Eruption of wisdom teeth. Wisdom teeth are being cut: causes, associated symptoms, solution to the problem

It is more difficult to identify signs of teething in adults than to recognize the appearance of the first primary incisors in children. In the first case, the process can also cause discomfort and interfere to the usual way life. In some cases, in adults, not all wisdom teeth appear on the surface, but only some elements.

Active growth of the last molars is observed after 20 years. The remaining 4 units may appear on the surface and more late age.

Features of growth and development

At what age do the last molars appear on the surface? The rudiments of elements are formed in children at the age of 3. Therefore, any disturbances in the prenatal period, malnutrition or childhood traumas are reflected in the structure of the eights and affect the time of eruption. For full formation the last molar takes much longer.

There are several stages of growth for eights: at 17-22 years old; at 25-35 years old; at 30-40 years old. Elements may not appear on the surface at all. Incomplete wisdom teeth (1, 2 or 3 erupted units) are common.

The number of eights that come out depends on several factors:

• heredity;
• presence of chronic diseases;
• the number of formed primordia;
• shape and size of the jaw.

The process of tooth growth begins at 3 years of age and ends by 14-16 years of age. The process of formation of the last elements can take 25 years or more. The speed of cutting units depends on anatomical features the structure of the patient's jaw and the impact external factors(environment, food consumed, bad habits).

First, the crown of the wisdom tooth is formed, and only then the root and process.

The primary symptoms of the condition are itching in the gum area, swelling of soft tissues. After a certain time, the tip of the crown appears on the surface of the gum. The full eight will only come out in a few years.

During intensive growth a person may feel discomfort in oral cavity. When teething slows down, the discomfort disappears. If we compare the process of teething in children and adults, we can note a significant difference. In babies, both the crown and the outgrowth of the mammary unit are immediately formed. For the last painters, only the crown is formed. The root development process may take another 3-4 years.

Early signs

The appearance of the last unit is accompanied by more clear signs, since there was no milk precursor in its place.

Among characteristic features eruption can be noted:

• pain, which in the most difficult cases provokes loss of consciousness;
• increase in body temperature to 39-40 degrees (usually observed with the development of infectious complications);
• swelling of the soft tissues of the mouth - cheeks, palate, gums;
• inflammation of the bone structures of the jaw and its destruction under the influence of pathogenic flora;
• formation of ulcers in the oral cavity;
• increase lymph nodes under the jaw.

Peculiarities of eruption of the last molars

In most adult patients, the process is accompanied by malaise and painful sensations. Often the condition requires medical attention. The danger of teething eights is due to the fact that the jaw of an adult patient has already been formed, and the remaining teeth have taken a certain place. If the last element does not have enough space in the oral cavity, then it begins to displace neighboring units or grow towards the cheek.

Pathological eruption is accompanied intense pain, severe swelling, rising temperature, unpleasant smell from the mouth, as well as temporary disability. There are several types of abnormal placement of wisdom teeth:

• horizontal;
• retent;
• rotated around its axis.

Often the figure eight is covered on top by a hood, which during the process of eruption becomes inflamed and causes pain. Food falling on the hood of a wisdom tooth creates favorable conditions for development dental diseases– caries, pulpitis, periodontitis, etc. With this problem, there is only one way out - remove the hood using surgery, and with it the problematic element. Symptoms of complications due to untimely medical care: inflammation of the lymph nodes, pain when swallowing saliva and food, purulent discharge when pressing on the gums.

Signs associated with pathological eruption are manifested by neurological problems, cysts on the root of the tooth, which should be removed at the beginning of development to prevent complications. The process of removing a figure eight is a difficult task, especially if the figure has crooked roots or is not positioned correctly in the mouth. After surgery, patients often complain of discomfort in the area of ​​the removed unit. Normally, discomfort should disappear after 2-3 days.

Retention or incomplete eruption of wisdom teeth causes considerable problems for patients. Such cases require removal of the unit. Signs of retention:

• swelling of the gums;
• lack of visualization of the tooth on the gum surface;
• redness and soreness of soft tissues in the eruption area;
• temperature increase.

Retention may not be accompanied by discomfort.

Often the unit climbs towards the seven and injures it. If the wisdom itch constantly presses on the neighboring tooth, then the enamel of the latter is gradually destroyed, which leads to caries.

Should I keep or delete the problematic unit? Only a doctor can answer the question after assessing the symptoms of the pathology and taking an x-ray.

You should not get rid of the figure eight on your own: these teeth may be useful in the future for attaching bridges to them and for other purposes. Direct indications for the operation are: the direction of growth of the element towards the cheek, horizontal position or lack of space in the oral cavity for complete eruption.

At a time when the last molars are growing, it is necessary to take especially careful care of the oral cavity. Between the figure eight and the hood, food debris accumulates, which is quite difficult to remove.

When cleaning the oral cavity, it is better to use not only a brush and paste, but also an irrigator

After each meal, the mouth is treated antiseptic compounds or a solution of potassium permanganate. These measures will prevent pathogenic flora from entering the erupting tooth.

What measures to take if your wisdom tooth hurts? There is no need to constantly take painkillers in the hope that the situation will resolve itself. The first signs of illness require immediate appeal to the doctor. The problem unit will constantly remind itself if medical treatment is not carried out.

Dangerous symptoms

It is impossible to visually determine whether the last molar is positioned normally or crookedly. The final diagnosis is made only by x-ray. For crooked roots it may be necessary difficult removal tooth or sawing it in parts.

Untimely removal threatens the resorption of the roots of the wisdom itch and neighboring units, as well as the displacement of the seven to the wrong anatomical position.

A serious consequence of pathological growth of a wisdom tooth is an odontogenic cyst. The neoplasm also leads to disruption of facial symmetry

The reasons for the abnormal growth of the latest painters include:

• chronic bone diseases;
• hormonal imbalance in the body;
• metabolic disorder;
• oncology;
• incorrect location of the tooth germ.

It is worth noting the symptoms of wisdom tooth eruption, which require an immediate visit to the doctor. A dangerous complication is inflammation of the mucous hood or pericoronitis. When the disease is felt sharp pain, radiating into the ear and temples. It becomes difficult for a person to eat and communicate (due to bad breath). When you press on the inflamed mucous membranes, you may notice purulent discharge.

Pericoronitis can only be treated surgically. It is impossible to cope with the problem at home, even if you promptly and thoroughly treat the oral cavity with antiseptics. The surgeon opens soft fabrics with a scalpel and treats the wound with an antiseptic. Pericoronitis can recur regularly if a person does not have enough space for the wisdom teeth to fully erupt. In such cases, the doctor recommends removing the eights.

Emergency measures to eliminate signs of pericoronitis include treating the affected area with Miramistin and Chlorhexidine. Tempalgin, Ketanov and other NSAIDs are used to relieve pain.

If third molars appear on the surface affected by caries, then periodontitis may develop. Pathogenic flora from the enamel spreads to the roots of the tooth and soft tissues, causing a dental problem. Periodontitis occurs due to the presence of large amounts of hard and soft deposits on the surface of the units. Still others may have up to 5 roots, which complicates the process of treating them. In case of curved canals and the presence of many roots, the doctor prescribes removal of the problematic element.

