What is Impacted Tooth Extraction and Should We Have Our Wisdom Teeth Extracted?

When we say impacted teeth, the first thing that comes to our mind is our wisdom teeth. The reason for this is that the rate of impaction in society is by far higher than other teeth. However, each tooth has a very low chance of remaining impacted. Wisdom teeth are followed by premolars and canines in the order of impaction. The impaction of these teeth is noticed during a routine dentist examination or by parents when monitoring the eruption of permanent teeth that are due. In the case of teeth determined to be impacted, it is decided whether these teeth can be retained in the mouth with orthodontic treatment in the light of radiographic images taken from the patients and detailed clinical examination. Teeth that cannot be retained in the mouth are removed surgically if deemed necessary or are followed up with routine check-ups.

Should we have our wisdom teeth extracted? When should we have the teeth that need to be extracted?

Our wisdom teeth are teeth that cannot find a place for themselves in the jaws that shrink as humanity's eating habits change over time, and in most people they never form anymore. They are usually removed from the mouth by surgical extraction because they are completely or partially embedded in the bone or have been inserted into the mouth in different positions towards the cheek and tongue.

Our main question is "should we have these teeth extracted?" As for the "" part, we can answer this question to our patients as a result of a panoramic film taken from our patients and an intraoral examination. If the wisdom teeth are completely embedded in the bone, do not have close contact with the adjacent teeth, do not cause any problems in the mouth, and there is no complaint of pain or swelling in the patient's history, the patient can be called for regular check-ups by not removing those wisdom teeth. The important thing at this point is the regular control part. Unfortunately, since the changes in the bone cannot be seen with the naked eye, panoramic films taken at regular check-ups will give us information.

So, when do we have our wisdom teeth removed?
If our wisdom teeth have partially erupted into the mouth, but it is not possible for them to erupt completely in a proper position, if they are in close contact with the adjacent tooth and are attached to the tooth. If the tooth-related cyst development is seen in the panoramic films, if the patient has a history of recurrent infection and related pain, swelling, bad odor and taste, we have those teeth extracted.

Our wisdom teeth that need to be extracted are exactly in their 20's. Should it be removed at the age of 15?
No, this age range is a long one, starting from the ages of 15-16 and extending to patients with impacted teeth that occur due to osteoporosis at the ages of 80-90.

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