The article will examine if there is a nerve in the wisdom tooth.
These teeth are the farthest; they usually erupt in a person already in adulthood. Despite the fact that they do not differ in appearance from others in appearance, their appearance can often be accompanied by various complications, in connection with this, patients often have to remove them.
Many people wonder if there is a nerve in the wisdom tooth.
Structural features
The structure of the wisdom tooth is absolutely no different from everyone else. And, of course, they also have nerves.
How many nerves in a wisdom tooth? The number of roots of the third molars varies: there can be four or five, or maybe even one (when several channels grow together).
Specificity and features are different:
- Such jaw elements erupt much later than others, at about the age of sixteen to twenty-five years.
- Problems in people begin, as a rule, already at the teething stage, since they begin to grow when all the other teeth have already taken up free space within the jaw, and, therefore, the wise fellow must not only get through the gums, but also find himself site in the jaw, literally pushing the neighboring ones.
- Eights are extremely difficult to treat, since they are located in such a way that it is extremely difficult to get to them with the help of dental tools, in connection with this most often they are simply not treated, but removed. A photo of the nerve of the wisdom tooth is presented at the end of the article.
Next, we turn to the consideration of the issue of treatment and removal of this type of teeth in patients.
Treatment or removal: which is better to choose?
Often, patients are asked whether they treat wisdom teeth in general, or whether their removal is the only option. In fact, only a doctor can decide on the method of treatment: surgically or therapeutically - it all depends on the availability of the G8 and the severity of the disease. Is there a nerve in the wisdom tooth, we found out.
Since it practically does not differ in anything from other teeth, in addition to its location, it undergoes the same diseases as the rest. Let us analyze the probable pathologies of the "eights" and the methods of their treatment.
Diseases
Caries is able to affect wisdom teeth most often, since the reason for its appearance is insufficient hygiene along with the presence of plaque, and they are located in the mouth in such a way that it is almost impossible to completely clean them. Often a carious cavity is formed in an inaccessible place, which is why it is very difficult to qualitatively fill third molars. Sometimes, it is immediately recommended that the dentist remove the tooth if it is not possible to conduct quality treatment and fillings.
In that case, if you do not contact a dentist about caries of wisdom teeth in a timely manner, complications may occur in the form of pulpitis or periodontitis. How many nerves in a wisdom tooth are indicated above in the article, and therefore treatment can be very difficult and painful.
Since the root system of the eights is very complex, removal of the nerve is sometimes impossible, just like filling the channels. In this situation, you definitely have to start the removal. Therefore, you should not be frivolous about the occurrence of caries and, against the background of the first signs of the disease, you should consult a dentist.
Features of treatment for inflammation of the nerve of the wisdom tooth
In the event that the wisdom tooth is not located correctly, then it will be very difficult to get to it, especially since it is impossible to complete a full treatment. Therefore, sometimes it is necessary to remove third molars even with mild or moderate caries - that is, in situations where any other tooth could be cured and filled without problems. Dentists of patients warn that the sooner a person visits a doctor, the more chances he has to save a bad tooth. Therefore, with the first symptoms of this disease, you should immediately consult a doctor.
Patients often ask if the nerve in the tooth is removed from the wisdom.
In the event that the "eights" are located correctly, they manage to get close to them, and the patient turned to the doctor for help in a timely manner, then medication and therapeutic treatment can be carried out. The antibiotic itself, most likely, will not help, it serves only as an adjunct therapy and is prescribed in case of depulpation. If the doctor makes a decision about nerve removal, antibiotic therapy may be needed in the future to prevent the spread of inflammatory processes.
When a wisdom tooth aches and hurts, pills can also help little. Unless the doctor can recommend painkillers in order to relieve pain after filling the canal. You can also take painkillers before visiting a doctor, but in any case, a visit to the doctor should not be postponed for a long time. Indeed, in the event that the tooth becomes inflamed, the consequences can be the most serious, up to the occurrence of an abscess and blood poisoning.
Nerve Removal - Is It Always Justified?
Is it necessary to remove a nerve from a wisdom tooth?
What is popularly referred to as the dental nerve is actually a neurovascular bundle with a complex structure. He is surrounded by pulp. Thanks to this tissue, the tooth reacts to external influences: for example, it feels hot and cold food. Pulp is a barrier to the penetration of pathogenic microorganisms.
At the initial decay of the tooth with caries, the nerve is not affected, but if the carious process deepens, then the bacteria penetrate the pulp chamber, causing inflammation. In this case, a person experiences severe pain, which intensifies at night. That is why the question often arises of removing the nerve.
Pulpitis is an ailment that almost always requires partially or completely removing the affected tissue from the tooth. This is necessary so that the infection does not spread beyond the root, which will lead to serious complications.
Does it hurt to remove a nerve in a wisdom tooth?
In modern dentistry, methods are used that allow for reliable anesthesia of the tooth, so that the removal of the nerve goes smoothly.
Wisdom Tooth: Removal Effects
Since wisdom teeth are located in the most inaccessible region of the jaw, often the only treatment method is to remove them . Indications for removal are:
- Situations when the tooth is not positioned correctly, erupting horizontally or at an angle and hurting the roots of neighboring ones.
- Against the background of facial neuralgia.
- The appearance of a cyst in the gum near this place.
- The presence of partial eruption, in which the gums are constantly injured.
- The presence of caries damage (a frequent complication is perforation of the canal and the bottom of the dental cavity) if all medical manipulations are impossible due to inaccessibility or improper location in the patient's mouth.
- If pulpitis or periodontitis occurs.
