Wisdom teeth, also known as third molars, are the last teeth to erupt in the mouth, usually between the ages of 17 and 25. However, many people experience issues with their wisdom teeth, the most common being impaction—where the tooth doesn't fully erupt or emerges at an angle. This article explores the complexities of wisdom teeth coming in sideways, addressing common concerns and providing valuable information.
What Does It Mean When Wisdom Teeth Come In Sideways?
When wisdom teeth come in sideways, it means they're impacted. This isn't simply a matter of slightly crooked alignment; instead, the tooth is partially or completely blocked from its normal eruption path. The sideways angle often puts pressure on adjacent teeth, causing pain, crowding, and potential damage to surrounding structures. The degree of impaction varies. Some may only be partially impacted, while others may be completely buried beneath the gum line.
Why Do Wisdom Teeth Come In Sideways?
Several factors contribute to wisdom teeth coming in sideways:
- Lack of Space: The jawbone may simply not have enough room to accommodate the emergence of these additional teeth. This is a common reason for impaction.
- Angle of Eruption: The tooth may begin to erupt at an incorrect angle, preventing its proper emergence.
- Genetic Factors: A family history of impacted wisdom teeth can increase the likelihood of experiencing this issue.
What Are the Symptoms of Impacted Wisdom Teeth?
Symptoms of impacted wisdom teeth vary greatly depending on the severity of the impaction and whether the tooth is infected. Some people experience no symptoms at all, while others face significant discomfort. Common symptoms include:
- Pain: This can range from mild to severe, often localized around the affected tooth and jaw.
- Swelling: The gums surrounding the impacted tooth may become swollen and tender.
- Infection: Impacted wisdom teeth are prone to infection, which can lead to severe pain, swelling, and pus formation (abscess).
- Bad Breath: An infection can cause a persistent bad odor.
- Difficulty Opening Mouth: Severe impaction can restrict jaw movement.
- Gum Irritation: The partially erupted tooth can irritate the surrounding gum tissue.
What Happens if Impacted Wisdom Teeth Are Left Untreated?
Leaving impacted wisdom teeth untreated can lead to several complications:
- Cysts or Tumors: Impacted teeth can sometimes form cysts or tumors that can damage the jawbone and surrounding teeth.
- Damage to Adjacent Teeth: The pressure from an impacted tooth can cause damage to the adjacent molars.
- Gum Disease: The trapped food and bacteria around an impacted tooth can lead to gum disease (periodontitis).
- Severe Pain and Infection: As mentioned earlier, recurrent infections can be painful and potentially lead to serious health problems.
How Are Impacted Wisdom Teeth Treated?
The primary treatment for impacted wisdom teeth is surgical removal, often called extraction. The procedure may be performed under local anesthesia or general anesthesia, depending on the complexity of the impaction. After extraction, careful post-operative care is essential to prevent complications like dry socket (alveolar osteitis).
What Are the Risks of Wisdom Teeth Removal?
While wisdom teeth removal is a common and generally safe procedure, potential risks exist. These include:
- Infection: Infection is a possibility, but usually easily managed with antibiotics.
- Nerve Damage: In rare cases, the nerves controlling sensation in the lower lip, chin, or tongue may be damaged, leading to temporary or permanent numbness.
- Dry Socket: This painful condition involves the loss of the blood clot from the extraction site.
- Excessive Bleeding: While unusual, excessive bleeding is a potential complication.
How Much Does Wisdom Teeth Removal Cost?
The cost of wisdom teeth removal varies widely depending on the location, the complexity of the procedure, and whether anesthesia is used. It's best to contact your dentist or oral surgeon for a personalized estimate.
Are There Alternatives to Wisdom Teeth Removal?
In some cases, particularly if the impacted wisdom teeth are asymptomatic and pose no immediate risk, your dentist may recommend monitoring rather than immediate removal. This involves regular checkups to monitor the teeth for any signs of problems. However, this is not always the best option.
When Should I See a Dentist About My Wisdom Teeth?
If you are experiencing any pain, swelling, or other symptoms associated with your wisdom teeth, schedule an appointment with your dentist or oral surgeon as soon as possible. Early diagnosis and treatment can prevent more serious complications. Even if you're not experiencing any symptoms, it's advisable to have your wisdom teeth checked, especially during your late teens and early twenties. Proactive assessment can help avoid future problems.
