Wisdom tooth pain will take away your sleep and peace, the doctor told how to get rid of it

Ananya Shroff
13 Min Read
Wisdom tooth pain will take away your sleep and peace, the doctor told how to get rid of it

Case Study- 22-year-old Shrestha was very upset for the last few months. Sometimes it became difficult for him to open his mouth and chew food. When this happened for the first time, the gum at the end of the left side of his jaw was swollen and it was very painful. When he told his father, he said that your wisdom teeth are coming out. If it is hurting a lot, we will take you to the dentist.

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After a few days, a corner of the molar became visible in the gum. But after some time, Shrestha's wisdom tooth would come out a little and then stop there. The problem increased further when due to this, a wound appeared on his cheek and his mouth started swelling. Then he went to the dentist. The dentist told that there was an infection due to the wisdom tooth. The wisdom tooth is crooked.

At present, the infection has been treated, but later this molar will have to be removed. Like Shrestha, there are many people who have to go through a lot of trouble during the removal of wisdom teeth. Here we know what is the reason for this and what is its treatment.

Our jaws are getting smaller

Gradually, during human evolution, some changes keep coming in our body. Earlier we used to have a lot of hair on our body, but now we don't have it. But even now there are some extra or useless organs in our body which are no longer useful, but they lie quietly in our body. These include appendix and wisdom teeth. Earlier, the jaw of humans used to be very big.

But now the trend of eating soft food has increased and this reduces the exercise of the jaws. Therefore, the size of our jaws is continuously decreasing. Even 100-200 years ago, people used to eat such food which required a lot of effort to chew. In our country itself, till about 50 years ago, many people used to suck sugarcane and chew neem or acacia toothpicks.

But now we don't even do that. This is also a reason that when wisdom teeth come out, due to the small size of the jaw, there is pain, swelling, difficulty in opening the mouth, chewing food. This is the reason why people whose jaw is a little bigger, do not have any problem or have less problem.

why are they called wisdom teeth

We have 32 teeth in our mouth only when after 28 teeth, there are these 4 molars as well. Out of the 28 teeth, the first ones to appear in the front of the mouth are 8 incisors, then 4 canines, 8 premolars and 4 first and 4 second molars i.e. chewing teeth or molars. These teeth appear by the time adolescence arrives.

After this, around the age of 17 to 21, we get 4 wisdom teeth which are called 'wisdom teeth' because by this age we have become quite intelligent. However, some people's wisdom teeth come out at the age of 30 years or even more. In some people, it remains stuck in the jaw and does not come out till old age and never causes pain. Sometimes it comes out only halfway. Although 99 percent of people get wisdom teeth, only in a few cases wisdom teeth do not form in the jaw.

Why does it hurt so much when wisdom teeth come out?

dental oral health widom teeth toothache (2)

Problems in getting wisdom teeth out arise only when our jaw is small and there is space for only 28 teeth. When wisdom teeth try to come out, they do not get space. Even if a little bit of molar comes out, there can be infection due to food getting stuck there, which causes pain. The area around the half-erupted molar cannot be cleaned properly because it is at the end of the teeth.

what are the problems

dental oral health widom teeth toothache (6)
  1. Eruption of crooked molars
  2. Infestation or rotting of seedlings soon after germination
  3. Infection near the erupting molar
  4. Impaction of a molar on the upper or lower gum
  5. his cheek cut

Apart from this, the muscle that opens our mouth gets swollen. If it is not treated, the swelling increases. In some rare cases, pus may form in it or Ludwig angina develops in the lower jaw, that is, the tongue moves backwards and the windpipe may get obstructed.

When to see a doctor

dental oral health widom teeth toothache

We should get our teeth checked by a dentist every year. It is not right to go to the dentist only when there is a lot of pain. Sometimes healthy teeth fall apart because they did not get timely treatment. Similarly, many times the surrounding teeth can also get infected due to wisdom teeth. If there is pain while wisdom teeth are coming out, do not ignore it. Consult a dentist if you have any of these symptoms:

  • When the gums hurt constantly
  • wisdom teeth are slightly visible
  • when food gets stuck in it
  • When swelling appears.

What is the treatment

pill tablet medicine
  • If there is infection then medication will be started.
  • Antibiotics and painkillers are given.
  • Take a pinch of salt and massage the area where the molar is coming out. You will get relief.
  • If there is a cavity in a tooth when it emerges, the dentist may perform a root canal (RCT).

