Wisdom Teeth Issues: Extraction, Pain, and Alignment Concerns - Dentistry

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Hello! Thank you for your questions regarding wisdom teeth and related dental concerns. Let's break down your inquiries and provide some clarity on each aspect.

Firstly, after having your upper left wisdom tooth extracted, it's not uncommon to feel a hard or sharp area in the gum where the tooth was removed. This could be the bone that was previously covered by the tooth and gum tissue. In some cases, if the extraction site is healing properly, the bone may feel prominent or even sharp as the gum tissue heals over it. However, if you are concerned that there may be remnants of the tooth or if the area is painful, it’s best to consult your dentist for a follow-up examination.

Regarding your lower right wisdom tooth, which is positioned horizontally and has been causing pain, it’s essential to address this issue promptly. The pain you are experiencing, especially if it is accompanied by bleeding gums, could indicate that the tooth is impacted or causing irritation to the surrounding gum tissue. The presence of a swollen lymph node in your armpit could be unrelated, but it’s worth mentioning to your healthcare provider, as it may indicate an infection or systemic response.

As for whether you should proceed with the extraction during the pandemic, this decision should be made in consultation with your dentist or oral surgeon. If the pain is manageable with over-the-counter pain relief like acetaminophen (Tylenol), it may be reasonable to wait, but you should not ignore persistent pain or signs of infection. If your dentist has recommended extraction, it’s likely because they believe the tooth could lead to further complications if left in place.

Regarding your concern about the wisdom tooth potentially pushing against your other teeth, it is indeed possible for wisdom teeth to exert pressure on adjacent teeth, especially if they are impacted or growing at an angle. If your lower teeth are already misaligned, the presence of the wisdom tooth could exacerbate this issue over time. However, once a tooth has fully erupted, it typically does not continue to move significantly unless there are other factors at play, such as gum disease or orthodontic pressure.

If your upper teeth are aligned well and your lower teeth are slightly crooked but do not affect your bite or oral hygiene, you might not need to pursue orthodontic treatment. Many people live with minor misalignments without any functional issues. However, if you notice any changes in your bite or if cleaning becomes difficult due to overlapping teeth, it may be worth discussing orthodontic options with your dentist.

In summary, it’s crucial to maintain regular dental check-ups, especially after extractions or if you are experiencing pain. Your dentist can provide personalized advice based on your specific situation, including whether to proceed with wisdom tooth extraction and how to manage any alignment concerns. Remember, maintaining good oral hygiene and addressing dental issues promptly can help prevent more significant problems down the road. Thank you for reaching out, and I hope this information helps clarify your concerns!