Not for the first year, mankind has been concerned about various issues related to the growth of wisdom teeth. At what age do wisdom teeth erupt? What are the signs of eruption? Are wisdom teeth really necessary in everyday life? Dentists around the world answer that wisdom teeth are not a punishment, and in some cases they are very important.
A little about "wise" teeth
Wisdom teeth are not so named because they add a bit of wisdom and life experience to their owner. They are named so due to the fact that their growth begins at the age of 18-20 years. It is believed that at this age a person begins to grow up.
In medicine, they are called the third molars or “eights”, since the wisdom teeth are the eighth in a row. Moreover, the crown of these teeth vaguely resembles the number 8.
For our ancestors, wisdom teeth served as additional chewing teeth, helping to thoroughly chew coarse and fibrous foods. Therefore, the jaw of our ancestors was wider by about 1.5 cm. In the course of evolution, the need for third molars disappeared. Now they are rudimentary, that is, teeth that have lost their intended purpose.
When does a wisdom tooth begin to grow?
In the laying and growth of milk teeth, wisdom teeth are not provided. They appear only after the roots have erupted. At the beginning of the period of molars eruption, a crown is formed, and towards the end, roots are formed. And only then the wisdom tooth is cut.
Most often, the growth of "wise" teeth begins at the age of 18 years (give or take a couple of years). In general, the time when wisdom teeth grow is individual. But this time period is the most optimal. There are times when wisdom teeth can begin to grow even after 30. Such cases are rather an exception to the rule.
However, if the growth of "eights" did not begin at a young age, there is no guarantee that it will not begin at a later age. In medical practice, there are cases when wisdom teeth began to grow in adolescence. Naturally, this also occurs as an exception. Such early eruption is fraught with severe destruction of not yet fully strengthened teeth.
How long does a wisdom tooth grow?
No one will name the exact figure, up to the number of days or weeks. Eruption can take a couple of weeks, or it can take several years. To understand why the process may be delayed, it is worth familiarizing yourself with the eruption mechanism. Its essence is that the eighth molars have to break through bone tissue and firmer gums.
Some people cut their teeth quickly and painlessly, while others have to suffer from severe periodic pain for months. Everything is purely individual. It is impossible to predict how the process will go exactly in your case.
How to understand that a wisdom tooth is growing?
The beginning of the growth of "wise" teeth is accompanied by certain signs:
- Pain at the cutting site. Its type and intensity cannot be predicted. In each case, everything is individual. It can last only a couple of days and cause little discomfort, or it can be unbearably strong, cutting. Painful sensations accompany the entire period when the tooth climbs;
- Swelling of the gums. The eruption process is accompanied by edema and swelling. This is a normal occurrence and should not be panicked. But if you notice that the gum is too swollen, has a bright red color, and the pain is unbearable, then contact your dentist immediately. It is possible that the process went wrong, and a complication began - pericoronitis;
- Possible increase in body temperature. In dentistry, it is not uncommon for a temperature to rise during eruption. The reason for everything is the supporting forces of the human body;
- The cheek swells on the side where the erupting tooth is located. In the event that the molar is located incorrectly, for example, horizontally, its growth can be directed towards the cheek. This traumatic factor causes swelling;
- Sore throat. Occurs when joining infectious process. During eruption, the mucosa is very vulnerable to infection. It is worth paying due attention during this period to oral hygiene. You can rinse your mouth with antiseptic solutions;
- Difficulty or inability to open the mouth. In medicine, this phenomenon is called trismus. This is due to the progressive inflammation that has passed to the masticatory muscles.
As you can see, some of the signs are pretty harmless. But there are those that require the intervention of a dentist. If you notice these signs of teething, contact a specialist. The doctor will conduct an examination, assess your condition and develop further tactics.
Inflamed gums: why does it hurt?
Inflammation of the gums is associated with the process of teething itself. But if the pain and severe swelling do not go away for a long time, you should think about pericoronitis. Pericoronitis is an inflammation of the tissues surrounding the crown of the tooth.
The fact is that during the cutting of a “wise” tooth, a so-called “hood” is formed on the gum. It is a part of the gum mucosa, slightly elevated above the surface of the crown. Remains of food fall under the hood, which are an excellent breeding ground for bacteria.
