Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / General / Dentistry / May 2006

Tip: Looking for answers? Try searching our database.

Removal of impacted wisdom teeth? Advice please

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
forsyths@excite.com - 15 May 2006 19:10 GMT
I am 33 years old.  I have three impacted wisdom teeth (1 upper and 2
lower).  Every time I go to the dentist for a checkup they always say
'oh, you've still got your wisdom teeth...'.  I have never had any
problems with these teeth, but decided to go to an oral surgeon for a
consult anyway.
I spoke at considerable length with the oral surgeon.  He explained
that there was a possibility of sinus problems (that could be repaired)
and a possibility of numbness due to extraction of the lower teeth.  He
said that he couldn't tell for sure if the nerve was close to the roots
by the panex and really you would need to have a CT scan to get a good
3-D image and even then you wouldn't be able to tell for sure.  He also
said that I appear to have a thin layer of bone over the teeth, under
the gum, that provides an extra protective layer.  He said that if I
was a teenager he would recommend removing them, and if I was over 40
he would recommend not removing them since they are not currently
causing problems and the recovery would be significant due to age.  But
he really struggled with me because I am right in the middle.
I do trust this oral surgeon.  He has taken out the teeth of several
people I know.
I have a serious phobia about my teeth.  If I have them taken out and
have numbness for the rest of my life I am really going to regret it.
If I don't have them taken out now it will be a worry in the back of my
mind that something really bad might happen later in life.
If it weren't for the permanent numbness thing I would probably just
have then taken out so that I never had to think about it ever again.

I really need help in deciding what I should do.
Thanks, Sasha
Mark & Steven Bornfeld - 15 May 2006 19:31 GMT
> I am 33 years old.  I have three impacted wisdom teeth (1 upper and 2
> lower).  Every time I go to the dentist for a checkup they always say
[quoted text clipped - 24 lines]
> I really need help in deciding what I should do.
> Thanks, Sasha

    This is generally the call of the oral surgeon.  Of course you don't
wish the cure to be worse than the disease.  I've sent patients to oral
surgeons with a request to remove wisdom teeth, and they not
infrequently decline.  This is definitely their prerogative to do.
    If the teeth aren't removed, they should be followed periodically by
x-ray--maybe a film every couple of years, just to make sure there is no
evidence of a cyst.  If there is x-ray evidence of a problem, the
surgeon can more easily rationalize taking the small but real risk of
nerve damage from the extraction.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

forsyths@excite.com - 15 May 2006 19:40 GMT
The problem is that the oral surgeon couldn't make the call!  He even
said that if it was his own teeth he wasn't sure what he would do.  He
said that the decision is mine to make.
Mark & Steven Bornfeld - 15 May 2006 20:11 GMT
> The problem is that the oral surgeon couldn't make the call!  He even
> said that if it was his own teeth he wasn't sure what he would do.  He
> said that the decision is mine to make.

    Bit of a cop out.  But if the oral surgeon seems uncomfortable with
either the surgery or guiding you to what would be the optimal decision,
I'd probably go for a second opinion.
    I would also probably solicit the first surgeon's feelings about
watchful waiting in your case.

Good luck,
Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Newbie - 16 May 2006 00:13 GMT
>I do trust this oral surgeon.  

Then trust his judgement. After 40 if there are no problems
or pathology things will likely stay that way.

>If I don't have them taken out now it will be a worry in the back of my
>mind that something really bad might happen later in life.

There are some things that can happen, but that doesn't
mean that the will. And the 'bad things' are relatively rare.

>I really need help in deciding what I should do.
>Thanks, Sasha

Wait and see, get them checked and x-rayed yearly.
bubbles - 16 May 2006 05:14 GMT
Hi,

I would probably advise against it, unless you have some pain
associated with it.  I have many friends that regretted doing it at
even younger ages.  There is actually a great website out there where
you can look at what some of these surgical images look like.  I just
stumbled upon this site, but it gives you some great info.  The main
site is http://www.netdds.net, but the page you might be interested in
is: http://www.netdds.net/ContentPages/contentOs.html

Fred.
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.