[ad_1] Case Study- 22 year old Shresth was very troubled for the past few months. Sometimes it became difficult for him/her to open his/her mouth and chew food. When this happened for the first time, the gum at the end of the left side of his/her jaw was swollen and there was a lot of pain in it. When he/she told his/her father, he/she said that your wisdom teeth are coming out. If there is a lot of pain, we will take you to a dentist.After a few days, a corner of the molar was visible in the gum. But after some time, Shrestha's wisdom tooth would come out a little and then stop there. The problem increased when due to this, he/she got a wound on his/her cheek and swelling started appearing on his/her mouth. Then he/she went to the dentist. The dentist told that there was an infection due to the wisdom tooth. The wisdom tooth is crooked.For now, the infection is treated, but later this molar will have to be removed. There are many people like Shrestha who have to go through a lot of trouble during the removal of wisdom teeth. Here we know what causes it and what is its treatment.Our jaw is getting smallerGradually, some changes keep coming in our body during human evolution. Earlier, we used to have big hairs all over our body, but now we don't have them. But even now, there are some extra or waste organs in our body which are no longer used but they lie quietly in our body. These include appendix and wisdom teeth. Earlier, the jaw of humans used to be very big.But now the trend of eating soft food has increased and this reduces the exercise of the jaws. Therefore, the size of our jaws is continuously decreasing. Even 100-200 years ago, people used to eat such food which required a lot of effort to chew. In our country itself, till about 50 years ago, many people used to suck sugarcane and chew neem or acacia tooth sticks.But now we don't do that either. This is also a reason that when wisdom teeth come out, due to the small size of the jaw, there is pain, swelling, difficulty in opening the mouth, chewing food. That is why people whose jaw is a little bigger, do not have any problem or have less problem.why are they called wisdom teethWe have 32 teeth in our mouth only when after 28 teeth, there are these 4 molars as well. Out of the 28 teeth, first of all there are 8 incisors in the front side of the mouth, then 4 canines, 8 premolars and 4 first and 4 second molars i.e. chewing teeth or molars. These teeth are erupted by the time of teenage.After this, around the age of 17 to 21 years, our 4 wisdom teeth come out which are called 'wisdom teeth' because by this age we have become quite wise. However, some people's wisdom teeth come out at the age of 30 years or even more. In some people, it remains stuck in the jaw and does not come out till old age and never causes pain. Sometimes it comes out only half-way. By the way, 99 percent of people have wisdom teeth, only in a few cases the wisdom teeth do not form in the jaw.Why does it hurt so much when wisdom teeth come out?Problems arise in wisdom teeth coming out only when our jaw is small and there is space for only 28 teeth in it. When wisdom teeth try to come out, they do not get space. If a little bit of molar comes out, then infection can also occur due to food getting stuck there, which causes pain. The area around the half-extruded molar cannot be cleaned properly because it is at the end of the teeth.What are the problemsCrooked molar eruptiongetting infested with worms or rotting immediately after emergenceInfection near an erupted molarMolar impact on upper or lower gumgetting his/her cheek cutApart from this, the muscle that opens our mouth gets swollen. If it is not treated, the swelling increases. In some rare cases, pus may form in it or Ludwig angina develops in the lower jaw, that is, the tongue moves backwards and there may be an obstruction in the windpipe.When to see a doctorWe should also get our teeth checked up annually by a dentist. It is not right to visit a dentist only when there is severe pain. Sometimes healthy teeth leave us because they did not get timely treatment. Similarly, many times due to wisdom teeth, the adjacent teeth can also get infected. If there is pain while wisdom teeth are coming out, do not ignore it. If there are any such symptoms, consult a dentist:When there is persistent pain in the gumsThe wisdom teeth are slightly visibleWhen food gets stuck in itWhen swelling appears.what is the treatmentIf there is an infection then medication will be started.Antibiotics and painkillers are given.You can take a pinch of salt and massage the area where the molar is coming out. You will get relief.If there is a cavity in the tooth while it is coming out, then the dentist can do a root