Why are wisdom teeth needed and what do they look like? Or why eighth teeth are an atavism. Wisdom teeth - do we need “eights”?

  • hood) above the wisdom tooth
  • Difficulty opening the mouth when wisdom teeth erupt
  • Pain in the throat and lymph nodes when wisdom teeth erupt
  • Consequences of wisdom teeth removal. Possible complications

  • What are wisdom teeth? Why are they called that?

    Wisdom tooth- This is the eighth tooth in the dentition ( the starting point is from the central incisor). Wisdom teeth are also called “eights” or “third molars.” They are large multi-rooted teeth, however, due to anatomical features, their shape and number of roots can vary significantly among different people. In total, a person has 32 teeth, 4 of which are wisdom teeth. They have a large number of features that distinguish them from other teeth.


    Wisdom teeth begin to develop only at the age of 4–5 years, while other teeth are formed in utero or during the first year of life. Wisdom teeth are the last teeth to erupt, at age 18 or older. late age. Sometimes the eruption of wisdom teeth is difficult due to the lack of space in the dentition, as a result of which they can emerge at the age of 30 or 40 years. Finally, in some cases they may be completely absent or remain in the thickness all their lives. bone tissue jaws. That's why modern medicine considers the absence of wisdom teeth to be a normal variant and not a pathology.

    The eighth teeth today are almost always called wisdom teeth. Previously, it was believed that by the time they erupt, a person goes into adult life and becomes wiser than before adolescence. Naturally, the eighth tooth itself does not give wisdom to a person, just as its removal does not make a person dumber. However, this name was entrenched in the Russian language and public consciousness and became widespread.

    Unfortunately, wisdom teeth are of low value for the dental system; however, at the same time, they can lead to the appearance of various diseases. Besides possible development caries and pulpitis, the eighth teeth are characterized by difficult eruption. Almost everyone is familiar with an unpleasant feeling which occurs when they erupt. In some cases, their eruption may be accompanied by inflammation with periodic exacerbations. For the combination of these reasons, wisdom teeth are most often removed.

    How many wisdom teeth are there?

    Normally, a person has 4 wisdom teeth, upper right, upper left, lower left, lower right. However, not always all 4 wisdom teeth can be found in the oral cavity. Among all teeth, it is the eighth teeth that are characterized by the greatest anomalies and variations of the norm. In some cases, some of them erupt into the oral cavity, and some remain in the thickness of the bone and erupt at a later age or do not erupt at all. They can only be detected by X-ray examination or computed tomography.

    Exist different variants number of wisdom teeth. Most often due to a decrease in the size of the jaws modern man can be observed complete absence rudiments of one or more eighth teeth. In this case, a person can have from 28 to 31 teeth. It is much less common to see additional wisdom teeth ( 33rd, 34th tooth). They can be observed in representatives of the Australoid race.

    At what age do wisdom teeth erupt?

    The average age for wisdom teeth to erupt is 17 – 25 years. In females, the eighth teeth erupt somewhat earlier. This is due to the faster development of girls. After 25 years, the chance of erupting eighth teeth decreases significantly. It can be assessed by x-ray by the thickness of the bone separating the eighth tooth bud from the oral cavity. However, eighth teeth can emerge at 30 or 40 years of age. The chance of erupting the eighth teeth increases after the removal of the seventh teeth, if they were destroyed by caries. The eighth teeth may shift slightly towards the center, taking up free space.

    Structure of a wisdom tooth

    The structure of a wisdom tooth is no different from other human teeth. It consists of a coronal part ( which is normally found in the oral cavity) and roots located towards the thickness of the bone. The shape of the crown and the number of roots differ significantly between the upper and lower wisdom teeth. It should be noted that wisdom teeth have a very large number of shape options.

    A wisdom tooth consists of the following structures:

    • Enamel. A thin layer of enamel covers the outside of the entire crown portion of the wisdom tooth. The enamel is very durable ( harder than bone) and the most resistant to caries.
    • Cement. Covers all surfaces of the roots of wisdom teeth and ensures reliable attachment of the ligamentous apparatus of the tooth, holding it in the bone socket.
    • Dentine. It is covered with enamel and cement and represents the thickest layer of hard tooth tissue. The strength of dentin is less than that of enamel, but higher than that of cement. Dentin is destroyed by caries faster than tooth enamel. He contains nerve endings, which signal the development of caries.
    • Pulp. It is located in the very center of the tooth and is a tissue rich in blood vessels and nerve fibers. The pulp performs a nutritional and sensory function for the tooth.
    The listed tissues are part of all teeth, not just wisdom teeth. This is explained by the fact that the formation of wisdom tooth tissues occurs along the standard way, however, it begins somewhat later than other teeth.

    Characteristics of wisdom teeth in the upper jaw

    Wisdom teeth on upper jaw have a variable shape. The closest to them in shape are the molars ( large multi-rooted teeth) upper jaw. Most often, wisdom teeth in the upper jaw have three cusps, due to which their crown, when viewed from the chewing surface, has triangular shape. The next most common option is the four-tubercle form. Moreover, they resemble the sixth and seventh upper multi-rooted teeth in miniature. Finally, in the most in rare cases upper teeth wisdom teeth can have two or one tubercle, which brings their shape closer to the incisors. Very often there is a deviation of the teeth towards the cheek side, due to which they do not contact the teeth of the opposite jaw.

    The eighth teeth in the upper jaw can have from 1 to 5 roots, most often there are 3. Due to the wide variety of canal shapes, treatment of these teeth is difficult. The roots are short and usually straight, but may be located in the maxillary sinus ( maxillary) sinus. In this case, tooth extraction should be carried out by a specialist in the field of maxillofacial surgery, since it may be accompanied by the creation of a communication with the maxillary sinus.

