the Gap Between Your Last Tooth and Gum: Is It Caused by Impacted Wisdom Teeth?

Q: the Gap Between Your Last Tooth and Gum: Is It Caused by Impacted Wisdom Teeth?

Hello： After extraction, there is a possibility for the gum tissue to heal and fill in, making the area easier to clean. <br>However, the risks of tooth extraction include potential injury to the bone during the procedure and possible numbness of the inferior alveolar nerve after

There is a cavity between the last tooth on the lower left side and the gum?

Hello Doctor, I recently discovered a deep cavity between my lower left last tooth and the gum.
I can push the interdental brush quite deep into it, and it bleeds after cleaning.
Additionally, there is a horizontally impacted wisdom tooth completely buried in the gum below.
I would like to know if this cavity could be caused by the horizontally impacted wisdom tooth.
Will removing the wisdom tooth allow the area to heal over time? A few weeks before I noticed the cavity, I had a dental cleaning and a full mouth X-ray, and the dentist did not mention any cavities; they only noted that I had two horizontally impacted wisdom teeth on the lower left and right.
The dentist said that since the wisdom teeth have not erupted, there is no need to extract them for now.
Currently, there is no pain or discomfort in the gums, and I have been cleaning the area daily with an interdental brush.
Thank you, Doctor.

YUU, 20~29 year old female. Ask Date: 2023/09/10

Dr. Lin Jiayong reply Dentistry

Hello: After extraction, there is a possibility for the gum tissue to heal and fill in, making the area easier to clean.
However, the risks of tooth extraction include potential injury to the bone during the procedure and possible numbness of the inferior alveolar nerve afterward.
It is advisable to discuss thoroughly with the oral surgeon before making a decision.

Reply Date: 2023/09/10

More Info

Hello! Thank you for your question regarding the gap between your last tooth and gum, and whether it could be related to your impacted wisdom teeth.
From your description, it sounds like you are experiencing a significant gap or pocket between your last lower tooth and the gum tissue, which is concerning. This type of gap can indeed be influenced by several factors, including the presence of impacted wisdom teeth, periodontal disease, or even trauma to the area.
1. Impacted Wisdom Teeth: Impacted wisdom teeth, especially when they are horizontally positioned, can exert pressure on adjacent teeth and gum tissue. This pressure may lead to inflammation or gum recession, creating a pocket or gap. While your dentist mentioned that the wisdom teeth do not need to be extracted immediately, it is essential to monitor their impact on your oral health. If the wisdom teeth are causing issues, such as infection or significant discomfort, extraction may be necessary.

2. Gum Health: The bleeding you experience when cleaning the area with an interdental brush is a sign of gum inflammation, which could indicate gingivitis or periodontitis. These conditions can lead to gum recession and the formation of pockets around teeth. Even if you do not currently feel pain, it is crucial to address any signs of gum disease promptly. Regular dental cleanings and good oral hygiene practices are vital in managing gum health.

3. Healing After Extraction: If it is determined that the impacted wisdom tooth is contributing to the problem, removing it may help alleviate pressure on the adjacent tooth and allow the gum tissue to heal. However, it is important to note that while extraction can help, it may not guarantee that the gap will completely close. The healing process can vary from person to person, and factors such as age, overall health, and oral hygiene will play a role in recovery.

4. Monitoring and Follow-Up: Since you recently had a dental cleaning and X-rays, it would be wise to follow up with your dentist regarding the gap and the status of your wisdom teeth. They may recommend further evaluation, such as a periodontal assessment, to determine the extent of gum health and any necessary treatments.

5. Preventive Measures: In the meantime, continue with your diligent oral hygiene routine, including brushing, flossing, and using interdental brushes. If you notice any changes, such as increased bleeding, swelling, or pain, contact your dentist immediately.

In summary, while the impacted wisdom tooth could be a contributing factor to the gap you are experiencing, it is essential to consider other aspects of your oral health, particularly gum health. Regular dental check-ups and open communication with your dentist will be key in managing this situation effectively. If extraction is recommended, it may help improve the condition of your gums and overall oral health. Thank you for your inquiry, and I wish you the best in your dental health journey!

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