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Do long wisdom teeth have to be pulled out? In which cases should wisdom teeth be extracted?

for many adults, do they have one or two wisdom teeth more or less? Do they need to be removed without affecting their lives? Do they have to be removed? Let's learn from the small editors of sihai.com.

Must wisdom teeth be pulled out?

Although the masticatory ability contributed by wisdom teeth is no longer necessary for modern people to survive, if wisdom teeth can sprout normally and establish a occlusal relationship, or at least not bring the risk of pain and infection and affect other teeth, it is not necessary to remove them. In the clinical operation of oral cavity, there are also very strict regulations on the indication of wisdom tooth extraction. Only when the following situations occur, the removal of wisdom teeth will be considered:

Decayed teeth (cavities): if wisdom teeth are decayed, the decayed teeth with a shallow occlusal surface can be filled, but the decayed teeth on the adjacent surface need a good filling technique. Instead of filling, it is better to pull them out. If root canal treatment is needed for deep caries of wisdom teeth, extraction is also recommended.

Causes the adjacent tooth pathological change: the adjacent tooth pathological change patient usually does not have the feeling, mostly discovered by the dentist by the X-ray diagnosis. This is due to the lack of space for wisdom teeth to sprout and heterotopic occlusion leaning on the second molar, which makes it difficult to clean the second molar, or even the second molar part is absorbed, which will cause discomfort or pain in serious cases.

Lack of space causes pericoronitis: This is because the dental arch is smaller and smaller. When wisdom teeth erupt, patients will feel swelling and pain. In order to avoid the recurrence of this situation, it is recommended to remove it as soon as possible after the inflammation subsides.

Local area is not easy to clean: due to the lack of space, wisdom teeth are usually not in the right position, so it is often difficult to clean teeth and prone to tooth decay.

No opposite bite: if the opposite side of wisdom teeth does not have a rival wisdom teeth to bite, sometimes excessive germination and elongation of wisdom teeth will occur, which will affect the bite. At this time, wisdom teeth should be pulled out.

Wisdom tooth impaction: usually this is the most troublesome one. This type of tooth, usually buried in the alveolar bone, must be removed if there is often inflammation or if there is a diagnosis of lesions.

Cause other lesions: if wisdom tooth causes odontogenic cyst or tumor, it needs to be removed.

Orthodontic needs: in order to ensure the effect of orthodontic treatment, wisdom teeth are usually extracted.

If the cause of neuralgia is unknown due to obstruction, or the teeth are suspected to be the focus, they should also be removed.

Without these problems, if your wisdom teeth don't cause trouble to other teeth and yourself, there's no need to remove them.