The teeth became crooked. Are the G8s really to blame?

A large number of patients are faced with the need to have teeth removed. Injuries, untimely contact with a dentist, errors in previous dental treatment and much more are the main causes of tooth loss.

Unfortunately, patients often put off compensation for the resulting defect after tooth extraction. At the same time, without suspecting that this entails consequences that do not provide the possibility of further restoration of teeth through implantation.

To understand this slightly confusing formulation, we will first try to describe what processes occur in the dental system after tooth extraction.

How do “eights” erupt?

Wisdom teeth are the last teeth to erupt. Sometimes at 18–20 years old, but more often at a later age. In addition to the fact that these are the largest teeth, there are cases when they are located in the jaw bone not vertically, but at an angle. Therefore, problems most often arise with their eruption: the tooth does not grow upward, but to the side, pressing on the root of the nearest tooth, causing pain and inflammation. Often, to avoid such problems, wisdom teeth are removed without waiting for them to fully erupt.

Wisdom teeth often cause problems when they erupt

But if the tooth grows more or less without problems, the person does not see a dentist; there is no indication for tooth extraction. And then it turns out that due to the growth of molar No. 3, the front teeth have moved.

“Eights” are large teeth, and if there is not enough space in the dentition, they move neighboring teeth, and even the front ones.

Crowded teeth

Is it possible to remove a tooth and return everything as it was?

If you remove a tooth, nothing will change. Orthodontist patients know that after treatment a consolidation stage is needed, otherwise the roots of the teeth will begin to move to their old familiar place. It takes at least two years for the teeth to adjust and strengthen in their new position, and to do this they are held in place with the help of retainers and aligners.

During orthodontic treatment, the pressure from braces or aligners is much greater than that exerted by the growing wisdom tooth. Therefore, with an orthodontic system, teeth are moved within a few months, and the first results are visible within a few weeks.

Aligners correct the position of teeth in a few months

A growing molar erupts very slowly, over 2–3 years, and puts pressure on neighboring teeth, causing them to move. The process occurs almost imperceptibly, the teeth shift by fractions of a millimeter per month. During this time, they get used to the new (wrong) position. The ligamentous apparatus that supports the teeth is rebuilt to a new position, and the bone tissue around the roots is strengthened. And even if wisdom teeth are removed, it will not be orthodontically beneficial. Neither from a health point of view, nor from an aesthetic point of view.

How to stop the drift?

To prevent destruction, after the operation, restoration of the masticatory organs should be undertaken. To do this, the patient must contact an orthodontist. Braces are often required to correct an overbite. It happens that the hole becomes inflamed, causing the wound area to become infected and may fester. In such situations, cleaning and disinfection are performed. Therapeutic methods also include:

• Installation of removable corrective devices. They include a plastic plate. It is held in the mouth by hooks and wire loops. To straighten and return the units to the correct position, springs and arms are used. To further expand the jaw, an expansion screw is installed on the plate.
• Orthodontic devices that are not removable are represented by systems for correcting jaw closure. This effective technology allows you to correct the chewing organs of adults. The braces are fixed with special glue. A strong bracket is pulled to make the connection. It creates the right amount of force so that the units move in the right direction.
• In difficult situations, radical technologies are used. Treatment may involve face bows, which significantly change the configuration of the skull.

Nowadays, aligners and mouth guards are also used. They are suitable for patient patients. The correction period takes from 12 months to 2.5 years. The aligners are changed every 15 days. The advantage of aligners is the transparency of the material. They can be removed for hygiene purposes or for eating.

What to do?

Treatment with braces or aligners will help correct the position of your teeth. However, it is not necessary to remove grown wisdom teeth. Whether to save them or not is decided individually in each case and only after examination. If it is possible to expand a row of teeth so that there is enough space for all teeth, then there may be no indication for removal. It is always better to preserve healthy teeth, this also applies to third molars.

If the teeth were initially straight and the erupting wisdom tooth has distorted them, a slight disturbance in the position of the teeth usually occurs. Regardless of the patient’s age, it can be corrected in a few months.

