Wisdom teeth, also known as third molars, are the last teeth to erupt in the mouth. They typically appear between the ages of 17 and 25, and often cause concern for many individuals. While some people experience no issues with their wisdom teeth, others may face complications due to their positioning. In particular, sideways wisdom teeth, also called impacted wisdom teeth, can lead to pain, infection, and other dental problems. However, the decision to remove these teeth should be carefully considered based on several factors.
1. Dental Evaluation
The first step in determining the necessity of removing sideways wisdom teeth is to undergo a comprehensive dental evaluation. This evaluation will involve X-rays, oral examinations, and discussions with your dentist or oral surgeon. They will assess the position, size, and condition of the wisdom teeth, and identify any potential risks or complications.
If the sideways wisdom teeth are causing pain, swelling, or infection, extraction may be recommended to eliminate the discomfort and prevent further issues. Additionally, if the teeth are causing damage to adjacent teeth, gum tissue, or the jawbone, removal may be necessary to maintain oral health.
On the other hand, if the sideways wisdom teeth are not causing any immediate problems or discomfort, your dentist may advise a wait-and-watch approach. Regular monitoring and periodic X-rays will help detect any future issues and allow for timely intervention.
2. Impacted Wisdom Teeth Risks
Understanding the potential risks associated with impacted wisdom teeth can help in making an informed decision. When wisdom teeth come in sideways or don't fully emerge from the gumline, several problems can arise.
a. Pain and Discomfort: Sideways wisdom teeth often lead to pain, swelling, and general discomfort in the back of the mouth.
b. Infection: Due to their positioning, sideways wisdom teeth are more prone to infection. Bacteria can easily accumulate around these teeth, leading to gum disease, tooth decay, and even more serious infections.
c. Gum Disease and Tooth Decay: Impacted wisdom teeth can be challenging to clean properly, which increases the risk of gum disease and tooth decay not only for the wisdom teeth but also for adjacent teeth.
d. Damage to Adjacent Teeth: Sideways wisdom teeth can push against neighboring teeth, causing misalignment, crowding, or damage to otherwise healthy teeth.
3. Surgical Extraction
If sideways wisdom teeth need to be removed, the procedure will typically involve surgical extraction. This is because the impacted teeth are not fully erupted and may require an incision into the gum tissue to access and remove them.
The cost of surgical wisdom tooth extraction varies depending on factors such as the complexity of the procedure, the geographical location, and the dental professional performing the extraction. On average, the cost can range from $225 to $600 per tooth. However, it's important to consult with your dentist to get an accurate estimate based on your specific case.
4. Anesthesia Options
During the surgical removal of sideways wisdom teeth, anesthesia options are available to ensure a comfortable and pain-free experience. The most common types include:
a. Local Anesthesia: This numbs the area around the tooth, allowing for painless extraction while the patient remains conscious.
b. Sedation: Sedation is often used to relax patients and reduce anxiety during the procedure. Options range from oral sedation to intravenous (IV) sedation, depending on the patient's needs and preferences.
5. Recovery Process
The recovery process after sideways wisdom tooth extraction can vary from person to person. It's common to experience some swelling, discomfort, and mild bleeding for a few days following the procedure. Pain medication, ice packs, and a soft food diet can help manage these symptoms.
Most individuals can resume their normal activities within a few days, although it may take a week or two for complete healing. Your dentist or oral surgeon will provide specific post-operative instructions and schedule any necessary follow-up appointments to ensure proper healing.
Frequently Asked Questions
Q: How long does the procedure take?
A: The duration of the sideways wisdom tooth extraction procedure can vary depending on the complexity of the case. It typically takes between 45 minutes to one hour per tooth.
Q: Does insurance cover the cost of extraction?
A: Many dental insurance plans cover a portion of the cost of wisdom tooth extraction, particularly if it is considered medically necessary. However, it's essential to check with your insurance provider to understand the specific coverage and any out-of-pocket expenses.
Q: What happens if I don't remove my sideways wisdom teeth?
A: If sideways wisdom teeth are left untreated, they can lead to various complications such as pain, infection, gum disease, and damage to adjacent teeth. In some cases, cysts or tumors may also develop around impacted wisdom teeth, causing more significant problems.
References
1. American Association of Oral and Maxillofacial Surgeons. (n.d.). Wisdom Teeth. Retrieved from
2. Mayo Clinic. (2021, March 25). Wisdom Tooth Extraction. Retrieved from
3. WebMD. (2019, October 1). Wisdom Teeth Removal: What Adults Should Expect. Retrieved from
