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Oral, Dental and Maxillofacial Diseases and Surgery is a branch of surgery that deals with the diagnosis and treatment of diseases, injuries and deformities of the mouth, teeth and jaws.


Wisdom teeth start to take their places in the mouth between the ages of 15-20. However, in cases where there is not enough space for these teeth in the jaws, they cannot continue and remain under the gum or embedded in the jawbone. 20-year-old teeth, which cannot find a place for themselves, put pressure by pushing the front tooth and this causes crowding. In addition, they can easily become inflamed because they are far behind and the gums around them are not in normal anatomical structure.

What are the situations that require wisdom teeth to be extracted?

1- Caries: Since the 20-year-old teeth are far behind in terms of location and usually cannot be carried in the correct direction, cleaning and maintenance is more difficult and therefore it is easier to decay. After decay, these teeth are difficult to treat because they are far behind. Also, root canal treatment cannot be applied in most cases due to root canal structures that are much different from other teeth. For these reasons, extractions are preferred in order to prevent situations such as pain, abscess and bad breath that may occur as a result of caries.

2- Effects on the second molar teeth: Since the wisdom teeth are generally unable to continue in a proper position, they may cause loss of substance and decay in the neighboring teeth due to the accumulation of food residues around them or the pressure they apply to the molar teeth next to them. In this way, 20-year-old teeth, which have the potential to damage, should also be removed.

3- Pericoronitis: (peripheral gingival inflammation) In cases where the 20-year-old teeth are partially buried, an infection may develop due to bacteria accumulating between the gums on it. In the meantime, conditions such as facial swelling, difficulty in opening mouth, pain, bad breath, swelling in the lymph glands and fever can be seen.

4- Crooked teeth: When 20-year-old teeth cannot continue in the normal position, it may cause mobility in other teeth due to the pressure applied to the teeth during riding, and situations such as crooked teeth may be encountered.

5- Pain: When wisdom teeth cannot continue in their normal positions, they can cause pain with the pressure they apply to the side teeth.

6- Cyst formation: In cases where 20-year-old teeth are fully embedded or partially embedded, they can cause cyst formation in some patients. This situation can be diagnosed with the panoramic x-ray taken by your physician during the examination.

7- Cheek biting: Although it is not very common, 20-year-old teeth can generally cause cheek biting and injury to the mucosa in patients because they cannot continue in a normal position. In such cases, it is appropriate to remove the wisdom teeth since they do not function normally.