If hygiene is not observed, these bacteria can enter the injured mucosa and cause inflammation. Pericoronitis begins acutely. The patient notices that the gum is very swollen, and the pain intensified. The pain is throbbing, throbbing. The temperature rises to 37-38oC. In this case, you should immediately contact your dentist.
To alleviate the condition, rinsing with a solution of soda with salt or antiseptics is used. For severe pain, you can take an analgesic tablet. In no case should you warm the cheek from the side of inflammation! This is fraught with the development of an abscess or phlegmon.
Complications
Often, when cutting, certain difficulties arise. They are not too dangerous, but it is worth paying due attention to them. If this is not done, they can lead to serious complications. What are the complications:
- Pericoronitis. As mentioned above, this is inflammation of the tissues surrounding the crown. It is treatable and does not pose a particular danger, if you do not delay the visit to the dentist and follow all his instructions. Otherwise, pericoronitis can lead to an abscess or cellulitis. These purulent inflammatory processes are dangerous because they can develop into formidable diseases - osteomyelitis, meningitis, mediastinitis or sepsis. All diseases threaten health, as they are difficult to treat and have increased mortality;
- Dystopia of the third molar. Dystopia is called the wrong position during eruption. The tooth can be positioned horizontally or at an angle. Most often, this complication causes the destruction of the adjacent tooth, therefore, the removal of the molar is indicated;
- retention. This term refers to a partially erupted or non-erupted tooth. As long as the condition does not affect adjacent teeth or cause pain, it is harmless. But if an impacted tooth causes severe pain or destroys the roots of a neighboring tooth, then the dentist will remove it without waiting for eruption;
- The defeat of an unerupted tooth by caries. Such a tooth can cause inflammation or spread of the lesion process to the adjacent tooth. In this case, the "eight" is removed as soon as it cuts through.
What if the wisdom tooth grows on the cheek?
When "wise" teeth do not grow properly, they can injure surrounding tissues. Due to the horizontal position, the molars can grow towards the cheek, thereby injuring it in the process of growth. Contact your dentist for advice. With a high degree of probability, you will be offered a removal procedure in order to stop trauma to the mucosa.
And if during pregnancy a wisdom tooth began to grow?
If a pregnant woman has begun to erupt third molars, she needs to visit a dentist. In the case when the teeth do not pose a threat to the health of the woman and the child, they will be left alone until the end of the postpartum period. But if the gum is very swollen or the molar rests against the adjacent tooth, the dentist will take appropriate measures.
It is noteworthy that to carry out dental treatment a pregnant woman can only be in the 2nd trimester. In all other cases, treatment is carried out only if there is a threat to the life of the mother or child. A pregnant woman can relieve the condition by rinsing with solutions of chlorhexidine, soda or salt. The use of analgesics is undesirable.
Toothache: how to anesthetize when teething
In order to relieve pain during teething, the following methods will help:
- Rinse with a solution of baking soda and salt. In warm water, dissolve a teaspoon of salt and soda. You can add a drop of iodine. Cool to room temperature and rinse several times;
- Solutions of antiseptics, such as miramistin, chlorhexidine or furatsilin, will help get rid of pathogenic microflora in the oral cavity;
- The use of decoctions medicinal herbs for rinsing. Decoctions of chamomile, sage or calendula have anti-inflammatory and mild antimicrobial effects;
- Oil applications tea tree. It disinfects and relieves inflammation. But you should be careful not to burn the mucous membrane;
- The use of painkillers (for example, analgin, nurofen, ketanov, tempalgin). Painkillers should be used internally, not externally. Lotions with analgesics can further damage the mucous membrane;
- Cold compresses on the cheek. A short exposure to cold will relieve the pain.
It seems that there is nothing worse than a sick wisdom tooth. Why does pain occur, how to reduce it, and when should a wisdom tooth be removed?
