Widsom Teeth

The Weakest Link

Somewhere between the ages of 15 to 25 years, most people's third molars begin to erupt through the gumline at the very back of their mouth. Unfortunately, the modern jaw shape typically can't accommodate these 'wisdom' teeth. As they attempt to move into place, one of two things can happen. Either these problematic molars cause crowding of existing permanent teeth, or they get 'stuck' in place. Neither situation is healthy for the adult jaw. Fortunately, it's quite a simple and routine process to remove these unnecessary teeth, and one that Dr. Andress specializes in.

Extraction or Impaction

It's so rare to have a jaw able to accommodate these large third molars, that we'll typically examine our 11 and 12 year old patients to predict the upcoming developmental positioning of the wisdom teeth. Usually, we'll recommend removing or 'extracting' them prior to the young person's final growth spurt, at around 17-19 years of age.  And while extraction may not sound like a lot of fun, it's far better than the typical alternatives.

First, crowded teeth can lead to a maladjusted bite, jaw pain, and gum disease…causing dental problems for the rest of your life. Also, partially erupted wisdom teeth represent a breeding ground for bacteria and germs that can lead to infection or cyst formation. Further, tumors may even grow on a trapped wisdom tooth.

Partially erupted wisdom teeth can also become 'stuck', with no room left to grow—a condition referred to as 'impaction'. As they attempt to continue growing, they can push up in almost any direction, depending on where they find the most give—sideways, vertically, backwards, forwards, etc. Further, they can get stuck while still fully encased in the jaw bone ('bony impaction'), or prior to erupting through the gums ('soft tissue impaction').

As you can imagine, impaction can cause pain, swelling, and infection. And while antibiotics can sooth an infected wisdom tooth for a short time, it won't solve the root problem: the teeth simply can't grow into the proper position in your jaw. Even if your impacted wisdom teeth are asymptomatic, not giving off any obvious warning symptoms, it's wise to have them removed to avoid future problems such as hard to spot tooth decay, periodontal disease, bone shrinkage, and tumor development.

Routine Removal

Wisdom tooth extraction is a simple, routine surgical procedure that can usually be performed in one office visit. With today's technology and excellent anesthetic methods, most patients find the treatment to be straightforward and comfortable. After providing adequate medication, Dr. Andress will simply remove the gum tissue away from over the wisdom tooth (or teeth), gently strip the connective tissue away from the tooth and bone, remove the tooth, and sew up the gum area. Recovery time varies with individuals and age; however, most people are able to continue with eating, drinking, and other normal activities within a relatively short time.

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