Which Dental Treatment is Best for My Impacted Wisdom Tooth? - Dentistry

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What is the best approach for treatment?


Hello, I would like to ask for your advice.
My lower left wisdom tooth has fully erupted, but the second to last tooth has erupted at a 45-degree angle (which is very clear on the X-ray).
Should I have the wisdom tooth extracted and then attempt to correct the angled tooth, or should I extract the angled tooth and then move the wisdom tooth forward to align the teeth? Since both options have been suggested by different dentists, which option would be more feasible? Thank you!

Xiao Xie Mei Mei, 20~29 year old female. Ask Date: 2006/10/16

Dr. Yang Hui reply Dentistry


If the 45-degree angled teeth are healthy (without periodontal disease or cavities), it is advisable to extract the wisdom teeth to help align the 45-degree angled teeth.
However, the alternative methods mentioned can also be considered; there is no definitive answer as to which method is correct.
The decision should be based on treatment duration and the overall health of the teeth.

Reply Date: 2006/10/16

More Info


When it comes to managing impacted wisdom teeth, especially in the context of your situation where you have a wisdom tooth that has fully erupted and a second molar that is angled at 45 degrees, there are several factors to consider before making a decision.
Firstly, it's essential to understand the potential complications associated with impacted wisdom teeth. These teeth can lead to various dental issues, including crowding, misalignment of adjacent teeth, and increased risk of cavities or gum disease. The angled position of your second molar could indicate that it is being pushed or affected by the wisdom tooth, which may lead to further complications down the line.

In your case, you have two primary options:
1. Extract the Wisdom Tooth and Attempt to Correct the Second Molar: This approach involves removing the wisdom tooth and then using orthodontic treatment to reposition the second molar. This option may be beneficial if the wisdom tooth is causing discomfort or if it is contributing to the misalignment of your second molar. Orthodontic treatment can help align the teeth properly, but it may take time and require the use of braces or other orthodontic devices.

2. Extract the Second Molar and Allow the Wisdom Tooth to Shift Forward: This option involves removing the second molar and allowing the wisdom tooth to move into the space left behind. This approach may simplify your dental structure, but it also means losing a functional tooth that plays a role in chewing and maintaining your bite.
Both options have their pros and cons, and the best choice depends on several factors, including your overall dental health, the condition of your teeth, and your long-term dental goals. Here are some considerations to help guide your decision:
- Consultation with Specialists: It's crucial to seek opinions from both a general dentist and an orthodontist. They can provide insights based on your specific dental anatomy and help you understand the potential outcomes of each option.

- Long-term Impact: Consider the long-term implications of losing a second molar versus a wisdom tooth. The second molar is a critical tooth for chewing, while wisdom teeth often have less functional value, especially if they are impacted or misaligned.

- Orthodontic Treatment: If you choose to keep the wisdom tooth and extract the second molar, be prepared for possible orthodontic treatment to ensure that your remaining teeth align correctly. This may involve braces or other orthodontic appliances.

- Pain and Discomfort: If your wisdom tooth is causing pain or discomfort, it may be more prudent to remove it, regardless of the position of the second molar. Pain is often a sign that the tooth is causing problems, and addressing it early can prevent more severe issues later.

- Financial Considerations: Dental treatments can be costly, and it's essential to consider your budget. Discuss the costs associated with each option with your dentist and orthodontist to make an informed decision.

In conclusion, the best treatment for your impacted wisdom tooth and the angled second molar depends on a comprehensive evaluation of your dental health, the potential for future complications, and your personal preferences. Engaging in open discussions with your dental care providers will help you make the most informed decision tailored to your unique situation. Remember, maintaining good oral hygiene and regular dental check-ups will also play a significant role in your overall dental health moving forward.

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