Removing Wisdom teeth 
Author Message
 Removing Wisdom teeth

I recently went to my dentist for a checkup and had been getting a small
infection at the back on my gum where the wisdom tooth would normally come
through. He took an xray and said it was impacted though not badly. It's the
only wisdom tooth im having problems with and dont particularly want to pay
a couple hundred dollars to have it removed. I asked him if it would get
worse and all he said was 'it wont get better'. He seemed pretty pushy for
me to come in and get it done. I am thinking for the money because I know
people who have been told the same by their dentist and never had their
wisdom teeth removed yet dont suffer from it. What worries me is can the
fact that its impacted with the adjacent tooth cause my teeth on that side
to change position or anything like that?


Sun, 01 May 2005 14:32:16 GMT
 Removing Wisdom teeth


Quote:
> I recently went to my dentist for a checkup and had been getting a small
> infection at the back on my gum where the wisdom tooth would normally come
> through. He took an xray and said it was impacted though not badly. It's
the
> only wisdom tooth im having problems with and dont particularly want to
pay
> a couple hundred dollars to have it removed. I asked him if it would get
> worse and all he said was 'it wont get better'. He seemed pretty pushy for
> me to come in and get it done. I am thinking for the money because I know
> people who have been told the same by their dentist and never had their
> wisdom teeth removed yet dont suffer from it.

I know people who have been around asbestos their whole lives and never got
lung cancer...but I wouldn't like the odds that things will always pan out
that way.  I'd bet with your dentist on this one rather than "people you
know" who never had their wisdom teeth removed.  My general rule of thumb:
fully impacted---> watch (cysts?)
partially erupted---->extract (could get pericornitis)
fully erupted---->brush real well.


Sun, 01 May 2005 14:37:47 GMT
 Removing Wisdom teeth
All my wisdom teeth are fully erupted.  I am only 20 years old, but my
dentist suggested that I have them removed to prevent future problems.  The
bottom two are partially (only very slightly) impacted, and in the process
of them erupting they got cavities where they were just partially exposed
for an extended period of time.  They don't usually bother me, but from time
to time for whatever reason they will pinch my cheek.

Just thought I'd throw this in there.  My appointment is for December 30 and
the procedure for all 4 removal and "deep sedation" is going to cost 1300
Canadian dollars.


Quote:



> > I recently went to my dentist for a checkup and had been getting a small
> > infection at the back on my gum where the wisdom tooth would normally
come
> > through. He took an xray and said it was impacted though not badly. It's
> the
> > only wisdom tooth im having problems with and dont particularly want to
> pay
> > a couple hundred dollars to have it removed. I asked him if it would get
> > worse and all he said was 'it wont get better'. He seemed pretty pushy
for
> > me to come in and get it done. I am thinking for the money because I
know
> > people who have been told the same by their dentist and never had their
> > wisdom teeth removed yet dont suffer from it.

> I know people who have been around asbestos their whole lives and never
got
> lung cancer...but I wouldn't like the odds that things will always pan out
> that way.  I'd bet with your dentist on this one rather than "people you
> know" who never had their wisdom teeth removed.  My general rule of thumb:
> fully impacted---> watch (cysts?)
> partially erupted---->extract (could get pericornitis)
> fully erupted---->brush real well.



Sun, 01 May 2005 15:19:35 GMT
 Removing Wisdom teeth


message

ca...

Quote:
> All my wisdom teeth are fully erupted.  I am

only 20 years old, but my
Quote:
> dentist suggested that I have them removed to

prevent future problems.

My medical doctor
does not want any future
problems with MY appendix
and my tonsils ........... but I
still disagree....

 The

Quote:
> bottom two are partially (only very slightly)

impacted, and in the process
Quote:
> of them erupting they got cavities where they

were just partially exposed
Quote:
> for an extended period of time.  They don't

usually bother me, but from time
Quote:
> to time for whatever reason they will pinch my
cheek.

> Just thought I'd throw this in there.  My

appointment is for December 30 and
Quote:
> the procedure for all 4 removal and "deep

sedation" is going to cost 1300
Quote:
> Canadian dollars.



