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Medical Forum / General / Dentistry / September 2005WISDOM TEETH EXTRACTION AT AGE 55
My periodontist suggested that my wisdom teeth be extracted due to 10 mm pockets by one of them (lower right). Both dentist and oral surgeon were neutral, at best about this idea as the teeth themselves are ok. I'm nervous about negative effects of surgery. Any thoughts would be appreciated. >My periodontist suggested that my wisdom teeth be extracted due to 10 >mm pockets by one of them (lower right). Both dentist and oral surgeon >were neutral, at best about this idea as the teeth themselves are ok. >I'm nervous about negative effects of surgery. > >Any thoughts would be appreciated. Depends where the pocket is localized. I'd hate to see this affect the next tooth! 10mm is quite a bit! that is 40% of one inch! So the tooth is very compromised already. How are the other teeth ....? >My periodontist suggested that my wisdom teeth be extracted due to 10 >mm pockets by one of them (lower right). Both dentist and oral surgeon >were neutral, at best about this idea as the teeth themselves are ok. >I'm nervous about negative effects of surgery. > >Any thoughts would be appreciated. Other teeth are ok. Im thinking of getting only 2 right wisdom teeth removed, if any. > Any thoughts would be appreciated. Too hard to think without seeing the teeth IRL.  Signature/ Amatus / > My periodontist suggested that my wisdom teeth be extracted due to 10 > mm pockets by one of them (lower right). Both dentist and oral surgeon > were neutral, at best about this idea as the teeth themselves are ok. > I'm nervous about negative effects of surgery. > > Any thoughts would be appreciated. Almost impossible to give any sort of meaningful response without an exam and health history. At age 55, it can be somewhat more complicated than at 20, but not always. If the teeth already have 10 mm pockets, they might be a bit loose, which would make extraction easier. What is your general health status? That would be an important consideration. Are these teeth bothering you? Is there an active infection present? Why, specifically, do they want to extract them? I'd find that out first -- make sure you ask a lot of questions and make sure they all are answered. Good luck! > My periodontist suggested that my wisdom teeth be extracted due to 10 > mm pockets by one of them (lower right). Both dentist and oral surgeon > were neutral, at best about this idea as the teeth themselves are ok. > I'm nervous about negative effects of surgery. > > Any thoughts would be appreciated. > Why, specifically, do > they want to extract them? I'd find that out first -- make sure you ask a > lot of questions and make sure they all are answered. > Good luck! I'm betting that these whizzies are semi-submerged with only part of the clinical crown showing (partial soft tissue impaction) and the pocket is between the mesio-angular crown of the whizzie and the distal of the second molar. If I was me, I'd ask the OMFS to do the exos with some sort of procedure to regenerate bone on the distal of the 2nd molar if possible. I would ask him to try to raise a flap that starts at the disto-buccal of the lower 2nd Molar (including the papilla, of course) and reflect backwards and away. He would probably cut some fibres of muscular insertions on the interior of the ascending ramus, causing swelling, but the buccal of the 2nd molar would not be disturbed. In this way, bone loss would be minimallized. Just my own opinion SP SignatureTake out the TRASH to reply |
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