canal (RCT).take care of oral hygieneBe sure to brush your teeth before going to bed at night.Whenever you brush, close your mouth halfway. This will allow the brush to reach the end.Use a baby brush. These have a small head.You can also use powered brushes which are charged by batteries.Rinse with plain water after eating anything.Use mouthwash.So it has to be taken out...According to international protocols, it is necessary to get regular checkups for wisdom teeth after the age of 18. In European countries and America, wisdom teeth are usually removed after 18 years. It is believed that the sooner they are removed, the faster the recovery is. In case of health problems at an older age, more caution has to be taken while removing wisdom teeth. But this does not happen in our country.However, some experts say that if there is no pain in the jaw when the wisdom tooth appears or if it is not putting any pressure on the other teeth in the mouth, then there is no need to remove it. But when the pain becomes so frequent that the mouth cannot be opened and there is difficulty in swallowing anything, then it should be removed. When the infection of the molar is cured, then after looking at its condition, the matter of removing it is considered.We check what kind of root it has, how much has come out, how to remove it? Can it be removed without surgery or will surgery be required? Even if someone has dental implants, wisdom teeth can be removed. Sometimes all four wisdom teeth are removed in one sitting, if there is a problem with them. Pay attention to these things before getting wisdom teeth removed:View Dentist & ClinicWhenever you go to get wisdom teeth removed, make sure that the dentist has an MDS degree.If he/she/she has BDS degree then he/she/she should have 5 to 10 years of experience.Get complex surgery done only from MDS Oral Surgeon.The clinic or hospital should have modern and latest equipment and machines.Also check out reviews of the clinic.This is how it is carried outIf the wisdom tooth can be removed without surgery, then it is removed like a normal tooth. New techniques have also come in the treatment. In some cases, laser help is also taken. Treatment has also become easier with new devices like bone extenders. Local anesthesia is given during surgery. If the wisdom tooth is stuck in the jaw bone, then that bone has to be cut.After surgery, stitches are applied if necessary. Initial healing takes place within a week or 10 days. In a few months, the cut area is bone-formed. Mild nerve numbness resolves in 7 to 15 days in 90 percent of cases. In rare cases, it can last up to 3 months.how much does it costThe position of the wisdom tooth, its angle, and whether it is in the upper or lower jaw determines how it will be removed and how much it will cost.Usually cost: Around 4-15 thousand rupeesWhich tests are necessaryThe doctor checks the correct position of the molar. First of all, an X-Ray is done. This tells the location of the molar. Usually, CBCT is not required in case of wisdom teeth. But as per the need, the doctor can ask for it as well.CBCT: Around 4-6 thousand rupeesOPG X-Ray: Around Rs 400 to 1000Note: Prices are subject to increase or decrease.After wisdom teeth removal...Eat only cold things for 1 day so that blood clots form.Do not rinse forcefully; swallow the spit.Rinsing too quickly can cause dry socket in the mouth, which leads to pain.Apply cold compress to the outside of the mouth i.e. cheeks with an ice pack.Eat semi-solid things like khichdi, porridge or semolina kheer etc.Use the molars on the other side to chew food.The swelling subsides after taking antibiotics for 3-5 days.If you have stitches during surgery, then go to the dentist after 5-7 days and get the stitches removed.If treatment is not done from the right place...A fracture of the jaw bone may occur during surgery.Nerve injury may occur, meaning that area may become numb forever.Sometimes during bone cutting, an air trap may occur which later causes pain.The infection can also spread to other parts of the body.These are the misunderstandingsGetting wisdom teeth removed will reduce your intelligence.If wisdom teeth are removed, the shape of the mouth will be spoilt.Your eyesight will deteriorate.Removing wisdom teeth will cause problems in chewing food in the future.If the wisdom teeth are coming out slowly then consuming vitamin D and calcium will help them come out faster.Expert PanelDr. (Prof.) Mahesh Verma BDS MDS (VC, GGSIPU)Dr. Manu Modi BDS MDS (Prosthodontics)Dr. Parul Gupta, BDS, Dental SurgeonDisclaimer: This article is for general information only. It cannot in any way be a substitute for any medicine or treatment. Always consult your doctor for more information. [ad_2]
