Adjacent teeth displacement after wisdom tooth extraction?
Hello Doctor: I had my lower horizontal wisdom tooth extracted a month ago.
The day after the extraction, I noticed that the adjacent tooth had shifted, and the gap between it and the neighboring teeth had widened, even becoming loose.
Since then, my adjacent tooth has been easily hitting the upper teeth.
The doctor initially ground down the upper tooth (suddenly mentioning that there was a cavity, which led to the decision to grind it down).
After the grinding, it felt like there was less contact, but when I got home and bit into something, I still felt discomfort, as the teeth would still collide during the biting motion.
Up to now, I've only been lightly biting things due to soreness and sensitivity, and I'm waiting for the gum to heal before further observation.
I would like to ask if I should continue to grind down more teeth? I had an X-ray before the extraction, and there shouldn't have been any cavities...
I had addressed all the necessary fillings, and at least this adjacent tooth hadn't been mentioned as having a cavity in the past year.
mie, 20~29 year old female. Ask Date: 2021/10/05
Dr. Zeng Guanghui reply Dentistry
It is recommended to avoid eating hard foods next to the extracted wisdom tooth until the wound has healed and the bone underneath gradually regenerates.
Only then should normal eating be resumed.
As the tissue of the wisdom tooth extraction site heals, the adjacent teeth should also stabilize and strengthen over time.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2021/10/05
More Info
After a wisdom tooth extraction, it is not uncommon for patients to experience some shifting of neighboring teeth. This can be due to several factors, including the loss of the tooth that was previously occupying space, changes in bite alignment, or even the natural movement of teeth over time. In your case, it sounds like the extraction of your lower horizontal wisdom tooth has led to noticeable changes in the positioning of your adjacent teeth, which is a concern that many patients share.
When a tooth is removed, especially one that is situated in the back of the mouth like a wisdom tooth, the surrounding teeth may begin to shift into the space left behind. This can lead to larger gaps between teeth or even cause neighboring teeth to feel loose or unstable. The fact that you noticed your neighboring tooth moving and that it feels like it is hitting the upper teeth when you bite down is indicative of a change in your dental alignment.
Your dentist's decision to grind down the upper tooth was likely an attempt to alleviate the discomfort caused by the contact between the upper and lower teeth. However, if you are still experiencing discomfort or the feeling that your teeth are not aligning properly, it may be necessary to consider further adjustments. It is essential to communicate these concerns with your dentist, as they can provide a more tailored approach based on your specific situation.
In terms of whether you should have more teeth ground down, this is a decision that should be made collaboratively with your dentist. They will consider factors such as your overall dental health, the condition of your teeth, and the alignment of your bite. It is crucial to avoid excessive grinding, as this can lead to further complications, including sensitivity, pain, and even damage to the teeth.
Additionally, it is important to monitor the healing process of your extraction site. If you are still experiencing soreness or sensitivity, it may be a sign that your gums are still healing, and this could affect how your teeth feel and align. If the discomfort persists or worsens, or if you notice any signs of infection (such as increased swelling, pus, or fever), you should contact your dentist immediately.
In summary, while some shifting of teeth after wisdom tooth extraction is normal, it is essential to keep an open line of communication with your dentist about your concerns. They can assess the situation and determine if further adjustments are necessary. Regular follow-ups are important to ensure that your bite aligns properly and that your teeth remain healthy. If you have any doubts or if the situation does not improve, seeking a second opinion from another dental professional may also be beneficial.
Similar Q&A
Does Wisdom Tooth Extraction Affect Nearby Teeth Pain?
It has been 5 days since I had my lower right wisdom tooth extracted, but why is the adjacent tooth starting to hurt intensely?
Dr. Lin Jiayong reply Dentistry
Hello, during the process of wisdom tooth extraction, it is common to perform adjustments to the gums and alveolar bone, which can also affect the surrounding teeth. However, if this symptom has caused pain that impacts your daily life, I recommend that you promptly visit a medic...[Read More] Does Wisdom Tooth Extraction Affect Nearby Teeth Pain?
Post-Wisdom Tooth Extraction: Sensitivity and Exposed Bone Concerns
Hello, doctor. Two weeks ago, I had my wisdom teeth (both upper and lower on the right side) extracted and the stitches removed. However, I've noticed sensitivity in the two molars in front of the extracted wisdom teeth when I bite down. What could this symptom be? Additiona...
Dr. Huang Tingfang reply Dentistry
Dear Anonymous, Hello! After the extraction of wisdom teeth, exposure of the maxillary bone usually heals gradually, but it still requires monitoring. Additionally, if you experience sensitivity when biting down on the two anterior molars, please be aware that it could be a sig...[Read More] Post-Wisdom Tooth Extraction: Sensitivity and Exposed Bone Concerns
Understanding Post-Wisdom Tooth Extraction Care for Adjacent Dentures
Hello, doctor. I had my wisdom tooth extracted the day before yesterday, and I've had a denture next to it for a year. It feels a bit uncomfortable. I just looked in the mirror and used a cotton swab to check; there are faint traces of blood in the gum between the extracted ...
Dr. Zeng Guanghui reply Dentistry
The above situation may be due to the extraction site of the wisdom tooth not being fully healed, which could affect the adjacent dentures. It is recommended to maintain oral hygiene to facilitate proper healing of the wound. However, if there is persistent bleeding, a follow-up ...[Read More] Understanding Post-Wisdom Tooth Extraction Care for Adjacent Dentures
Does Tooth Extraction Cause Long-Term Shifting of Adjacent Teeth?
After wisdom tooth extraction, can other teeth tilt or have larger gaps due to the absence of the original wisdom tooth?
Dr. Lin Jiayong reply Dentistry
Hello: Under normal circumstances, the extraction of wisdom teeth should not affect the alignment of other teeth. Thank you![Read More] Does Tooth Extraction Cause Long-Term Shifting of Adjacent Teeth?
Related FAQ
(Dentistry)
Post-Extraction(Dentistry)
Tooth Extraction(Dentistry)
Bruxism(Dentistry)
Tooth Trauma(Dentistry)
Local Anesthesia(Dentistry)
Pain(Dentistry)
Tooth Alignment(Dentistry)
Tooth Mobility(Dentistry)
Tooth Root(Dentistry)