Perfect jaw
Formation process permanent teeth lengthy, it takes more than one year. What will permanent teeth, largely depends on the anatomical and physiological features of the structure of the jaw of a particular person, on the shape of the bite of milk teeth and on the state of the oral cavity in childhood. The period of eruption of the first permanent teeth approximately falls on the age of 6-7 years. Then, in a certain sequence, the anterior teeth, canines and premolars begin to change. This process continues for 4-5 years and by the age of 12-13 the child already has all permanent teeth, except for the last ones. chewing teeth- third molars.
Usually, the process of eruption of permanent teeth does not entail any consequences, they quite easily replace their predecessors. But with third molars, in many cases, things are completely different.
Why there is pain when teething eights
By the age of 16-25, when the jaw acquires its final dimensions, the last chewing teeth suddenly decide to appear - figure eights, or as they are also called - wisdom teeth.
If the maxillofacial apparatus prepares ahead of time for the replacement of milk teeth with permanent ones - the interdental spaces increase, the jaw expands, then at the age of 25 these processes no longer occur, because the growth has stopped long ago and there is especially nowhere for the spaces between the teeth to expand. Precisely because the jaw has already grown and cannot increase in size anymore, there is a problem with the eruption of eights.
There is a relatively small percentage of people whom nature saved from the torment of the eighth teeth in advance, they simply do not even have the rudiments of these teeth. More recently, there was an opinion among doctors that the eighth teeth do not carry any semantic load, they are rudimentary and do not participate either in the formation of the bite or in the act of chewing. Therefore, at the first opportunity, they tried to remove them as useless.
But, nevertheless, most people still have the beginnings of eights in the jaw, and at the right time they begin to deliver a huge amount of pain.
Teething of wisdom teeth is a process extended over time. They either activate for a few days, then subside.
The thing is that in order to appear in the oral cavity, eights do a lot of work. First, there is a resorption of the dental tissue in the area of the third molars, a bone tunnel begins to form, along which the future eight will move outward. Then the tooth needs to thin the gum and only after that a small part of the crown appears. To fit in the jaw, the figure eight pushes ahead standing teeth thus freeing up the necessary space. These processes are the most painful. There is only one consolation, from the moment of the “birth” of the chewing part of the crown, the pain sensations become dull for a while, or even stop altogether. By the way, dentists have found even the most active teething hours - as usual, this falls on the night period from 10 pm to 1 am.
Unfortunately, the lull lasts until the tooth decides to take root, i.e. take root in the jaw. This process is perhaps the most painful for most people, and it is during this period that phenomena such as fever, earache, and throat pain occur. Sometimes it hurts not only the place where the tooth erupts, but the whole jaw and even the head. In addition to the fact that the eight actively proves its right to exist in the oral cavity, it somewhat disrupts the work of the temporomandibular joint, inside which passes facial nerve. The whole set of factors contributes to the development of the existing symptoms.
How to facilitate the eruption of a wisdom tooth?
First of all, you need to understand that the process of teething rarely goes unnoticed by any of the people. In most cases, it delivers discomfort - someone has a little more, someone less. However, this is not a reason to panic, you just need to help the tooth a little, and yourself at the same time.
Location of wisdom teeth
To reduce pain and swelling in the jaw, it is recommended to rinse the mouth with decoctions of plants - chamomile, sage, eucalyptus, oak or willow bark, birch leaves. You can also make rinses from soda with iodine - a teaspoon of soda and 3-4 drops of iodine are needed for a glass of hot water. Can be added to rinse aroma oils- mint, fir, tea tree. It relieves pain well, and at the same time disinfects the oral cavity, 0.05% chlorhexidine solution. It is not forbidden to take painkillers - Solpadein, Ketanov, Ketolak, Nimesil, Aktasulide. However, you should not get carried away with them, it is best to take them after meals, so as not to harm the gastric mucosa.
Normally erupting teeth such help will be enough.
When should you go to the dentist?
The first sign of beginning trouble is a strong, pulling or It's a dull pain in the gum and jaw, bad smell from the mouth, the inability to open the mouth in full, swelling of the cheeks and fever.
