Should You See a Dentist for Emerging Wisdom Tooth Issues? - Dentistry

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Wisdom tooth issues


Hello doctor, my lower left wisdom tooth is partially erupted, and there is a small portion of the tooth that hasn't come through yet, but the gum tissue above it feels movable, almost like it can be flipped up.
There is already a wisdom tooth next to that area, and I am not experiencing any swelling or pain.
Should I see a doctor?

Lin, 20~29 year old female. Ask Date: 2016/11/24

Dr. Zhu Guanyu reply Dentistry


Hello, usually when wisdom teeth emerge, their position at the back of the mouth, combined with improper alignment, makes cleaning difficult, which can lead to cavities and periodontal inflammation.
Sometimes, to prevent future complications, extraction is recommended.
However, the actual situation must be confirmed through a clinical examination and X-rays by a dentist.
Therefore, it is still advisable for you to visit a dental clinic for an evaluation.
Thank you for your message.
Wishing you peace and good health.
Sincerely, Dr.
Kuan-Yu Chu, Chief of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/11/24

More Info


When it comes to emerging wisdom teeth, particularly in your case where the lower left wisdom tooth is partially erupted and surrounded by movable gum tissue, it is advisable to consult a dentist. While you are not currently experiencing pain or swelling, there are several reasons why a dental evaluation is important.

Firstly, wisdom teeth, or third molars, often become problematic as they emerge. They can cause crowding, misalignment of adjacent teeth, and may even lead to complications such as impaction, where the tooth is unable to fully erupt due to lack of space. This can create a breeding ground for bacteria, leading to infections or gum disease. Even in the absence of pain, the presence of movable gum tissue around the tooth can indicate potential issues that may arise as the tooth continues to erupt.

Secondly, the position of your wisdom tooth is crucial. If it is coming in at an angle or is partially erupted, it may be more susceptible to cavities or periodontal disease. The difficulty in cleaning around a partially erupted tooth can lead to plaque buildup, which can further complicate oral health. Regular dental check-ups can help monitor the situation and provide preventive care before any serious issues develop.

Additionally, the gum tissue around the emerging wisdom tooth can sometimes form a flap, which can trap food particles and bacteria, leading to a condition known as pericoronitis. This condition can cause inflammation and infection, even if you are not currently experiencing symptoms. A dentist can assess the health of the surrounding tissue and recommend appropriate treatment if necessary.

In terms of treatment options, if your dentist determines that the wisdom tooth is likely to cause problems in the future, they may recommend extraction. This is particularly common if the tooth is impacted or if there is insufficient space in your mouth. The extraction of wisdom teeth is a routine procedure and can prevent more serious complications down the line.

Moreover, if you have concerns about the appearance of your gums or any discomfort, it is best to address these issues sooner rather than later. Early intervention can often lead to simpler and less invasive treatments.

In conclusion, while you may not currently be experiencing pain or swelling, it is still wise to schedule an appointment with your dentist to evaluate your emerging wisdom tooth. They can provide a thorough examination, possibly including X-rays, to assess the position of the tooth and the health of your gums. Taking proactive steps now can help ensure your long-term oral health and prevent complications associated with wisdom teeth. Remember, maintaining regular dental visits is key to preventing potential issues and ensuring that your teeth and gums remain healthy.

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