A serious consequence of the problem under consideration is a dental cyst. The formation is a round cavity filled with liquid. You can understand that a cyst has formed by an increase in body temperature, swelling of the facial tissues on one side, and enlargement of the lymph nodes. On initial stages development benign education doesn't show itself at all. A cyst on the root of a tooth is treated with medication or surgery.

IN advanced cases Other serious pathologies may also develop:

• Flux is a purulent inflammation of the periosteum.
• Cellulitis – extensive inflammatory process soft tissues of the oral cavity and bone structures of the jaw.
• Osteomyelitis – purulent inflammation jaw bones.

To avoid the conditions described above, you should consult a doctor at the first symptoms of wisdom tooth growth.

Causes of discomfort

People of any age meet with this pathology. However, in practice, early wisdom tooth eruption (before 18 years of age) is rarely accompanied by pain. During adolescence, bone tissue is more susceptible to external influence, so it is easier for the last molars to take the correct anatomical position. To eliminate signs of discomfort, it is enough to make an incision in the gums at the site where the future element appears. The procedure is performed under local anesthesia.

Wisdom teeth currently play no role. They practically do not participate in the process of chewing food and do not affect diction. However, the release of these units outside complicates a person's life.

Causes of discomfort:

• The tooth is located under the gum at an acute angle and puts pressure on the root of the seven. In dental practice, parallel presentation is also encountered, in which the crown injures the soft tissues of the cheek.
• The crown of the eight has too big sizes compared to other elements in the series. In this case, there is simply not enough space for it to break through to the surface. The problem is more common in people with smaller body sizes.
• The appearance of caries in the enamel of the third molar. The problem manifests itself especially clearly if the crown long time breaks out. At this time, pathogenic bacteria have time to spread to the pulp and periodontal tissue. Signs of gum swelling appear as a result of impaired blood supply to the problem area.

After 30 years, gum tissue becomes denser and less elastic, so the eruption of the last teeth becomes more difficult.

Ways to fight

You can reduce pain symptoms before going to the doctor. To do this, gently massage the problem area with a piece of ice. Before the procedure, hands are washed with soap and disinfected. The movements are performed in a circle. The procedure helps relieve pain for 15-30 minutes without harm to health.

Do not intensively rub ice on the inflamed area. Otherwise, you can damage the hood of the wisdom tooth and cause increased bleeding and swelling. Massage using ice is performed for 5 minutes 3-5 times a day.

Before rubbing, nails must be trimmed to prevent injury to the mucous membranes and the spread of infection throughout the oral cavity. During your examination, your dentist will recommend a suitable anti-inflammatory ointment to relieve swelling in your gums and palate. Instead of an ice massage, mint candies or ice cream are dissolved. The products temporarily reduce the sensitivity of the problem area.

To properly grind food, it is not necessary to have a full row in your mouth. 28 teeth are enough for high-quality chewing of food, so when the first signs of pain in the eights appear, you should immediately visit a doctor so that he can assess the situation. It is advisable to insist on preserving the unit only if a person is diagnosed with multiple absences of teeth in a row. In this case, figure eights can be used as a basis for prosthetics. In this case, it is better to treat the elements, even if they are affected by caries or pulpitis. In other situations, it would be more advisable to remove third molars, since the consequences of their improper eruption are much more dangerous than potential benefit from their presence in the row.

hood) above the wisdom tooth

Difficulty opening the mouth when wisdom teeth erupt

Pain in the throat and lymph nodes when wisdom teeth erupt

Consequences of wisdom teeth removal. Possible complications

What are wisdom teeth? Why are they called that?

Wisdom tooth- This is the eighth tooth in the dentition ( the starting point is from the central incisor). Wisdom teeth are also called “eights” or “third molars.” They are large multi-rooted teeth, however, due to anatomical features, their shape and number of roots can vary significantly among different people. In total, a person has 32 teeth, 4 of which are wisdom teeth. They have a large number of features that distinguish them from other teeth.

Wisdom teeth begin to develop only at the age of 4–5 years, while other teeth are formed in utero or during the first year of life. Wisdom teeth are the last teeth to erupt, after age 18 or even later. Sometimes the eruption of wisdom teeth is difficult due to the lack of space in the dentition, as a result of which they can emerge at the age of 30 or 40 years. Finally, in some cases they may be completely absent or remain in the thickness all their lives. bone tissue jaws. That's why modern medicine considers the absence of wisdom teeth to be a normal variant and not a pathology.

The eighth teeth today are almost always called wisdom teeth. Previously, it was believed that by the time they erupt, a person goes into adult life and becomes wiser than in adolescence. Naturally, the eighth tooth itself does not give wisdom to a person, just as its removal does not make a person dumber. However, this name was entrenched in the Russian language and public consciousness and became widespread.

Unfortunately, wisdom teeth are of low value for the dental system; however, at the same time, they can lead to various diseases. Besides possible development caries and pulpitis, the eighth teeth are characterized by difficult eruption. Almost everyone is familiar with an unpleasant feeling which occurs when they erupt. In some cases, their eruption may be accompanied by inflammation with periodic exacerbations. For the combination of these reasons, wisdom teeth are most often removed.

How many wisdom teeth are there?

Normally, a person has 4 wisdom teeth, upper right, upper left, lower left, lower right. However, not always all 4 wisdom teeth can be found in the oral cavity. Among all teeth, it is the eighth teeth that are characterized by the greatest anomalies and variations of the norm. In some cases, some of them erupt into the oral cavity, and some remain in the thickness of the bone and erupt at a later age or do not erupt at all. They can only be detected by X-ray examination or computed tomography.

Exist different variants number of wisdom teeth. Most often due to a decrease in the size of the jaws modern man can be observed complete absence rudiments of one or more eighth teeth. In this case, a person can have from 28 to 31 teeth. It is much less common to find extra teeth wisdom ( 33rd, 34th tooth). They can be observed in representatives of the Australoid race.

At what age do wisdom teeth emerge?

The average age for wisdom teeth to erupt is 17 – 25 years. In females, the eighth teeth erupt somewhat earlier. This is due to the faster development of girls. After 25 years, the chance of erupting eighth teeth decreases significantly. It can be assessed using x-ray along the thickness of the bone separating the eighth tooth bud from the oral cavity. However, eighth teeth can emerge at 30 or 40 years of age. The chance of erupting the eighth teeth increases after the removal of the seventh teeth, if they were destroyed by caries. The eighth teeth may shift slightly towards the center, taking up free space.

Structure of a wisdom tooth

The structure of a wisdom tooth is no different from other human teeth. It consists of a coronal part ( which is normally found in the oral cavity) and roots located towards the thickness of the bone. The shape of the crown and the number of roots differ significantly between the upper and lower teeth wisdom. It should be noted that wisdom teeth have a very large number of shape options.