It is better not to joke with such symptoms, and expectant tactics are inappropriate here. The best decision is to make an appointment with the dentist. No, this does not mean that you will definitely need to remove the tooth! As a rule, the doctor examines the oral cavity, takes an x-ray and makes his verdict about the tooth.
pericoronitis
In most cases, pain and swelling in the gum area indicates the onset of pericoronitis - infection of the gum pocket above the crown of the tooth. Due to the fact that oral hygiene during the eruption of a wisdom tooth is difficult, food accumulates under the overhanging edge of the gum and microbes multiply, which lead to inflammation of the surrounding tissues. In this case, the problems are fixed quite easily. The doctor, under local anesthesia, will make a small incision in the area of the erupting tooth, free the crown part from the hood and that's it, the pain will go away the very next day.
Caries
More pain may appear due to the development of a carious process in the figure eight. Not only are these teeth already prone to carious damage, but also difficult dental care contributes to the development of caries. What to do with such a tooth, the doctor will say after examining and examining the diagnostic x-ray image. If the caries is not deep and is located on the near part of the crown, then the tooth can be saved. To date, the hype about the total removal of carious wisdom teeth has subsided, and doctors are more reserved about such removals.
To eliminate caries in the eighth tooth, the dentist will perform anesthesia, clean the cavity in the tooth from dead tissue and cover the tooth with a filling. If, in the process of preparation (cleansing the tooth from caries), the pulp chamber opens, then you will have to act according to the situation - with good access to the canals of the tooth, they try to clean the pulps (of the neurovascular bundle that feeds the tooth) and seal all the canals. And only in the absence of good visualization of the canals, the tooth is removed.
Oral cavity
Do not think that the wisdom tooth is removed at the request of the dentist. There are indications and contraindications for this. An important point in deciding whether to remove or save a tooth is the presence of an antagonist on the opposite jaw. The fact is that the tooth of one jaw should close on the tooth of the opposite jaw. In other words, the eighth tooth on the bottom right, when the jaw closes, should rest against the eighth tooth on the top right. Otherwise, the tooth, not finding any restraining factors, without having an emphasis on top, will move further and further. Thus, it will protrude so much that it will prevent the entire jaw from closing properly and exclude all other teeth from the chewing process.
Also, a wisdom tooth must be removed if it does not have enough space for full eruption and further growth. As a result, this can lead to crowding of teeth and new, already orthodontic problems - you will have to push the adjacent teeth apart to make room for the figure eight.
Tooth grows in the wrong direction
Dystopia - an altered position of the tooth in the jaw arch, an extremely unpleasant phenomenon, which sometimes leads to serious problems. A dystopic tooth can grow in any direction - towards the cheek, towards the temporomandibular joint, and even towards the front tooth.
How a wisdom tooth is removed
If the position of the tooth is not very different from the norm, it is slightly polished so that it does not injure the mucous membrane of the cheek and does not disturb the bite. In the case when the dystopia is pronounced, the tooth has to be parted.
The cause of improper tooth growth can also be congenital anomalies jaws. For example, if the jaw is short and narrow, then the wisdom teeth have no place in the mouth, and they are forced to grow sideways. In such situations, it is recommended to part with the eighth teeth as soon as possible, there will still be no sense from them, but a huge number of problems will appear.
Impacted eights - what is it?
If the dentist says that the eights are impacted, this means that the wisdom teeth could not make their way into the oral cavity and remained lying in the jaw bone or under the gum. Such teeth can remain unerupted for life without causing the slightest concern. However, impacted eights often have to be removed due to the fact that they put pressure on the roots of the teeth in front or carious processes develop in them.
Extraction of the eighth tooth
How is wisdom teeth removed?
Many people, after reading the reviews of patients, decide for themselves that the removal of eights is a very dangerous and painful matter.
In fact, things are somewhat different. Firstly, it is not painful to remove a wisdom tooth, because the doctor is always done anesthetic injections in such an amount as to completely turn off the sensitivity in this zone. The dentist is not an inquisitor, and he also does not like to see the patient suffer. Secondly, not all eights have crooked roots, which, as you know, makes it difficult to remove them. Wisdom teeth are famous for their bizarre shapes, that's a fact. But it is also a fact that many eights have only one root, or three, but straight ones. Therefore, the extraction of the eighth tooth should be regarded as a normal extraction, and not as exceptional case. As for the impacted and incompletely erupted teeth, then, indeed, the qualification and experience of the doctor is necessary. Such teeth are somewhat more difficult to remove and the healing period is slightly stretched in time.
