For most people, the growth of wisdom teeth is accompanied not only by gum cutting and discomfort, but also by quite severe pain that makes it difficult to eat, concentrate on any task, and even sleep.
If the wisdom tooth grows and does not cause significant discomfort, no medical action may be taken. As a rule, the discomfort goes away after 1-2 weeks, but in order to avoid the manifestation of other problems, it is worth undergoing an examination at a dental clinic. However, if the gums from the wisdom tooth become inflamed, the local and general temperature rises, and specific aching pain is felt, immediately contact your dentist, he will conduct an examination and take the necessary measures to eliminate the problem.
Why can wisdom teeth hurt?
Currently, dentists consider the third molar to be a vestigial organ, which in the process of evolution has lost its functional load and relevance. For ancient man, it served to chew hard food, which is practically absent in the modern diet, which means there is no longer any need to use the wisdom tooth when chewing. This fact is supported by the presence of approximately 10% of the planet's population, whose representatives do not have eights at all, which is not a pathology. The remaining 90% of the population faces unpleasant wisdom tooth problems. The third molar can hurt and bother you for various reasons.
When teething
By the age of 18–25, a person’s jaw is already formed. And, naturally, when a wisdom tooth is cut, it may simply not have enough space in the dentition. The eight begins to put pressure on the seven in front, which in turn puts pressure on the sixth molar, etc. As a result, the entire jaw hurts and “aches.”
Often the third molar does not find a place for itself in the dentition and begins to grow dystopically - it deviates to the side, turns around its axis, moves forward or backward. In this case, the gums near the wisdom tooth hurt and inflammation may occur. Not to mention the fact that in adulthood the gums have a fairly dense structure, the resistance of which must be overcome by the figure eight. And in order to erupt safely, it literally tears the soft tissue. Naturally, this process is accompanied by pain and discomfort.
For dental disease
An already formed wisdom tooth will hurt if it is susceptible to any disease. The most common are caries, pulpitis and periodontitis.
- Caries is a pathological process that leads to the destruction of hard tooth tissues, which is initially accompanied by increased sensitivity of the enamel, and subsequently severe pain in the wisdom tooth.
- Pulpitis - inflammation of the internal tissue of the figure eight (pulp) is a consequence of untreated caries. In rare cases, infection enters the pulp through the apical foramen, which may be due to improper position of the molar. With pulpitis, the wisdom tooth hurts very much, since the pulp is penetrated by a large number of nerve endings.
- Periodontitis - inflammation of the periodontium (connective tissue surrounding the tooth) can be caused by injury to the gums or infection during the eruption of the figure eight. In this case, localized, constant pain is observed, which gradually increases and becomes pulsating, which indicates a purulent course of the process.
Important! If an already erupted wisdom tooth suddenly begins to hurt, then you need to show it to the dentist as soon as possible. Timely diagnosis will avoid infection of the pulp, periodontium and the development of complications.
For pericoronitis
Pericoronitis - inflammation of the soft tissue of the gums surrounding the erupting figure eight, is the most common. The problem is that when a wisdom tooth comes in, it first cuts through the mucous membrane with its tubercles, forming a so-called “hood” above itself - part of the gum. Thus, partly the third molar is already visible, and partly is still covered by the “hood” of the gums. Hanging over the figure eight, it creates favorable conditions for the accumulation of food particles, plaque, and microbes, which, sooner or later, leads to inflammation. The development of pericoronitis will also be accompanied by pain.
Important! If the gum above the wisdom tooth forms a “hood” and is inflamed, then it must be excised (removed). The procedure is carried out in the sterile conditions of a dental clinic.
Symptoms of wisdom tooth growth
During the period when a wisdom tooth comes in, a number of specific symptoms can be observed, by which it can be determined that the discomfort comes specifically from the eights:
- Discomfortable sensations in the tooth area, in some cases – gum thickening;
- Feeling of swelling in the gums;
- Increased local temperature, painful swelling;
- In the molar area, soft tissues (gums) become inflamed;
- Difficulty opening the mouth and swallowing. When opened wide, a sharp, aching pain is felt;
- There is a desire to chew any hard food or objects. After such chewing, the pain increases significantly;
- General increase in body temperature, general malaise and headaches.
