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Medical Forum / General / Dentistry / March 2007

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Mouth ulcer caused by wisdom tooth?

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*Darren* - 15 Mar 2007 14:55 GMT
Hi

I have a top right wisdom tooth that is growing pretty much outwards towards
my cheek.

My mouth is small and the tooth is in an awkward place, i can feel it with
my toungue but it is almost impossible to see with a standard mirror.
Therefore I think any procedure to have it taken out will be xtreme! What do
dentists do when wisdom teeth are hard to reach?

My problem is that I have started to get an ulcer on my cheek, right next to
the wisdom tooth that must be touching my cheek at all times.

Is this the likely cause of the mouth ulcer?

It did clear away but a couple of weeks later and a new one has formed..

regards
Mark & Steven Bornfeld - 15 Mar 2007 15:39 GMT
> Hi
>
[quoted text clipped - 14 lines]
>
> regards

    You should not assume that extracting this tooth will be any flavor of
extreme.  In fact, unless there are really twisty roots it will probably
be a piece of cake.
    The only permanent tooth ever removed from my mouth was one of my upper
wisdom teeth--very much like yours, and no problems, even for a sissy
like me.

Steve

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

*Darren* - 15 Mar 2007 15:45 GMT
> You should not assume that extracting this tooth will be any flavor of
> extreme.  In fact, unless there are really twisty roots it will probably
> be a piece of cake.
> The only permanent tooth ever removed from my mouth was one of my upper
> wisdom teeth--very much like yours, and no problems, even for a sissy like
> me.

Hi Steve

thanks but I do not see how a dentist will get his instruments to my wisdom
tooth properly. I don't understand, unless they dislocate my jaw to get at
them
Mark & Steven Bornfeld - 15 Mar 2007 16:02 GMT
>> You should not assume that extracting this tooth will be any flavor of
>> extreme.  In fact, unless there are really twisty roots it will
[quoted text clipped - 8 lines]
> wisdom tooth properly. I don't understand, unless they dislocate my jaw
> to get at them

    Don't take this as patronizing, but it really doesn't matter if YOU see
how a dentist will do it, as long as the DENTIST sees how.
    These teeth are often--even USUALLY in buccal version (toward the
cheek.  You are probably feeling this with your finger with your mouth
open wide.  You can feel no access because with your mouth open wide the
tooth is likely very close to the coronoid process of the mandible
(lower jaw).  If you close your mouth even a little, you will probably
be able to insert your finger to the side of the tooth--and the dentist
will be able to utilize this space.  Even if there is not sufficient
space (doubtful) for forceps, it is probably that the tooth can be
removed with an instrument called an elevator, used with an approach
from the roof of the mouth.
    The chances of any real problems are really very, very slim.  Oral
surgeons see way worse than this every day and handle it without problems.
Really.

Don't worry,
Steve

Signature

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

*Darren* - 15 Mar 2007 16:04 GMT
>>> You should not assume that extracting this tooth will be any flavor of
>>> extreme.  In fact, unless there are really twisty roots it will probably
[quoted text clipped - 23 lines]
> surgeons see way worse than this every day and handle it without problems.
> Really.

Thanks steve

what actually is the procedure for taking out a tooth?

Last time I had a lower tooth taken out and that involved appyling pressure,
which seems odd if he's mean't to "pull"
Mark & Steven Bornfeld - 15 Mar 2007 16:47 GMT
>>>> You should not assume that extracting this tooth will be any flavor
>>>> of extreme.  In fact, unless there are really twisty roots it will
[quoted text clipped - 32 lines]
> Last time I had a lower tooth taken out and that involved appyling
> pressure, which seems odd if he's mean't to "pull"

"Pull" is a figure of speech.

Steve

Signature

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

Newbie - 15 Mar 2007 22:36 GMT
>> Last time I had a lower tooth taken out and that involved appyling
>> pressure, which seems odd if he's mean't to "pull"
>
>"Pull" is a figure of speech.
>
>Steve

'pull' my finger
Newbie - 15 Mar 2007 23:05 GMT
>>> You should not assume that extracting this tooth will be any flavor of
>>> extreme.  In fact, unless there are really twisty roots it will
[quoted text clipped - 27 lines]
>Don't worry,
>Steve

Look guys bucco-verted upper wizzies are usually very simple.

Minnesota retractor and a 34s ==> hop and pop
for root proximity cases a 301 or a 77R is substituted.

Palatal approach is very seldom and almost impossible.
Forceps ?  Who needs 'em.
Emily - 15 Mar 2007 21:35 GMT
> Hi
>
[quoted text clipped - 14 lines]
>
> regards
Hi there. I am not a dentist, but I have had all four wisdom teeth out,
and they were way more complicated than your situation, but I had no
complications.

Mine were impacted and heading for the roots of the teeth next to them.
I was blessed to get the VERY straight teeth gene, and my teeth were
being moved by the wisdom teeth. Also, the part of my mouth that always
reacts to stress by getting canker sores is the area where my wisdom
teeth are/were.  so, I opted to have them all out.  In order to do this,
the surgeon had to cut open the gums and chip the tooth out of the bone.
She numbed me, and I got some I.V. sedation, and I remember handing my
glasses to the nurse and the next thing I knew she was putting them back
on my face as I was waking up.  It took only about 45 minutes, which
amazed the dentist because she said it was a fairly difficult
procedure--had to chip the teeth out in many parts.

Well, for the first few nights I slept with my head up, to help with
swelling. (I told all my younger cousins to do this when they had theirs
out, but they didn't cause the dentist didn't mention it.  They had lots
of swelling and other complications...)  When I went back for my one
week check-up the oral surgeon was amazed at my healing. She said if she
hadn't done this herself only a week ago, she would have said I was at
least three weeks out, as I was nearly totally healed. She cleaned otu
the sockets as best she could, gave me a syringe to clean them out, but
said I might not even be able to use it by the next day, because they
would likely be healed over and they looked great!!  So, mine was
complicated, but I had a great outcome.  Now, YMMV, but yours is not so
complicated, the tooth has erupted, (mine never would have) so it should
go fine. Obviously there is always a chance of complications, even with
the best surgeon, but they are generally minimal, and if you follow
proper after care (I do recommend sleeping with the head elevated BTW),
and know what to look for in complications so you can catch them early,
things should go just fine.  As Steve said, you don't have to know how
to do the procedure, just pick a great dentist who does!!
Emily
 
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