Sun, 01 May 2005 18:41:05 GMT
 Removing Wisdom teeth
From a surgical standpoint, guys like me deal with the complications of
'watching' them and removing them. Aggressive cysts are a reality and
infections are no laughing matter. Also, it has been well documented, even
in fully impacted teeth,  bacteria gain a foothold subgingivally so at the
very least your possibilities for tooth & periodontal problems from the
neighboring teeth are a high probability.
Generally, my opinion is if you cant reach em' or keep em' very clean, loss
them. The younger you are when you make that decision the better.

--
~~~~~~~~~~~~~~~~~~~~~
{*filter*}& Maxillo{*filter*} Surgeon
Diplomate, American Board of {*filter*}& Maxillo{*filter*} Surgery
http://www.***.com/
remove 'NOSPAM' from email to reply

Quote:



> > I recently went to my dentist for a checkup and had been getting a small
> > infection at the back on my gum where the wisdom tooth would normally
come
> > through. He took an xray and said it was impacted though not badly. It's
> the
> > only wisdom tooth im having problems with and dont particularly want to
> pay
> > a couple hundred dollars to have it removed. I asked him if it would get
> > worse and all he said was 'it wont get better'. He seemed pretty pushy
for
> > me to come in and get it done. I am thinking for the money because I
know
> > people who have been told the same by their dentist and never had their
> > wisdom teeth removed yet dont suffer from it.

> I know people who have been around asbestos their whole lives and never
got
> lung cancer...but I wouldn't like the odds that things will always pan out
> that way.  I'd bet with your dentist on this one rather than "people you
> know" who never had their wisdom teeth removed.  My general rule of thumb:
> fully impacted---> watch (cysts?)
> partially erupted---->extract (could get pericornitis)
> fully erupted---->brush real well.



Sun, 01 May 2005 21:55:14 GMT
 Removing Wisdom teeth


Quote:
> All my wisdom teeth are fully erupted.  I am only 20 years old, but my
> dentist suggested that I have them removed to prevent future problems.
The
> bottom two are partially (only very slightly) impacted, and in the process
> of them erupting they got cavities where they were just partially exposed
> for an extended period of time.  They don't usually bother me, but from
time
> to time for whatever reason they will pinch my cheek.

> Just thought I'd throw this in there.  My appointment is for December 30
and
> the procedure for all 4 removal and "deep sedation" is going to cost 1300
> Canadian dollars.

Wow, $1300 canadian is nearly $1500 australian. My Ex Girlfriend had 3 of
hers removed in hospital under general anaesthetic and her health insurance
paid for almost all of it. I dont think the total even came close to that
though.


Mon, 02 May 2005 02:45:00 GMT
 Removing Wisdom teeth
Yeah, I have used some of my dental coverage already so I have to pay about
350 out of pocket.  The other 900 (the rest of my yearly limit) is covered
by insurance.  It is really expensive, the anesthetic alone is $439.


Quote:



> > All my wisdom teeth are fully erupted.  I am only 20 years old, but my
> > dentist suggested that I have them removed to prevent future problems.
> The
> > bottom two are partially (only very slightly) impacted, and in the
process
> > of them erupting they got cavities where they were just partially
exposed
> > for an extended period of time.  They don't usually bother me, but from
> time
> > to time for whatever reason they will pinch my cheek.

> > Just thought I'd throw this in there.  My appointment is for December 30
> and
> > the procedure for all 4 removal and "deep sedation" is going to cost
1300
> > Canadian dollars.

> Wow, $1300 canadian is nearly $1500 australian. My Ex Girlfriend had 3 of
> hers removed in hospital under general anaesthetic and her health
insurance
> paid for almost all of it. I dont think the total even came close to that
> though.



Mon, 02 May 2005 03:45:33 GMT
 Removing Wisdom teeth
My son had 2 lower impacted wisdom teeth and the surgeon who removed
them told me that with those hitting the molars next to them they will
not only cause all his nice orthodontic work to be ruined by pushing and
moving the teeth, but they will also cause decay in the teeth they are
touching. So, he had both top and bottoms recently removed. Even though
your friends have never had problems (I have all 4 and I have had no
problems either), the fact that you are getting an infection tells me