Depending on the nature of growth, pain in wisdom teeth and specific symptoms can vary significantly. Regardless of how long a wisdom tooth grows - one or two weeks, it will cause certain sensations, and in case of complex or pathological growth - acute pain with inflammation of the gums.
An increase in general body temperature and swelling of the cheek indicates a severe course, as well as the possible development of pericoronitis - a complex disease of the oral cavity with a number of consequences.
How long will the cutting and toothache last?
The process of cutting through the figure eight is long and highly individual. In some patients it “appears” in 3–4 months, in others it may take 1–2 years, and in others it remains incompletely erupted. Quite often, a wave-like “appearance” of the third molar is observed - either it is intensively cut, or it freezes.
As for severe pain, as a rule, it is present only at the beginning of the process - at the stage when the figure eight cuts through the dense gum tissue. And again, this moment can happen quite quickly or drag on for a long time.
When the first signs of figure eight eruption appear, it is better not to postpone a visit to the doctor. Even if the process does not cause severe pain or discomfort, it is better to show it to the dentist. An experienced specialist will examine the condition of the third molar and provide assistance that will facilitate the process of “the birth of the tooth.”
How to understand that a wisdom tooth is cutting?
It's not difficult to understand. Normally, this process is accompanied by discomfort, engorgement and slight swelling of the gums in the place where the tooth is cut. At the moment of eruption, increased salivation, a feeling of fullness and tolerable pain will be observed. They can intensify during eating and hygiene procedures. Visually and by touching the tongue, you can see and feel the protruding tubercles of the figure eight.
In the pathological course of the process, the following symptoms may join the above-described symptoms.
- Redness and swelling of the gums indicate inflammation of the “hood”.
- It hurts to open your mouth - the inflammation process is progressing and has spread to the masticatory muscle.
- It hurts to swallow - a symptom indicates the presence of purulent inflammation of the soft tissues closer to the tongue.
- High temperature - the inflammatory process progresses.
- The third molar, the adjacent tooth and gums are very painful - most likely, the figure eight is growing in the wrong direction.
Additionally, symptoms may occur depending on the location of the wisdom tooth.
- The upper eights can erupt towards the cheek and injure its mucous membrane, causing pain.
- The lower molars often form a “hood” and grow with an inclination towards the seven, forming a gap. It is difficult to clean with a brush. Over time, a stable plaque and tartar form in it, which leads to the development of caries.
You should not trust various kinds of myths, they say, the appearance of a wisdom tooth is always excruciatingly painful, very problematic and you just need to endure it. It is not true! Normally, the process does not cause excruciating pain and passes with tolerable discomfort. On the contrary, problem eights hurt a lot, provoking the development of inflammation and complications. Therefore, it is better not to delay visiting the dentist.
Does it make sense to treat wisdom teeth?
An experienced and self-respecting dentist will always fight for every tooth to the last. And wisdom teeth in this case are no exception. After all, no one knows how the patient’s life will turn out in the future. Perhaps in the future he will need prosthetics, and the figure eight will be used as a supporting tooth for installing a prosthesis. Therefore, if the appearance of a third molar does not pose a threat to neighboring teeth and oral health, the dentist will take actions aimed at facilitating the process and preserving the tooth. Well, unless, of course, the patient insists on its removal.
If the current situation is serious, then removal of the wisdom tooth is inevitable. Including in those cases when the figure eight does not hurt much (or does not hurt at all), but is covered with caries and is gradually destroyed. It is more rational and safer to remove such a tooth and forget about the problems.
Wisdom teeth removal methods
The intervention tactics depend on the location of the 3rd molar, the degree of exposure to the gum surface, the number of roots, their confusion, and the position of adjacent teeth. Removing figure eights on the upper jaw is easier than on the lower jaw. This is due to the structure of the jaw tissue - the maxillary bone is looser, more airy, the mandibular bone is more massive and dense. Additionally, mandibular eights tend to have more tangled and developed roots.