Gaps between teeth: classification, causes

A variety of reasons can lead to the appearance of three:

• Often we are talking about hereditary predisposition. If at least one parent has trema or diastema, the risk that the child will encounter the same problem is 30%;
• Sometimes the appearance of gaps between teeth is a consequence of bad habits. Among those people who often chew pens and pencils, the percentage of those suffering from gaps between teeth is significantly higher than among those who are free from such habits;
• loss of teeth. The loss of a tooth entails many problems: this is atrophy of bone tissue, this is the process of moving apart the remaining teeth, which entails the appearance of teeth. The displacement of teeth leads to a deformation of the bite, to a change in the entire process of chewing food, and this can negatively affect the functioning of the gastrointestinal tract and human health in general. That is why dentists recommend not to delay and carry out full dental prosthetics.

Depending on which teeth, milk or permanent, we are talking about, trema and diastema are divided into two groups: false and true. Trema are called false if they form between baby teeth, true - respectively, between permanent teeth. A false trema does not always degenerate into a true one, but this is a clear reason for parents to pay attention to the condition of their child’s oral cavity. Make an appointment with an orthodontist and follow his instructions - this will help you minimize the risk of gaps between your permanent teeth.

Teeth began to separate

The front lower teeth and upper teeth gradually fan out between

itself and gaps appear between the teeth? Previously, they stood in beautiful, even rows, and then suddenly, for no reason at all, they began to move. Why?

The fan-shaped divergence of the front group of teeth, or rather their position is called protrusion! Teeth pushed forward are an aesthetic flaw that changes the appearance, so you have to make a lot of effort to close your lips! Exposed tooth roots and mobility cause patients considerable discomfort when chewing and biting food. This is a characteristic sign of moderate to severe periodontitis.

Causes of teeth discrepancy.

The supporting apparatus of the teeth that holds the teeth in the bone socket is called the periodontium. The main function of the periodontium is to firmly hold the tooth with the help of an elastic ligament. The elastic ligament firmly covers the tooth and prevents

penetration of infection between the tooth root and the bone socket. The tooth is suspended in the socket and can make small movements. That is, the healthiest and most stable tooth has insignificant mobility. If it weren't for it, the teeth wouldn't last as long. Because of this mobility, the periodontium has a trophic function - it nourishes the tooth during chewing. As periodontitis progresses, the circular ligament of the tooth is damaged and over time it completely disappears! And this is due to periodontitis, which lasts for a long time in a latent form and has a chronic course. With moderate periodontitis, bone tissue is already involved in the inflammatory process. Constant destruction of bone tissue leads to exposure of the tooth root. A tooth deprived of stable support can no longer withstand chewing loads and this leads to an increase in tooth mobility. Once started, this process continues to develop uncontrollably and leads to the tilting of the teeth, their “fan” arrangement. A factor of traumatic occlusion arises, in other words, during normal chewing, the antagonists (the group of teeth opposite to it) are knocked out by their own teeth. In the absence of proper treatment for periodontitis, such a group of teeth loses their stability and eventually must be removed.

Among the main causes of a local nature in the oral cavity are:

• Incorrect bite.
• Pathological abrasion
  and overload of the supporting apparatus of the tooth.
• Poor oral hygiene.
• Untreated gingivitis
  .
• Errors in prosthetics with crowns and bridges, veneers.
• Incorrectly placed fillings when filling teeth.

What to do if your teeth start to come apart?

In such a situation, an urgent consultation with a periodontist is necessary!

Only a person can identify the cause, eliminate it and prescribe adequate treatment.

periodontist-surgeon.
Unfortunately, today, the level of training of dentists in gum diseases is extremely low. And the patient is unaware of his diagnosis for a very long time, and when the situation in the oral cavity worsens sharply, the diagnosis of periodontitis is made. The advanced stage of periodontitis not only requires considerable effort from the periodontist, but also treatment for the patient is expensive and requires large financial costs. As a rule, in such situations a full range of periodontal procedures is required, using laser technology
,
open curettage , flap operations
and after three months
the Vector procedure
. Unfortunately, as a
splinting
, this is not a treatment for periodontitis, it is simply a preparatory stage in the treatment of moderate and severe periodontitis gravity.
It is worth noting that splinting, even highly mobile teeth, allows you to connect them into a fixed block for a long time, evenly distribute the chewing load and makes it possible to carry out high-quality surgical procedures in the treatment of periodontitis. Surgical treatment
remains the leading treatment for moderate and severe periodontitis!