X-ray of the jaws
In terms of timing, the removal of a wisdom tooth can take from 30 minutes to an hour, rarely this procedure drags on for an hour and a half. Of this time, anesthesia takes about 15 minutes.
At the end surgical treatment, the doctor will put in place extracted tooth gauze swab, which after 15-20 minutes you need to spit out. It is needed to finally stop the bleeding from the hole.
What is possible and what is impossible after removal?
After removal, it is necessary to follow a number of rules that will help faster and better healing of the hole.
1. Do not rinse your mouth intensively for several days after removal. Formed in the socket of the tooth blood clot, which protects it from infection with microbes, which are abundant in the oral cavity. If a blood clot falls out of the tooth, you need to go to the dentist - he will put a special antimicrobial medicine into it.
2. As long as the anesthesia works, it is not recommended to eat. This is due to reduced sensitivity of the lips, cheeks and tongue and a high risk of injury to the mucosa. At this time, you can drink warm sweetened tea or plain water, it is best to do this through a straw.
3. Within 2-3 days after removal, it is not advisable to take a hot bath, visit saunas, baths, or perform hard physical work. Hot water and physical exercise expand blood vessels and can cause bleeding from the socket.
4. For the healing period, the hole should be chewed on the other side of the jaw. By the way, in order for the patient to have the opportunity to chew food, the teeth are never removed simultaneously from both sides of the jaw. Food should be warm, not hot, preferably liquid or pureed.
5. Contrary to popular belief, you should not rinse your mouth with various herbal decoctions or other disinfectants. The tooth socket should heal on its own, without the active participation of a person. In cases where admission is required medicines(for example, antibiotics), the doctor will definitely tell you about it. Moreover, it will assign a certain kind medicines, which will be most effective in this case.
6. Sometimes, after complex removal figure eight, it can be difficult to open your mouth wide. You need to tell the dentist about this, he will advise exercises to develop the joint.
7. A slight swelling and soreness of the cheek in the area of removal is quite normal, in a few days all the symptoms will go away on their own.
Usually, the healing period lasts 4-5 days, but if any difficulties arise, you should not let the process take its course or self-medicate - visit the dentist who performed the removal, he will tell you how to fix the situation.
Most discomfort during eruption, wisdom teeth are delivered to a person.
They make room for themselves in the jawbone, literally pushing the neighboring molars apart, causing unbearable pain.
For this reason, many patients ask specialists to remove the “eights” even at the eruption stage.
Whether there is a need for this, and what are the causes of the painful symptoms, you will learn further.
Experts refer to wisdom teeth as third molars. They are the concluding in the formation of 32 human teeth. Unlike other constants, they do not have dairy predecessors.
For this reason, wisdom teeth do not have a ready conducting canal. Accordingly, this feature complicates the process of their eruption, since they have to make their own way out.
The rudiments of the eighth molars are formed in the lower and upper jaw aged 6 to 14 years. However, this process can take up to 40 years.
The order and speed of eruption are purely individual for each person. Although for some, third molars never appear throughout life.
signs
The clinical picture of the eruption of the eighth molars can be of two types - physiological and pathological.
The first includes the following symptoms:
- slight discomfort in the area of eruption;
- feeling of expanding gums;
- compaction of soft tissues in the area of eruption;
- the need to chew on something hard.
Etiology pathological can be presented:
- Sharp pain in the jaw tissues. Since the third molar does not have a milk predecessor, it has to make its way out on its own. When the tooth passes through the bone tissue and soft outer tissues, pain occurs.
- Inflammation of the gums in the area of \u200b\u200blocalization of the wisdom tooth. The pathogenic process can be triggered both by the difficulties of eruption, and by infection in the tissues around the area where the molar appears.
- Etiology, against which the gums and oral mucosa swell. A noticeable symptom is observed during improper eruption"eight".
- Receding gums and the formation of tissue that hangs over the crown of the tooth. Experts call it the "hood". When food debris accumulates under it, which are difficult to clean out during normal oral hygiene, chewed foods become a source of bacterial inflammation.