    Characteristics of wisdom teeth on the lower jaw

    Lower wisdom teeth are a smaller version of the lower multi-rooted teeth, their neighbors. However they are larger upper teeth wisdom. Most often they have 4 or 5 tubercles, rectangular in shape when viewed from the chewing surface. Lower molars have only 1 - 2 roots, but they can have various bends, which makes the removal of such teeth significantly more difficult. Wisdom teeth on lower jaw more often create problems during eruption, since they are limited by bone formations that do not exist on the upper jaw. The lower wisdom teeth can have a horizontal, lingual, or buccal inclination. A feature of the lower wisdom teeth is their close location to the nerve passing through the body of the lower jaw.

    Do modern people need wisdom teeth?

    The functional value of wisdom teeth is minimal. Today it is believed that due to changes in the diet of modern man ( food becomes better processed, softer) the dental system has undergone certain changes. They are expressed in a decrease in the size of the jaws and a reduction in the length of the dentition. This is why wisdom teeth are considered a vestigial organ ( lost their significance during evolution), and their absence does not harm human health. That is why, when problems arise with wisdom teeth, doctors in most cases decide to remove them.

    What dangers do wisdom teeth pose?

    Wisdom teeth are the last in the dentition. They appear in the oral cavity later than others, and their value in the act of chewing is the least. At the same time, many problems are associated with wisdom teeth. dental problems and diseases. Wisdom teeth can harm human health, causing pain, discomfort, and being a source of chronic infection. Therefore, if problems arise with wisdom teeth, doctors recommend their immediate removal.

    Wisdom teeth can cause the following problems and diseases:

    • Caries and its complications ( pulpitis, periodontitis). Wisdom teeth, like other teeth, can be destroyed by caries. The predisposition of the wisdom tooth to caries is explained by its inconvenient location for cleaning with a toothbrush. If caries reaches the pulp ( nerve), then severe pain appears. As the infection progresses, an abscess may form ( flux), for the treatment of which surgery is always resorted to.
    • Difficulty in teething. The process of erupting wisdom teeth is long and quite painful. Due to lack of space in the jaw, wisdom teeth often occupy an unnatural position. As a result, they can be directed towards the cheek, tongue, and adjacent teeth, causing injury to soft tissues and caries of adjacent teeth.
    • Local damage to periodontal tissue. The periodontium is the collection of tissues surrounding the tooth. Due to the incorrect position of the wisdom tooth and its incomplete eruption, a gum pocket can form into which food gets trapped. The area of ​​the gum next to the wisdom tooth is injured by the teeth of the opposite jaw, which leads to its chronic injury and inflammation.
    Naturally, wisdom teeth do not always lead to the development of diseases. Sometimes they develop completely normally and function fully. In order to prevent the development possible problems associated with wisdom teeth, you need to undergo early diagnosis and treatment dentist ( sign up) .

    What is an impacted wisdom tooth?

    Tooth retention is a delay in the eruption of a formed tooth. permanent tooth. A tooth that is embedded in bone tissue and has a low chance of erupting is called impacted. A distinction is made between complete retention, when the tooth germ is completely covered with bone, and partial retention, when part of the tooth crown is in the oral cavity, while most of it is covered with mucous membrane. Due to lack of space in the dental arch, wisdom teeth are very often impacted.

    Impacted teeth do not cause pain or discomfort until the process of teething begins. Impacted wisdom teeth are most often an incidental discovery. panoramic photo jaws. About 40% of wisdom teeth are fully or partially impacted. Quite often, retention of wisdom teeth is combined with their incorrect position in the jaw.

    Incorrect position of the wisdom tooth. What is a dystopic wisdom tooth?

    Dystopia is the incorrect position of a wisdom tooth outside the dentition. It can be moved in different directions. Dystopia of a wisdom tooth can be determined both after its eruption and with the help of an x-ray before its eruption. In case of wisdom tooth dystopia, wisdom teeth are almost always removed, since such teeth cannot normally participate in the act of chewing. The sharp edges of the cusps of dystopic teeth can injure soft fabrics oral cavity. Tooth dystopia can be combined with retention. This implies an inclination of the tooth in the thickness of the bone, which does not allow it to erupt into its place in the dentition.

    Depending on the position of the wisdom tooth, the following variants of dystopia are distinguished:

    • Medial tilt. The tooth is inclined forward towards the seventh tooth.
    • Distal tilt. The tooth is tilted back, directed towards the branch of the lower jaw.
    • Angular position ( lingual or buccal). The wisdom tooth is tilted towards the tongue or cheek, respectively.
    • Horizontal position. The axis of the wisdom tooth is located at right angles to the axis of the second molar ( large molar).
    • Reverse position. The root part is located at the top, and the coronal part at the bottom, in the thickness of the bone tissue. This situation is very rare.

    Horizontal position of wisdom teeth

    Horizontal tooth tilt is relatively common, especially in the lower jaw. This situation deserves special attention. At horizontal position The crown of the wisdom tooth rests with its cusps on the root of the adjacent tooth. In this case, the eruption potential of the eighth tooth is directed not vertically upward, but horizontally. This can lead to crowding of teeth in the frontal area and disruption of their position. In addition, this position of the wisdom tooth can cause caries of the root of the seventh tooth. The only solution These problems are the removal of a dystopic tooth.

    Causes of wisdom teeth diseases

    Wisdom teeth are no different in structure and structure from other teeth. They also have innervation and blood supply. That is why, when they become carious, toothaches can appear exactly the same as from any other teeth. However, in addition to caries, other diseases are associated with wisdom teeth, mainly caused by their eruption.


    The cause of pain and discomfort from wisdom teeth is irritation of the nerve fibers. They are located in the dentin and pulp of the tooth, gum, bone, and ligaments of the tooth. Nerve irritation may be caused by infection or mechanical damage. Both causes can be eliminated only through local action, so various painkillers for toothache bring only temporary relief.

