Do You Need to Remove Horizontal Wisdom Teeth? Common Concerns Explained

Horizontal wisdom tooth

Hello, I would like to inquire about wisdom teeth that are growing horizontally, with a small portion visible and the rest beneath the gum.
Is it necessary to have them removed? I have read a lot of information online stating that after wisdom tooth extraction, there can be significant swelling and it may affect speech, so I would like to ask for your advice.
Thank you!

PP, 20~29 year old female. Ask Date: 2015/08/06

Dr. Huang Zhicheng reply Dentistry

Hello, wisdom teeth are embryonic products with significant variability.
Moreover, once they have partially erupted, there will definitely be food debris trapped between them and the second molar.
If the wisdom tooth is decayed, it is not worth risking the health of the second molar by keeping it.
It is advisable to have it extracted as soon as possible.
Wishing you peace and good health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/08/06

More Info

When it comes to horizontal wisdom teeth, also known as impacted wisdom teeth, there are several important considerations to keep in mind. The decision to remove these teeth is often based on a combination of factors, including their position, potential for complications, and the overall health of your mouth.

Why Remove Horizontal Wisdom Teeth?
1. Risk of Complications: Horizontal wisdom teeth can lead to a variety of dental issues. They may push against adjacent teeth, causing crowding or misalignment. This can be particularly concerning for individuals who have previously undergone orthodontic treatment, as it may negate the benefits of braces or aligners. Additionally, impacted wisdom teeth are more prone to decay and gum disease because they can be difficult to clean properly.

2. Infection and Cysts: Impacted wisdom teeth can create pockets where bacteria can thrive, leading to infections. In some cases, cysts can form around the impacted tooth, which can damage the jawbone and surrounding teeth. Removing the tooth can help prevent these complications.

3. Preventive Measure: Many dentists recommend the removal of wisdom teeth as a preventive measure, especially if they are not fully erupted and are positioned horizontally. This is because the longer they remain in the mouth, the higher the risk of complications.

Concerns About Removal
1. Swelling and Discomfort: It is common to experience swelling and discomfort after wisdom tooth extraction. However, the severity of these symptoms can vary from person to person. Most patients find that the swelling peaks within 48 hours and begins to subside thereafter. Pain management strategies, including prescribed medications and ice packs, can help alleviate discomfort.

2. Impact on Speech: While some patients may experience temporary changes in speech due to swelling or discomfort, this is usually short-lived. Most individuals return to their normal speech patterns within a few days post-surgery.

3. Recovery Time: The recovery period can vary, but many people are able to return to their normal activities within a few days. It is advisable to follow your dentist's post-operative care instructions to ensure a smooth recovery.

Should You Get a Second Opinion?
If you have concerns about the necessity of removing your horizontal wisdom teeth, it is always a good idea to seek a second opinion from another dental professional. They can provide additional insights based on your specific dental health and the positioning of your wisdom teeth.

Conclusion
In summary, while not every horizontal wisdom tooth needs to be removed, many dental professionals recommend extraction to prevent future complications. If you are experiencing discomfort or have concerns about your wisdom teeth, it is essential to consult with a qualified dentist who can assess your situation and provide personalized recommendations. Remember, maintaining good oral health is crucial, and addressing potential issues with wisdom teeth early can save you from more significant problems down the road.

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