Wisdom Teeth Pain

Wisdom Teeth are the final third set of molars that majority of people develop in their late teens or early twenties. Wisdom teeth can be valuable asset to ones mouth, when healthy and aligned properly. However it is more often wisdom teeth are misaligned which can cause pain and swelling.

When wisdom teeth are misaligned, they can cause a fair amount of pain. As wisdom teeth can sometimes position themselves horizontally and angled away or towards the second set of molars. Alternatively they may get position inward or outward from the rest of your teeth. Due to the poor alignment that can sometimes happen with wisdom teeth they can crowd or even damage adjacent teeth, the jawbone or nerves.

Wisdom teeth that lean towards the adjacent wisdom teeth (second set of molars), this makes them more vulnerable to decay by trapping of plaque and debris.

Partly Erupted Wisdom Teeth

It is possible that your wisdom teeth are only partly broken through, or erupted. This allows for an opening for bacteria to enter around the wisdom tooth and cause an infection within the gum which usually results in a pain due to the wisdom teeth, swelling, stiffness of the jaw or general illness. Partly erupted wisdom teeth are also more prone to tooth decay and gum disease due to the hard to reach location and awkward positioning makes brushing and flossing difficult.

What should be done?

As various issues can arise from wisdom tooth. It is best advised to contact a dentist and have it looked at. Our dentist can have a look and see if it is the wisdom tooth causing you pain due to misalignment or partial erupted wisdom teeth. We can them make decision as to whether you need your wisdom tooth extracted.

In the interim period, if your wisdom teeth are causing pain we recommend taking pain killers to help with the pain and to contact our dentist immediately to book an appointment.

Wisdom teeth are the last teeth in your mouth that will form; they normally form when you are around 18-21.

You already have your full set of 28 adult teeth in your mouth by the time the wisdom teeth decide to come through and many of these times there is no room in your mouth for the addition of these wisdom teeth. As the teeth come through they need to squeeze through the present 28 adult teeth that are already in place, they come through at any way possible including at possible angles. Wisdom teeth pain that grow in the wrong way are called Impacted Wisdom Teeth.

There are many different types of impacted wisdom teeth and wisdom teeth pain too. These are classed by the way that they grow through the mouth.

• Mesial Impaction is where the tooth grows at a angle facing the front of the mouth.
• Vertical Impaction is where the tooth grows straight down but gets stuck on the tooth that is next to it.
• Horizontal Impaction is where the tooth grows horizontally and pushes against the tooth that is next to it.
• Distal Impaction is where the wisdom tooth turns away from the tooth next to it and becomes lodged in the position.

You don’t need to remove all impacted wisdom teeth but they can start to cause some dental health problems. Your dentist will advise you if it is necessary to have your wisdom teeth removed. If you need to attend hospital treatment it will be provided through the our clinic.

In some cases the wisdom teeth can be removed by using a local anaesthetic, this means that the area that is being worked on becomes numb, or you can have a general anaesthetic which means you are put to sleep whilst the work is done and you do not feel a thing. Your surgeon will pick which is the best option to use but you can also have a bit of input into this.

The wisdom teeth get removed from inside the mouth, sometimes the gum needs to be cut to gain more access into the area to be able to unlodge it. The gum will be stitched after the tooth is removed, often with a type of stitch that is designed to dissolve. Most patients are allowed to go home in the early evening after the operation. After your operation, the mouth will usually feel bruised and swollen. This will mean that the jaw will feel stiff and there will be mild to moderate discomfort. This will also cause your cheeks to be swollen with a slight bruise of the skin. Painkillers will help with this. The swelling, bruising and the stiffness with disappear within a week to 10 days.

It is different if you have a general anaesthetic; this will make you very slow, clumsy and very forgetful for around 24 hours. The same side effects can happen with sedation but to a lesser degree. The nurses will help you with everything until you are able to do things for yourself. Driving, machinery use, boiling a kettle and even making important decisions are strongly disadvised until you are fully fit.
When the doctor allows you to leave and go home you will be given a “take home drug bag”, this will include things like antiseptic mouthwash, antibiotics and painkillers. It is imperative that you keep your mouth cleaner than normal to prevent infection to the wound.

We also suggest using a warm salt water mouth bath at least 3 times a day. A pinch of salt to half a pint of warm water is suggested. Gargle for one minute each side of the mouth after brushing your teeth often will help to soothe the mouth area.

There are not that many complications that could happen through this process but they are all possible, if you have the operation under a general anaesthetic there is a very small risk of gaining any complication to your heart or even lungs. The tests that you will have before the operation will make sure that you can have the operation in the safest possible way and will bring the risk for such complications very close to zero. It is generally recommended that you do have the operation for the wisdom teeth removal sooner rather than later because as you do get older there are more complications that can arise.

You will be aware of any of the holes left after removal of your teeth for several weeks, but the bone and gum will reshape and after six months it will be hard to tell you have had surgery there wisdom teet pain.

Wisdom Teeth
Wisdom Teeth