    The process of wisdom teeth erupting

    Eruption of wisdom teeth – difficult process, which is the movement of a tooth from its place of origin and development to its appearance in the oral cavity. The eruption of wisdom teeth occurs under the influence of various factors. If the action of one or more of them is insufficient, a violation of eruption, retention or dystopia of the tooth occurs.

    The following factors are involved in the eruption of wisdom teeth:

    • Root growth. The elongating root rests against the bottom of the bone socket and pushes the tooth vertically in the direction of the longitudinal axis.
    • Periodontal traction. The tooth germ is surrounded by collagen fibers, which represent the ligamentous apparatus of the tooth. The contraction of collagen fibers creates traction, which ensures eruption.
    • Restructuring of bone tissue. Teeth eruption is always accompanied by bone restructuring. The bone that is located above the bud is resorbed, and underneath it is deposited. It is assumed that the bone growing at the bottom of the socket is capable of pushing the tooth into the oral cavity.
    • Increase in hydrostatic pressure at the root apex. This factor is the most important. The increase in pressure at the root apex is associated with the organization of the dental pulp. The accumulation of fluid between the bottom of the alveolus and the root pushes the tooth towards the oral cavity.

    Why do difficulties arise when wisdom teeth erupt?

    Unfortunately, very often wisdom teeth erupt incorrectly. In some cases, this is due to improper formation of the wisdom tooth germ. In other cases, this is due to insufficient force of tooth eruption. However, all problems with eruption depend on the lack of space for a given tooth. It is believed that for normal eruption of a wisdom tooth in the lower jaw, the distance between the seventh tooth and the branch of the lower jaw must be at least 15 mm.

    Disturbances in the eruption of wisdom teeth are explained by the following reasons:

    • Abnormal position of the wisdom tooth germ. If the position of the wisdom tooth germ is incorrect ( dystopia) he practically loses the chance of teething. If the tooth germ is located horizontally or at an angle, then on its eruption path it encounters obstacles that it cannot overcome ( for example, a neighboring tooth).
    • Thick cortical plate of the jaw and gums. Sometimes the wisdom tooth is located deep in the jaw bone, meaning it is separated from the mouth by a large layer of bone. In this case, the force of eruption and the phenomenon of bone restructuring are not enough to ensure the passage of the entire bone layer. With a bone septum thickness of 3 mm at the age of 25 years, it is considered that a wisdom tooth has a very low chance of erupting on its own.
    • Insufficient traction ( force) eruption. In some cases, when all the prerequisites exist for normal eruption wisdom tooth, this phenomenon does not occur. This is explained by the insufficient action of eruption factors.
    • Lack of retromolar space. The retromolar space is the area located behind the second molar. It is in this area that the wisdom tooth erupts. The lack of space is especially acute in the lower jaw, where the ascending branch begins immediately behind the dentition. There are many reasons for the lack of space for wisdom teeth to erupt.
    Lack of space for wisdom teeth to erupt may be due to the following reasons:
    • evolutionary reduction in jaw size;
    • inheritance from parents of small jaws and large teeth;
    • discrepancy between the sizes of primary and permanent teeth;
    • premature removal of baby teeth;
    • underdevelopment of the jaws;
    • bad habits ( chin rest when sitting at a table and others).

    Why do gums become inflamed when wisdom teeth erupt?

    When wisdom teeth erupt, inflammation of the gums and soft tissues of the oral cavity may occur. This is observed during partial eruption of the tooth, when part of the crown already protrudes into the oral cavity, and part is still covered with gum. As a result of constant injury to the mucous membrane, it becomes swollen and inflamed. Inflammation of the gums persists until the tooth erupts completely. The condition can also be alleviated by excision of part of the gum covering the tooth.

    When wisdom teeth erupt, a gum pocket or “hood” forms, which can trap food debris. Due to painful touch, the patient does not clean the area well enough, resulting in local gingivitis or periodontitis.

    Why does my wisdom tooth hurt?

    Pain in the wisdom tooth area can occur due to various reasons. Accurate diagnosis and correct treatment can only be carried out by a dentist. Unfortunately, in most cases, pain associated with wisdom teeth indicates diseases that require their removal. Pain in wisdom teeth can be of either an infectious or non-infectious nature.

    Wisdom teeth can hurt for the following reasons:

    • Caries and its complications. Carious tooth decay is asymptomatic until it affects the nerve endings of the dental pulp. At acute inflammation pulp pain is very strong, it can radiate to the ear, temple, neck. After the death of the tooth pulp, the pain goes away, but the infection moves to the area of ​​the tooth apex. This is dangerous due to the formation of pus and abscess, which again returns pain.
    • Activation of teething. The eruption process is characterized by moderate discomfort, but in some cases it is accompanied by a local inflammatory reaction and severe pain.
    • Trauma to the gums in the area of ​​the wisdom tooth. Pain in the wisdom tooth area can be caused by inflammation of the gums. This occurs when there is incomplete eruption and permanent trauma to the gums from the sharp edges of the wisdom tooth.

    Prerequisites for the development of wisdom teeth caries

    The mechanism of caries formation in wisdom teeth is no different from the development of caries in other teeth. The main prerequisite for the development of caries in wisdom teeth is poor hygiene due to inconvenient cleaning with a toothbrush. Paying more attention to these areas when brushing your teeth can significantly reduce your risk of tooth decay.

    The following factors play a role in the development of caries:

    • Microbial factor and dental plaque. Caries develops as a result of the activity of bacteria living in dental plaque ( plaque). They eat carbohydrates ( sugars) from food products that end up in the oral cavity. After the processing of carbohydrates by bacteria in the area of ​​dental plaque, acidity increases, demineralization of the enamel occurs and a cavity is formed in the plaque. hard tissues tooth All this can be avoided with the help of high-quality teeth brushing, which removes plaque from the surface of the teeth.
    • Cariogenic diet. Diet rich fast carbohydrates promotes the growth of bacteria in dental plaque. Unfortunately, the nutrition of modern man ( soft, sticky, sugar-rich foods) especially contributes to the development of caries.
    • Low stability of hard dental tissues. The rate of caries development depends on how high the degree of mineralization of the enamel is. The higher it is, the slower caries develops. The enamel of wisdom teeth when they erupt is insufficiently mineralized, so it is predisposed to the development of caries.