- Pathology, which is characterized by an increase in the lymphatic submandibular nodes. The origin of this etiology may be inflammatory process oral cavity of any kind, which occurs against the background of the eruption of the molar.
The most difficult process of the appearance of wisdom teeth can be accompanied by a temperature increase above 38 0 C, symptoms of intoxication, general malaise, headache. AT rare cases, a person has discomfort in the throat, ear, neck area.
If symptoms of a pathological nature appear, you should immediately seek help from a dentist. Ignoring the problem can have dire consequences.
Complications
The process of teething wisdom teeth can provoke the appearance of a number of complications, which can be recognized by their own symptoms.
pericoronitis
Inflammation of the gums that surrounds the eruption of eighth molars is the most common type of complication.
Against the background of pericoronitis, swelling of the soft tissues on the edge of the jaw and in the cheek area, pathological fever, and general weakness can be observed.
The inflammatory process can cause acute pain, while the crown of the tooth may not yet be visible on the gum surface.
The described clinical picture is provoked by pathogens that penetrate the tissues when the gums are damaged by the sharp end of the molar. Pathogenic microorganisms multiply in the tissues due to the accumulation of food debris under the hood of the tooth.
Progression of pericoronitis - fraught with painful movements of the jaw, especially during the opening of the mouth. This is due to the further spread of inflammation in the jaw muscles.
Ignoring the problem can result in the development of purulent foci, damage to the molar, its root, jawbone, and neighboring teeth.
Periodontitis
The inflammatory process, the development of which experts observe after the appearance of a wisdom tooth, is characterized by the defeat of pathogenic organisms in the area between the crown of the molar and the gum.
Periodontitis occurs due to insufficient tooth hygiene due to its specific location. Only during professional cleaning you can completely clean the molar from food debris and plaque.
The activity of bacteria leads to swelling of the soft tissues of the oral cavity, cheeks, and the appearance of acute pain. In the people, the end result of this process is referred to as a flux.
Ignoring the problem is fraught with deterioration general condition organism, its intoxication, the penetration of inflammation into the jaw bones.
Submandibular lymphadenitis
Increase lymph nodes may be caused by an infection in the mouth.
The reason for this is the incorrect eruption of the molar, which is accompanied by swelling of the tissues and the reproduction of bacterial microflora.
At the same time, against the background of lymphadenitis, the submandibular tissues become painful and reddened.
Dystopia
Dystopia is a phenomenon characterized by improper placement of the molar relative to the dentition.
This diagnosis is most often inherent in the "eights". Dystopia develops due to lack of space for healthy molar growth.
Wisdom teeth can rest with a crown on the root of an adjacent tooth, erupt perpendicular to the cheek.
Such a defect is the cause of the formation of ulcerative areas of the mucosa. In addition, improper growth of the third molars can lead to malocclusion.
retention
For many years, a person may not feel any discomfort or pain regarding the third molars. However, the eruption process has already been started, although it has not reached the final point.
The tooth continues to remain under the gum or in the bone tissue. This phenomenon is called retention.
In the future, the "eight" may begin to put pressure on a nearby molar. Against this background, painful aching sensations arise in the jaw and tissues surrounding the tooth, less often in the throat and head.
Such clinical picture may be either permanent or intermittent.
Cyst
You should contact a specialist if at the same time painful sensations you have bulging gums.
There is a possibility of developing a cyst - a benign neoplasm - a capsule filled with fluid, as well as dead tissues.
The presence in the oral cavity of a chronic inflammatory process and prolonged eruption of the tooth causes such a critical etiology.
Inflammation of the trigeminal nerve
Problematic teething upper teeth wisdom can provoke inflammation of the trigeminal facial nerve.
The first signs are observed in the form of twitching of the facial muscles. Then there is soreness of the skin on the side of the eruption of the eighth molar, which develops into a sharp twitching sensation.
In advanced cases, facial paralysis may develop.
Caries
The incorrect position of the eighth molar in the dentition can lead to the development of a carious process.
In particular, this is due to the tight fit of the crown of the wisdom tooth to the crown of the adjacent one.
