In the article we will figure out if there is a nerve in the wisdom tooth.
These teeth are the most distant, they usually erupt in a person already in adulthood. Despite the fact that they do not differ in appearance from others, 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.
Building features
The structure of the wisdom tooth is absolutely no different from all the others. And, of course, they also have nerves.
How many nerves are in a wisdom tooth? The number of roots in the third molars varies: there may be four or five, or maybe even one (when several canals grow together).
The specifics and features are different:
- Such jaw elements erupt much later than others, approximately at the age of sixteen to twenty-five.
- Problems in people begin, as a rule, already at the stage of teething, as theybegin to grow when all the other teeth have already taken a free place within the jaw, and, therefore, a wise brother needs not only to get through the gums, but also to find a site in the jaw, literally pushing the neighboring ones.
- "Eights" are extremely difficult to treat, as they are located in such a way that it is extremely difficult to get to them with the help of dental instruments, in this regard, 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, let's move on to discussing the treatment and extraction of this type of teeth in patients.
Treatment or removal: what is better to choose?
Often, patients are asked whether wisdom teeth are treated at all, 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 "eight" and the severity of the disease. Is there a nerve in the wisdom tooth, we found out.
Because it is virtually identical to other teeth other than its location, it is subject to the same diseases as the rest. Let's analyze the probable pathologies of the "eights" and 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 clean them completelyimpossible. Often, a carious cavity is formed in a hard-to-reach place, which is why it is very difficult to fill the third molars with high quality. Sometimes a dentist immediately recommends removing a tooth if it is not possible to carry out high-quality treatment and filling.
In the event that a dentist is not contacted in a timely manner about caries of wisdom teeth, complications may occur in the form of pulpitis or periodontitis. How many nerves are in a wisdom tooth is indicated above in the article, and therefore the treatment can be very difficult and painful.
Since the root system of the "eights" is very complex, sometimes removing the nerve, just like filling the canals, is impossible. In this situation, you will definitely have to proceed with the removal. Therefore, caries should not be taken lightly, 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 located incorrectly, it will be very difficult to get close to it, all the more impossible to perform a full treatment. Therefore, sometimes it is necessary to remove the third molars even with the presence of a mild or moderate degree of caries - that is, in situations where any other tooth could be healed and sealed without problems. Dentists warn patients that the sooner a person turns to a doctor, the more likely he is to save a bad tooth. Therefore, at the first symptoms of this diseasesee a doctor immediately.
Patients often ask if the nerve in the wisdom tooth is removed.
In the event that the "eights" are located correctly, it is possible to get close to them, and the patient turned to the doctor for help in a timely manner, then medical and therapeutic treatment can be carried out. The antibiotic itself, most likely, will not help, it serves only as an auxiliary therapy and is prescribed in case of depulpation. If the doctor decides to remove the nerve, further antibiotic therapy may be needed to prevent the spread of inflammatory processes.
When a wisdom tooth aches and hurts, pills can do little to help either. Unless the doctor can recommend painkillers in order to relieve pain after canal filling. You can also take painkillers before visiting the doctor, but in any case, the visit to the doctor should not be postponed for a long time. After all, if 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?
Do I need to remove the nerve from the wisdom tooth?
What is popularly called the dental nerve is actually a neurovascular bundle with a complex structure. It is surrounded by pulp. Thanks to this tissue, the tooth reacts to external influences: for example, it feels hot and cold food. The pulp is a barrier to entry of pathogens.
At the initial destruction of the tooth by caries, the nerve does notaffected, but if the carious process deepens, then the bacteria penetrate into the pulp chamber, causing inflammation. In this case, the person experiences severe pain, which intensifies at night. That is why the question of removing the nerve often arises.
Pulpitis is a disease that almost always requires partial or complete removal of 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?
Modern dentistry uses techniques that allow reliable anesthesia of the tooth so that the removal of the nerve goes smoothly.
Wisdom tooth: consequences of removal
Since wisdom teeth are located in the most inaccessible area of the jaw, often the only treatment method is their removal. Indications for removal are:
- Situations when a tooth is not positioned correctly, erupting horizontally or at an angle and touching 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.
- Presence of caries lesions (a common complication is perforation of the canal and the bottom of the dental cavity) in the event that all medical manipulations are impossible due to inaccessibility or incorrect location in the patient's mouth.
- When pulpitis or periodontitis occurs.