According to the clinical picture, removal can be simple or complex. A simple extraction is performed like any other extraction - the molar is rocked with forceps and removed from the socket. Complex technology includes:
- gum incision;
- drilling a molar or sawing it into fragments;
- removing each fragment one by one;
- suturing the wound.
Stitches are removed on days 5-7
after the intervention (self-absorbable suture material can be used). The operation is performed under local anesthesia; removal under sedation (during medicinal sleep) is possible.
Treatment of wisdom teeth during pregnancy has its own nuances. Usually, the doctor limits himself to conservative therapy aimed at eliminating pain and inflammation. If possible, removal is performed after childbirth. The operation is carried out according to strict indications, if the inflammation has become purulent and threatens the health of the mother and child. For anesthesia, special drugs are used that are safe for the fetus.
At the RUTT clinic, the removal of a wisdom tooth with a complex root system and location is performed by experienced maxillofacial surgeons. This eliminates surgical complications - extensive trauma to the bone structures of the jaw, perforations, wandering root remains, postoperative fistulas, osteomyelitis, etc. Only maxillofacial surgeons have enough skills and experience to perform such interventions without complications.
When do you need to see a dentist urgently?
Contacting a dentist is required in the following cases.
- Pericoronitis
– the “hood” will be excised. - The figure eight puts pressure on neighboring teeth
- it needs to be removed. - Initial caries
– treatment will be carried out. - Medium, deep caries or rotten tooth
- a clear removal of the figure eight. - The wisdom tooth is loose
- a diagnosis of its condition will be carried out, according to the results of which the molar will be treated or removed. - Pulpitis
– if the root canals are passable, they will be filled.
This list should also include the above symptoms of pathological teething - pain when opening the mouth, swallowing, high temperature. If they appear, you should contact your dentist immediately, since this is a serious inflammatory process, the localization of which requires adequate treatment.
The reason for contacting a specialist may also be the “normal behavior” of the number eight. In this case, the doctor will simply make a small incision on the gum, thereby facilitating the eruption of the wisdom tooth. After a simple procedure, the process will be less painful, and the incision site will heal quickly, after pain for 2 to 4 days.
Indications for removal
Wisdom teeth removal is carried out if the following indications are present:
- Horizontal growth of the molar (promotes displacement of teeth in a row);
- the figure eight occupies an anatomically incorrect position and harms neighboring units;
- incomplete eruption (impacted tooth);
- pulpitis, periodontitis;
- impossibility or inappropriateness of endodontic treatment.
If the wisdom tooth on top hurts, it is easier to remove it than the lower third molar. The lower eights are distinguished by large, developed, often tangled roots, and the mandibular bone itself has a more dense structure. The complexity of surgical extraction depends on:
- Wisdom tooth positions;
- the position of neighboring units that complicate extraction;
- degree of eruption;
- the number of roots, their confusion.
An orthopantomogram gives the doctor the necessary information about the position of the figure eight and its condition.
When should a tooth be removed?
Direct indications for wisdom tooth removal are the following pathologies and conditions.
- There is no place in the dentition for a number eight.
- Dystopic tooth (molar occupies an anatomically incorrect position).
- The appearance of wisdom teeth threatens the molars in front.
- Severe forms of caries that destroy the tooth.
- The third degree of mobility of the figure eight.
- Upcoming installation of braces.
If removal is not carried out, the development of complications is inevitable. The number eight will destroy adjacent teeth and provoke the development of pulpitis, periodontitis, and extensive caries. Eventually it will fall out on its own, but at too great a cost to the patient.
There is no need to be afraid of wisdom tooth removal. Depending on the complexity of the problem, third molar extraction will last from 20 minutes to 2 hours. The operation is performed using local anesthesia or sedation, which ensures that the procedure is painless.
Wisdom tooth hurts: why does it happen and what to do
Does a tooth that has already erupted hurt?
