Wisdom Tooth Tissue: Do You Need Surgery? - Dentistry

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Tissue on the wisdom tooth?


Hello doctor, my upper left wisdom tooth is coming in.
The tissue covering the tooth can be lifted and moved with my tongue.
The wisdom tooth is not affecting my bite, but this tissue gets easily caught when I chew.
Will it disappear on its own, or do I need to have it removed? Thank you, doctor.

Yanyan, 10~19 year old female. Ask Date: 2022/07/10

Dr. Lin Jiayong reply Dentistry


Hello: If impacted wisdom teeth are causing recurrent pericoronitis, it is recommended to seek treatment from a physician and have the impacted wisdom teeth extracted as soon as possible.
Sincerely, Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/07/10

More Info


When it comes to wisdom teeth, particularly the upper left wisdom tooth that you mentioned, there are several factors to consider regarding whether surgical intervention is necessary. The tissue covering the wisdom tooth, often referred to as the operculum, can sometimes cause discomfort or become problematic, especially if it gets caught while chewing.
In many cases, if the wisdom tooth is partially erupted and the surrounding tissue is causing issues, it may not resolve on its own. The operculum can trap food particles and bacteria, leading to a condition known as pericoronitis, which is an inflammation of the gum tissue surrounding the tooth. Symptoms can include pain, swelling, and difficulty opening the mouth. If you are experiencing these symptoms, it is advisable to consult with your dentist or an oral surgeon.

If the tissue is causing consistent discomfort or if there are signs of infection, surgical removal of the operculum (a procedure known as operculectomy) may be recommended. This can alleviate the pain and prevent further complications. However, if the wisdom tooth is positioned well and not causing any issues, and if the tissue is not inflamed or infected, it might be possible to manage the situation without surgery.
It's also important to consider the position of the wisdom tooth. If it is impacted (meaning it is unable to fully erupt into the mouth), it can lead to more significant problems down the line, including damage to adjacent teeth or the development of cysts. In such cases, extraction of the wisdom tooth may be the best course of action.

In terms of whether the tissue will disappear on its own, it largely depends on the individual case. Some people may find that the tissue recedes as the tooth continues to erupt, while others may continue to experience issues. If the tissue remains and continues to cause problems, surgical intervention may be necessary.

In summary, while it is possible that the tissue may resolve itself, it is essential to monitor the situation closely. If you experience pain, swelling, or any signs of infection, it is crucial to seek dental advice promptly. Your dentist can provide a thorough examination and recommend the best course of action based on your specific circumstances. Regular dental check-ups are also important to ensure that any potential issues with your wisdom teeth are addressed early on, preventing more significant problems in the future.

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