Impacted Wisdom Teeth: Should You Extract Them and Their Effects on Crowns?

Q: Impacted Wisdom Teeth: Should You Extract Them and Their Effects on Crowns?

Hello, Huang Zhan： If the gums around the wisdom tooth are frequently inflamed, it is recommended to extract the wisdom tooth. <br>The extraction process will not damage the anterior dental crown. <br>Dr. <br>Tseng Guang-Hui, Nantou Hospital Dental Department.

Gum inflammation around the wisdom tooth raises the question of whether the wisdom tooth needs to be extracted and whether it will affect the dental crown of the adjacent molar?

Keywords: wisdom teeth / extraction / root canal treatment
Hello, Doctor.
My situation is that the gums around my wisdom tooth seem to be inflamed and occasionally cause pain at night (frequency: 2-3 times/month).
Currently, I am abroad and have only been able to visit a clinic once.
The local dentist explained to me that I can choose to have the wisdom tooth extracted because it is growing higher than the other teeth.
(After an X-ray, there were no dark shadows in the gums, so I was only prescribed antibiotics, but the pain recurs every month or two.) However, my second molar has already undergone root canal treatment and has an artificial crown.
Could you please advise if extracting the wisdom tooth would cause damage to the artificial crown or any other issues? Thank you for your response, Doctor.

Huang Zhan, 20~29 year old female. Ask Date: 2020/08/26

Dr. Zeng Guanghui reply Dentistry

Hello, Huang Zhan: If the gums around the wisdom tooth are frequently inflamed, it is recommended to extract the wisdom tooth.
The extraction process will not damage the anterior dental crown.
Dr.
Tseng Guang-Hui, Nantou Hospital Dental Department.

Reply Date: 2020/08/26

More Info

When it comes to impacted wisdom teeth, the decision to extract them often hinges on several factors, including the presence of pain, infection, and their potential impact on surrounding teeth. In your case, it seems that your wisdom tooth is causing periodic inflammation and discomfort, which is a common indication for extraction.
Impacted wisdom teeth can lead to various complications, including infection, damage to adjacent teeth, and even the development of cysts or tumors. The inflammation you are experiencing may be a sign of pericoronitis, an infection that occurs when the gum tissue around the tooth becomes inflamed. This condition can lead to more severe issues if left untreated, including the spread of infection.

Regarding your concern about the impact of wisdom tooth extraction on your existing dental crown on the second molar, it is generally considered that the extraction of a wisdom tooth should not directly damage a properly placed crown. The roots of the wisdom teeth are located further back in the mouth, and their extraction typically does not involve the area where the second molar is situated. However, there are a few considerations to keep in mind:
1. Proximity of Teeth: If the wisdom tooth is very close to the second molar, there is a slight risk that the extraction process could inadvertently affect the adjacent tooth. This is particularly true if the wisdom tooth is impacted and requires surgical intervention.

2. Post-Extraction Care: After the extraction, it is essential to follow your dentist's post-operative care instructions. Proper care can help minimize complications and ensure that your mouth heals correctly.

3. Long-Term Effects: While the immediate extraction of the wisdom tooth should not affect your crown, it is crucial to monitor the health of your remaining teeth. If the wisdom tooth is causing issues, it may be beneficial to remove it to prevent future complications that could indirectly affect your dental work.

4. Consultation with Your Dentist: Given that you are currently abroad and have limited access to dental care, it is advisable to communicate your concerns with your local dentist. They can provide a thorough examination and determine the best course of action based on your specific situation.

In summary, while extracting an impacted wisdom tooth is often recommended to prevent further complications, it is unlikely to damage your existing dental crown. However, it is essential to ensure that the extraction is performed carefully and to follow up with your dentist to monitor the health of your teeth post-extraction. If you have any lingering concerns or experience any unusual symptoms after the procedure, do not hesitate to seek further dental advice. Your oral health is paramount, and addressing these issues proactively can help maintain your overall well-being.

Similar Q&A

Impact of Wisdom Tooth Extraction on Adjacent Crowned Molars

Hello, doctor. After undergoing root canal treatment on my molar, I am preparing to get a dental crown. The adjacent wisdom tooth has already decayed. Will extracting the wisdom tooth after the crown is placed affect the fit or cause damage to the molar crown? Thank you.

Dr. Huang Tingfang reply Dentistry
Dear Mr. Yan: Hello! There are still risks associated with wisdom tooth extraction! It is advisable to consult an oral surgeon! Please communicate more with your physician! Thank you! Wishing you safety! Sincerely, Dr. Huang Ting-Fang, Dentistry.

Should You Extract Wisdom Teeth Before Dental Crown Procedure?

Hello, doctor. Due to the loss of filling material in my second molar, and because the area of damage is extensive, the doctor has suggested doing a dental crown for repair. However, before proceeding with the crown, I need to have my impacted wisdom tooth extracted to achieve be...

Dr. Lin Jiayong reply Dentistry
Hello: If you strongly prefer not to have your wisdom teeth extracted, it is advisable to discuss with your dentist the potential consequences and complications of not having the extraction and proceeding with dental restoration immediately. If you understand the risks and are wi...

Impacted Wisdom Tooth: Should You Remove It or Leave It Alone?

Hello Doctor: Recently, during an X-ray at the dental clinic, it was discovered that my lower left molar is horizontally positioned and is partially covered by gum tissue. Since it does not affect my eating and is not painful, I prefer not to have it extracted, and the surgery se...

Dr. Wu Jinjun reply Dentistry
Hello: Impacted lower wisdom teeth are commonly found in modern dental arches. If left untreated, they may lead to cavities in the anterior teeth or periodontal damage. The presence of bruising on the gums may be due to the eruptive forces of the teeth or occlusion with the upper...

Does Removing Impacted Wisdom Teeth Affect Orthodontic Results?

Hello Doctor, I have been receiving dental treatment at a local dental clinic in my hometown for over 10 years, during which I also completed orthodontic treatment. About 3 to 4 years ago, I discovered that I have horizontally impacted wisdom teeth. Recently, during a dental clea...

Dr. Huang Tingfang reply Dentistry
Dear Patient, Regarding your impacted horizontal wisdom teeth: It is strongly recommended that they be extracted, as they can lead to cavities in the adjacent teeth or periodontal disease. As for the extraction of the two horizontal wisdom teeth in the lower jaw, it is essenti...