you ARE having problems. Get a panoramic Xray and get a few opinions if
this will make you feel better. That's what we did.

Marianne

Quote:

> I recently went to my dentist for a checkup and had been getting a small
> infection at the back on my gum where the wisdom tooth would normally come
> through. He took an xray and said it was impacted though not badly. It's the
> only wisdom tooth im having problems with and dont particularly want to pay
> a couple hundred dollars to have it removed. I asked him if it would get
> worse and all he said was 'it wont get better'. He seemed pretty pushy for
> me to come in and get it done. I am thinking for the money because I know
> people who have been told the same by their dentist and never had their
> wisdom teeth removed yet dont suffer from it. What worries me is can the
> fact that its impacted with the adjacent tooth cause my teeth on that side
> to change position or anything like that?



Mon, 02 May 2005 08:21:35 GMT
 Removing Wisdom teeth

Quote:
>My son had 2 lower impacted wisdom teeth and the surgeon who removed
>them told me that with those hitting the molars next to them they will
>not only cause all his nice orthodontic work to be ruined by pushing and
>moving the teeth

absolute BS.  The research is clear that this does not happen.

Charlie Ruff, DMD
Specialist in Orthodontics
Diplomate American Board of Orthodontics



Mon, 02 May 2005 10:05:39 GMT
 Removing Wisdom teeth

Quote:
> All my wisdom teeth are fully erupted.  The
> bottom two are partially (only very slightly) impacted

Then they (bottom two) aren't fully erupted.


Quote:
> All my wisdom teeth are fully erupted.  I am only 20 years old, but my
> dentist suggested that I have them removed to prevent future problems.
The
> bottom two are partially (only very slightly) impacted, and in the process
> of them erupting they got cavities where they were just partially exposed
> for an extended period of time.  They don't usually bother me, but from
time
> to time for whatever reason they will pinch my cheek.

> Just thought I'd throw this in there.  My appointment is for December 30
and
> the procedure for all 4 removal and "deep sedation" is going to cost 1300
> Canadian dollars.





> > > I recently went to my dentist for a checkup and had been getting a
small
> > > infection at the back on my gum where the wisdom tooth would normally
> come
> > > through. He took an xray and said it was impacted though not badly.
It's
> > the
> > > only wisdom tooth im having problems with and dont particularly want
to
> > pay
> > > a couple hundred dollars to have it removed. I asked him if it would
get
> > > worse and all he said was 'it wont get better'. He seemed pretty pushy
> for
> > > me to come in and get it done. I am thinking for the money because I
> know
> > > people who have been told the same by their dentist and never had
their
> > > wisdom teeth removed yet dont suffer from it.

> > I know people who have been around asbestos their whole lives and never
> got
> > lung cancer...but I wouldn't like the odds that things will always pan
out
> > that way.  I'd bet with your dentist on this one rather than "people you
> > know" who never had their wisdom teeth removed.  My general rule of
thumb:
> > fully impacted---> watch (cysts?)
> > partially erupted---->extract (could get pericornitis)
> > fully erupted---->brush real well.



Mon, 02 May 2005 10:13:29 GMT
 Removing Wisdom teeth

Quote:
> All my wisdom teeth are fully erupted.  The
> bottom two are partially (only very slightly) impacted,

Then they (bottom two) aren't fully erupted.


Quote:
> All my wisdom teeth are fully erupted.  I am only 20 years old, but my
> dentist suggested that I have them removed to prevent future problems.
The
> bottom two are partially (only very slightly) impacted, and in the process
> of them erupting they got cavities where they were just partially exposed
> for an extended period of time.  They don't usually bother me, but from
time
> to time for whatever reason they will pinch my cheek.

> Just thought I'd throw this in there.  My appointment is for December 30
and
> the procedure for all 4 removal and "deep sedation" is going to cost 1300
> Canadian dollars.





> > > I recently went to my dentist for a checkup and had been getting a
small
> > > infection at the back on my gum where the wisdom tooth would normally
> come
> > > through. He took an xray and said it was impacted though not badly.
It's