A wisdom tooth consists of the following structures:

• Enamel. A thin layer of enamel covers the outside of the entire crown portion of the wisdom tooth. The enamel is very durable ( harder than bone) and the most resistant to caries.
• Cement. Covers all surfaces of the roots of wisdom teeth and ensures reliable attachment of the ligamentous apparatus of the tooth, holding it in the bone socket.
• Dentine. It is covered with enamel and cement and represents the thickest layer of hard tooth tissue. The strength of dentin is less than that of enamel, but higher than that of cement. Dentin is destroyed by caries faster than tooth enamel. He contains nerve endings, which signal the development of caries.
• Pulp. It is located in the very center of the tooth and is a tissue rich in blood vessels and nerve fibers. The pulp performs nutritional and sensory function for a tooth.

The listed tissues are part of all teeth, not just wisdom teeth. This is explained by the fact that the formation of wisdom tooth tissues follows a standard path, but begins somewhat later than other teeth.

Characteristics of wisdom teeth in the upper jaw

The wisdom teeth on the upper jaw have a variable shape. The closest to them in shape are the molars ( large multi-rooted teeth) upper jaw. Most often, wisdom teeth in the upper jaw have three cusps, due to which their crown has a triangular shape when viewed from the chewing surface. The next most common option is the four-tubercle form. Moreover, they resemble the sixth and seventh upper multi-rooted teeth in miniature. Finally, in the most in rare cases upper teeth wisdom teeth can have two or one tubercle, which brings their shape closer to the incisors. Very often there is a deviation of the teeth towards the cheek side, due to which they do not contact the teeth of the opposite jaw.

The eighth teeth in the upper jaw can have from 1 to 5 roots, most often there are 3. Due to the wide variety of canal shapes, treatment of these teeth is difficult. The roots are short and usually straight, but may be located in the maxillary sinus ( maxillary) sinus. In this case, tooth extraction should be carried out by a specialist in the field of maxillofacial surgery, since it may be accompanied by the creation of a communication with the maxillary sinus.

Characteristics of wisdom teeth on the lower jaw

Lower wisdom teeth are a smaller version of the lower multi-rooted teeth, their neighbors. However, they are larger than the upper wisdom teeth. Most often they have 4 or 5 tubercles, rectangular shape when viewed from the chewing surface. Lower molars have only 1 - 2 roots, but they can have various bends, which makes the removal of such teeth significantly more difficult. Wisdom teeth on lower jaw more often create problems during eruption, since they are limited by bone formations that do not exist on the upper jaw. The lower wisdom teeth can have a horizontal, lingual, or buccal inclination. A feature of the lower wisdom teeth is their close location to the nerve passing through the body of the lower jaw.

Do modern people need wisdom teeth?

The functional value of wisdom teeth is minimal. Today it is believed that due to changes in the diet of modern man ( food becomes better processed, softer) the dental system has undergone certain changes. They are expressed in a decrease in the size of the jaws and a reduction in the length of the dentition. This is why wisdom teeth are considered vestigial organ (lost their significance during evolution), and their absence does not harm human health. That is why, when problems arise with wisdom teeth, doctors in most cases decide to remove them.

What dangers do wisdom teeth pose?

Wisdom teeth are the last in the dentition. They appear in the oral cavity later than others, and their value in the act of chewing is the least. At the same time, many problems are associated with wisdom teeth. dental problems and diseases. Wisdom teeth can harm human health, causing pain, discomfort, and being a source of chronic infection. Therefore, if problems arise with wisdom teeth, doctors recommend their immediate removal.

Wisdom teeth can cause following problems and diseases:

• Caries and its complications ( pulpitis, periodontitis). Wisdom teeth, like other teeth, can be destroyed by caries. The predisposition of the wisdom tooth to caries is explained by its inconvenient location for cleaning with a toothbrush. If caries reaches the pulp ( nerve), then severe pain appears. As the infection progresses, an abscess may form ( flux), for the treatment of which surgery is always resorted to.
• Difficulty in teething. The process of erupting wisdom teeth is long and quite painful. Due to lack of space in the jaw, wisdom teeth often occupy an unnatural position. As a result, they can be directed towards the cheek, tongue, and adjacent teeth, causing injury to soft tissues and caries of adjacent teeth.
• Local damage to periodontal tissue. The periodontium is the collection of tissues surrounding the tooth. Due to the incorrect position of the wisdom tooth and its incomplete eruption, a gum pocket can form into which food gets trapped. The area of ​​the gum next to the wisdom tooth is injured by the teeth of the opposite jaw, which leads to its chronic injury and inflammation.

Naturally, wisdom teeth do not always lead to the development of diseases. Sometimes they develop completely normally and function fully. In order to prevent the development possible problems associated with wisdom teeth, you need to undergo early diagnosis and treatment dentist ( sign up) .

What is an impacted wisdom tooth?

Tooth retention is a delay in the eruption of a formed permanent tooth. A tooth that is embedded in bone tissue and has a low chance of erupting is called impacted. A distinction is made between complete retention, when the tooth germ is completely covered with bone, and partial retention, when part of the tooth crown is in the oral cavity, while most of it is covered with mucous membrane. Due to lack of space in the dental arch, wisdom teeth are very often impacted.

Impacted teeth do not cause pain or discomfort until the process of teething begins. Impacted wisdom teeth are most often an incidental finding on a panoramic photograph of the jaws. About 40% of wisdom teeth are fully or partially impacted. Quite often, retention of wisdom teeth is combined with their incorrect position in the jaw.

Incorrect position of the wisdom tooth. What is a dystopic wisdom tooth?

Dystopia is the incorrect position of a wisdom tooth outside the dentition. It can be moved in different directions. Dystopia of a wisdom tooth can be determined both after its eruption and with the help of an x-ray before its eruption. In case of wisdom tooth dystopia, wisdom teeth are almost always removed, since such teeth cannot normally participate in the act of chewing. The sharp edges of the cusps of dystopic teeth can injure the soft tissues of the oral cavity. Tooth dystopia can be combined with retention. This implies an inclination of the tooth in the thickness of the bone, which does not allow it to erupt into its place in the dentition.

Depending on the position of the wisdom tooth, the following variants of dystopia are distinguished:

• Medial tilt. The tooth is inclined forward towards the seventh tooth.
• Distal tilt. The tooth is tilted back, directed towards the branch of the lower jaw.
• Angular position ( lingual or buccal). The wisdom tooth is tilted towards the tongue or cheek, respectively.
• Horizontal position. The axis of the wisdom tooth is located at right angles to the axis of the second molar ( large molar).
• Reverse position. The root part is located at the top, and the coronal part at the bottom, in the thickness of the bone tissue. This situation is very rare.

Horizontal position of wisdom teeth

Horizontal tooth tilt is relatively common, especially in the lower jaw. This situation deserves special attention. In a horizontal position, the crown of the wisdom tooth rests with its cusps against the root of the adjacent tooth. In this case, the eruption potential of the eighth tooth is directed not vertically upward, but horizontally. This can lead to crowding of teeth in the frontal area and disruption of their position. In addition, this position of the wisdom tooth can cause caries of the root of the seventh tooth. The only solution to these problems is to remove the dystopic tooth.

Causes of wisdom teeth diseases

Wisdom teeth are no different in structure and structure from other teeth. They also have innervation and blood supply. That is why, when they become carious, toothaches can appear exactly the same as from any other teeth. However, in addition to caries, other diseases are associated with wisdom teeth, mainly caused by their eruption.