Due to the complication of hygiene in the interdental passage, food debris accumulates there, which is an excellent focus for the development of caries, which initially touches two adjacent molars.
Abscess
Often purulent inflammation appears in those who are catastrophically afraid to seek help from a specialist and withstand all the permissible stages of improper teething.
An abscess is characterized by symptoms such as fever, bad breath, swelling of the gums (sometimes cheeks and neck), and throbbing pain.
Phlegmon
The infinity of the abscess or its breakthrough in soft tissues causes the development of an extensive inflammatory process. It can penetrate the bone tissue, touch the face area and be fatal to a person in case of blood poisoning.
This complication is characterized by extensive swelling, which is localized, starting from the submandibular tissues and ending with the cheek and eye area. With acute pain, it is not possible to swallow, speak and chew normally.
The formation of phlegmon is accompanied putrid smell from mouth, increased salivation, symptoms of intoxication of the body.
For violations and pathologies during the eruption of wisdom teeth, see the video.
How to make it easier
Draw up a plan of action to eliminate unpleasant symptoms Eruption of a wisdom tooth can only be done by a specialist after an X-ray examination.
The presence of a picture allows you to determine the degree of the problem and the absence of indications for resection of the molar.
Often, the patient is prescribed anti-inflammatory and analgesic drugs, and in difficult cases, antibiotic therapy.
So, you can relieve inflammation and normalize the temperature with Nurofen, Ibuprofen or Paracetamol. Pain perfectly eliminate Ketanov, Spazmalgon, Pentalgin. It is advisable to take antiseptics during teething:
- Furacilin;
- spray Miramistin;
- Chlorhexidine solution.
Puffiness is removed by Holisal, Metrogyl-Denta or Kalgel gel.
Nobody canceled traditional medicine either:
- Sage. You can relieve the symptoms of teething by rinsing oral cavity decoction of sage. To do this, add 1 tbsp to a glass of boiling water. l. plants. Then the resulting mixture is infused for an hour.
- Oak bark. Excellent tool to relieve puffiness, as well as eliminate signs of the inflammatory process, a traditional decoction of oak bark is used. Its preparation is carried out by bringing to a boil a mixture of half a glass of boiling water and st. l. bark. Rinse the mouth with the cooled solution.
- Soda-salt solutions. to traditional antiseptics include soda-salt baths. For this, Art. warm water dissolve 1 tsp. drinking soda and sea salt, adding a few drops of iodine. The antiseptic solution is kept in the mouth for 3-5 minutes. Such manipulations can be carried out up to 3 times a day.
Is it necessary to remove
Many experts are of the opinion that it is necessary to remove the eighth molars as early as adolescence, while the root system of the teeth has not yet formed, and the jawbone has not thickened.
However, not all dentists agree with this method of preventing the complications of teething "eights".
Not the fact that future molars will be painful and create problems. Besides, modern medicine offers a complete and high-quality treatment of such difficult teeth. It is not advisable to resect the molar, in cases where there is no interference with eruption, and if the eighth tooth can play the role of a support for prosthetics.
Be that as it may, the decision to remove the molar is often made by the dentist on the basis of an x-ray examination.
You can learn more about whether wisdom teeth need to be removed from the video.
Erupting last, they try to make as much space in the jaw as possible for themselves, while causing a lot of pain. A person is looking for a simple solution to all the problems associated with wisdom teeth in their removal (sometimes even at the eruption stage). Before rushing to remove a tooth, you need to carefully understand all the nuances of its eruption.
Each person's wisdom teeth erupt in different ways, so the eruption period is purely individual. For one person, this process begins earlier, for another - a little later. Sometimes the first eight cuts through already when a person reaches the age of sixteen, but there are cases when at the age of forty it only begins to cut. But, as a rule, all eights erupt in a period of sixteen to twenty-five years. Deviations from the terms are not considered signs of the disease, but still should instill alertness in the patient. If by the age of twenty-five there is not the slightest sign of eruption of eights, then this is a serious reason to visit your dentist. Only after such a visit it will be possible to find out whether the germ of the wisdom tooth has been formed in the gum or whether retention has occurred.