Take care of oral hygiene

  • Be sure to brush your teeth before going to bed at night.
  • Whenever you brush, keep your mouth half closed. This will allow the brush to reach the end.
  • Use a baby brush. These have a smaller head.
  • You can also use a battery-charged power brush.
  • Rinse with plain water after eating anything.
  • Use mouthwash.

So it needs to be taken out…

teeth oral health

According to international protocols, it is necessary to get regular checkups of wisdom teeth after the age of 18. In European countries and America, wisdom teeth are usually removed after 18 years. It is believed that the sooner they are removed, the faster the recovery. If there is a health problem at an older age, then more caution has to be taken while removing wisdom teeth. But this does not happen in our country.

However, some experts say that if there is no pain in the jaw when the wisdom tooth appears or it is not putting any pressure on the other teeth in the mouth, then there is no need to get it removed. But when the pain becomes so severe that the mouth cannot be opened and there is difficulty in swallowing anything, then it should be removed. When the infection of the molar is cured, then considering its condition, its removal is considered.

We see what kind of root it is, how much has come out, how to remove it? Can it be removed without surgery or will surgery be required? If someone has an implant in their teeth, even then the wisdom teeth can be removed. Sometimes if there is a problem with the wisdom teeth, then all the four wisdom teeth are removed at once. Pay attention to these things before getting the wisdom teeth removed:

View dentist and clinic

Slide 4 Oral Health
  • Whenever you go to get your wisdom teeth removed, make sure that the dentist has an MDS degree.
  • If he/she has BDS degree then he/she must have 5 to 10 years of experience.
  • Get complex surgery done only from MDS oral surgeon.
  • The clinic or hospital should have modern and latest equipment and machines.
  • Also see reviews of the clinic.

This is how it is done
If the wisdom tooth can be removed without surgery, then it is removed like a normal tooth. New techniques have also come in the treatment. In some cases, laser help is also taken. Treatment has also become easier with new devices like bone extender. Local anesthesia is given during surgery. If the wisdom tooth is stuck in the jaw bone, then that bone has to be cut.

After surgery, stitches are applied if necessary. Initial healing occurs within a week or 10 days. Over a few months, bone forms in the cut area. Mild nerve numbness resolves in 7 to 15 days in 90 percent of cases. In rare cases, it may last up to 3 months.

How much does it cost?
The position of the wisdom tooth, its angle, and whether it is in the upper or lower jaw determines how it will be removed and how much it will cost.
Usually cost: Around 4-15 thousand rupees

What tests are necessary

dental oral health widom teeth toothache xray

The doctor checks the correct position of the molar. First of all, an X-ray is done. This reveals the position of the molar. Usually, CBCT is not required in case of wisdom teeth. But as per the need, the doctor may also ask for it.
CBCT: Around 4-6 thousand rupees
OPG X-Ray: Around Rs 400 to 1000

Note: Prices may increase or decrease.

After wisdom teeth removal…

Slide 3 Oral Health
  • Eat only cold things for 1 day so that blood clots can form.
  • Do not gargle forcefully; swallow the spit.
  • Rinsing too frequently can cause dry socket in the mouth, which causes pain.
  • Apply cold ice strips on the outside of the mouth i.e. on the cheeks.
  • Eat semi-solid things like khichdi, porridge or semolina kheer etc.
  • Use the molars on the other side to chew food.
  • The swelling subsides after taking antibiotics for 3-5 days.
  • If you have stitches during surgery, then go to the dentist after 5-7 days and get the stitches removed.

If treatment is not done from right place then…

Dental Oral Health Wisdom Teeth Toothache (5)
  • A fracture of the jaw bone may occur during surgery.
  • Nerve damage can occur, meaning the area could be numb forever.
  • Sometimes air may get trapped while cutting a bone which later causes pain.
  • The infection can also spread to other parts of the body.

These are the misconceptions

  • Getting your wisdom teeth removed will decrease your intelligence.
  • If wisdom teeth are removed, the shape of the mouth will be distorted.
  • Your vision will deteriorate.
  • Getting wisdom teeth removed will cause problems in chewing food in the future.
  • If wisdom teeth are erupting slowly, consuming vitamin D and calcium will help them erupt faster.

expert panel
Dr. (Prof.) Mahesh Verma BDS MDS (VC, GGSIPU)
Dr. Manu Modi BDS MDS (Prosthodontics)
Dr. Parul Gupta, BDS, Dental Surgeon

Disclaimer: This article is for general information only. It cannot in any way be a substitute for any medicine or treatment. Always consult your doctor for more information.

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