    Carious destruction and pulpitis of wisdom teeth. Pulsation in the area of ​​the wisdom tooth

    Carious destruction can occur for a long time no symptoms. All that the patient notices is the darkening of the tooth surface and the formation of a cavity. In this case, pain and discomfort in the area of ​​the wisdom tooth may be absent. In other cases, the pain is short-term, it appears in response to chemical or thermal stimuli and quickly passes.

    The progression of caries can lead to inflammation of the pulp ( pulpitis). Acute pulpitis is characterized by pulsation, severe pain that radiates to various parts of the face and neck. The pain intensifies with pressure on the tooth and when chewing. Pulpitis in wisdom teeth is considered irreversible and leads to the death of the pulp. In most cases, pulpitis of wisdom teeth is treated by removing these teeth.

    Flux formation ( pus, abscess) in the area of ​​the wisdom tooth

    Pulpitis ( inflammation of the tooth pulp) can take chronic forms, as a result of which the death of the pulp occurs almost painlessly. As a result, the infection penetrates into the area of ​​the apex of the tooth root and the surrounding bone. This can lead to the formation of an abscess ( abscess). In this case, the patient begins to experience pain that is several times stronger than the pain caused by pulpitis. After the formation of a fistula and an abscess on the gum, the pain subsides somewhat. It is very important to remove decayed wisdom teeth in a timely manner, since the formation of an abscess can pose a serious threat to human health.

    Tumors in the area of ​​wisdom teeth

    Wisdom teeth are more often than other teeth associated with tumors. The tumors are located in the jaw and surround the wisdom tooth bud. Tumor processes Most often they are asymptomatic and discovered accidentally on an x-ray. In other cases, they can deform the oval of the face. Tumors in the area of ​​wisdom teeth are formed due to various embryonic disorders or disorders acquired after birth. Diagnosis and treatment of tumors associated with wisdom teeth is carried out in specialized medical institutions.

    Symptoms of dental diseases associated with the eruption of wisdom teeth. Diagnosis of the condition of wisdom teeth

    Erupting wisdom teeth is a long and sometimes painful process. In most cases, the eruption of wisdom teeth is very different from the process of eruption of other teeth. It may be accompanied by pain, discomfort when opening the mouth, bad breath, worsening general condition. These unpleasant symptoms Over time, they go away on their own, but if the wisdom tooth does not occupy a normal place in the dentition, then it must be removed to avoid complications.


    The eruption of wisdom teeth may be accompanied by the following symptoms:
    • swelling and redness of the gums;
    • unpleasant odor from the mouth;
    • difficulty opening the mouth;
    • inflammation lymph nodes;
    • deterioration of general condition ( fever, malaise, headache).

    Pain during the eruption of wisdom teeth. What to do if you have jaw pain in the wisdom tooth area?

    Pain during the eruption of wisdom teeth occurs as a result of irritation of nerve endings located in the bone, gum and neighboring anatomical areas. The eruption of wisdom teeth occurs against the background of bone tissue restructuring and local inflammation, in which certain chemical substances (mediators), which provoke pain. These substances change the pH in the intercellular fluid, which irritates the nerve endings. The pain can spread not only to the jaw area, but also radiate to the ear, temple, and submandibular region. Fortunately, the pain lasts only as long as the tooth erupts into the oral cavity. However, this may take from several days to several months. In this case, pain appears at the moments of the most intense tooth growth.

    In some cases, pain is caused by infection in the area of ​​the erupting tooth. This phenomenon, unfortunately, is observed quite often, since in the posterior parts of the jaws, oral hygiene is, as a rule, defective and insufficient. Various suppurative processes of a tooth that has not yet erupted are always a source of pain and require surgical treatment.

    If the patient is bothered by pain in the wisdom tooth area, it is recommended to seek qualified help from a dentist. In order to temporarily relieve pain and reduce inflammation, you can take various painkillers ( e.g. ibuprofen, ketorolac). If there is difficulty in teething without infectious processes they significantly facilitate the “acute” period in the eruption of wisdom teeth.

    Deterioration of general condition during the eruption of wisdom teeth. Can the temperature increase during the eruption of wisdom teeth?

    The eruption of wisdom teeth can lead to a number of disorders in the general condition of the body. At first glance, the eruption of wisdom teeth has nothing to do with the condition of the heart and other internal organs, however, in fact, all organs are interconnected through nervous system, which carries out the highest regulation. For this reason, the pain that occurs during the eruption of wisdom teeth can cause problems heart rate and other problems.

    When wisdom teeth erupt, the following complications of the general condition of the body may occur:

    • chronic gastritis;
    • prolonged increase in temperature;
    • headache;
    • change in heart rate;
    • changes in the cellular composition of the blood;
    • speech disorder;
    • general lethargy;
    • increased fatigue.
    An increase in temperature indicates the presence chronic inflammation in organism. During teething, body temperature can be maintained at 37 degrees ( slightly higher than normal) long time. An increase in temperature, like other pathological impulses, can be provoked by a wisdom tooth. Such phenomena disappear immediately after the removal of the offending teeth.

    Gum tumor in the area of ​​the wisdom tooth. Pericoronitis ( hood) above the wisdom tooth

    When any teeth erupt, local inflammation gums, caused by its rupture and the exit of the crown part of the tooth into the oral cavity. However, for wisdom teeth this phenomenon takes on more serious proportions and therefore bears the special name of pericoronitis. Pericoronitis involves incomplete eruption of the wisdom tooth, partial rupture of the mucous membrane over the tooth and infection of the created spaces between the tooth and the mucous membrane.

