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The wisdom teeth

When to remove and when not the wisdom teeth? It is one of the most frequent questions in the consultation.

They are molars that usually start to erupt from 18 years approximately. Removal is usually recommended by the orthodontist because of lack of space, or may be due to the position of the grinding wheel endangering the adjacent tooth or because the tooth produces pain due to the eruptive process itself or an associated infectious pathology (caries, pericoronaritis …). They are also very typical of decubitus ulcers that cause the upper molars when they impact against the cheek or gum that forces us to the extraction.

On the other hand, there are situations that contraindicate the extraction of these molars, as is the case there is a risk of injury to nerve structures near, or if it was an ossified tooth.

If we talk of asymptomatic teeth that have room to erupt, it is advised to take great care, clean them well, flossing daily between the wisdom tooth and the tooth next to prevent cavities are created and between the wisdom tooth and The posterior gingiva, to avoid a pericoronaritis (inflammation due to infection of the gingiva).

So before deciding to remove a wisdom tooth main thing it is to make a correct diagnosis and an overall study patient. Usually a panoramic x-ray is usually sufficient to see the position of the tooth, but if we suspect an union with the inferior dental nerve the ideal would be to do a scanner of the zone.