- In the event that the tooth is rooted in the maxillary sinus.
In these situations, removal is considered the only possible and reasonable treatment option. Now find out how to perform the removal.
How is deletion done?
It is very unpleasant when the nerve of the wisdom tooth hurts.
The third molar is removed under local anesthesia. In the presence of a retarded tooth, the doctor first removes the mucous membrane and periosteum, then the part of the bone that is located above it. And only after that the G8 itself is eliminated directly.
In particularly difficult situations, the doctor will be able to decide on removal in parts. After surgery, the periosteum and mucous membrane are restored using sutures. The site of injury (well) is treated with an antiseptic solution and tampon. In the event that the removal was carried out correctly, then a blood clot forms in the hole, which does not allow the infection to enter the wound.
Possible complications
These include:
- The presence of a dry hole, that is, a blood clot did not form on the tooth extraction site, which would prevent the penetration of pathogenic bacteria and infections into the wound.
- The appearance of a tumor, that is, after the gums are removed, swell, and after a few days, with proper care, the swelling usually goes away.
- The development of perforation of the bottom of the maxillary and maxillary sinus.
- The occurrence of numbness of the lip, chin or tongue, which occurs due to the fact that during the removal process the nerve endings were injured.
In all of the above cases, you should immediately seek the help of a dentist and in no case self-medicate.
Healing after removal surgery
Usually, if there were no complications during the operation, healing after removal of the wisdom tooth is usually easy and very fast. The oral cavity must be rinsed with an antiseptic solution, but without fanaticism in order not to remove a blood clot from the hole. For severe pain, pain medication can be taken. As a rule, the doctor recommends the most suitable medication.
In the first day after the operation, you should not drink alcohol, and, in addition, smoke, take hot, too spicy or cold food. It is advisable to use liquid and soft foods. You can’t also play sports. Adhering to all medical recommendations, a person will facilitate the healing process.
Do I need to remove wisdom teeth?
In fact, any incisor in the oral cavity has its own purpose. Doctors, as a rule, are not supporters of the removal of the "eights" just like that or because of fear of complications. In the event that the nerves in the wisdom tooth do not bother the patient in any way, the third molar does not injure the cheeks, does not affect the bite and general condition of the surrounding incisors, then you should not touch the “eight” at all. When uncomplicated caries are found, wisdom teeth can even be cured, and in more advanced cases involving the nerves (for example, against pulpitis), or with periodontitis, you should still consider removing.
Why does a wisdom tooth hurt without a nerve?
Unfortunately, situations are not uncommon in which a person brings his own teeth to such a stage of destruction when a nerve removal is simply necessary.
It is also noteworthy that many perceive this forced medical decision as a panacea. People believe: "Let them remove, but in the future, nothing will certainly bother and hurt." At the same time, few patients wonder what the meaning of nerve fibers is, which is an integral part of the structure of the tooth. But the molar literally remains with living tissue and is more stable when interacting with aggressive environmental factors, while its nerve is functioning. It is in connection with this that a tooth without a nerve is called "dead."
The opinion that such a "dead" tooth will never hurt anymore belongs to the category of myths. And sooner or later, it absolutely dissipates for everyone, and it is not at all necessary that this will happen after a short period of time after the removal of the nerve. It can take from several months to a couple of years from the time of the visit to the doctor, when suddenly a “dead” tooth along with the area adjacent to it will make itself felt extremely unpleasant sensations.
So, what are the reasons that a wisdom tooth hurts without a nerve? This is a sure sign of inflammation. The source is harmful bacteria that enter a particular area of the tissue and begin to literally colonize it, while they parasitize and spread. There can be several options at once:
- When a patient has a toothache without a nerve, this may be a consequence of the fact that the bacteria were introduced into the jaw tissue through the root canals due to caries. Under the influence of microscopic organisms, the jaw bone loses its tone, and the decay products lead to inflammation. The result, as a rule, most often is the appearance of pain.
- A “dead” tooth can be felt if it was not before a fully qualified doctor. Removal of a nerve is a procedure that requires a very high professional level, which a dentist must have, and any mistake along with imperfection in this case is fraught with subsequent complications. Thus, if the dental canal was not filled with filling material after removal along its entire length (or when the filling was not tight enough), space may remain in it and a favorable environment may arise for the appearance of pathogenic microorganisms. The result is inflammation and pain.
Finally, even when the tooth is correctly filled, but the patient has gum pathologies in the form of gingivitis and periodontitis and simple hygiene rules are not followed, a favorable environment appears for the reproduction of bacteria. The gingival ligaments are destroyed, the infection falls deep under the gums, and as a result, inflammation occurs and the tooth begins to hurt without a nerve.
Thus, when a person is faced with the problem of pain in a "dead" tooth, he should contact a dental clinic as soon as possible for diagnosis. An experienced specialist will accurately determine his condition and the doctor will draw up a personal treatment plan for the patient.
Why do people need wisdom teeth?
Do people need wisdom teeth? This is a fairly common question asked by millions of patients who have come to the dentist's office. The ancient people, who lived tens of thousands of years ago, had jaws larger and much more massive, so more teeth could fit there. This helped to chew solid, but also hard food. Over time, the need for this disappeared, in connection with this, wisdom teeth gradually became a rudimentary element.
Of course, the exact answer why modern people grow them is known only by nature, but we should not assume that they are absolutely useless. Despite the fact that third molars practically do not participate in the distribution of chewing loads, the figure-eight in adults can serve as a support for the prosthesis, preventing the loss of bone tissue in the absence of neighboring elements.
In this article, we found out if there is a nerve in the wisdom tooth.