> > the
> > > only wisdom tooth im having problems with and dont particularly want
to
> > pay
> > > a couple hundred dollars to have it removed. I asked him if it would
get
> > > worse and all he said was 'it wont get better'. He seemed pretty pushy
> for
> > > me to come in and get it done. I am thinking for the money because I
> know
> > > people who have been told the same by their dentist and never had
their
> > > wisdom teeth removed yet dont suffer from it.

> > I know people who have been around asbestos their whole lives and never
> got
> > lung cancer...but I wouldn't like the odds that things will always pan
out
> > that way.  I'd bet with your dentist on this one rather than "people you
> > know" who never had their wisdom teeth removed.  My general rule of
thumb:
> > fully impacted---> watch (cysts?)
> > partially erupted---->extract (could get pericornitis)
> > fully erupted---->brush real well.



Mon, 02 May 2005 10:14:19 GMT
 Removing Wisdom teeth
Sorry for the double post, my Outlook Express is acting screwey!!


Quote:
> > All my wisdom teeth are fully erupted.  The
> > bottom two are partially (only very slightly) impacted,

> Then they (bottom two) aren't fully erupted.



> > All my wisdom teeth are fully erupted.  I am only 20 years old, but my
> > dentist suggested that I have them removed to prevent future problems.
> The
> > bottom two are partially (only very slightly) impacted, and in the
process
> > of them erupting they got cavities where they were just partially
exposed
> > for an extended period of time.  They don't usually bother me, but from
> time
> > to time for whatever reason they will pinch my cheek.

> > Just thought I'd throw this in there.  My appointment is for December 30
> and
> > the procedure for all 4 removal and "deep sedation" is going to cost
1300
> > Canadian dollars.





> > > > I recently went to my dentist for a checkup and had been getting a
> small
> > > > infection at the back on my gum where the wisdom tooth would
normally
> > come
> > > > through. He took an xray and said it was impacted though not badly.
> It's
> > > the
> > > > only wisdom tooth im having problems with and dont particularly want
> to
> > > pay
> > > > a couple hundred dollars to have it removed. I asked him if it would
> get
> > > > worse and all he said was 'it wont get better'. He seemed pretty
pushy
> > for
> > > > me to come in and get it done. I am thinking for the money because I
> > know
> > > > people who have been told the same by their dentist and never had
> their
> > > > wisdom teeth removed yet dont suffer from it.

> > > I know people who have been around asbestos their whole lives and
never
> > got
> > > lung cancer...but I wouldn't like the odds that things will always pan
> out
> > > that way.  I'd bet with your dentist on this one rather than "people
you
> > > know" who never had their wisdom teeth removed.  My general rule of
> thumb:
> > > fully impacted---> watch (cysts?)
> > > partially erupted---->extract (could get pericornitis)
> > > fully erupted---->brush real well.



Mon, 02 May 2005 10:23:40 GMT
 Removing Wisdom teeth


Quote:
> >My son had 2 lower impacted wisdom teeth and the surgeon who removed
> >them told me that with those hitting the molars next to them they will
> >not only cause all his nice orthodontic work to be ruined by pushing and
> >moving the teeth

> absolute BS.  The research is clear that this does not happen.

> Charlie Ruff, DMD
> Specialist in Orthodontics
> Diplomate American Board of Orthodontics

I will politely disagree.  I think it can happen, although movement in
post-treatment and even in non-treated cases can have multifactorial causes
that you and I both know.  I seem to recall a study a few years ago
examining unilateral lower third molar extractions.  I don't think the
results were statistically significant, however it gave one pause to
reconsider.

I hear it every day - I/we waited too long on extracting the thirds and look
what happened.  Usually this is from a parent (pointing at their own mouth)
with concerns about their child's proposed treatment and eventual evaluation
of the third molars.  Most of the time I feel delayed extraction was
inconsequential (with regard to orthodontic relapse), sometimes not.

Besides that, I want to be invited to the {*filter*}Surgeon's annual Christmas
party next door this year.

carabelli



Mon, 02 May 2005 11:17:40 GMT
 Removing Wisdom teeth

Quote:



>> >My son had 2 lower impacted wisdom teeth and the surgeon who removed
