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Five reasons why you need to pull your wisdom teeth

2021-06-02
Whether wisdom teeth can be extracted or not is the same as "what to eat at noon", which is the same "dilemma of the century", but behind the seemingly difficult choice, the truth is actually very simple, it's just because of your own entanglement. The editor here is even more simple to say, wisdom tooth is pulled out if it hurts, and it is not pulled out if it doesn't hurt. Do you understand such a simple and easy-to-understand statement? If it is not enough, well, let me list 5 reasons to convince you.

Tooth decay

Wisdom tooth decay, unless the position of the wisdom tooth is very good and the size is right, it is completely equivalent to the third molar, and it does not need to be extracted. However, in other cases, if it is a simple tooth decay with a low occlusal surface, it can be filled with a filling method. If the root canal treatment is deep, it is recommended to remove it to prevent future troubles.

Violation of adjacent teeth

Wisdom teeth fall on the second largest permanent tooth at an angle due to insufficient space for germination, which makes it difficult to clean the second largest permanent tooth and causes other molar cavities in the oral cavity. This situation is infringement of adjacent teeth and needs to be extracted.

not enough space

Insufficient dentition space is very common, and swelling and pain are most felt during germination. Some wisdom teeth also squeeze into other teeth in various ways, causing other teeth to appear skewed and painful. The growth of wisdom teeth affects other teeth and needs to be extracted.

Not gritted teeth

Not everyone will have all four wisdom teeth. Therefore, if the opposite side of the wisdom tooth does not have a matching wisdom tooth to bite, sometimes the wisdom tooth will over-germinate, which will affect the occlusion and damage the opposite gums and the symmetry of the occlusion.

Impacted tooth

This type of tooth usually grows obliquely, and some teeth grow completely horizontally in the alveolar bone, which is more likely to cause tooth pain, gum inflammation, and uneven teeth. After this kind of impacted tooth is checked by the doctor, the doctor usually Would recommend unplugging.

If the wisdom tooth is not pulled out, it will cause other more problems. If the wisdom tooth becomes the source and obstacle of a kind of pain, then pull it out. Otherwise, the position of the wisdom tooth is very good and does not affect the other teeth. Can not pull.

The manifestation of systemic diseases in the oral cavity

The local manifestation of the oral cavity is the only early symptom of systemic disease, and it is also an important part of the disease signs. If you ignore the relevant systemic diseases and examinations, it will cause errors in diagnosis and treatment. The following will select four common systemic diseases for detailed description.

Acute infectious disease

Measles-measles mucosal plaques (Koplik spots) can appear in the mouth and buccal mucosa near the parotid duct opening in the early stage.

Scarlet fever-bayberry-shaped tongue may appear, re-occurring in the neck and extending to the upper and lower limbs and trunk.

Nutritional diseases

Niacin deficiency (hydrochloric acid deficiency/pellagra/ erythema)-mouth and tongue pain is the early or only manifestation, examination shows that the mouth and glossitis has changed, the tongue surface is eroded, hyperemia, edema is scarlet, neck, hands, and lower arms , Ankle and other exposed parts, bilateral symmetrical dermatitis.

Vitamin B2 deficiency-angular cheilitis and cheilitis are the primary symptoms. There is white erosion on one or both sides of the mouth corners, dry and red lips, scabs, cracks, bleeding, desquamation, etc., and every mouth feels tingling. Tongue burning pain is also common, tongue surface papillary hyperemia, often accompanied by hypertrophy and edema, but surface erosion is rare.

Vitamin B12 and folic acid deficiency-the lesions are non-characteristic, the mouth and tongue are swollen and painful, and they tend to shrink over time. At the same time, achlorhydria, diarrhea and megaloblastic anemia occur.

Vitamin C deficiency-mainly gum edema, burning pain and bleeding, often due to loose teeth and chewing difficulty.