- In the event that the tooth has grown roots into the maxillarysinus.
In these situations, removal is considered the only possible and reasonable treatment option. Now let's find out how the deletion is performed.
How is the deletion performed?
It is very unpleasant when the nerve of the wisdom tooth hurts.
The third molar is removed under local anesthesia. In the presence of an impacted 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 they liquidate the G8 itself.
In particularly difficult situations, the doctor will be able to decide on the removal in parts. After the operation, the periosteum and mucous membrane are restored with sutures. The wound site (hole) is treated with an antiseptic solution and tamponed. In the event that the removal was carried out correctly, then a blood clot is formed in the hole, which prevents the infection from penetrating into the wound.
Possible Complications
These include:
- The presence of a dry socket, that is, a blood clot has not formed at the site of tooth extraction, which would prevent the penetration of pathogenic bacteria and infections into the wound.
- The appearance of a tumor, that is, after the removal of the gums, they swell, and after a few days, with proper care, the swelling usually disappears.
- Development of perforation of the bottom of the maxillary and maxillary sinus.
- Occurrence of numbness of the lips, chin or tongue, which occurs due to the fact that the nerve endings were injured during the removal process.
In all of the above cases, you mustimmediately seek help from a dentist and in no case self-medicate.
Healing after removal surgery
Usually, if there were no complications during the operation, healing after the 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, you can take painkillers. As a rule, the most suitable medication is recommended by the doctor.
On 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 consume liquid and soft foods. Also, you can't play sports. By adhering to all medical recommendations, a person will facilitate the healing process.
Should wisdom teeth be removed at all?
In fact, any incisor in the oral cavity has its own purpose. Doctors, as a rule, are not supporters of the removal of "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 the general condition of the surrounding incisors, then you should not touch the "eight" at all. When uncomplicated caries is detected, wisdom teeth can even be cured, and in more advanced cases affecting the nerves (for example, against the background of pulpitis), or with periodontitisshould still consider deleting.
Why does a wisdom tooth hurt without a nerve?
Unfortunately, it is not uncommon for a person to bring his own teeth to such a stage of destruction when it is simply necessary to remove the nerve.
It is also noteworthy that many perceive this forced medical decision as a panacea. People think: “Let them remove it, but in the future nothing will definitely bother and hurt.” At the same time, few of the patients wonder what is the meaning of the nerve fibers, which are 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 as long as 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 again belongs to the category of myths. And sooner or later it dissipates absolutely 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 moment of a visit to the doctor, when suddenly a “dead” tooth, along with the area adjacent to it, will make itself felt extremely unpleasant.
So, what are the reasons why 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. Options may be immediatelymultiple:
- When a patient has a toothache without a nerve, it may be a consequence of the fact that bacteria have been introduced into the jaw tissues through the root canals due to caries. Under the action of microscopic organisms, the jaw bone loses its tone, and decay products lead to inflammation. The result, as a rule, is the appearance of pain.
- A "dead" tooth can make itself felt if before that it was de alt with by a not quite qualified doctor. Removal of a nerve is a procedure that requires a very high professional level that a dentist must have, and any mistake, along with imperfection, in this case is fraught with subsequent complications. Thus, in the event that the dental canal was not filled with filling material after removal throughout (or when the seal was not made tightly enough), space may remain in it and a favorable environment for the appearance of pathogenic microorganisms may arise. The result is inflammation and pain.
Finally, even when the tooth is properly sealed, but the patient has gum pathologies in the form of gingivitis and periodontitis, and elementary hygiene rules are simply not observed, a favorable environment appears for the reproduction of bacteria. Dental ligaments are destroyed, the infection gets deep under the gum, and as a result, inflammation occurs and a tooth without a nerve starts to hurt.
Thus, when a person is faced with the problem of pain in a “dead” tooth, he shouldyou can quickly contact the dental clinic 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 anyway?
Do people need wisdom teeth? This is a fairly common question asked by millions of patients who come to the dentist's office. In ancient people who lived tens of thousands of years ago, the jaws were larger and much more massive, so more teeth could fit there. This helped to chew hard, and, in addition, tough food. Over time, the need for this disappeared, in connection with this, wisdom teeth gradually became a rudimentary element.
Of course, only nature knows the exact answer why they grow in modern people, but one should not assume that they are absolutely useless. Despite the fact that the third molars practically do not participate in the distribution of chewing loads, the “eights” 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.