If a wisdom tooth that has already erupted hurts, the cause may be:
- Caries. Pain occurs when you eat sour, sweet or cold food. Such symptoms are usually short-lived. A situation is possible in which the growth of a wisdom tooth contributes to the destruction of the neighboring tooth, the seventh. Caries of this tooth can be localized on the far surface and is diagnosed using an x-ray.
- Pulpitis of the wisdom tooth. The pain is paroxysmal in nature in acute pulpitis, or aching and periodic in the chronic form.
- Periodontitis. It can be acute - when when biting on a wisdom tooth, the pain intensifies and the gums swell, and chronic - it can occur without obvious symptoms. Sometimes, with chronic periodontitis, a cyst with purulent discharge may form on the gum. This is a very dangerous inflammatory process that can lead to ostiomyelitis.
Should wisdom teeth be removed?
The eruption of wisdom teeth is often accompanied by unpleasant symptoms and the presence of an inflammatory process. But still, the importance of “eights” cannot be underestimated. For example, a wisdom tooth can serve as a support for installing a prosthesis, and in the absence of neighboring painters, it helps preserve bone tissue. That is why only a doctor can make a decision about removal or treatment. It is necessary to study its location and take into account the presence of pain and external symptoms. If the treatment prognosis is favorable, the tooth can be saved.
Indications for wisdom tooth removal:
- When the figure eight is positioned horizontally. In this case, the growth of the wisdom tooth contributes to the destruction of the neighboring tooth, which causes the entire dentition to shift.
- The wisdom tooth grows towards the cheek. With such an incorrect position, the pain will intensify when chewing, and the cheek will be injured. Against the background of a permanent wound to the mucous membrane, stomatitis can develop.
- Destruction of a wisdom tooth due to pulpitis. This can happen both before the wisdom tooth erupts and after.
- With periodontitis, the tooth enamel is completely destroyed. Then the wisdom tooth must also be removed.
- In case of failed therapeutic treatment.
Removing a wisdom tooth is a rather complicated operation due to the inaccessibility and branching of the roots. A highly qualified dental surgeon is required, as well as compliance with all safety and sterility conditions. The removal itself is painless, as it is carried out using painkillers. But in the process, soft tissues are injured, so after the removal of the wisdom tooth and the cessation of anesthesia, the patient experiences pain. After a few days, the swelling finally subsides and the pain subsides. This is also facilitated by the prescription of antimicrobial drugs. After wisdom tooth removal, the doctor gives recommendations on nutrition, lifestyle, and hygiene for several weeks. Thanks to their observance, recovery occurs faster.
How to make the right decision
If, after diagnosis, the doctor advises removing the wisdom tooth, then of course you should follow the recommendation. Indeed, as wisdom tooth inflammation progresses, serious complications can arise, including jaw destruction.
Needless to say, there can be no talk of any folk remedies in this matter. When the inflammatory process of a wisdom tooth develops, it is almost impossible to eliminate the pain syndrome with the help of ointments and rinses. Self-medication can lead to worsening of the condition and complications. To prevent this from happening, all manipulations must take place in a clinical setting and under the supervision of a doctor.
The causes of pain and inflammation of a wisdom tooth are different. A competent specialist will help you figure out what to do in a specific situation. Therefore, if pain occurs in the figure eight area, it is better to immediately seek the advice and help of a dentist.
How to relieve pain?
When visiting the clinic, the attending physician gives valuable recommendations that will help relieve the process of the “appearance” of the figure eight. If you decide to act on your own, you can use the following medicines and folk remedies.
Pills and medicines
- Tablets: “Nimesil”, “Analgin”, “Solpadein”, “Tempalgin”, “Ketanov”, “Paracetamol”, “Ibuprofen” are used according to the instructions.
- Gels and ointments: “Cholisal”, “Kamistad”, “Kalgel”, “Metrogil Denta” are applied to the site of tooth eruption.
- Solutions: “Chlorhexidine”, “Miramistin” and “Furacilin” are used for antiseptic treatment of the oral cavity.