>> >them told me that with those hitting the molars next to them they will
>> >not only cause all his nice orthodontic work to be ruined by pushing and
>> >moving the teeth

>> absolute BS.  The research is clear that this does not happen.

>> Charlie Ruff, DMD
>> Specialist in Orthodontics
>> Diplomate American Board of Orthodontics

>I will politely disagree.  I think it can happen, although movement in
>post-treatment and even in non-treated cases can have multifactorial causes
>that you and I both know.  I seem to recall a study a few years ago
>examining unilateral lower third molar extractions.  I don't think the
>results were statistically significant, however it gave one pause to
>reconsider.

>I hear it every day - I/we waited too long on extracting the thirds and look
>what happened.  Usually this is from a parent (pointing at their own mouth)
>with concerns about their child's proposed treatment and eventual evaluation
>of the third molars.  Most of the time I feel delayed extraction was
>inconsequential (with regard to orthodontic relapse), sometimes not.

>Besides that, I want to be invited to the {*filter*}Surgeon's annual Christmas
>party next door this year.

>carabelli

This is the best article I've seen on the subject

Am J Orthod Dento{*filter*} Orthop 1990 Apr;97(4):323-35 Related Articles, Links  

A long-term study of the relationship of third molars to changes in the
mandibular dental arch.

Ades AG, Joondeph DR, Little RM, Chapko MK.

The purpose of this study is to determine the relationship of third molars to
changes in the mandibular dental arch. The sample for this study consisted of
four groups and subgroups. The groups consisted of premolar extraction treated,
nonextraction treated with initial generalized spacing, nonextraction treated,
and serial extraction untreated subjects. The subgroups were divided into
persons who had mandibular third molars that were either impacted, erupted into
function, con{*filter*}ly absent, or extracted at least 10 years before
postretention records. The mean postretention time interval was 13 years, with
a range of 10 to 28 years. The mean postretention age was 28 years 6 months,
with a range of 18 years 6 months to 39 years 4 months. Two-way analysis of
variance with repeated measures was used to compare the changes over time
(before treatment, at end of active treatment, and after retention) of groups
and third molar subgroups. With time, mandibular incisor irregularity increased
while arch length and intercanine width decreased. The eruption patterns of
mandibular incisors and first molars were similarly dispersed in all groups
studied. The findings between the subgroups in which mandibular third molars
were impacted, erupted into function, con{*filter*}ly absent, or extracted 10
years before postretention records revealed no significant differences between
any of the subgroups for the parameters studied. No significant differences in
mandibular growth were found between the third molar subgroups; this suggests
that persons with third molars erupted into satisfactory function do not have a
significantly different mandibular growth pattern than those whose third molars
are impacted or con{*filter*}ly missing. In the majority of cases some degree of
mandibular incisor crowding took place after retention, but this change was not
significantly different between third molar subgroups. This finding suggests
that the recommendation for mandibular third molar removal with the objective
of alleviating or preventing mandibular incisor irregularity may not be
justified.

But, I do like those Christmas parties. You also probably realize that the
AAOMS Foundation is heavily supporting research to try and find a relationship
between thirds and anything else like mandible fractures in athletes playing
contact sports (a positive correlation with impacted thirds).  There is just no
positive relationship between impacted thirds and lower crowding.

Interstingly, I had dinner with Buzz Behretns one time and he explained that
based on some research he was involved in, there might be morer risk in having
thirds out than in leaving them at least from a statistical viewpoint.

Best wishes for the Holiday Season.

Charlie Ruff, DMD
Specialist in Orthodontics
Diplomate American Board of Orthodontics



Mon, 02 May 2005 20:11:34 GMT
 Removing Wisdom teeth
Good article, thanks!

Joel



Mon, 02 May 2005 20:13:46 GMT
 
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