Should I Remove My Impacted Wisdom Tooth Causing Pain? - Dentistry

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When it comes to impacted wisdom teeth, especially those that are causing pain or discomfort, it is generally advisable to consider removal. Impacted wisdom teeth can lead to a variety of dental issues, including infection, damage to adjacent teeth, and the development of cysts or tumors. In your case, since the X-ray has shown that your upper right wisdom tooth is not only impacted but also angled in a way that it is pressing against the adjacent tooth, this could lead to further complications if left untreated.


Reasons for Removal
1. Pain and Discomfort: If the impacted tooth is causing pain, it is a clear sign that it may need to be removed. Pain can be a result of pressure on nearby teeth or inflammation in the gums.

2. Infection Risk: Impacted teeth can create pockets where bacteria can thrive, leading to infections. This can result in more severe pain, swelling, and even systemic issues if the infection spreads.

3. Damage to Adjacent Teeth: As you mentioned, the impacted wisdom tooth is pressing against the tooth in front of it. This can lead to decay or damage to that tooth, which may require additional dental work in the future.

4. Cysts and Tumors: In some cases, impacted wisdom teeth can lead to the formation of cysts or tumors, which can damage the jawbone and surrounding structures.


Surgical Considerations
As for whether you need to go to a large hospital for the extraction, it depends on the complexity of the case. Many dental offices, especially those with oral surgeons, can perform wisdom tooth extractions in an outpatient setting. Here are some considerations:
- Type of Anesthesia: Simple extractions can often be done under local anesthesia, while more complicated cases may require sedation or general anesthesia. If you are anxious about the procedure, you might prefer a facility that offers sedation options.

- Experience of the Dentist: Ensure that the dentist or oral surgeon has experience with wisdom tooth extractions. They should be able to assess the situation and determine the best course of action.

- Post-Operative Care: After the extraction, you will need to follow specific care instructions to ensure proper healing. This includes managing pain, swelling, and preventing infection.


Conclusion
In summary, if your impacted wisdom tooth is causing pain and has the potential to lead to further dental issues, it is advisable to have it removed. Consult with your dentist or an oral surgeon to discuss your options. They will be able to provide you with a thorough examination and help you understand the risks and benefits of the procedure. Whether you go to a large hospital or a dental office will depend on the complexity of your case and your personal comfort level. Always prioritize your dental health and seek professional advice tailored to your specific situation.