Post-Wisdom Tooth Extraction: Neighbor Tooth Shifting Concerns - Dentistry

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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.

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