Wisdom Tooth Extraction: Key Questions and Considerations

Wisdom tooth extraction issues?

Hello, Doctor.
I discovered that my wisdom tooth had a cavity on Sunday, so I went to see the dentist on Tuesday.
The dentist recommended extracting the tooth because it had decayed about a quarter from the side, but it hadn't reached the nerve, so the nerve was not removed.
However, only the upper right decayed wisdom tooth was extracted, and the lower right wisdom tooth was not removed.
I have the following questions:
1.
Does the lower right wisdom tooth, which does not have an opposing tooth, need to be extracted? The dentist did not mention whether it should be extracted or require any other treatment.
2.
If it needs to be extracted, should I wait for the upper right extraction site to heal before going back? (It has only been about 2 days since the extraction.)
3.
If the lower right wisdom tooth is not extracted, will I need an implant or a prosthetic tooth to replace the upper right wisdom tooth to maintain the opposing tooth relationship? If so, should I wait until the extraction site is completely healed before proceeding?
4.
Considering my age and the current condition without an opposing tooth, will the lower right wisdom tooth continue to grow? What should I be aware of in this situation?
Thank you for your assistance, Doctor.

Mo Mo, 30~39 year old female. Ask Date: 2020/06/11

Dr. Huang Tingfang reply Dentistry

Dear Miss Mo Mo,
Hello! You have raised a very logical question!
1.
If the lower right wisdom tooth has no cavities, it can be left in place for now.
If there is future gum inflammation or cavities that become difficult to manage, then it can be extracted later.

2.
It can temporarily remain in place.

3.
Generally, no action is required.

4.
In the absence of an opposing tooth, the lower right wisdom tooth may continue to grow upwards.
If it eventually comes into contact with the upper right gum, it may cause pain when the lower right wisdom tooth is extracted.

Take care! Wishing you peace and smooth sailing!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/06/11

More Info

When it comes to wisdom tooth extraction, there are several important considerations and questions that patients often have. Based on your inquiry, I will address your specific questions regarding the extraction of your wisdom teeth, particularly focusing on the implications of leaving one tooth in place while extracting another.

1. Should the lower right wisdom tooth be extracted?
The decision to extract a wisdom tooth that does not have a corresponding opposing tooth (in your case, the lower right wisdom tooth) largely depends on several factors, including its position, the potential for future problems, and your overall dental health. If the lower right wisdom tooth is impacted, partially erupted, or has the potential to cause crowding or misalignment of adjacent teeth, it may be advisable to consider extraction. However, if it is healthy, fully erupted, and not causing any issues, your dentist may decide that it can remain. It’s essential to have regular check-ups to monitor its condition.

2. Should I wait for the upper right extraction site to heal before addressing the lower right wisdom tooth?
Generally, it is advisable to allow the extraction site of the upper right wisdom tooth to heal before undergoing another surgical procedure, such as the extraction of the lower right wisdom tooth. Healing typically takes about 1 to 2 weeks, but complete bone healing can take several months. Your dentist will provide specific guidance based on your healing progress and overall oral health.

3. If the lower right wisdom tooth is not extracted, will I need an implant or denture for the upper right tooth?
If the lower right wisdom tooth is retained and the upper right tooth is extracted, it is not always necessary to replace the upper tooth immediately. However, if the upper tooth is lost and the lower tooth is not extracted, you may want to consider options for replacement in the future, especially if you are concerned about aesthetics or functionality. Dental implants or bridges can be considered once the extraction site has fully healed, typically after a few months.

4. Will the lower right wisdom tooth continue to grow, and what should I watch for?
Wisdom teeth usually stop growing once they have fully erupted. However, if the lower right wisdom tooth is impacted or has not fully erupted, it may still pose risks, such as infection or crowding. It’s crucial to monitor for any signs of pain, swelling, or changes in the position of your teeth. Regular dental check-ups will help ensure that any potential issues are addressed early.

In summary, the management of wisdom teeth should be individualized based on your specific dental situation. It is essential to maintain open communication with your dentist, who can provide tailored advice based on your oral health and the condition of your teeth. Regular follow-ups and monitoring will help ensure that any potential issues are addressed promptly, allowing you to maintain optimal dental health.

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