Blood disease

Leukemia—Patients often have symptoms of bleeding gums or oral ulcers before the onset of serious systemic diseases, showing pale oral mucosa and gums, hyperplasia of gums, obvious hypertrophy, and sometimes almost reaching the edge and occlusal surface of the teeth, and hyperemia of the gingival margin. Rapid necrosis, covered with gray-brown pseudomembrane, may have spontaneous or provocative severe bleeding, putrefaction bad breath, bleeding spots, ecchymosis, and even necrotizing ulcers can also be seen in the oral mucosa.

Iron deficiency anemia-pale lips and oral mucosa, chapped mouth corners or angular cheilitis, atrophic glossitis, severe oral mucosal atrophy, dysphagia, tongue and oral mucosa may have ulcers.

Thrombocytopenic purpura-the earliest manifestation is often tissue bleeding, small purple petechiae, ecchymosis or hematoma under the skin and mucous membranes, spontaneous bleeding of the gums, edema, purple-red color, bleeding when brushing or lightly touching.

Hemophilia-spontaneous bleeding from the gums, slight irritation can cause prolonged bleeding or unstoppable bleeding, the blood clot is soft, easy to fall off and bleeding again. Vulnerable parts of the oral mucosa may rapidly ecchymosis or submucosal edema.

Specific infection

Syphilis-(1) Congenital syphilis-malformed teeth appear in the oral cavity, the incisor's near-distal median diameter is smaller than the neck, the cut corners are rounded, and the incisal ridges are concave, called Hutchinson's teeth and sparsely arranged, the first molar The enamel surface is mulberry-like, also known as mulberry teeth. (2) Acquired syphilis: the first stage is hard chancre, the second stage is mucosal spots; the third stage is gum-like swelling and interstitial glossitis.

Gonorrhea-manifested as acute gonococcal stomatitis, full mouth mucosa congestion and redness, superficial ulcers, covered with yellow-white pseudomembrane, the pseudomembrane is easy to wipe off and presents hemorrhagic wounds, saliva secretion increases, and viscosity increases.

AIDS-oral lesions closely related or related to HIV infection include: candidiasis albicans, hairy leukoplakia, Kaposi's sarcoma, and non-Hodgkin's lymphoma.

The impact of oral diseases on overall health

Oral health is listed as one of the top 10 standards of human health by the World Health Organization. It is said that oral diseases can cause and aggravate many systemic diseases.

heart disease

The pathogenic bacteria and their toxins of oral diseases can invade the blood, aggravate or cause heart disease. Studies have confirmed that periodontitis is an independent risk factor for the acute attack of coronary heart disease and is significantly related to the acute attack or total mortality.

Respiratory diseases

There is a strong correlation between oral diseases and various aspiration pneumonias. 80% of pneumonia is caused by inhalation of secretions containing bacteria in the mouth and pharynx.

diabetes

Diabetes and periodontal disease have common risk factors, and they are high risk factors for each other. Diabetes patients often have different degrees of oral lesions, the incidence of periodontal disease is high, the lesions are severely damaged and progress more rapidly. Insulin-dependent diabetic patients with severe periodontitis have significantly worse blood sugar control than patients without periodontal disease.

Gastrointestinal disease

Peptic ulcers are caused by Helicobacter pylori. There are a large number of these bacteria in the mouth. Helicobacter pylori in the stomach can be easily removed by drugs, but it is difficult to remove the plaque.

Cerebrovascular disease

Periodontitis is a greater risk factor for stroke than smoking and is independent of other known risk factors. It has been reported that 25% of stroke patients have oral infections, compared with only 2.5% in the control group.

other

Periodontal disease is also one of the risk factors leading to the birth of low birth weight babies. Pregnant women with severe periodontitis are 7.5 times more likely to give birth to low birth weight babies than pregnant women with normal periodontitis, which is greater than the effects of smoking and drinking.

Oral diseases also lead to reduced chewing function, causing partial eclipse and loss of appetite, affecting brain development, muscle strength, human balance, and even causing headaches.
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