Wisdom Teeth Issues: Extraction, Pain, and Treatment Options - Dentistry

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When it comes to wisdom teeth issues, particularly those that are impacted or misaligned, there are several factors to consider regarding extraction, pain management, and overall treatment options. Based on your description, it seems you are experiencing a combination of dental and possibly referred pain, which can complicate the situation.


Understanding Your Wisdom Teeth Condition
1. Impacted Wisdom Teeth: If your wisdom teeth are growing at an angle or are partially erupted, they can lead to various complications, including pain, infection, and damage to adjacent teeth. The fact that you have already undergone X-rays and the bone around the tooth is compromised suggests that extraction may be necessary. Wisdom teeth that are not properly aligned can cause periodontal disease, which can lead to further complications if left untreated.

2. Pain and Discomfort: The recurring pain in your wisdom tooth area, especially if it occurs monthly, indicates that there may be an ongoing infection or inflammation. The pain radiating to your shoulder is less common but can occur due to muscle tension or referred pain from the jaw. It’s essential to address both the dental issue and any associated discomfort in other areas of your body.

3. Root Canal Treatment: You mentioned that you are currently undergoing root canal treatment. This procedure is typically performed to save a tooth that is infected or decayed. However, if the wisdom tooth is severely compromised and the surrounding bone is affected, it may not be a viable option to retain the tooth. Your dentist or oral surgeon will evaluate whether the root canal can effectively treat the tooth or if extraction is the better option.


Recommendations for Treatment
1. Consultation with an Oral Surgeon: Given the complexity of your situation, it is advisable to consult with an oral surgeon who specializes in wisdom teeth extraction. They can provide a thorough examination and determine if extraction is necessary based on the condition of your wisdom tooth and the surrounding bone structure.

2. Pain Management: For immediate relief from pain, over-the-counter pain relievers such as ibuprofen or acetaminophen can be effective. However, it’s crucial to address the underlying issue causing the pain rather than just masking it. If the pain persists, your dentist may prescribe stronger medication or recommend additional treatments.

3. Post-Extraction Care: If extraction is deemed necessary, proper aftercare is vital. This includes following your dentist's instructions regarding pain management, oral hygiene, and dietary restrictions. If you have removable dentures, ensure that they fit well post-extraction to avoid putting pressure on adjacent teeth.

4. Monitoring Adjacent Teeth: You expressed concern about your existing dentures affecting your natural teeth. It’s essential to have regular check-ups to monitor the health of your remaining teeth and gums. If the dentures are not fitting correctly, they can cause undue stress on your natural teeth, potentially leading to further dental issues.


Conclusion
In summary, your wisdom teeth situation appears to warrant further evaluation and possibly extraction, especially given the signs of periodontal disease and recurrent pain. It’s essential to work closely with your dental care team to determine the best course of action. Addressing both the wisdom teeth and any associated pain will help improve your overall oral health and comfort. Regular dental visits and open communication with your dentist will be crucial in managing your dental health effectively.