    Initial pericoronitis is characterized by the following symptoms:

    • slight pain behind the large molars;
    • redness and swelling of the gums in the area of ​​the wisdom tooth;
    • releasing a small amount serous fluid, sometimes mixed with blood.
    If the gums are irritated during the eruption of wisdom teeth, it is recommended to perform rinses and oral baths with antiseptics. In most cases, this helps relieve pain. However, in some cases, correct and complete eruption of the wisdom tooth is impossible, which is why the gums are constantly injured. This leads to chronic pericoronitis. In this case, infection of the area causes the discharge of pus or the formation of abscesses, which forces the removal of wisdom teeth.

    Bleeding in the wisdom teeth area

    A little bleeding during teething is normal. It is explained by the rupture of capillaries located in the submucosal layer. Despite this, constant bleeding in the posterior parts of the dentition during the eruption of wisdom teeth is a symptom of pericoronitis. It can be observed when chewing, biting the gingival hood between the upper and lower teeth, while brushing your teeth. Bleeding may be accompanied by pain or be independent of it.

    In order to reduce gum bleeding in the area of ​​wisdom teeth, you need to reduce the inflammation associated with their eruption. They can help with this mouth rinses with antiseptics. High-quality cleaning of the back of the teeth with a toothbrush helps remove food debris and bacteria living in plaque under the gingival hood. If bleeding persists for a long time, then it is necessary to remove wisdom teeth, since they are its root cause.

    Bad breath due to wisdom teeth

    During the eruption of wisdom teeth, many people notice that the smell of their mouth changes somewhat. This is explained by the fact that with improper eruption of wisdom teeth and pericoronitis ( inflammation of the gums) are created favorable conditions for food retention and bacterial growth. Even the most careful hygiene does not allow for proper cleaning of the undercuts that form under the gingival hood. Cleaning teeth is difficult due to pain associated with gum inflammation.

    Delay food leftovers, as well as the proliferation of bacteria leads to an imbalance of the microbial flora in the oral cavity. Bacteria produce special waste products that have a specific odor. In addition, the composition of saliva changes, which can also affect the odor emanating from the oral cavity.

    An unpleasant odor can only be eliminated with the help of rinses and special toothpastes. The microflora usually returns to normal after the wisdom tooth has completely erupted. However, sometimes prophylactic removal of wisdom teeth is recommended to prevent complications such as infection.

    Difficulty opening the mouth when wisdom teeth erupt

    Difficulties in opening the mouth are observed quite often during the eruption of wisdom teeth. They appear as a result of reflex contracture ( reductions) masticatory muscles. This symptom indicates inflammatory process gums in the area of ​​wisdom teeth ( pericoronitis). Opening the mouth may be so difficult that the patient cannot speak or eat normally.

    Difficulty opening the mouth is a reflex mechanism. Pain impulses are transmitted along sensory fibers to nerve centers in the brain stem, where excitation is transmitted to motor neurons. As a result nerve impulse transmitted along the trigeminal nerve to the masticatory muscles and causes their constant contraction.

    In some cases, the contracture is so severe that doctors have to perform anesthesia just to perform an intraoral examination. When contracture of the masticatory muscles occurs, painkillers in the form of tablets have a weak effect.

    Pain in the throat and lymph nodes when wisdom teeth erupt

    Inflammation of the lymph nodes ( lymphadenitis) quite often occurs during the eruption of wisdom teeth. It is most often characterized by the formation of swelling at the angle of the lower jaw on the side of difficult eruption. There are submandibular lymph nodes located there, which are not normally palpable. An enlarged lymph node is dense, mobile and most often painless. Unfortunately, inflammation of the lymph nodes indicates the need to remove wisdom teeth, since only in this case can the source of chronic inflammation be removed.

    The lymphatic system carries out the function of lymph outflow from various parts maxillofacial area. It also includes pharyngeal tonsils. When wisdom teeth have difficulty erupting, inflammation sometimes occurs. This condition is specifically called “dental sore throat.” Symptoms of this disease are pain when swallowing on the corresponding side, swelling and redness of the palatine arches. Treatment this state Without removing wisdom teeth is impossible. That is why the cause of persistent sore throat can be unerupted wisdom teeth, which is sometimes overlooked by otolaryngologists.

    Temporary cessation of pain in the area of ​​wisdom teeth

    The process of eruption is characterized by the fact that it occurs gradually, stepwise. At certain moments, the tooth “activates” and begins to erupt with more energy. If it is incorrectly positioned or there is insufficient space, this leads to pain and inflammation. Impaired speech, swallowing, mouth opening, increased temperature - all listed symptoms appear when wisdom teeth have difficulty erupting.

    At certain intervals, the wisdom tooth, on the contrary, temporarily stops or slows down its eruption. In this case, pain, inflammation and discomfort temporarily disappear. At this point, a period of relief begins for the patient. It is this period that is most favorable for the removal of wisdom teeth, since sooner or later it will become active again and will continue to cause discomfort. Dentists recommend removing wisdom teeth in advance to improve the health of the body and prevent possible problems in the future.

    Diagnosis of the condition of wisdom teeth

    Before starting treatment for wisdom teeth, it is very important for the doctor to diagnose their condition, based on the patient’s complaints, clinical data, and X-ray data. Based on the totality of all the information, the doctor judges the functionality of the wisdom tooth, the advisability of its treatment and preservation, as well as the difficulty of its removal. Only after the diagnosis is made are the possibilities for further treatment assessed.

