Do I Need to Remove My Upper Tooth if I Extract a Lower Wisdom Tooth?

Issues related to wisdom tooth extraction?

Doctor, my lower right wisdom tooth is horizontally impacted.
If I have it extracted, will I also need to extract the upper right one?

Huan, 20~29 year old female. Ask Date: 2015/06/09

Dr. Zhuang Suhui reply Dentistry

Hello, cleaning horizontally positioned wisdom teeth can be difficult and may affect the adjacent tooth.
Unless there are special circumstances, it is generally recommended to extract them.
As for whether the upper right wisdom tooth needs to be removed, it will depend on the specific situation.

Reply Date: 2015/06/09

More Info

When considering the extraction of a lower wisdom tooth, particularly one that is horizontally impacted, the decision to also remove the corresponding upper wisdom tooth is not always straightforward. Here are several factors to consider regarding your situation:
1. Impaction and Alignment: If your lower wisdom tooth is horizontally impacted, it may be pushing against the upper wisdom tooth. This can lead to complications such as pain, infection, or damage to adjacent teeth. In some cases, the upper wisdom tooth may not be fully erupted or may be in a position that could lead to future dental issues. If the upper tooth is healthy and properly aligned, it may not need to be extracted.

2. Orthodontic Considerations: If you have had or are considering orthodontic treatment, the alignment of your teeth is crucial. Sometimes, dentists recommend the removal of upper wisdom teeth to prevent crowding or misalignment after the lower wisdom tooth is extracted. If the upper tooth is contributing to crowding or is at risk of becoming impacted due to the removal of the lower tooth, extraction may be advisable.

3. Oral Hygiene: Wisdom teeth, especially those that are partially erupted or impacted, can be difficult to clean properly. This can lead to cavities or gum disease. If the upper wisdom tooth is at risk of becoming problematic due to its position or the extraction of the lower tooth, it may be recommended for removal.

4. Consultation with Your Dentist: The best course of action is to have a thorough discussion with your dentist or oral surgeon. They can evaluate your specific dental situation, including X-rays, to determine the proximity of the upper wisdom tooth to the lower one and assess any potential risks. They will also consider your overall oral health, including any history of dental issues.

5. Potential Risks of Not Extracting: If you choose to extract the lower wisdom tooth without removing the upper one, there is a possibility that the upper tooth may become problematic later on. This could manifest as pain, infection, or the need for future extraction.

In summary, whether or not to extract the upper wisdom tooth when removing the lower one depends on various factors, including the position of the teeth, potential for future dental issues, and your overall oral health. It is essential to have a detailed discussion with your dental care provider to make an informed decision that best suits your needs. They can provide personalized advice based on your dental history and current condition, ensuring that you make the best choice for your oral health.

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