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Is the removal of impacted wisdom teeth necessary?

An impacted tooth describes a tooth that has failed to emerge fully into its expected position due to lack of space or improper angulation. Impacted wisdom teeth can remain for many years without a problem or they can cause severe problems.

An impacted wisdom tooth can cause decaying of adjacent tooth or infections in the jaw bone. Cysts or tumors may also form around impacted teeth.

A patient who had or who will have an orthodontic treatment might need the extraction of impacted wisdom teeth. Otherwise these teeth can create forces on other teeth and cause crowding.

Impacted wisdom teeth might also complicate the use of planned dentures or might cause the renewal of restoration.

In conclusion, impacted wisdom teeth must be removed when they cause discomfort to the patient or when they jeopardize the success of any dental treatment. They can be left to remain under periodic controls.

Impacted tooth operations are done under local anesthesia and recovery is completed in one week.

Can anyone have dental implants?

Anyone who has adequate bone without any health problems can have dental implants. Uncontrolled hypertension and hyperglycemia are the major problems but this does not mean hypertension or diabetic patients cannot have dental implants. Patients with stable blood sugar level or blood pressure values and who use their medications regularly under periodic controls are appropriate for dental implant therapy.

Smoking is a major risk for bone and implant integration. Especially smoking must be avoided for a week after the implants are placed. This condition that is necessary for the durability of an implant is also a chance to quit smoking.

For individuals who have osteoporosis, great care must be taken during implant therapy.

Aside from these conditions, anyone can have dental implants easily.

Implant therapy is possible at any age and it is a proved treatment in patients who lost several or all of their teeth. Due to implant therapy, damages caused by tooth preparation for fixed bridge prostheses can be avoided and great help is attained for patients who have trouble using removable dentures. Fixed dentures can be placed on dental implants even in complete edentulous patients.

Is halitosis treatable?

Halitosis can be present due to various reasons. Dental caries, poor oral hygiene, gingival diseases, various infections in oral cavity, upper respiratory tract infections, and stomach disorders might cause halitosis. The most common cause of halitosis is insufficient removal of food accumulation around the teeth. Proper tooth brushing is usually deficient in removing plaque between the interfaces of adjacent teeth. For this reason, dental floss should be considered important as well as brushing.

All infection sites, which can be possible causes of malodor, need to be eliminated in patients complaining from halitosis. All the caries must be restored along with gingival treatments and oral hygiene education must be given to the patient along with periodic controls of oral hygiene improvement. If malodor complaints continue to exist despite the elimination of probable causes of halitosis, an internist should be consulted to determine if any systemic diseases exist. Depending on the source, halitosis can be treated.

Is calculus removal procedure harmful to the teeth?

Calculus removal procedure includes the removal of accumulated calculus as well as removal of stains on teeth due to discoloring agents like tea, coffee or smoke by using ultrasonic devices and hand instruments,. The most efficient way of maintaining oral health is through regular tooth brushing with a proper technique. A visit to the dentist once in 6 months is suggested to obviate the possibility of calculus formation. Calculus removal has no harm to teeth. On the contrary, accumulated calculus leads to gingival diseases, thus gingival recessions, halitosis, eventual loss of loosened teeth can occur. But frequent calculus removal due to lack of adequate brushing must be avoided.

When do permanent teeth erupt in children?

When the children are 6 or 7 years old, deciduous incisors on the lower jaw are loosened first and they fall out naturally leaving their places to permanent incisors. Approximately 6 months later, deciduous incisors on the upper jaw are replaced with permanent incisors. Also at age 6, first molars take their places at the very end of the arches. These molars are permanent and they are not replaced at any stage of life. First molars are difficult to brush due to their distant positions and parents can overlook them so caries of first molars can progress easily. Following the incisor replacement, premolars (at age 9-10), canines (at age 10-11) and molars erupt. Third molars (wisdom teeth) are the last to erupt at age 20. Thereby, 20 deciduous teeth are replaced with 32 permanent teeth.

Deciduous teeth should not be extracted before their replacement time since they are guides to the erupting permanent teeth. But for several reasons their extractions can be necessary. In these circumstances, anterior and posterior adjacent teeth can move towards the extraction site to fill the area, consequently preventing the permanent tooth from erupting in a normal position. Crowding of teeth (orthodontic problems) might occur or permanent teeth might remain impacted. Inadequate mastication due to these problems might lead to malnutrition. In order to avoid such consequences, fixed or removable retainers are prepared depending on the child’s needs.