Wisdom teeth are the three set of molars that grow at the back of the gums, being the last teeth to come up in adulthood. Children and adolescents don’t have wisdom teeth, the teeth sually grow out during the late teens or early twenties, between the ages of 17 – 21. Unfortunately, by this time there won’t be any space left in the mouth for the wisdom teeth to occupy, just like every other teeth. Most of the teeth will emerge quite badly and end up not growing properly.
The wisdom teeth are positioned at the back of the teeth in such a way that they can be very hard to clean. The gums where they grow on are at greater risk of developing periodontal (gum) problems.
Before the end of this article, I will reveal to you some of the causes of loose wisdom tooth. We will also look at some of the reasons why there may be need to remove your wisdom teeth. But before that, I will like to explain some few things on the challenges you might face due to your wisdom teeth.
Challenges of the wisdom teeth
- Gum flaps: some wisdom teeth emerge partially with some part of the gum covering their chewing surface. Although this problem is quite a bit rare. In dentistry the extra gum tissue that covers the wisdom teeth is referred to as operculum.
- Difficult to clean: naturally, the last three molars in the mouth, grow at the rear of the mouth. This makes them to be very difficult to access and keep clean. This may eventually lead to damage to surrounding gums and teeth due to lack of proper hygiene.(1)
- High risk of decay: the last three molars usually cluster together, When this situation exists, due to lack of proper brushing, bacteria can easily accumulate at the space between the teeth and their gum tissues. Tooth decay, loose tooth, dental pain and discomfort especially when chewing can easily surface in severe cases.
Loose wisdom tooth pain and causes
When wisdom tooth becomes loose it’s usually accompanied with lots of pain and discomfort, it can even lead to tooth fall out. The pain can be so excruciating, making your gums to be red and swollen.
However, gum disease is the most common cause of painful loose wisdom tooth. As we all know, gum disease is caused by harmful oral bacteria. These bacteria tend to accumulate and causes problems whenever a tooth is not cleaned properly on a regular basis. If any of your wisdom tooth feels loose, it might be as a result of gum disease.
Gum disease is a progressive disease, the more severe form of gum diseases is called periodontitis. Periodontitis cause damages to the gum and the bones that are supporting your teeth, this can make one or more of your wisdom teeth to become loose. Tooth decay, cellulitis, cysts and benign growths, pericoronitis and abscess can all contribute greatly to loose wisdom tooth pain.
If you experience severe pain from any of your wisdom teeth, it’s advisable that you should visit your dentist. Your dentist will have to carry out some tests on your teeth, in order to identify the underlying cause of your problem. Depending on the outcome of the tests, you dentist may need to have your wisdom tooth removed. If it turns out that there will be no need for tooth extraction, your dentist can recommend treatments that can help to get rid of bacteria that are causing the problems to your tooth. Deep cleaning, oral antibiotics, pain relievers and antibacterial toothpastes and mouth wash are usually recommended.
Within few seconds from now, we’ll look at some commonly recommended treatment that can be used to treat loose wisdom teeth pain. The treatments options are divided into two, the tooth removal and non-extraction approaches. First am going to discuss about the tooth removal option.
Wisdom tooth removal
Wisdom tooth extraction or removal is usually recommended if the tooth is severe damaged, that there is no hope for restoration. Your dentist may remove your wisdom tooth personally or he may refer you to a specialist surgeon. Wisdom tooth removal procedure has a nationally approved guidelines which you must be aware of. Your dentist or surgeon will have to explain this guidelines to you before the removal procedure will be carried out.
The first step in the tooth removal process is to numb the area around the affected tooth by the use of local anaesthetic. The whole procedure is usually completed within an hour or more. The dentist or surgeon might need to divide the wisdom tooth into small sections so that the tooth can be easily removed. He might also remove some of the bones that may be blocking his access to the tooth.
After the extraction procedure has been completed, the bleeding can be control by stitching or placing a gauze over the site. The missing tooth can be replaced with a dental bridge and Implant.
Non-removal treatment options
If the removal of your affected wisdom tooth is not necessary, the following treatment options can help to fix the tooth.
1. Splinting: the splinting procedure is used to provide support to a loose tooth. It involves the uses of a piece of metal to bond a loose tooth to the neighboring healthy teeth. The healthy teeth helps to provide extra support to the loose tooth, it may help to strengthen the loose tooth.
Splint material such as Intra-coronal metal bar splint, is usually recommended for stabilizing loose back teeth. It’s suitable to be used on the premolars and molars where the teeth experience more pressure and force when chewing food. It’s very effective for restoring the strength and functionality of a loose wisdom tooth.
2. Bone Graft: the bone grafting procedure is a form of regenerative treatment that is used to repair and regrow dammed teeth. Gum disease can damage the bones that are supporting your wisdom tooth, this can make your teeth to loosen. During the bone grafting procedure, the dentist can either use a natural bone taken from one area of your body, or he can make use of synthetic bone. The main aim of bone graft is to regrow new bone and also to reattach your loose tooth to your bone.
Complications of removing a wisdom tooth (2)
Well, after removing your wisdom tooth it’s very common to experience some pain and discomfort for at least a week. Normally after the procedure the dentist or surgeon will likely give you some after-care instructions to follow, especially if you didn’t replace the missing tooth. If you don’t follow these instructions closely, you can experience delayed healing and aching sensation in your gum or jaw.
Most people complain of bad breath as a result of the empty tooth socket. You should give your body at least a week to heal, but if the pain is more intense then you should report to the health professional that performed the procedure.