The cause of pain and discomfort from wisdom teeth is irritation of the nerve fibers. They are located in the dentin and pulp of the tooth, gum, bone, and ligaments of the tooth. Nerve irritation may be caused by infection or mechanical damage. Both causes can be eliminated only through local action, so various painkillers for toothache bring only temporary relief.

The process of wisdom teeth erupting

Eruption of wisdom teeth – difficult process, which is the movement of a tooth from its place of origin and development to its appearance in the oral cavity. The eruption of wisdom teeth occurs under the influence of various factors. If the action of one or more of them is insufficient, a violation of eruption, retention or dystopia of the tooth occurs.

The following factors are involved in the eruption of wisdom teeth:

• Root growth. The elongating root rests against the bottom of the bone socket and pushes the tooth vertically in the direction of the longitudinal axis.
• Periodontal traction. The tooth germ is surrounded by collagen fibers, which represent the ligamentous apparatus of the tooth. The contraction of collagen fibers creates traction, which ensures eruption.
• Restructuring of bone tissue. Teeth eruption is always accompanied by bone restructuring. The bone that is located above the bud is resorbed, and underneath it is deposited. It is assumed that the bone growing at the bottom of the socket is capable of pushing the tooth into the oral cavity.
• Increase in hydrostatic pressure at the root apex. This factor is the most important. The increase in pressure at the root apex is associated with the organization of the dental pulp. The accumulation of fluid between the bottom of the alveolus and the root pushes the tooth towards the oral cavity.

Why do difficulties arise when wisdom teeth erupt?

Unfortunately, very often wisdom teeth erupt incorrectly. In some cases, this is due to improper formation of the wisdom tooth germ. In other cases, this is due to insufficient force of tooth eruption. However, all problems with teething come down to a lack of space for of this tooth. It is believed that for normal eruption of a wisdom tooth in the lower jaw, the distance between the seventh tooth and the branch of the lower jaw should be at least, 15 mm.

Disturbances in the eruption of wisdom teeth are explained by the following reasons:

• Abnormal position of the wisdom tooth germ. At incorrect position wisdom tooth bud ( dystopia) he practically loses the chance of teething. If the tooth germ is located horizontally or at an angle, then on its eruption path it encounters obstacles that it cannot overcome ( for example, a neighboring tooth).
• Thick cortical plate of the jaw and gums. Sometimes the wisdom tooth is located deep in the jaw bone, meaning it is separated from the mouth by a large layer of bone. In this case, the force of eruption and the phenomenon of bone restructuring are not enough to ensure the passage of the entire bone layer. With a bone septum thickness of 3 mm at the age of 25 years, it is considered that a wisdom tooth has a very low chance of erupting on its own.
• Insufficient traction ( force) eruption. In some cases, when all the prerequisites for normal wisdom tooth eruption exist, this phenomenon does not occur. This is explained by the insufficient action of eruption factors.
• Lack of retromolar space. The retromolar space is the area located behind the second molar. It is in this area that the wisdom tooth erupts. The lack of space is especially acute in the lower jaw, where the ascending branch begins immediately behind the dentition. There are many reasons for the lack of space for wisdom teeth to erupt.

Lack of space for wisdom teeth to erupt may be due to the following reasons:

• evolutionary reduction in jaw size;
• inheritance from parents of small jaws and large teeth;
• discrepancy between the sizes of primary and permanent teeth;
• premature removal of baby teeth;
• underdevelopment of the jaws;
• bad habits ( chin rest when sitting at a table and others).

Why do gums become inflamed when wisdom teeth erupt?

When wisdom teeth erupt, inflammation of the gums and soft tissues of the oral cavity may occur. This is observed during partial eruption of the tooth, when part of the crown already protrudes into the oral cavity, and part is still covered with gum. As a result of constant injury to the mucous membrane, it becomes swollen and inflamed. Inflammation of the gums persists until the tooth erupts completely. The condition can also be alleviated by excision of part of the gum covering the tooth.

When wisdom teeth erupt, a gum pocket or “hood” forms, which can trap food debris. Due to painful touch, the patient does not clean the area well enough, resulting in local gingivitis or periodontitis.

Why does my wisdom tooth hurt?

Pain in the wisdom tooth area can occur due to various reasons. Accurate diagnosis and correct treatment can only be carried out by a dentist. Unfortunately, in most cases, pain associated with wisdom teeth indicates diseases that require their removal. Pain in wisdom teeth can be of either an infectious or non-infectious nature.

Wisdom teeth can hurt for the following reasons:

• Caries and its complications. Carious tooth decay is asymptomatic until it affects the nerve endings of the dental pulp. At acute inflammation pulp pain is very strong, it can radiate to the ear, temple, neck. After the death of the tooth pulp, the pain goes away, but the infection moves to the area of ​​the tooth apex. This is dangerous due to the formation of pus and abscess, which again returns pain.
• Activation of teething. The eruption process is characterized by moderate discomfort, but in some cases it is accompanied by a local inflammatory reaction and severe pain.
• Trauma to the gums in the area of ​​the wisdom tooth. Pain in the wisdom tooth area can be caused by inflammation of the gums. This occurs when eruption is incomplete and permanent injury gums with the sharp edges of a wisdom tooth.

Prerequisites for the development of wisdom teeth caries

The mechanism of caries formation in wisdom teeth is no different from the development of caries in other teeth. The main prerequisite for the development of caries in wisdom teeth is poor hygiene due to inconvenient cleaning with a toothbrush. Paying more attention to these areas when brushing your teeth can significantly reduce your risk of tooth decay.

The following factors play a role in the development of caries:

• Microbial factor and dental plaque. Caries develops as a result of the activity of bacteria living in dental plaque ( plaque). They eat carbohydrates ( sugars) from food products that end up in the oral cavity. After the processing of carbohydrates by bacteria in the area of ​​dental plaque, acidity increases, demineralization of the enamel occurs and a cavity is formed in the plaque. hard tissues tooth All this can be avoided with the help of high-quality teeth brushing, which removes plaque from the surface of the teeth.
• Cariogenic diet. A diet rich in fast carbohydrates promotes the growth of bacteria in dental plaque. Unfortunately, the nutrition of modern man ( soft, sticky, sugar-rich foods) especially contributes to the development of caries.
• Low stability of hard dental tissues. The rate of caries development depends on how high the degree of mineralization of the enamel is. The higher it is, the slower caries develops. The enamel of wisdom teeth when they erupt is insufficiently mineralized, so it is predisposed to the development of caries.

Carious destruction and pulpitis of wisdom teeth. Pulsation in the area of ​​the wisdom tooth

Carious destruction can occur for a long time without symptoms. All that the patient notices is the darkening of the tooth surface and the formation of a cavity. In this case, pain and discomfort in the area of ​​the wisdom tooth may be absent. In other cases the pain is short-term nature, they appear in response to chemical or thermal stimuli and quickly disappear.

The progression of caries can lead to inflammation of the pulp ( pulpitis). Acute pulpitis is characterized by pulsation, severe pain that radiates to various parts of the face and neck. The pain intensifies with pressure on the tooth and when chewing. Pulpitis in wisdom teeth is considered irreversible and leads to the death of the pulp. In most cases, pulpitis of wisdom teeth is treated by removing these teeth.

