the Impact of Wisdom Tooth Position on Oral Health

Q: the Impact of Wisdom Tooth Position on Oral Health

Hello, sir： Thank you for your inquiry. <br>I would like to address your question and provide the following advice： Generally speaking, the eruption of wisdom teeth typically occurs between the ages of 18 and 22, with the final position being at the occlusal surface, usually behi

The position of the wisdom teeth?

Regarding the position of my wisdom teeth, the dentist mentioned that my wisdom teeth are located very far back, near the jawbone (I'm not sure how to describe that location).
In short, they are positioned at the very back.
Since half of them are covered by gum tissue, the dentist said they will not grow any further.
The dentist also mentioned that the position of these wisdom teeth is not ideal and that they may cause pain and inflammation in the future, so they recommended considering extraction.
Aside from being difficult to clean, what other impacts can arise from having wisdom teeth located so far back?

Niming, 10~19 year old female. Ask Date: 2007/12/27

Dr. Chu Boqin reply Dentistry

Hello, sir: Thank you for your inquiry.
I would like to address your question and provide the following advice: Generally speaking, the eruption of wisdom teeth typically occurs between the ages of 18 and 22, with the final position being at the occlusal surface, usually behind the upper and lower jaw's last molar (the seventh tooth).
In modern times, people tend to consume less coarse food, resulting in insufficient occlusal stimulation, which leads to inadequate jawbone development.
Consequently, there is often not enough space to accommodate the third molars, making them prone to food impaction and inflammation.
This can ultimately lead to cavities in the adjacent seventh molar, which is why we recommend extraction.
I hope this information meets your satisfaction.
Wishing you peace and happiness!

Reply Date: 2007/12/27

More Info

Understanding the impact of wisdom tooth position on oral health is crucial, especially when it comes to the potential complications associated with their growth. Wisdom teeth, or third molars, typically emerge in late adolescence or early adulthood. Their positioning can significantly affect oral health, particularly when they are impacted or positioned in a way that complicates dental hygiene.

In your case, the wisdom tooth is located at the back of your mouth, partially covered by gum tissue. This positioning can lead to several issues beyond just difficulty in cleaning. Here are some key points to consider:
1. Impaction and Infection: When a wisdom tooth is partially erupted or trapped beneath the gum, it can create a pocket where bacteria can thrive. This can lead to pericoronitis, an infection of the gum tissue surrounding the tooth. Symptoms may include pain, swelling, and difficulty opening the mouth. If left untreated, this infection can spread and cause more serious health issues.

2. Cavities and Gum Disease: The difficulty in cleaning a wisdom tooth that is positioned far back can lead to an increased risk of cavities not only in the wisdom tooth itself but also in the adjacent second molar. The accumulation of plaque and food particles can result in gum disease, which can have further implications for your overall oral health.

3. Crowding and Misalignment: Even if your wisdom teeth are not currently causing issues, their presence can lead to crowding of the other teeth. This can result in misalignment, which may necessitate orthodontic treatment in the future. If the wisdom tooth exerts pressure on the adjacent teeth, it can lead to discomfort and changes in your bite.

4. Jaw Pain and Discomfort: As you mentioned, wisdom teeth can cause pain and discomfort, particularly if they are impacted or if there is inflammation in the surrounding tissues. This discomfort can extend to the jaw and temporomandibular joint (TMJ), leading to further complications such as jaw pain or clicking.

5. Potential for Cysts or Tumors: In some cases, impacted wisdom teeth can lead to the formation of cysts or tumors in the jawbone. These can cause damage to the surrounding teeth and bone structure, necessitating surgical intervention.

6. Future Complications: Even if your wisdom tooth is not currently causing problems, the potential for future complications is significant. Dentists often recommend proactive removal of wisdom teeth that are likely to cause issues, especially if they are positioned in a way that makes them difficult to clean.

In conclusion, while the immediate concern may be the difficulty in cleaning your wisdom tooth, the potential implications of its position can be far-reaching. It is advisable to follow your dentist's recommendation regarding extraction, especially if they foresee future complications. Regular dental check-ups and maintaining good oral hygiene practices are essential in managing the health of your teeth and gums. If you have any concerns or experience symptoms such as pain or swelling, do not hesitate to consult your dentist for further evaluation and management.

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