A tooth should be extracted when it becomes diseased, decayed, or broken to the point where it cannot be repaired. When a tooth reaches that particular state of damage, it can disrupt a person's health in other areas, sometimes leading to infection or abscesses. When it comes to wisdom teeth, dentists will often recommend extraction if the person's mouth is too small or if the teeth are coming in at an odd angle that's putting pressure on the jaw bone or nearby teeth. If the wisdom teeth become impacted, they may need to be surgically removed. Larger teeth that must be removed through a smaller space are often broken and the pieces removed one at a time.
Wisdom teeth can appear anytime between the late teens and early 30s. Most people begin to notice their appearance in their mid-20s, although they may begin to feel their mouth change long before the wisdom teeth try to erupt through the gums. People who have more than enough room for the wisdom teeth to fit comfortably in their mouth may not even realize the teeth have come in unless they feel a slight tenderness as the teeth come through the surface of the gums. If there isn't enough room, the teeth may become lodged between nearby teeth and the jaw bone, causing an infection of the gums.
In most cases, a tooth extraction simply involves pulling the tooth. If a tooth breaks and part of it is still below the surface of the gum line, then a surgical procedure may be needed to sufficiently remove the rest of the tooth and prevent an infection or abscess. Wisdom teeth that have completely erupted through the gums may be able to be pulled without incident. If any part of the tooth is lodged or impacted, Dr. Zoulas may have to excise the tissue and break the tooth into multiple pieces so that it can be removed without damaging other teeth in the area. Surgically removing the wisdom teeth may also help prevent injury to the jaw bone, especially if the root of the tooth is attached in any way.
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