Flux formation ( pus, abscess) in the area of ​​the wisdom tooth

Pulpitis ( inflammation of the tooth pulp) can take chronic forms, as a result of which the death of the pulp occurs almost painlessly. As a result, the infection penetrates into the area of ​​the apex of the tooth root and the surrounding bone. This can lead to the formation of an abscess ( abscess). In this case, the patient begins to experience pain that is several times stronger than the pain caused by pulpitis. After the formation of a fistula and an abscess on the gum, the pain subsides somewhat. It is very important to remove decayed wisdom teeth in a timely manner, since the formation of an abscess can pose a serious threat to human health.

Tumors in the area of ​​wisdom teeth

Wisdom teeth are more often than other teeth associated with tumors. The tumors are located in the jaw and surround the wisdom tooth bud. Tumor processes are most often asymptomatic and detected accidentally on an x-ray. In other cases, they can deform the oval of the face. Tumors in the area of ​​wisdom teeth are formed due to various embryonic disorders or disorders acquired after birth. Diagnosis and treatment of tumors associated with wisdom teeth is carried out in specialized medical institutions.

Symptoms of dental diseases associated with the eruption of wisdom teeth. Diagnosis of the condition of wisdom teeth

Erupting wisdom teeth is a long and sometimes painful process. In most cases, the eruption of wisdom teeth is very different from the process of eruption of other teeth. It may be accompanied by pain, discomfort when opening the mouth, bad breath, worsening general condition. These unpleasant symptoms Over time, they go away on their own, but if the wisdom tooth does not occupy a normal place in the dentition, then it must be removed to avoid complications.

The eruption of wisdom teeth may be accompanied by the following symptoms:

• swelling and redness of the gums;
• unpleasant odor from the mouth;
• difficulty opening the mouth;
• inflammation of the lymph nodes;
• deterioration of general condition ( fever, malaise, headache).

Pain during the eruption of wisdom teeth. What to do if you have jaw pain in the wisdom tooth area?

Pain during the eruption of wisdom teeth occurs as a result of irritation of nerve endings located in the bone, gum and neighboring anatomical areas. The eruption of wisdom teeth occurs against the background of bone tissue restructuring and local inflammation, in which certain chemical substances (mediators), which provoke pain. These substances change the pH in intercellular fluid, which irritates the nerve endings. The pain can spread not only to the jaw area, but also radiate to the ear, temple, and submandibular region. Fortunately, the pain lasts only as long as the tooth erupts into the oral cavity. However, this may take from several days to several months. In this case, pain appears at the moments of the most intense tooth growth.

In some cases, pain is caused by infection in the area of ​​the erupting tooth. This phenomenon Unfortunately, it is observed quite often, since in the posterior parts of the jaws, oral hygiene is, as a rule, defective and insufficient. Various suppurative processes of a tooth that has not yet erupted are always a source of pain and require surgical treatment.

If the patient is bothered by pain in the wisdom tooth area, it is recommended to seek qualified help from a dentist. In order to temporarily relieve pain and reduce inflammation, you can take various painkillers ( e.g. ibuprofen, ketorolac). If there is difficulty in teething without infectious processes they significantly facilitate the “acute” period in the eruption of wisdom teeth.

Deterioration of general condition during the eruption of wisdom teeth. Can the temperature increase during the eruption of wisdom teeth?

The eruption of wisdom teeth can lead to a number of disorders in the general condition of the body. At first glance, the eruption of wisdom teeth has nothing to do with the condition of the heart and other internal organs, but in fact, all organs are interconnected by nervous system, which carries out the highest regulation. For this reason, the pain that occurs during the eruption of wisdom teeth can cause heart rhythm disturbances and other problems.

When wisdom teeth erupt, the following complications of the general condition of the body may occur:

• chronic gastritis;
• prolonged increase in temperature;
• headache;
• change in heart rate;
• change cellular composition blood;
• speech disorder;
• general lethargy;
• increased fatigue.

An increase in temperature indicates the presence chronic inflammation in organism. During teething, body temperature can be maintained at 37 degrees ( slightly higher than normal) long time. An increase in temperature, like other pathological impulses, can be provoked by a wisdom tooth. Such phenomena disappear immediately after the removal of the offending teeth.

Gum tumor in the area of ​​the wisdom tooth. Pericoronitis ( hood) above the wisdom tooth

When any teeth erupt, local inflammation of the gum occurs, caused by its rupture and the exit of the crown part of the tooth into the oral cavity. However, for wisdom teeth this phenomenon takes on more serious proportions and therefore bears the special name of pericoronitis. Pericoronitis involves incomplete eruption of wisdom teeth. partial rupture mucous membrane above the tooth and infection of the created spaces between the tooth and the mucous membrane.

Initial pericoronitis is characterized by the following symptoms:

• slight pain behind the large molars;
• redness and swelling of the gums in the area of ​​the wisdom tooth;
• releasing a small amount serous fluid, sometimes mixed with blood.

If the gums are irritated during the eruption of wisdom teeth, it is recommended to perform rinses and oral baths with antiseptics. In most cases, this helps relieve pain. However, in some cases, correct and complete eruption of the wisdom tooth is impossible, which is why the gums are constantly injured. This leads to chronic pericoronitis. In this case, infection of the area causes the discharge of pus or the formation of abscesses, which forces the removal of wisdom teeth.

Bleeding in the wisdom teeth area

A little bleeding during teething is normal. It is explained by the rupture of capillaries located in the submucosal layer. Despite this, constant bleeding in the posterior parts of the dentition during the eruption of wisdom teeth is a symptom of pericoronitis. It can be observed when chewing, biting the gingival hood between the upper and lower teeth, while brushing your teeth. Bleeding may be accompanied by pain or be independent of it.

In order to reduce gum bleeding in the area of ​​wisdom teeth, you need to reduce the inflammation associated with their eruption. They can help with this mouth rinses with antiseptics. High-quality cleaning posterior sections teeth using a toothbrush helps remove food debris and bacteria living in plaque under the gingival hood. If bleeding persists for a long time, then it is necessary to remove wisdom teeth, since they are its root cause.

Bad breath due to wisdom teeth

During the eruption of wisdom teeth, many people notice that the smell of their mouth changes somewhat. This is explained by the fact that with improper eruption of wisdom teeth and pericoronitis ( inflammation of the gums) favorable conditions are created for food retention and bacterial growth. Even the most careful hygiene does not allow for proper cleaning of the undercuts that form under the gingival hood. Cleaning your teeth is difficult due to pain associated with gum inflammation.

The retention of food residues, as well as the proliferation of bacteria, leads to an imbalance of the microbial flora in the oral cavity. Bacteria produce special products vital functions that have specific smell. In addition, the composition of saliva changes, which can also affect the odor emanating from the oral cavity.

An unpleasant odor can only be eliminated with the help of rinses and special toothpastes. The microflora usually returns to normal after the wisdom tooth has completely erupted. However, sometimes prophylactic removal of wisdom teeth is recommended to prevent complications such as infection.

