Wisdom Teeth Issues: When to Extract and What to Expect

Q: Wisdom Teeth Issues: When to Extract and What to Expect

Hello： 1. <br>Is it recommended to have the extraction done at a clinic or a large hospital? --> If it is an impacted wisdom tooth extraction, it is advisable to go to a large hospital or a clinic operated by an oral surgeon. <br>2. <br>For those who are afraid of pain and tend t

Wisdom tooth-related issues?

Hello, Doctor.
I am currently 20 years old.
The day before yesterday, I noticed that the tooth next to my lower right incisor seems to be leaning more than usual.
Could this be caused by pressure from my wisdom tooth? Yesterday, I also noticed that my upper right molar appears to be crooked as well, but I don't feel any pain.
If it is a wisdom tooth, would it be better to have it extracted? I occasionally felt something unusual around the summer, which might be related to tooth growth.
Would you recommend getting the extraction done at a clinic or a large hospital? Additionally, I am quite afraid of pain and tend to faint at the sight of needles or blood.
Will there be a topical anesthetic applied before the injection? Have you encountered patients who faint or feel nauseous? How do you handle such situations? I haven't seen any wisdom teeth emerging, so could this indicate that they might be impacted? Sorry for the many questions, and thank you for your help.

Kuai bengkuai de nǚzǐ, 20~29 year old female. Ask Date: 2020/01/25

Dr. Lin Jiayong reply Dentistry

Hello: 1.
Is it recommended to have the extraction done at a clinic or a large hospital? --> If it is an impacted wisdom tooth extraction, it is advisable to go to a large hospital or a clinic operated by an oral surgeon.
2.
For those who are afraid of pain and tend to faint at the sight of needles or blood, will there be a topical anesthetic applied before the injection? --> You can request the treating physician to apply a topical anesthetic beforehand.
3.
Have you encountered patients who faint or feel nauseous? How should this situation be handled? --> Sedation or general anesthesia can be administered before proceeding with dental treatment.
4.
Does this mean it is more likely to be a horizontally impacted wisdom tooth? --> X-rays are needed to confirm this.
Thank you!

Reply Date: 2020/01/25

More Info

When it comes to wisdom teeth, particularly at the age of 20, it’s common to have concerns about their growth and potential complications. Wisdom teeth, or third molars, typically emerge between the ages of 17 and 25. If you’re noticing that your adjacent teeth appear to be shifting or tilting, it could indeed be due to the pressure exerted by the wisdom teeth as they attempt to erupt. This is a common issue, especially if the wisdom teeth are impacted or growing at an angle, which can lead to crowding of the other teeth.

If you are experiencing any unusual sensations or discomfort, it’s essential to consult with a dentist. They will likely recommend an X-ray to assess the position of your wisdom teeth. If the X-ray shows that your wisdom teeth are impacted or likely to cause further dental issues, extraction may be the best course of action. Even if you are not currently in pain, the potential for future complications, such as infection, tooth decay, or damage to adjacent teeth, makes it prudent to address any concerns proactively.

Regarding where to have the extraction done, both dental clinics and hospitals can perform wisdom tooth extractions. Dental clinics often provide a more personalized experience and may be more convenient for straightforward cases. However, if your case is complicated or if you have anxiety about the procedure, a hospital setting may offer additional support and resources, such as sedation options.

As for your fear of needles and pain, it’s important to communicate this with your dentist or oral surgeon. They can take steps to help you feel more comfortable. For instance, they may apply a topical anesthetic before administering the local anesthetic to numb the area. Many patients experience anxiety about dental procedures, and it’s not uncommon for individuals to feel faint or nauseous. Dentists are accustomed to working with anxious patients and can provide various strategies to help manage your anxiety. This might include deep breathing exercises, the use of sedation dentistry, or even having a support person accompany you.

If you suspect that your wisdom teeth are horizontally impacted, it’s crucial to have a professional evaluation. Horizontal impaction can lead to more complex extraction procedures and may require a more skilled approach.
In summary, if you notice any changes in your teeth or experience discomfort, it’s advisable to seek a dental consultation. Early intervention can prevent more severe issues down the line. Don’t hesitate to express your concerns about pain and anxiety to your dental provider; they are there to help you through the process and ensure your comfort. Regular dental check-ups and maintaining good oral hygiene are essential for overall dental health, especially as your wisdom teeth continue to develop.

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