Three golden rules that will save your teeth.

Necessary:

• Professional examination every six months by a periodontist.
• Consultation with a periodontist before installing crowns, bridges, veneers and

  
  orthodontic treatment.

• After prosthetics and fillings.

Here are three simple rules that do not require any financial costs from the patient, but will allow you to identify periodontitis at the initial stage and monitor the work of the orthopedic dentist, therapist and orthodontist.

IMPORTANT:

It is always easier to prevent and eliminate the causes than to deal with their consequences.

With timely and competent treatment of periodontitis, you can preserve your teeth and the beauty of your smile for a long time. Do not forget to visit a periodontist once every six months for the purpose of prevention and periodontitis will not overtake you!

How much does it cost to remove a wisdom tooth?

You can find our basic prices for wisdom tooth removal in the appropriate section, on the official website of the CELT clinic or by calling us. The cost of wisdom tooth removal depends on a number of factors:

• difficulty accessing the tooth;
• branching or curvature of the tooth;
• the presence of inflammatory processes.

Complex wisdom tooth removal requires more time and effort from specialists. All this affects the price of the procedure upward.

Possible complications after extraction

After removal of the extreme molar, patients experience swelling and swelling in the cheek and gum area, numbness of the face, moderate bleeding, discharge of ichor and pain. Moreover, these manifestations are companions of non-infectious inflammation and are considered the norm. They do not pose any danger and will disappear within a few days if the healing process is normal. The rehabilitation period after wisdom tooth removal lasts about one to two weeks.

More serious side effects should be expected if errors were made during the operation, or if the patient himself took the doctor’s recommendations lightly and violated the rules of rehabilitation.

A common complication after tooth extraction is osteomyelitis - an inflammatory lesion of bone and soft tissue. Suppuration begins inside the tissues. Osteomyelitis occurs if an infection gets into the socket during or after surgery. There is an increase in temperature, severe swelling of the gums and cheeks, severe persistent pain, general weakness, sleep disturbance and headaches.

Without medical intervention, infection and sepsis may spread.

Other consequences include abscess, paresthesia of the tongue, gumboil, and neuritis. All pathologies are accompanied by pain and deterioration in well-being. Therefore, if after one and a half, maximum two weeks, the pain, discomfort and swelling have not completely gone away, you should consult a dentist.

Wisdom tooth removal is a complex operation, and all risks should be carefully weighed before planning it. These teeth should be removed only if there are serious medical indications, and if there is an opportunity to save them, then it is worth taking advantage of it.

Dislocation of the lower jaw

If the mouth is opened wide during anesthesia and tooth extraction, dislocation of the lower jaw may occur. This complication is more common in patients with habitual dislocation. The occurrence of dislocation can be facilitated by relaxation of the masticatory muscles under the influence of conduction anesthesia.

Clinic and diagnosis of dislocation of the lower jaw

The clinic and diagnosis of mandibular dislocation is based on the patient’s complaints and clinical examination. The main complaint is pain in the preauricular area and the inability to close the teeth. Pain in patients with habitual dislocation may be moderate, as well as in patients who have undergone conduction anesthesia

Clinical manifestations: the patient cannot close his mouth; in case of unilateral dislocation, the jaw is shifted to the healthy side; in case of bilateral dislocation, it is shifted forward.

A symptom of elastic mobility is characteristic of a dislocation. The doctor, grasping the lower jaw on both sides with his index fingers and thumbs, attempts to establish it in a position of central occlusion. To some extent this is successful, but as soon as you stop holding the lower jaw, it returns to its original position.

Dislocation of the temporomandibular joint a - anterior b - posterior

Treatment of lower jaw dislocation

We complete the tooth extraction and then treat the dislocation of the lower jaw.

