Should wisdom teeth be extracted horizontally?

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Wisdom teeth have long been often the type of teeth that cause a lot of discomfort to each person's life. For the case of wisdom teeth growing horizontally, you will feel pain and this situation will become more and more serious if not quickly removed.

1. What are the characteristics of horizontal wisdom teeth?

Wisdom teeth, also known as teeth number 8, molars number 3..., usually begin to grow when people enter adulthood (from 18 to 27 years old). In some individual cases, wisdom teeth will erupt at a later time.
Because of the "later" development compared to other types of teeth, wisdom teeth often lack space, leading to "unprincipled" growing conditions such as wisdom teeth growing horizontally, growing underground, growing obliquely... According to statistics, about 65% of the population will have wisdom teeth and about 85% of these will have wisdom teeth that are misaligned, causing many negative health effects and cannot be eliminated.
Horizontal wisdom teeth are a very common misalignment of wisdom teeth, including the following features:
Compared to molars 7, wisdom teeth grow by about 90 degrees. Grows under the jawbone, therefore, to observe this tooth, it is necessary to take an X-ray. The tendency of teeth to grow is to hit the adjacent 7th molars, leading to the formation of dental cysts, which can even cause damage to the 7th teeth if the horizontal wisdom teeth are not removed in time.

2. Symptoms of wisdom teeth growing horizontally

Wisdom teeth when growing horizontally also cause some of the same symptoms as other wisdom teeth, incl.
Swollen and red gums This is a very typical sign of wisdom teeth eruption. The innermost jaw, especially the lower jaw, will be swollen and painful when the tooth begins to erupt. If you put your tongue into these places, you will also feel a certain amount of swelling.
Pain, sensitivity As the teeth grow more, the gums will become red and swollen, creating an increasingly intense pain. In particular, for the case of horizontal wisdom teeth, the painful area is not only at the innermost position of the wisdom teeth but also sensitive and swollen in the adjacent 7th tooth root. This is also a danger sign, warning that there is a high chance that wisdom teeth eruption can cause tooth 7 and even 6 loss.
Fever In most cases of wisdom teeth eruption, the body will have a fever and this is Prolonged fever makes the patient feel tired and weak.
Stiff teeth This is the result of prolonged painful swelling of the gums, causing bad effects on the surrounding nerves, making the jaw swollen and difficult to move. In many cases, if the wisdom tooth is not extracted horizontally, this tooth will make the jaw unable to open and close, seriously affecting daily eating.
Bad breath in the breath The swelling and pain of the gums due to wisdom teeth teething will create conditions for food plaque to form, causing bad odors in the oral cavity. More seriously, when these plaques are not cleaned in time, over time will lead to rapid tooth decay.

3. Pulling out wisdom teeth horizontally - should or not?

The horizontal wisdom tooth extraction is recommended by dental experts as necessary, because this phenomenon will lead to many dangerous complications.
If the patient refuses to have their wisdom teeth removed, they are more likely to face the following consequences.
Tooth decay and gingivitis Horizontal wisdom teeth cause swelling of the gums, creating areas adjacent to the 7th teeth. This is the cause of tooth decay and gingivitis for the 7th molars.
Along with that, tooth decay shaped like teeth. The damage caused by the eruption of wisdom teeth will quickly spread to the adjacent teeth, not only causing damage to the teeth, but also the possibility of developing periodontitis.
Dental cysts When wisdom teeth grow horizontally, the teeth will have a direct impact on the 7th root next to them and lead to the formation of tooth cysts. Cysts over time grow large, negatively affect the nerves around the tooth area and cause inflammation of the jawbone.
In the worst case, the patient is forced to remove the bone tissue in the inflamed area. Consequences of this surgery will severely affect chewing function and communication.
Reflex disorder Not pulling wisdom teeth horizontally also creates conditions for this type of tooth to affect the nerve area at the root of the tooth. This will cause the patient to lose reflexes in some places such as the lips and skin. More seriously, some patients may even have facial dislocation.
Thus, it can be seen that wisdom teeth growing horizontally can lead to many dangerous complications. Therefore, you need to perform the procedure of removing wisdom teeth as soon as they are detected.

4. Some popular horizontal wisdom tooth extraction methods

For horizontal wisdom tooth extraction, dentists now recommend two popular methods. Advances from the dental industry now have improved and developed both methods to limit pain for patients. Each method has its own advantages and disadvantages.
4.1 Pulling out wisdom teeth horizontally with pliers This is the traditional method of tooth extraction and is applicable to most types of wisdom teeth. For wisdom teeth, this method will start by making an incision in the gums and opening the jawbone, then dividing the body - root, and finally using pliers and traps to pick up each piece of wisdom tooth in turn.
Advantages:
Cost-effective implementation, suitable for many patients. Cons:
The performing doctor needs to have extensive experience and expertise, minimizing dangerous complications such as mouth distortion, bleeding, infection... Cannot perform both sides of the jaw at the same time. In case the patient is resistant to local anesthetic, this surgery cannot be performed. The recovery time is relatively long.

4.2 Horizontal wisdom tooth extraction using ultrasonic Piezotome Ultrasonic Piezotome method is a modern method of wisdom tooth extraction, which solves almost all disadvantages of traditional pliers extraction. Advantages
Accuracy and The safety of the method is high. Extracting wisdom teeth horizontally with ultrasound will minimize the possibility of bleeding during surgery. The risk of damage to tissue structures, blood vessels and nerves will be minimized. Reduced risk of infection after surgery, short recovery time. Cons
Long surgery time. The cost of surgery is high, not suitable for many subjects. Horizontal wisdom tooth extraction is a necessary surgery if you have a case of wisdom teeth misalignment. It is necessary to perform early removal of horizontal wisdom teeth to avoid dangerous complications.
Wisdom tooth extraction surgery is a routine technique at Vinmec International General Hospital. The advantage of wisdom tooth extraction technique at Vinmec is to avoid complications of tooth number 8 such as pain, adjacent tooth decay, inflammation, trauma to tooth number 7.
Especially, specialized in Dentistry - jaw - face , Vinmec hospital is equipped with KAVO dental chair system (Germany), dental chair camera, Gendex panorama machine, in situ dental X-ray machine, Gendex Phosphorus film scanner, Dently ultrasound machine, forging and bleaching Radii Plus Australia teeth whitening, endodontic machine, root canal length meter.... help maximize the examination and implementation of all dental and maxillofacial techniques.
In addition, Vinmec gathers a team of experts, leading doctors with high qualifications, experience, dedication and devotion to the health of patients.

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