisdom tooth—a concealed enclave susceptible to bacterial accumulation. Regrettably, the patient is unable to access this pocket for proper cleaning, thus fostering the potential for infection. Left unaddressed, the consequences can be profound, potentially endangering the patient’s well-being if the infection extends into the tissue spaces of the head and neck.

Occasionally, owing to their posterior positioning within the dental arch, wisdom teeth pose challenges in terms of maintaining proper oral hygiene. This predicament can lead to the development of cavities, which may even affect neighboring teeth. In light of these considerations, it becomes imperative to assess the necessity of wisdom tooth extraction under the guidance of a qualified dentist.

When and why should wisdom teeth be removed?

Is Wisdom Teeth Extraction Necessary?

Certain individuals do not encounter the typical discomfort and symptoms associated with wisdom teeth extraction. In fact, there are situations in which the removal of these third molars is deemed unnecessary:

  • When the wisdom teeth are in good health.
  • When they are properly situated, aligned harmoniously with the adjacent teeth.
  • When they can be readily reached with a toothbrush or dental floss.

When Is the Right Time for Wisdom Teeth Removal?

Optimally, the extraction of potentially problematic wisdom teeth should be performed within the age range of 16 to 18 years, as their root development is not yet completed. This particular period facilitates a smoother extraction process and markedly diminishes the likelihood of post-extraction complications. Nonetheless, the exigency for extraction may arise subsequent to the occurrence of conditions such as pericoronitis or other related issues:

  • Adjacent Tooth Complications: Wisdom teeth, when positioned in close proximity to the roots of second molars, have the potential to induce resorption of these adjacent teeth, ultimately culminating in their loss. Additionally, the accumulation of plaque between the wisdom tooth and the second molar may give rise to interdental cavities. Should these cavities extend beneath the gumline, it may necessitate the extraction of the second molar.
  • Follicular Cysts: In the course of wisdom tooth development, a membrane known as the pericoronal sac envelops the tooth. Subsequent to the tooth’s eruption, this membrane integrates with the surrounding gum tissue. However, when the wisdom tooth remains entrapped and unable to emerge, the follicle housing it expands, forming a cyst. Frequently, these cysts remain inconspicuous for extended periods, as they typically lack symptomatic pain, leading many individuals to forgo dental consultation. Typically, these cysts are incidentally detected during routine dental checkups. Nevertheless, their covert evolution can inflict substantial harm upon the jawbone, potentially resulting in weakened jawbone integrity, fractures, and the loss of multiple adjacent teeth. In such scenarios, surgical interventions may prove intricate and demanding.
  • Discomfort or Pain: The degree of discomfort resulting from the eruption of wisdom teeth varies among patients. In certain cases, the issue may be of a transient nature, with the wisdom tooth successfully emerging in a favorable position. Conversely, in instances characterized by misaligned wisdom teeth, the development of ulcerations on the cheek mucosa can give rise to severe pain and localized swelling.
  • Gum Inflammation: The improper growth of wisdom teeth can engender inflammation within the adjacent gum tissue, thereby impeding effective oral hygiene practices. The presence of inflamed gums can pose challenges to thorough cleaning. It is imperative to promptly address gum inflammation to mitigate the risk of developing periodontal diseases.

Kindly take note: In cases involving advanced gum-related issues, we would like to bring to your attention that our Chantepoulet clinic offers scaling and gingival curettage to address these concerns comprehensively.

What is the purpose of our wisdom teeth?

Researchers posit that wisdom teeth served a significant purpose for our ancestral forebears. In an era when their diet primarily consisted of tough, unprocessed foods such as nuts and raw meat, the development of our ancestors’ jaws exhibited greater prominence. This anatomical adaptation allowed ample room within the dental arch to accommodate these additional teeth.

However, the landscape of our modern diet has evolved markedly. Today, our culinary preferences predominantly revolve around the consumption of cooked and processed foods, a practice aided by the use of utensils like forks and knives to finely portion our meals.

Consequently, our jaws have undergone a reduction in prominence, resulting in insufficient space to comfortably accommodate a third molar. In light of these adaptations, wisdom teeth have now become an evolutionary vestige, serving little to no functional purpose within our contemporary way of life.

What are the Common Side Effects of Wisdom Teeth Extraction?

The aftermath of wisdom teeth extraction can entail various side effects, with the duration and intensity contingent upon the complexity of the surgical procedure. These side effects typically endure for an average span of 4 to 5 days and may manifest in the following manners:

  • Bleeding: In the event of post-extraction bleeding, adherence to the surgeon’s instructions is paramount. Application of gentle pressure to the affected area using compresses for approximately fifteen minutes is recommended, along with the avoidance of spitting and rinsing. If bleeding persists at an alarming rate, it is advisable to promptly contact your Chantepoulet dental clinic for further guidance and assistance.
  • Pain: Post-operative pain is a common occurrence and may persist for a period ranging from 3 to 7 days. To optimize pain management during the recovery process, our surgeon customarily prescribes personalized medication, as determined during the preoperative consultation.
  • Swelling and Increased Sensitivity: Pain, discomfort, or swelling in the vicinity of the extracted tooth is not unusual. The application of ice to the affected area can prove beneficial in mitigating swelling.
  • Bruising: Temporary bruising may emerge on the cheek and neck regions as a consequence of the procedure.
  • Maxillary Stiffness: For a limited duration following the extraction, mouth opening and closure may entail heightened discomfort and pain. During this phase, opting for soft foods is advisable.

Wisdom Tooth Extraction at Chantepoulet Clinic

Wisdom Teeth

Wisdom teeth, medically referred to as third molars, constitute the final set of teeth to emerge within the oral cavity.

However, the eruption of wisdom teeth is seldom unaccompanied by complications when adequate space for their proper development is lacking. In such instances, these teeth may become impacted or semi-impacted, thereby engendering the potential for localized inflammation or infection, cyst formation, resorption of neighboring tooth roots, and the development of cavities. Consequently, the extraction of wisdom teeth is often recommended.

On occasion, wisdom teeth may fully emerge into the oral cavity. However, diligent and thorough brushing is imperative to forestall the onset of cavities.

Step-by-Step Wisdom Teeth Extraction Procedure

Oral and Radiographic Examination.

In certain cases, a 3D cone-beam scan may be required, primarily contingent upon the proximity of the dental nerve to the tooth roots. This precautionary measure serves to mitigate any potential risk of injury to the mandibular nerve during the surgical procedure.

Wisdom tooth extraction is conducted under the administration of local or general anesthesia. The determination of the anesthesia type is meticulously deliberated during the preoperative consultation with the surgeon. In cases warranting general anesthesia, it is skillfully administered at the clinic through the expertise of a dedicated team of specialized anesthesiologists.

Optimally, wisdom teeth should be removed between the ages of 16 and 20. Within this age range, the roots are comparatively shorter and incompletely developed.

Concluding Thoughts on Wisdom Teeth Extraction for Optimal Oral Health

Wisdom teeth extraction is a pivotal component of ensuring optimal oral health. This procedure plays a crucial role in minimizing the likelihood of future dental complications, including:

  • Periodontal diseases
  • Cavities
  • Damage to adjacent teeth
  • Alignment issues

If you find yourself uncertain about the wisdom tooth extraction process for your teenager, we encourage you to reach out to the Chantepoulet dental clinic