Folk remedies
- Soda, saline or soda-salt solution - 1 teaspoon of product for 1 glass of warm water, stir until completely dissolved, rinse the problem area every 2 - 3 hours.
- Sage, calendula, plantain, St. John's wort - to prepare a decoction, pour 1 tablespoon of the product into 1 glass of boiling water, leave for 20 - 30 minutes, use for rinsing every 2 - 3 hours.
Home methods of pain relief will be effective if there are no serious problems with the eruption of the figure eight. If inflammation occurs, the tooth is rotten or very loose, then they will not help, but will only aggravate the problem, which will lead to the development of complications.
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How to relieve pain if a wisdom tooth grows and your gums hurt.
The growth of wisdom teeth is not painless for every person, so most people need to know what to do in case of inflammation of the gums around the wisdom tooth and acute aching pain.
If there is inflammation, pain, or if the cheek is swollen near the wisdom tooth, you should contact your dentist, he will conduct an examination and take the necessary measures to eliminate symptomatic manifestations.
If the pain begins in the evening or it is not possible to quickly contact a specialized specialist, doctors recommend several ways to reduce pain:
- Rinse the growth with calendula tincture after eating - this will reduce the intensity of the inflammatory process and also reduce pain;
- Rinse your mouth with a solution of baking soda in water, at the rate of 1 teaspoon of soda per 1 glass of water (200 grams) - soda calms inflammation and also reduces pain;
- To rinse the mouth, you can use decoctions of chamomile, oak bark, chicory root, as well as sage tincture and propolis;
- Anti-inflammatory, painkillers and antibacterial drugs - use according to the instructions. They help reduce pain, reduce swelling, and also eliminate the negative bacterial influence at the site of tooth eruption.
In case of acute unbearable pain, as well as the absence of the above remedies, you can use cold water to reduce pain: take a glass of cool water, put a small amount in your mouth and hold it in the area where the wisdom tooth is erupting - this can quickly reduce the level of pain. However, this method has one negative feature - the pain intensifies almost immediately after stopping holding cool water at the site of gum inflammation, for example, near the hood of a wisdom tooth.
Where can the pain go?
Quite often, the process of growth of eights is accompanied by uncharacteristic symptoms. Moreover, some of them are due to the growth of the molar itself, and the other part indicates the development of complications. Let's take a closer look - can a wisdom tooth give into...?
- Head
- in case of complicated teething it can. - Eye
– with complicated eruption of the upper molars and the development of an abscess, it can. - Tongue
- a symptom indicates the presence of purulent inflammation of the soft tissues closer to the tongue. - Ear
– indicates the development of inflammation, pulpitis or dental cyst. - Throat
- most likely we are talking about pulpitis. - Jaw
- a symptom characteristic of complicated teething and inflammation. - The neck
is unlikely, unless we are talking about the spread of infection and inflammation of the lymph nodes. - Temple
– Clicking and pain in the temple may be present due to tension in the temporomandibular joint, which occurs from constant pain. - The teeth are nearby
- of course, because the figure eight can put pressure on them.
Important! The above list is a serious signal to contact a dentist. Don't delay your visit to the clinic!
Neck pain radiates to teeth
Cervical osteochondrosis is a disease that poses a danger to the patient. It is in this part of the spine that large nerve plexuses and blood vessels are located. Pinched nerves can cause discomfort. With this disease, unpleasant sensations occur when turning the head and painful sensations in the jaw. With compressed vertebral arteries, patients experience nausea and tinnitus. With pathological changes in the spine, nerve roots are pinched. Therefore, neck pain often radiates to the teeth. If you experience discomfort in the jaw area, you should immediately seek help.
If your teeth “ache”, but no dental diseases are observed, you should consult a neurologist. If neck pain radiates to the teeth along the entire side of the jaw due to developing osteochondrosis, only a qualified doctor will prescribe competent treatment. The pain may spread to the temple and shoulder. Taking painkillers only helps for a while. A serious symptom is jaw numbness. A noticeable misalignment of the lower jaw due to tooth loss is the cause of curvature of the cervical vertebrae.