Main symptoms
Symptoms of teething are very diverse, starting with their complete absence and ending with unbearable pain, swelling of the gums and cheeks, sometimes even fever and malaise. The symptoms of teething eights for each person are individual and depend on the characteristics of the body.
Most often, the eruption of a wisdom tooth is characterized by the following symptoms:
- Painful sensations in the jaw, which indicates that the molar is making a path through the bone tissue and gums;
- Pain during swallowing, which, as a rule, occurs due to inflammation of the gums in the area of the third molar;
- Swelling of the gums of the mucous membrane, which is often accompanied by the eruption of eights;
- The presence of a "hood" covering upper part erupted wisdom tooth;
- The presence of an infiltrate under the “hood”, which is formed as a result of food residues falling under the “hood”, which contributes to the active reproduction of pathogenic bacteria.
If you do not give these signs the necessary attention, then this can lead to the development serious complications: phlegmon, abscess, osteomyelitis. Therefore, if you have the described symptoms, you should consult a doctor. In most cases, the timely excision of the "hood", which interferes with the normal eruption of eights, alleviates the person's condition.
Particular alertness should be caused by severe swelling of the gums and cheeks in the area of the wisdom tooth, as well as fever body. These symptoms often indicate the development or inflammation of the "hood". If you do not pay attention to such an inflammatory process, then an abscess forms in place of the "hood", which can cause blood poisoning. Therefore, when the first symptoms of a wisdom tooth appear, you should immediately visit your dentist. He will check the correct position of the third molar and its safety for the roots of adjacent teeth.
Features of eruption and growth
Eights erupt and grow not without problems. It is necessary to take into account the fact that this process begins at a time when the remaining teeth have long been formed and have taken their place, and the jaw itself has narrowed somewhat with age and decreased in size. Therefore, the later the process of eruption of eights begins, the more problems it causes.
The greatest difficulty in eruption of the wisdom tooth is that it does not have enough space in the dentition. This is what becomes main reason the development of inflammation of the "hood" - pericoronitis. If the disease becomes chronic course, then this leads to thickening and soreness of the mucous membrane above the tooth, as well as the formation of the so-called fibrous tissue. This, in turn, leads to an even greater complication of the process of eruption of the figure eight. The "hood" formed over it is removed by surgical intervention.
Features of the eruption of eights often manifest themselves in the form of retention and dystopia. Retention is the retention of a tooth in the jaw bone, that is, partial eruption or non-eruption at all. Retention is often provoked by the incorrect position of the eight or dystopia. If the location of the tooth in the gum is horizontal, then its eruption will not occur, but as it grows, it will rest against the roots of the neighboring one, causing its destruction.
If this happens, or if it injures the mucous membrane of the oral cavity, then it will be necessary to get rid of it. Otherwise, an incorrectly placed figure eight will destroy healthy tooth, and both of them will have to be deleted at the same time.
How to Reduce Wisdom Tooth Symptoms
During the growth of the third molar, often very painful symptoms occur. It is impossible to somehow speed up the process of eruption, but on the other hand, it is possible to alleviate the pain of the process of tooth growth. To do this, in no case should you heat the gums and cheeks. Heat only activates the inflammatory process and contributes to the spread of infection to nearby tissues, which causes suppuration of bone tissues. Therefore, if the gum, cheek or jaw hurts, you can not apply a heating pad to your cheek and rinse your mouth with hot infusions. It is better to rinse your mouth with a cool solution of water, soda and salt before making a visit to the dentist, it disinfects the oral cavity well and removes food residues - this will help relieve pain in the gums.
If the pain is unbearable, you can take analgin, tramadol, but you can not apply an anesthetic tablet directly to the gum of the wisdom tooth. The pill works only when taken orally, and on the gum it can lead to the formation of a painful ulcer, which will also add suffering and discomfort.
If a “hood” is formed over the tooth, you need to go to the dentist and remove it. The main thing that a specialist will tell you after excision of the “hood” is that you need to systematically rinse your mouth with an antiseptic solution - this will help to avoid infection in the wound.
Thus, almost every second person feels pain during teething, but this does not mean that he may simply need to be treated.