    When examining a patient, the doctor pays attention to the following points:

    • The condition of the soft tissues surrounding the tooth. The color of the mucous membrane, density, presence of discharge, and condition of the gingival hood are assessed. The depth of the gum pocket is assessed using probing.
    • Position of antagonist teeth. Trauma to the mucous membrane ( hood) with an antagonist tooth significantly worsens the conditions for tooth eruption and complicates the course of the inflammatory process.
    • Position and condition of adjacent teeth. When the first and second molars are destroyed, they are sometimes removed while the wisdom tooth is preserved. Subsequently, it is used as a supporting tooth for a prosthesis that replaces the absence of adjacent teeth. If the wisdom tooth is located horizontally or tilted towards the neighboring tooth, it must be removed as soon as possible, since over time it destroys the alveolus of its neighbor.
    • Condition of bone tissue. Evaluated by x-ray. The presence of bone loss behind the crown of a wisdom tooth indicates a source of chronic infection. In this case, there is a risk of developing periodontal cysts, which requires the removal of wisdom teeth. Also, an x-ray can detect pathological processes in the area of ​​the root apex that cannot be determined by other means.
    • The size of the retromolar space ( area behind the seventh tooth). It is assessed visually and using x-rays and provides information about the chances of correct eruption of the wisdom tooth. If this space is less than 15 mm, then there is not enough space for the wisdom tooth and it is recommended to remove it.
    Before use, you should consult a specialist.
  • Tooth extraction with immediate restoration. Procedure technique. Indications, contraindications and possible complications
  • Everyone knows that in oral cavity An adult normally has 32 teeth, the main purpose of which is chewing food. But rarely does anyone think about the importance of teeth not only for comfortable eating, but also for carrying out other tasks, no less important.

    In our article we will focus on the functions that perform various groups teeth and the importance of keeping them healthy.

    The first function is grasping and biting

    In the dentition (front part) there are incisors - 4 on the lower and upper jaws. They have a sharp edge, which, when applied with pressure, can cut even very dense food.

    In addition, in the oral cavity there are fangs - these are pointed teeth that a person inherited from his predatory ancestors. They help hold food and tear small pieces from it.

    As a result of the loss of fangs and incisors, a situation arises when a person can only take liquid or pre-cut into small pieces food. Therefore, their correction is necessary.

    The second function is grinding products

    The human stomach can fully digest food only if it is well chopped and abundantly moistened with saliva. It is for this purpose that there are molars and premolars in the mouth, which, like millstones, grind large pieces of food and at the same time mix it from the secretions of the salivary glands.

    If one of these teeth is missing or lost, digestive tract large unprocessed parts of food enter, which are practically not susceptible to the action of enzymes and can provoke various chronic diseases intestines and stomach.

    The third function is aesthetic

    Undoubtedly, a beautiful smile is the adornment of a person, and it cannot be imagined without snow-white, straight teeth. For several decades, it was “ Hollywood smile"is synonymous with wealth and success.

    Often ugly shape teeth, their dark shade, malocclusion, dental defects can lead to the development of depression and complexes, as they interfere with normal communication with other people.

    The fourth function is participation in speech development

    Human teeth are passive organs of speech. They are not involved in the creation sound wave, but it is impossible to pronounce some sounds without their participation (for example, sounds such as T, D or L are pronounced by resting the tongue on the lingual surfaces of the teeth).

    As a result of the loss of at least one front tooth Serious and persistent disturbances in diction may occur, which are difficult to restore even after prosthetics.

    The fifth function is the formation of facial contours

    Characteristic signs of old age include sunken cheeks, a small lower jaw, and thin, wrinkled lips. But all this does not arise as a result of old age. The main reason for such changes can be considered tooth loss, and this can happen even in at a young age. The face then looks disproportionate as a result of the reduction of its lower part.
    Nothing more than teeth give lower section facial relief, and also prevent the retraction of lips and cheeks.

    The sixth function is protective

    Dense dentition reliably protects the tongue from falls and blows - important organ for speech formation and swallowing. The special arrangement of the dentition relative to each other is also an obstacle to biting the mucous membranes of the cheeks and lips.

    The seventh function is trophic

    One of the purposes of teeth, and in particular their pulp vessels, is to maintain normal blood flow in the mucous membranes of the gums and jaw bone tissues.

    If a tooth is lost, blood flow and oxygen supply gradually decrease at this site. nutrients to tissues. Over time, the bone atrophies and the gums become thin and pale.

    The eighth function is indicator

    Teeth are an indicator of the general condition of the body as a whole. In the presence of metabolic pathologies, vitamin deficiencies, chronic diseases of the digestive, endocrine and other systems, unbalanced nutrition, the condition of the teeth suffers - they begin to crumble, change their shade, etc.

    That is why caring for your smile is not only about constant hygiene procedures and regular visits to the dentist, but also treatment of concomitant diseases.

    Thus, teeth are important not only for comfortable eating. Having lost at least one element of the dentition, over time you can acquire problems with speech, digestion and the development of complexes due to a cosmetic defect.

    Do you know why wisdom teeth are needed? This is exactly what we will talk about today. Let's consider different opinions regarding this issue and try to understand how things really are. Do we need a wisdom tooth?

    Opinion of foreign dentists

    It should be said right away that in many countries patients do not even question whether they need wisdom teeth. The answer is obvious - no. In Europe and the USA, doctors remove third molars (natural wisdom teeth) as soon as they become visible. The procedure for removing wisdom teeth is even included in health insurance. In our country, this problem is solved in different ways. Most often, doctors insist on tooth extraction, but the patient has the right to decide for himself what to do.

    What is a wisdom tooth?

    Wisdom teeth are 4 molars, which are located at the end of the upper and lower dentition, located closer to auricle and jaw bone. People call it “eight”. Scientific name- third molar.

    Appearance

    To understand why a wisdom tooth is needed, it is worth understanding when it appears and in whom. We know that an adult has 32 teeth, but only 28 teeth take part in the process of chewing food. This means that this process does not require the 4 teeth that are located at the edges of the upper and lower jaw, that is, the wisdom teeth. They appear much later than other teeth, from about 16 to 26 years. Yours popular name received because of the symbolic “wisdom” that a person acquires when entering adulthood. Although it is clear that “adult” does not yet mean “conscious”, “reasonable” and “wise”. The appearance of wisdom teeth can cause a number of oral problems. It is also worth noting that the emergence process may take several years.