First way. The chair is lowered, its back is set vertically. The patient rests the back of his head against the headrest and fixes his hands on the armrests. The doctor stands in front of the patient, wraps the thumbs of the right and left hands with gauze napkins or a towel. He then grabs the lower jaw with both hands so that the thumbs rest on the chewing surface of the molars, and the rest cover the lower edge of the jaw. After this, the doctor presses firmly with his thumbs on the molars, moving the lower jaw down. Without ceasing to push the lower jaw down, the doctor moves it posteriorly. The sound of a click and the disappearance of the symptom of elastic fixation indicate that the dislocation has been eliminated. Having warned the patient about the possibility of recurrence of the dislocation when the mouth is opened wide, the doctor applies a chin-parietal bandage to the patient to limit the opening of the mouth. It is recommended to wear the bandage for 5-6 days.

Second way. The patient is seated in a chair in the same position. The doctor stands in front of the patient, inserts the index fingers of the right and left hands into the vestibule of the mouth and moves them along the anterior edge of the branch as high as possible, to the top of the coronoid process. Then the doctor sharply and firmly presses on the anterior edge of the coronoid process. The essence of the method is that, having felt pain in the area of ​​the anterior edge of the coronoid process, the patient tries to avoid it by eliminating the pressure of the doctor’s fingers. He cannot move his head and entire body backwards, as they rest against the back and headrest of the chair. Therefore, subconsciously he tries to move the lower jaw down and back, i.e. carry out the movement of the lower jaw that is necessary to eliminate the dislocation. In this case, the doctor does not have to overcome the force of contraction of the masticatory muscles, as is done when using the first method to reduce a dislocation.

Aspiration

Another complication that can arise during tooth extraction is aspiration. Aspiration is the penetration of foreign bodies into the airways during inspiration. During tooth extraction surgery, there are cases of aspiration of the tooth, parts of the tooth, needles, cotton swabs, and burs.

The occurrence of aspiration is facilitated by a decrease in the gag reflex after anesthesia and the position of the patient in a chair or operating table with the head thrown back. The foreign body may be located above the vocal cords, in the larynx, trachea and bronchi.

Aspiration Clinic

Clinical signs of aspiration: sudden barking cough, severe shortness of breath, cyanosis of the skin, lips and oral mucosa, motor restlessness and “disappearance” of the extracted tooth, part or instrument.

Urgent Care. The patient is transferred to a sitting position with the torso tilted forward and down, and he is asked to “clear his throat.” In between coughing attacks, the oropharynx is examined and palpated, pulling the tongue forward. If a foreign body is detected in the oropharynx, it is removed with tweezers or a finger.

If a foreign body is not found in the oropharynx, and signs of asphyxia (suffocation) increase, one can think about the presence of a foreign body in the hypopharynx or larynx. In such a situation, one of the staff of the medical institution calls the resuscitation team by phone and prepares everything necessary for tracheotomy. Meanwhile, the doctor, having seated the patient on a stool and standing behind him, clasps his chest with his hands. Then he sharply compresses the chest, lifting the patient, thereby forcing exhalation. He repeats this artificial respiration technique several times. If these resuscitation measures do not help, asphyxia increases, and a tracheotomy is performed.

Prevention of aspiration

Prevention of aspiration consists of the following measures: careful use of small instruments, checking the fixation of the needle on the syringe, careful removal technique. If any tooth fragments disappear, it is necessary to examine the oral cavity and, if a foreign body is found, remove it. If small instruments, teeth, or their fragments get into the oral cavity, the patient should be asked to lean forward and spit the contents of the oral cavity into the spittoon, rinse the mouth with water and spit again.

What happens after wisdom tooth removal?

Due to trauma during surgery, a person may experience nerve damage, resulting in numbness in the lips and mouth (paresthesia). This is true for older clients. If removal is difficult, there is a risk of jaw fracture, deformation of dentures and nearby teeth. A jaw fracture occurs rarely and most often due to the fact that the surgeon presses extremely hard on it.

The main complication is an acute inflammatory process, which is provoked by a dry socket. This is due to the fact that a blood clot does not form. It is necessary to contact your doctor to clean it and fill the hole with an anesthetic gel that eliminates inflammation. Additionally, the specialist selects antibiotics and an antiseptic composition for treating the oral cavity. Salt water is often used to disinfect the hole.