Difficulty opening the mouth when wisdom teeth erupt

Difficulties in opening the mouth are observed quite often during the eruption of wisdom teeth. They appear as a result of reflex contracture ( reductions) masticatory muscles. This symptom indicates an inflammatory process of the gums in the area of ​​wisdom teeth ( pericoronitis). Opening the mouth may be so difficult that the patient cannot speak or eat normally.

Difficulty opening the mouth is a reflex mechanism. Pain impulses are transmitted along sensory fibers to nerve centers in the brain stem, where excitation is transmitted to motor neurons. As a result, the nerve impulse is transmitted along the trigeminal nerve to the masticatory muscles and causes their constant contraction.

In some cases, the contracture is so severe that doctors have to perform anesthesia just to perform an intraoral examination. When contracture of the masticatory muscles occurs, painkillers in the form of tablets have a weak effect.

Pain in the throat and lymph nodes when wisdom teeth erupt

Inflammation of the lymph nodes ( lymphadenitis) quite often occurs during the eruption of wisdom teeth. It is most often characterized by the formation of swelling at the angle of the lower jaw on the side of difficult eruption. There are submandibular lymph nodes located there, which are not normally palpable. An enlarged lymph node is dense, mobile and most often painless. Unfortunately, inflammation of the lymph nodes indicates the need to remove wisdom teeth, since only in this case can the source of chronic inflammation be removed.

The lymphatic system carries out the function of lymph outflow from various parts of the maxillofacial area. It also includes pharyngeal tonsils. When wisdom teeth have difficulty erupting, inflammation sometimes occurs. This condition is specifically called “dental sore throat.” Symptoms of this disease are pain when swallowing on the corresponding side, swelling and redness of the palatine arches. Treatment this state Without removing wisdom teeth is impossible. That is why the cause of persistent sore throat can be unerupted wisdom teeth, which is sometimes overlooked by otolaryngologists.

Temporary cessation of pain in the area of ​​wisdom teeth

The process of eruption is characterized by the fact that it occurs gradually, stepwise. At certain moments, the tooth “activates” and begins to erupt with more energy. If it is incorrectly positioned or there is insufficient space, this leads to pain and inflammation. Impaired speech, swallowing, mouth opening, increased temperature - all of these symptoms appear when wisdom teeth have difficulty erupting.

At certain intervals, the wisdom tooth, on the contrary, temporarily stops or slows down its eruption. In this case, pain, inflammation and discomfort temporarily disappear. At this point, a period of relief begins for the patient. It is this period that is most favorable for the removal of wisdom teeth, since sooner or later it will become active again and will continue to cause discomfort. Dentists recommend removing wisdom teeth in advance to improve the health of the body and prevent possible problems in the future.

Diagnosis of the condition of wisdom teeth

Before starting treatment for wisdom teeth, it is very important for the doctor to diagnose their condition, based on the patient’s complaints, clinical data, and X-ray data. Based on the totality of all the information, the doctor judges the functionality of the wisdom tooth, the advisability of its treatment and preservation, as well as the difficulty of its removal. Only after the diagnosis is made are the possibilities for further treatment assessed.

When examining a patient, the doctor pays attention to the following points:

• The condition of the soft tissues surrounding the tooth. The color of the mucous membrane, density, presence of discharge, and condition of the gingival hood are assessed. The depth of the gum pocket is assessed using probing.
• Position of antagonist teeth. Trauma to the mucous membrane ( hood) with an antagonist tooth significantly worsens the conditions for tooth eruption and complicates the course of the inflammatory process.
• Position and condition of adjacent teeth. When the first and second molars are destroyed, they are sometimes removed while the wisdom tooth is preserved. Subsequently, it is used as a supporting tooth for a prosthesis that replaces the absence of adjacent teeth. If the wisdom tooth is located horizontally or tilted towards the neighboring tooth, it must be removed as soon as possible, since over time it destroys the alveolus of its neighbor.
• Condition of bone tissue. Evaluated by x-ray. The presence of bone loss behind the crown of a wisdom tooth indicates the source of a chronic infection. In this case, there is a risk of developing periodontal cysts, which requires the removal of wisdom teeth. Also, an x-ray can detect pathological processes in the area of ​​the root apex that cannot be determined by other means.
• The size of the retromolar space ( area behind the seventh tooth). It is assessed visually and using x-rays and provides information about the chances of correct eruption of the wisdom tooth. If this space is less than 15 mm, then there is not enough space for the wisdom tooth and it is recommended to remove it.

Before use, you should consult a specialist.

Tooth extraction with immediate restoration. Procedure technique. Indications, contraindications and possible complications

Wisdom teeth are growing, what to do, signs

Wisdom teeth (eighth molars) have this name because of their late eruption. The unusual nature of these teeth is that they do not have milk precursors. What to do when a wisdom tooth grows, what to do after it has grown, what are the symptoms of growth?

When wisdom teeth erupt, they often cause a person a lot of trouble, discomfort and severe pain. The presented symptoms arise due to insufficient space on the jaw arch. By this time, the bone tissue has already been fully formed, so the eighth molars are trying to take their place.

If a wisdom tooth grows, what are the symptoms of the disorder?

A wisdom tooth can erupt, causing a wide variety of symptoms. The main role here is given to the individual characteristics of the human body.
The symptoms in this case are the following:

Swelling of the gums or cheeks near the wisdom tooth. The presented symptom occurs when the hood becomes inflamed. The hood is a section of mucous membrane hanging over the crown of the tooth. In scientific terms, this disease is called Pericoronitis. Its essence lies in the fact that the cusps of the first erupting wisdom tooth appear through the mucous membrane of the gums. At this point, all the conditions for inflammation to occur are created.

Difficulty opening the mouth. The presented sign indicates the progression of inflammation, as a result of which it spreads to the masticatory muscle. Urgent need to go to dental clinic to provide assistance, otherwise the mouth will open less and less. As a result, it will be very difficult to open. It will then be possible to provide assistance and improve the patient’s well-being only in a hospital.

Pain when swallowing. This sign can claim development purulent abscess in the area of ​​the eighth painters near the tongue. This area is an extremely dangerous place for the development of the inflammatory process, because pus can affect the soft tissues of the floor of the mouth. As a result, the development of phlegmon in the floor of the mouth may occur. Treatment should take place directly in the hospital.

Temperature increase. The growth of eighth molars in almost all cases is characterized by an increase in temperature. It occurs due to the development of inflammation during pericoronitis. Body temperature depends on the severity of inflammation. In most cases it is 37.5 degrees. This temperature can be observed even in the absence of symptoms of the inflammatory process.

Painful sensations. Any inflammatory process is characterized by severe pain. Wisdom tooth growth is no exception. As inflammation develops, the pain only intensifies. There are times when the pain suddenly stops. This indicates a rupture of the capsule of a purulent abscess.

If these symptoms appear, you should immediately seek help from a specialist. Otherwise, there may be serious complications. Timely treatment promotes excision of the hood, which prevents the wisdom tooth from erupting.

What to do when wisdom teeth erupt?

The growth of a wisdom tooth is often characterized by severe pain. It is impossible to speed up the teething process, so they use various ways relief painful sensations during tooth growth.

