Wednesday, July 3, 2013

At What Age Should Wisdom Teeth Be Removed

This a difficult and common question.  Age is a criteria of least importance and patients should be evaluated on basis of need.  If a patient is in eminent danger of infection, cyst development, loss of adjacent teeth, TMJ problems or consist pain to the affected region, removal of the wisdom tooth should be considered.  I have encountered 12 yr old patients who exhibit more developed wisdom teeth than a 20 yr old.  Each patient is  to be evaluated on an individual basis and the proper decision is to be made accordingly.  Wisdom teeth are teeth that are typically non-functional and are usually not in occlusion.  There position in the posterior of the jaw inhibits proper hygiene and makes the m more inclined to develop caries.  This information makes it apparent that wisdom teeth erupted or impacted typically serve no function and almost always require removal.

Roger Myers DMD
Southern Georgia Oral Surgery
Hinesville and Statesboro

Wisom Teeth Can Cause Ear Pain

Southern Georgia Oral Surgery
Locations:  Hinesville and Statesboro
Oral surgeon: Roger Myers DMD

In many instances I evaluate patients that complain of a constant ear pain.  Most of the patients determine that the pain derives from an aggravating ear infection.  However, more often than not the pain is coming from an erupted or impacted wisdom tooth.  The etiology of the pain can emanate from an upper or lower wisdom tooth.  Decay and infection can exacerbate the problem and the ear pain feeling usually is identified as referred pain.  The sensory division of the trigeminal nerve, maxillary or mandibular branches can re-direct pain signals to the ear.  This is a result of  the location of the where the nerves originate at the skull base.  As the nerve becomes inflamed from infection or other stimuli, the pain to the side of the head intensifies.  Analgesics, anti-inflammatory meds, antibiotics and warm heat packs are utilized to lessen the degree of pain. 
**Important Note**
Ear pain can be a result of tooth pain