the Impact of Horizontal Wisdom Teeth on Adjacent Molars - Dentistry

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The horizontal wisdom tooth has absorbed the adjacent molar issue?


Hello Doctor: Recently, I visited a clinic due to neuralgia, and after an X-ray, the physician discovered that I have a partially erupted horizontal wisdom tooth that has already absorbed half of the root of the molar, causing them to fuse together.
The doctor mentioned that my situation is quite unique and suggested that I first undergo treatment for the molar before addressing the wisdom tooth.
I would like to ask the doctor: 1.
Is it possible to completely extract the wisdom tooth in this case, given that it is fused with the molar root? 2.
If the wisdom tooth is extracted, will the absence of the root cause instability in the molar due to the loss of support? I am very concerned about the condition of my wisdom tooth.
Thank you for your clarification.

Lynn, 20~29 year old female. Ask Date: 2022/05/08

Dr. Lin Jiayong reply Dentistry


Hello: 1.
It is recommended to follow the physician's advice and treat the molars first before addressing the wisdom teeth.
If extraction is not feasible, you might consider leaving the wisdom teeth in place.
2.
Similarly, it is not advisable to sacrifice the molars just to extract the wisdom teeth, unless there are other more serious and urgent reasons to do so!

Reply Date: 2022/05/08

More Info


The situation you are facing with your horizontal wisdom teeth is indeed complex and requires careful consideration. Let's break down your concerns regarding the impact of horizontal wisdom teeth on adjacent molars, particularly in light of the unique circumstances you've described.

1. Complete Extraction of the Wisdom Tooth: When a wisdom tooth is horizontally impacted and has fused with the root of an adjacent molar, the extraction process can be more complicated. The dentist or oral surgeon will need to assess the extent of the fusion through imaging studies, such as X-rays or possibly a CT scan. In some cases, it may be possible to remove the wisdom tooth completely, but this often depends on the degree of attachment to the molar. If the roots are significantly intertwined, the surgeon may need to remove the wisdom tooth in sections to minimize trauma to the adjacent tooth. This can be a delicate procedure, and the expertise of an oral surgeon is crucial in such scenarios.

2. Impact on the Adjacent Molar: Your concern about the stability of the adjacent molar after the extraction of the wisdom tooth is valid. If the roots of the wisdom tooth have fused with the molar, there is a risk that removing the wisdom tooth could affect the structural integrity of the molar. However, skilled oral surgeons are trained to handle such situations and will take precautions to preserve the health of the adjacent tooth. They may use techniques to ensure that the molar remains stable during and after the extraction process.
It is also important to consider the potential for complications such as infection or damage to the surrounding bone and gum tissue during the extraction. Post-operative care will be essential to ensure proper healing and to monitor the health of the adjacent molar.


Additional Considerations:
- Follow-Up Care: After the extraction, it is crucial to follow your dentist's or oral surgeon's post-operative instructions carefully. This may include maintaining oral hygiene, avoiding certain foods, and possibly taking prescribed medications to manage pain and prevent infection.

- Long-Term Monitoring: Given the unique nature of your dental situation, regular follow-up appointments will be necessary to monitor the health of the adjacent molar and the extraction site. Your dentist may recommend periodic X-rays to ensure that the molar remains healthy and that there are no signs of complications.

- Consultation with Specialists: If you have concerns about the procedure or the health of your teeth, it may be beneficial to seek a second opinion from an oral surgeon or a dental specialist. They can provide additional insights and may suggest alternative treatment options if necessary.

In conclusion, while the extraction of a horizontally impacted wisdom tooth that is fused with an adjacent molar can be challenging, it is often manageable with the right expertise. The key is to work closely with your dental care team, communicate your concerns, and ensure that you receive comprehensive care throughout the process. Your oral health is paramount, and addressing these issues promptly will help prevent further complications in the future.

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