    Wisdom tooth: why is it needed?

    The functional properties of wisdom teeth have not yet been fully studied. Scientists and dentists consider them to be a vestigial organ that humans no longer need. Interestingly, not everyone develops third molars. About half the population doesn't know wisdom because it doesn't have any. This leads scientists to believe that soon no one will have them.

    There is a generally accepted opinion. Why are wisdom teeth really needed? It is believed that in the past, humans needed all 32 teeth to chew tough foods. Modern man consumes food that is much softer, processed, and refined. Now only 28 teeth are enough to chew food.

    Why does it hurt?

    Why are wisdom teeth needed if they cause so much discomfort? It is believed that because the food became softer, the jaw atrophied and changed. She shrank in size, although her teeth remained the same. It turns out that third molars simply do not fit in the oral cavity, which is why they cause so many problems.

    In defense

    And yet you can find several reasons why a person needs wisdom teeth. In the process of chewing food, a modern person does not necessarily have third molars, but they perform a number of other functions. important functions. Why do you need to remove wisdom teeth if they can become the only way out for some problems? For example, during dental prosthetics, third molars can become a support that greatly simplifies the procedure. The second reason is that wisdom teeth keep other teeth from growing too much. They “hold” the jaw, preventing teeth from growing haphazardly. And the last argument: when old man loses many teeth; it is the third molars that can replace the chewing ones.

    It becomes clear that the role of wisdom teeth is significant. They are something like a “spare tire” that can always help out.

    Why delete?

    If you are concerned about the question of how and why, then be sure to read the next paragraph. Their growth provokes many problems: dental deformation, caries, constant pain and a number of other problems, which we will discuss below. It is important to understand that possible pathologies very serious. If the dentist considers it necessary to remove wisdom teeth, do so, otherwise you may end up with serious health problems. To protect, it is best to remove the third molars and drink a vitamin strengthening complex.

    Problems

    If your dentist recommends removing your wisdom tooth, it is best to do so. Third molars can cause a lot of problems for a person. Such teeth very often grow crookedly, which brings a lot of pain. But the process of tooth growth can drag on for a couple of years. The process of “eruption” takes a lot of time, during which time the initial caries has time to “ripen”. If such teeth are not treated promptly, the gums around them will swell, which may require immediate surgical intervention. Even if wisdom teeth are not bothering you, they can contribute to the development of tooth decay. Cleaning or treating them thoroughly can be difficult, even in a doctor's office, due to their difficult-to-reach location. There are very frequent cases when caries from wisdom teeth spreads to other healthy ones. If treatment is impossible, pulpitis threatens - inflammation of the dental nerve.

    Long eruption of wisdom teeth is also fraught. A lot of bacteria, food debris and plaque accumulate there. This can lead to gingivitis and halitosis. The situation is even worse when the tooth has only grown halfway. Pericoronitis, an inflammation of the gums that can spread to the bone, may occur. Because the wisdom tooth is too large, it puts pressure on the neighboring ones, destroying their enamel. If a tooth matures but does not erupt, it can cause severe pain that radiates to the neck, throat, and ears.

    Removal

    Let's say you decide to remove a wisdom tooth. Why is it needed if it brings so many problems? But you shouldn’t blindly trust the dentist; it’s better to find out for yourself what steps are necessary to remove a tooth without consequences. The first thing a doctor should do is find out about the patient’s illnesses, as well as the medications he is taking. It is very important. Even aspirin can cause the operation to be postponed, as it slows down blood clotting. At the next stage, the doctor does several x-rays in order to properly plan the removal.

    The procedure must begin with anesthesia. It is advisable that the doctor apply a special gel to the injection site, which will not allow you to feel the injection. When the tooth is located in the bone itself, the doctor has to saw through the tissue and remove the tooth completely or in parts. After this, the wound is sutured.

    The sutures are removed by the dentist after some time. This is done under local anesthesia. In modern clinics, it is used that dissolves itself. After the procedure, you must come to the doctor for examination on the 1st, 3rd and 7th day to monitor the situation. To avoid possible complications, you should follow some rules:

    • Stay calm for 24 hours after surgery and do not exercise active work and everything that requires tension;
    • use only soft and liquid food, avoid hot;
    • Do not drink alcohol or smoke for 2 days;
    • rinse your teeth every other day saline solution after meal.

    These are small and simple rules will help avoid possible complications. It is also advisable not to brush your teeth for at least one day. On the second day you can brush your teeth soft brush, avoiding touching the removal site.

    We learned why wisdom teeth are needed. They were provided by nature for a reason, but for modern man they do not play such a role. important role. If you have regular check-ups with your dentist and there are no problems with your wisdom teeth, you can leave them alone. But if there are problems, it is better not to delay solving them, so that surgical intervention is not required.

    You've probably noticed that figure eights are practically not involved in the process of chewing food, so the question of their necessity is completely obvious. However, these teeth perform a number of other functions:

    • they are necessary as a support if a person is planning bridge prosthetics;
    • these teeth restrain their “neighbors”, do not allow them to expand and spread to the sides;
    • If an elderly person loses a lot of teeth, it is the eights that partially take over the function of chewing.

    Thus, a wisdom tooth is something like a backup player who is always ready to help.

    Is it worth removing a wisdom tooth?

    We figured out what a wisdom tooth is for. But why is it sometimes advised to remove it if it is so necessary?

    The fact is that it is very rare now that eights grow up completely healthy and do not cause any problems. Removing the figure eight is necessary for the following reasons:

    • The tooth grows incorrectly (at an angle). In this position, it injures the mucous membrane;
    • There is not enough space in the jaw. In this case, the tooth either remains seated in the gum, causing constant pain, or moves away its neighbors and disrupts the bite;
    • It is planned to install braces. In this case, the wisdom tooth will interfere;
    • The tooth is severely damaged by caries. Due to the fact that it is very difficult to get to it, usually caries in this case is not treated, but simply gets rid of the diseased tooth;
    • pericoronitis develops. This is a disease in which the gums around the tooth swell and pus forms due to stuck food particles and an abundance of microbes.

