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Incomplete wisdom teeth

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Due to the inconvenient location of the wisdom teeth, it is not always possible to completely clear them of food particles. These teeth are most often destroyed due to tooth decay and decay, since most people do not provide proper care for them. You can resort to a drastic measure, namely, to remove all the teeth of wisdom. But this is not always correct, since they hold the dentition and are involved in the process of chewing food.

In this article we will consider how to brush wisdom teeth, what is needed for this, what should be taken into account. Following simple recommendations, you can maintain their health and whiteness, as well as provide the prevention of various dental diseases.

How to choose a toothbrush?

For brushing wisdom teeth, toothbrushes with a small head are more suitable. It is better if the brush is narrow and with soft bristles. The fact is that in most cases, the wisdom teeth do not have enough space for teething, so they do not come out completely. Most often, the operculum remains, which is sensitive. Because of this, brushing wisdom teeth can be uncomfortable and even painful.

For the best cleaning, it is worth using electric brushes with a round or elongated head. Such brushes in the best way remove all food debris not only from the enamel, but also from the interdental space. You can adjust the rotation speed depending on the sensitivity of the gums, avoiding the appearance of pain and bleeding.

Recurring pericoronitis

One of the most common pathological conditions associated with wisdom teeth is pericoronitis - inflammation of the soft tissues surrounding the visible (coronal) part of the tooth. And most often it occurs in incompletely erupted wisdom teeth. There is a space between the soft tissues surrounding the crown of the incompletely erupted tooth and the tooth itself. In this space, over time, plaque begins to accumulate, which cannot be removed on its own. Bacteria contained in plaque cause inflammation of the surrounding soft tissues. As a result of inflammation, quite severe pain appears. The gum swells at the site of inflammation. Due to the increase in gum size as a result of edema, it begins to undergo additional trauma from the teeth on the opposite jaw, which increases inflammation and pain.

The tactics of treating pericoronitis, not least, will depend on whether the wisdom tooth holds the correct position in the jaw. If the position of the incompletely erupted tooth is correct and there is every reason to believe that after the tooth takes its place, it will not create such problems, then most likely the dentist will offer treatment not related to tooth extraction. Antibiotics, anti-inflammatory drugs, as well as topical drugs, applied in the form of applications, dressings, etc. relieve inflammation. To prevent relapse, the doctor may suggest that the soft tissues be excised above the tooth crown, which will subsequently remove plaque during brushing. If the position of the incompletely erupted tooth is incorrect, it is better to remove such a tooth. Otherwise, pericoronitis threatens to become recurring (recurring).

Due to the fact that wisdom teeth are located farther than other teeth (as they say in one advertisement - “in hard to reach places”), removing plaque from them during daily hygiene procedures causes certain difficulties. If at the same time the position of the incompletely erupted wisdom tooth is incorrect, then it can be completely impossible to independently remove plaque from some parts of the tooth surface. As a result, caries develops under a raid.

Theoretically, caries of a wisdom tooth is treated in the same way as caries of any other tooth: carious tissues are removed with a drill, the cavity is sealed. In practice, this often happens - if the cavity is shallow and located in a convenient place for treatment. But it also happens that the carious cavity is located in such a place on the tooth that its treatment is associated with significant technical difficulties, because of which it is impossible to treat the tooth qualitatively. In other cases, even after high-quality filling of the carious cavity, conditions remain for the accumulation of hard-to-remove plaque, which will inevitably lead to a relapse of caries. In this situation, it is more advisable to remove the wisdom tooth.

Tooth decay adjacent to an incorrectly positioned wisdom tooth

If the wisdom tooth is not positioned correctly, food debris and plaque will begin to accumulate in the space between it and the adjacent chewing tooth. Since this space is difficult to access for a toothbrush, the risk of tooth decay is significantly increased not only on the wisdom tooth itself, but also on the tooth that is located next to it. With a significant spread of the carious process, there is a chance of losing not only the wisdom tooth, but also the tooth located next to it.

Periodontitis

If you cannot normally brush your tooth with a toothbrush or dental floss, then the bacteria that are contained in the plaque will begin to accumulate not only on the surface of the tooth, but also around it. As a result, gum inflammation around this tooth (gingivitis) and inflammation of the deeper soft tissues surrounding the tooth (periodontitis) may develop. If untreated, this condition causes significant damage to the gums and bone tissue that surrounds the tooth. Damage over time becomes so serious that it leads to tooth loss.

Quite often, with periodontitis that has developed near the wisdom tooth, dentists recommend that their patients remove this tooth. Otherwise, even after the treatment, the disease may develop again, which subsequently will still lead to the need for tooth extraction. The gum and bone surrounding the wisdom tooth support the back side of the adjacent chewing tooth. It is worth noting that periodontitis is not limited to one tooth. It also affects the teeth that are located next to the wisdom tooth. Thus, you can also lose a healthy molar due to the fact that you refused to remove the wisdom tooth earlier.

As an additional argument for the removal of an incorrectly positioned wisdom tooth, one can name the fact that, due to his incorrect position, he does not take part in the chewing process. This means that it does not bring you any benefit, but is only a source of problems that you may encounter.

Some recommendations

To provide maximum protection for wisdom teeth, follow some guidelines:

  • for any brushing (with floss, toothbrush, irrigator, etc.), give each tooth wisdom for at least 20 seconds,
  • make circular movements first, and then “sweeping” - if you do the opposite, it is highly likely that the distant plaque will again fall into the interdental space of wisdom teeth,
  • remove food debris under the area of ​​the skin that partially covers the wisdom tooth,
  • When using a mouthwash, be sure to hold the fluid in the area of ​​each cheek for several seconds so that the wisdom teeth are completely washed by it,
  • if the wisdom teeth become inflamed after brushing, you can make applications from a decoction of chamomile (for this, use a cotton pad or a piece of cotton wool),
  • don't forget to change your toothbrush every 3-4 months,
  • keep in mind that wisdom teeth should not cause discomfort: if they constantly become inflamed, bleed during brushing, you should visit a dentist in the near future - in some cases it is better to remove a wisdom tooth than fight to save it.

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