It is imperative to remember the main rule: under no circumstances should you warm up your cheek and gums. Heat can further intensify inflammation. As a result, the infection will also affect other nearby tissues, thereby causing suppuration of the bone tissue. You can rinse your mouth with a solution of salt and soda. It perfectly disinfects the oral cavity, removes food debris and relieves sore gums.

Severe pain can only be eliminated by taking painkillers. These include analgin, ketanov and tramadol (an opioid analgesic).

It is forbidden to apply an anesthetic tablet to the gum in the area of ​​the eighth painters. The pain will not go away, because the tablet has an effect only when taken internally. Painful ulcers may form on the gums, causing even more discomfort and pain.

If a hood forms, you must urgently seek help from a dental clinic to remove it. The manipulation to remove the “hood” is carried out under local anesthesia. You also need to rinse your mouth after removal with a special antiseptic solution in order to avoid infection in the wound.

When a person cuts a wisdom tooth, it causes many complications; many do not know what to do if a wisdom tooth grows. During this period, many people have a question: why are wisdom teeth needed and how long does a wisdom tooth grow? Wisdom teeth are the latest; their eruption is associated with many questions and problems, because how the wisdom tooth grows, its position, height and size depends appearance jaws and some other factors. Despite the fact that eights are no different in structure or function from other “inhabitants” of the mouth, many myths are associated with them. What symptoms does a wisdom tooth cause, which of them should be alarming, when should it start growing, how long and should you worry if it doesn’t appear?

All about wisdom teeth

What are wisdom teeth? It’s worth starting the story with what a wisdom tooth is - this is a trivial name, which dentists have replaced with “eights”, extreme painters, which are the last on both jaws. They have absolutely the same structure as their other “neighbors”. How many wisdom teeth does a person have? Normally, there are four eights, two on each jaw on the left and right, but this number can change due to genetics.

Where is the wisdom tooth located? From the name it is clear that the extreme painter is located at the end of the row of permanent teeth behind the sevens, but with pathological anlage, the eights can shift in the jaw, displacing their neighbors or lying under them.

Myth about the name

People began to call eights "wise" due to the fact that they cut in the period from 14 to 26 years, while the remaining molars grow until about 10-11 years. It is believed that by the time the extreme painters are cut through, a person has already gained intelligence and this symbolizes them.
Of course, this myth has nothing to do with reality, because a person’s molar can start to come out at the age of 11-12, and sometimes they even remain under the gum for the rest of their life. Modern dentists note that many modern children (about 35% of visitors) lack these extreme painters.

Knowing that the eruption of a tooth is painful and takes a long time, sometimes disrupting the dentition and causing inflammation, many people wonder why they need extreme painters at all, because before they appear, a person copes perfectly with chewing food, and why do they appear so late?
Scientists have not been able to fully prove why, during the course of evolution, humans retained this rudiment - an organ that had lost its function. It is known that the ancestors of humans, monkeys, ate plant foods that had to be actively chewed, and their jaw was also involved in many other processes: making various sticks, grooming and even fighting, so they lost teeth quickly. Most likely, this is why they developed eights so late - to provide primates with at least four surfaces for grinding food in old age.

When should he grow up?

Normally, a person’s extreme fillers should come out between the ages of 14 and 26, sometimes this happens later, much less often they erupt before adolescence. Their appearance is not associated with hormonal or any other factors; dentists suggest that they are controlled only by genetics.
It is worth noting that signs of wisdom tooth eruption may not appear in a person at all - this may be due to:

• with the absence of embedded extreme painters;
• with a small jaw size;
• with the pathological location of previous painters.

Sometimes the extreme molar grows, but very slowly, as a result only half of the figure eight appears in the gum - then it is called semi-retained. This condition is dangerous because inflammatory processes can develop in the gums and infection can occur.

If the eruption of a wisdom tooth has not occurred, but its germ is located under the gum, then it is called impacted - at rest. If such a painter does not appear before the age of 40, then high probability he won't come out anymore.
Everyone should understand that how many wisdom teeth they can grow depends on the presence of the rudiments of the outermost teeth, their position in the gums and many other factors.

The eruption of wisdom teeth is a rather painful process, discomfort during their growth increases significantly with age - people over 25 years old experience severe pain, gums bleed more, and pericoronitis - inflammation - can occur.

How do you understand that the eights have begun to move up? It is difficult not to notice the symptoms of wisdom tooth eruption, because during this process a It's a dull pain in the extreme part of the dentition. The teething painter begins to destroy the gum from the inside, so it becomes inflamed, red, and painful when pressed. When a wisdom tooth, which is located incorrectly, comes in, the discomfort is aggravated even more, because in this case it affects other teeth, the cheek, and the tongue.
If wisdom teeth erupt, the symptoms are obvious:

• the appearance of a dull aching sensation;
• the growth of a new molar injures the gum, causing swelling and redness;
• if a wisdom tooth is actively erupting, the gums may begin to bleed, and pericoronitis develops - inflammation;
• at strong sensitivity neighboring molars located nearby hurt;
• sometimes a lot of bacteria accumulate at the place where the figure eight appears, this leads to the addition of an infection, accompanied by purulent discharge, elevated temperature, an increase in the size of the gums and cheeks.

Duration of eruption

Many people ask questions about how long it takes for a wisdom tooth to grow, what is the symptom of a wisdom tooth erupting, because it is quite difficult to endure the discomfort it causes. It is worth understanding that the last molars “rested” under the gum for a long time, so it became denser than it was in childhood, because of this the process of erupting wisdom teeth will take more than one day.

If a person does not have pathologies in the development of the jaw, there is enough space in it for the growth of another tooth, then there is no need to wonder what to do with the wisdom tooth; it can be forgotten in 15-20 days. If the gums are thick or the size of the oral cavity is small, then the figure eights will take a long time to climb and will be painful to erupt.

Complication of eruption of figure eights

Every fourth person during the period of growth of the third painters turns to the dentist, since their teething causes severe pain, inflammation and other unpleasant symptoms. Main complications:

• pericoronitis;
• inflammation trigeminal nerve;
• damage to cheek tissue;
• curvature of the dentition.

Pericoronitis

Pericoronitis is an inflammation of the gum tissue around the tooth caused by infection. , a “hood” may appear above it - a thin layer of epithelium that is easily injured by hard food or a hard brush. Bacteria enter the wounds and inflammation begins.
Pericoronitis is dangerous because it does not go away on its own; over time, the inflammatory process intensifies, causing swelling and constant pain, therefore, if a reddened bump appears above the back painter, you should contact your dentist.

Inflammation of the trigeminal nerve

The inflammatory process in the trigeminal nerve is a consequence of ignored pericoronitis, because the infection from the epithelial tissues will begin to penetrate deeper, affecting the nerve endings and blood vessels.
Inflammation of the trigeminal nerve is characterized by pain in the facial muscles, involuntary muscle twitching and severe discomfort that occurs during brushing teeth, eating hot or cold foods, and actively using facial expressions.

Damage to cheek tissue

Sometimes the extreme painters are placed incorrectly, directing their crown not upward, but sideways - towards the jaw; therefore, when a wisdom tooth is cut, soft tissue injuries occur inner surface cheeks. If the figure eight is not removed in time, inflammation of the epithelium develops and infection occurs.