    Of course, if you are lucky enough to become the happy owner of healthy eights, then there is no need to simply remove them.

    Now you know for sure whether wisdom teeth are needed. Take good care of these teeth, but if any problems arise, do not avoid having them removed. Seek help from an experienced specialist who will perform the operation carefully and without complications.

    “, and in the scientific language of dentists, “third molars” or “eights” significantly add to our troubles - it’s rare that anyone can boast of trouble-free eruption and excellent health of these teeth. Why is this happening? What to do with these teeth - treat them or remove them, as doctors often advise?

    Antonina Kamyshenkova / “Health-Info”

    Adults, as we know, have 32 teeth, but only 28 teeth take an active part in chewing food, that is, all except four wisdom teeth, which are located at the very edge of the jaw (both upper and lower). They appear later than others, from about 16 to 25 years old, and their name, apparently, symbolizes a person’s entry into adulthood, although as we know, the concept of “adult” is not at all identical to the concept of “smart” and even more so “wise.” But, one way or another, these teeth begin to erupt far from a tender age, and this eruption sometimes “hangs” for a couple of years, providing a person with the most different problems, which we will discuss below. By the way, why do these teeth need to be born at all?

    Well, it’s precisely with the function of these teeth that much is unclear. In fact, wisdom teeth can be considered a kind of rudiment, because they do not participate in any way in grinding food. Today, approximately half of the Earth's population no longer has these teeth, and this gives rise to the idea that in the distant or near future, none of us will have them at all.

    Now the following hypothesis prevails: once upon a time a person needed all 32 strong and healthy teeth to chew hard and tough foods. Today, the need for this has disappeared; we began to consume refined and processed foods that are easy to chew with 28 teeth. At the same time, the jaw itself atrophied somewhat, that is, decreased, but the size of the teeth remained the same. So, for our long-suffering third molars there is really neither place nor, in fact, work. Therefore, a whole list of problems awaits us with them.

    • They often grow crookedly or even across the jaw.
    • They erupt for a very long time, and while they are “sitting” under the gum, they already have time to get initial caries.
    • The gums around them become swollen and painful, which often requires the help of a surgeon.
    • The development of caries, even if these teeth come out in good condition, their distant location contributes - they do not always get high-quality cleaning.
    • Often caries spreads to the adjacent molar due to the fact that the space between these teeth is also difficult to clean.
    • Carious wisdom teeth are difficult to treat, again because of their location, and carious processes in them develop faster. This is how imperfect treatment or ignoring the symptoms of caries quickly leads to pulpitis - inflammation of the dental nerve.
    • Poor-quality treatment of pulpitis, when it is not completely cured, but the tooth is filled, the patient faces new problems, for example, periodontitis - the root membrane of the tooth and the tissues adjacent to it.
    • If the teeth are healthy, but just take a long time to erupt, that’s also not good. This means the accumulation of plaque and food debris in the gum pocket, which in turn provokes halitosis (bad breath) and gum inflammation (gingivitis).
    • It’s even worse if the tooth has not fully erupted, that is, it has come out halfway and does not want to grow further. Again, plaque accumulates between the swollen gum and the tooth, which provokes a “hood” of the gum in which the tooth sits. If the process is ignored, it entails the spread of inflammation to the periosteum of the jaw (), in rare cases, to the bone itself (osteomyelitis).
    • Since there is not enough space for the wisdom tooth, it puts pressure on the adjacent molar, destroying its enamel.
    • A wisdom tooth that does not erupt for a long time can cause pain along the way. trigeminal nerve, spreading to the ear, neck, throat.

    As you can see, the overall outlook is bleak. And that is why, when complaints arise from the “eight” (and they occur in 80% of people), doctors prefer to remove the wisdom tooth rather than waste time on its treatment. This is the most radical way to get rid of the problems that exist today and that threaten in the future.

    A few words in defense of the “eights”

    As we see, the disadvantages and side effects The eruption of wisdom teeth belongs to the most physical sphere: we do not use them, and they cause us a lot of trouble. But there is another point of view that illuminates this issue from the point of view of metaphysical medicine. And the most striking theory in defense of wisdom teeth belongs to Reinhold Voll, a German doctor, the founder of a treatment method based on Chinese and the effects of electrical pulse devices. As we know, acupuncture is based on the existence of 12 energy meridians in the human body, each of which connects many organs and systems. Just according to Voll, wisdom teeth cannot be removed in any way, because they are directly connected with the human psyche, just as each specific tooth is connected with a specific organ. This is how it turns out that tooth diseases are a signal of a disease of the organ with which it is connected. Is it possible that the diseases of the “eights” also signal our psycho-emotional problems, we just, without knowing it, go and tear them out? Who knows... either way it's food for thought.

    By the way, indirect confirmation that with wisdom teeth not everything is so simple can be obtained if we turn to beliefs different nations. Both the Slavs, the Germans, and the North American Indians have beliefs that with the appearance of these teeth, a person achieves his spiritual maturity and wisdom, and therefore acquires the protection of his ancestors - the guardians of the clan. With the removal of each tooth, this protection weakens, and a person without a single wisdom tooth was considered “open to all winds” and misfortunes, because there was no one to protect him.

    The most pragmatic and simple argument in favor is that in old age, when our teeth fall apart one after another, sometimes the miraculously preserved “eight” is the very thing that will support the entire dental bridge.

    In any case, you should not remove these teeth if they do not bother you. Yes, yes, this happens! But if it has become completely impossible to preserve them and you spend a third of your life at the dentist, it’s probably worth parting with them. Maybe the ancestors will be offended, but what to do...



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