Wisdom tooth issues
Hello, Doctor: I have a hard, pointed growth on the gum of my upper left last tooth that has been present for at least six months to a year.
It doesn't hurt, but sometimes I feel a slight foreign body sensation.
It doesn't significantly affect my daily life.
However, it doesn't seem to be pushing against my teeth like a horizontally impacted wisdom tooth; rather, it is growing outward.
I would like to know if this could be a wisdom tooth.
Thank you.
Lin Ting-wei, 10~19 year old female. Ask Date: 2021/06/25
Dr. Zeng Guanghui reply Dentistry
It may be a bacterial infection at the root apex of the tooth, leading to chronic inflammation.
As for horizontal wisdom teeth, if they are extracted, the appearance of the gum may sometimes look normal, but there can be occasional discomfort or pain.
It is recommended to consult a dentist for an X-ray examination for a detailed assessment.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2021/06/25
More Info
Wisdom teeth, or third molars, are the last set of molars that typically emerge in late adolescence or early adulthood, usually between the ages of 17 and 25. They are located at the back of the mouth, and their eruption can often lead to various dental issues, including pain, infection, and misalignment of other teeth. Your description of a hard, pointed growth in the gum area where your upper left wisdom tooth is located raises several important considerations.
Firstly, it is essential to differentiate between normal gum tissue and potential complications associated with wisdom teeth. The hard protrusion you describe could be several things, including a normal bony growth, a dental cyst, or even an impacted wisdom tooth. Impacted wisdom teeth occur when there is not enough space in the jaw for the tooth to emerge properly, leading to it growing at an angle, which can cause pressure on adjacent teeth and result in pain or discomfort.
Even if you are not currently experiencing pain, the presence of a hard growth can indicate that there may be underlying issues that could develop over time. For instance, if the wisdom tooth is partially erupted, it can create a pocket where bacteria can accumulate, leading to gum disease or infection. This condition, known as pericoronitis, can cause swelling, pain, and difficulty in opening the mouth.
Another possibility is that the growth you are feeling is a result of bone remodeling or a benign bony growth, which can occur in the jaw. However, without a clinical examination and possibly imaging studies like X-rays, it is challenging to determine the exact nature of the growth.
Given that you have noticed this growth for six months to a year and that it sometimes causes an unusual sensation, it would be prudent to consult with a dentist or an oral surgeon. They can perform a thorough examination, possibly including X-rays, to assess the position of your wisdom tooth and the surrounding structures. This evaluation will help determine whether the tooth needs to be monitored or if extraction is necessary.
In terms of symptoms to watch for, if you begin to experience pain, swelling, difficulty in chewing, or any signs of infection (such as fever or pus), it is crucial to seek dental care promptly. These symptoms could indicate that the situation is worsening and may require immediate attention.
In summary, while the hard growth you are experiencing may not currently be causing significant issues, it is essential to have it evaluated by a dental professional. They can provide you with a clear diagnosis and recommend appropriate treatment options based on your specific situation. Regular dental check-ups are vital, especially as wisdom teeth can lead to complications even in the absence of pain. Taking proactive steps now can help prevent more severe issues in the future and ensure your oral health remains in good standing.
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