Curvature of the dentition

Probably, crooked teeth are the most unpleasant aesthetic problem, which is caused by the grown extreme painter. This violation occurs when the figure eight does not erupt perpendicular to the jaw, but at an angle, as if lying on it. Then the cutting tooth “wins” a convenient position for itself, moving the entire row.

This problem is especially relevant for those who early age wore braces, but did not remove the extreme painters, because in this case the entire result of the orthodontist’s work comes to naught.

Should they be removed?

Do I need to see a doctor when a wisdom tooth is coming out? If this process is accompanied by pain, drags on for longer than a month and makes chewing difficult, you should definitely visit a dentist. Removal of the extreme molar is a minor operation that involves dissection of the gum tissue under anesthesia and removal of the rudiment of the figure eight from the bone tissue of the jaw. For professionals, this procedure takes little time and does not lead to negative consequences.

Eights and braces

Anyone who is going to get braces definitely needs to take panoramic photographs that will allow them to see the position of the third painters in the jaw, because after a few years, when the figure eights begin to appear, they will ruin everything. If the wisdom teeth are located perpendicularly, then they can be left, but until they appear, you need to wear a mouth guard every day at night, which will hold the dentition.

Impacted eights

Impacted eights may not cause any inconvenience to a person, but sometimes, if their position is incorrect, the rudiments deepen into the jaw, or the extreme molars “lie under” the sevens, it causes inflammation of the gum tissue, trigeminal nerve, and the formation of cysts. If after 30 years signs of a wisdom tooth have not appeared, you need to consult a dentist, take pictures of the jaw and consider further actions.

What are "eights" for?

Many facts about teething eights frightened readers, and many people asked questions: what to do if a wisdom tooth is cutting through and why are they needed since they create so many problems? In fact, the extreme molars have several functions:

• since they appear later than others, they last longer, so in old age eights will be able to take over the chewing function;
• they can become a good support for installing a bridge prosthesis, because they sit firmly in the jaw and occupy marginal positions;
• When removing sixes or sevens, eights will be able to slightly move the dentition, eliminating voids.

It is for these reasons that you should not immediately run to the dentist with a request to remove the eights, because in old age it can be difficult without them.

Eights are a necessary part of the dental apparatus, although they cause many problems when erupting onto the surface of the gums. There are many myths and misconceptions about wisdom teeth, so familiarizing yourself with basic information about them will allow a person to properly prepare for the process of their growth, avoiding complications and discomfort.

Wisdom teeth often cause discomfort during eruption, sometimes this process is accompanied by a general deterioration in well-being and hyperthermia. In this article we will take a closer look at wisdom tooth pain symptoms signs of growth.

“Eights” erupt when the entire dentition has already been formed, and often there is no room left for them. In this case, they can begin to grow to the side, destroying the roots of nearby teeth. The dentist will be forced to recommend tooth extraction. Before deciding to take such a step, you need to carefully examine the oral cavity using x-rays, and then make a decision.

Teething symptoms when there is inflammation near the wisdom tooth, the gums are sometimes very bright and unmistakable:

Based on the symptoms, it is easy to understand that a wisdom tooth is growing (you can see a photo of a wisdom tooth coming out on the website).

Ignoring these signs may have unpleasant consequences in the form of an abscess, osteomyelitis or phlegmon.

Such serious complications can be avoided by early removal of the “hood”, which creates an obstacle to the normal growth of the molar. Signs of wisdom tooth growth determined by how it hurts. If pronounced swelling appears in the area of ​​the figure eight, accompanied by high body temperature, you should immediately visit a specialist. These symptoms may indicate the development pericoronitis(inflammation of the “hood” of the gums). If treatment is not started in time, the process will be complicated by an abscess, which in turn, without proper treatment, causes sepsis (blood poisoning) - a life-threatening disease. If you contact the dentist in a timely manner, the specialist will refer the patient to x-ray examination, which will give a complete picture of the location of the teeth for identifying and treating pathology.

Timing of wisdom teeth eruption

Young people with teething problems are interested in: how long does it take for a wisdom tooth to cut, symptoms (photos can be seen in our article) indicating pathology?

The age at which wisdom teeth erupt ranges on average from seventeen to twenty-five years. But often eights can begin to appear as early as sixteen years of age or linger until thirty or even forty years.

For ancient people, eights served as a backup option. At the age of twenty-five or thirty, they had already lost some of their teeth due to poor hygiene and diet, and the emerging “eights” could to some extent compensate for this loss.

Wisdom tooth eruption

Discrepancies in deadlines are not a cause for panic, but should be the reason for an unscheduled visit to the dentist. If there are no “eights” at the age of twenty-five, you must go to him without fail, the doctor will find out whether the molar rudiment is formed or whether retention is taking place.

Eruption pathologies

Patients are often interested in the following questions:

• How long and how does a wisdom tooth erupt?
• How to help if a wisdom tooth cannot erupt?

The well-known fact that “eights” always grow up with problems is not true. For some people, they erupt completely painlessly within a few days to weeks. But most feel obvious discomfort. This is due to the fact that figure eights appear when the jaw is fully formed, and with age it has slightly narrowed and its size has decreased slightly. At the moment the “eights” erupt, it is discovered that there is not enough space for them, as a result of which it develops pericoronitis. By purchasing chronic form, the disease causes growth fibrous tissue, as well as pain and swelling of the mucous membrane above the tooth. This condition can only be treated with surgery.

There are also other pathologies of molar eruption:

• Retention– absence of tooth eruption with retention in the bone. This condition is sometimes provoked by dystopia. There are also cases when molars do not erupt completely, in which case they are called semi-impacted.
• Dystopia- this is the horizontal arrangement of the “eight” in the tooth socket, preventing its eruption, in which it rests on the roots of a nearby tooth and causes its damage, and even complete destruction, as a result of which the removal of both teeth may be necessary. In addition, such a molar injures the delicate mucous membrane.

If the erupting “figure eight” is positioned incorrectly, this can negatively affect the condition of all teeth and lead to malocclusion.

Wisdom tooth removal

Sometimes “eights” erupt already affected by caries, having become infected with it in the gums. Such a molar requires immediate removal to prevent damage to the rest.

In isolated cases, the tissues surrounding the erupting “eight” may be affected tumor process or have a cyst. These conditions also require surgery.

How to alleviate teething symptoms

No less relevant is the following question: how long does it take for a wisdom tooth to cut and what to do when it slowly comes out?

The process of cutting through the “eights” cannot be accelerated. Before visiting a doctor, you can dull the pain by rinsing your mouth with a disinfectant soda-salt solution. If the pain cannot be tolerated, painkillers should be taken orally. External use of analgesics is unacceptable; this can lead to the formation of ulcers and aggravation of the inflammatory process.

Rinsing your mouth with an antiseptic solution

You should also not heat the gums or rinse with hot solutions to avoid the spread of the pathological process to neighboring tissues.

After visiting the doctor and removing the “hood,” you should rinse your mouth with an antiseptic solution to disinfect the open wound.

In the future, preventive examinations of the oral cavity by a dentist are recommended at least once every 12 months. This will help to identify and prevent dental problems in a timely manner and will significantly improve the overall quality of life.