It’s no secret that the extreme molars of the upper and lower dentition often become problematic teeth. These appear between the ages of 25 and 40 and complete the formation of the jaws. Known as the wisdom teeth, they look absolutely no different from other multi-rooted dental units, however, due to late eruption and the presence of highly curved root canals, their treatment is considered one of the most difficult and topical tasks of modern dentistry. Root Canal Treatment for Wisdom Teeth Dubai, Abu Dhabi & Sharjah should only e performed by an expert who has experience dealing with the issue.
What are the Issues?
Starting to erupt with almost fully formed dentition, because of which they sometimes simply do not have enough space, wisdom teeth often cause the following problems:
- Full or partial immersion in the soft or bone tissues of the jaw (impacted or semi-impacted teeth)
- Incorrect location, leading to the extrusion of nearby teeth from the dentition, the development of caries, displacement, inflammation, or resorption of the roots
- Malocclusion
- Pericoronitis or inflammation of the hood of the wisdom tooth
- Periodontitis or inflammation of the gums due to poor-quality cleaning of dental deposits
- Should you keep or remove your wisdom teeth?
- Despite the problematic wisdom teeth, professional dentists recommend removing them only if there are serious clinical indications. These include:
- Incorrect position in relation to the gum (horizontal inclination of the crown);
- Lack of space in the dentition.
- Crowding of teeth.
The development of severe inflammation and suppuration of soft and bone tissues during an eruption from the gums.
At the same time, there are situations in which it is more expedient to keep the:
- Anatomically correct position of the tooth in the gum.
- The presence of an antagonist and the active participation of the eighth teeth in the process of chewing food.
- The need for fixed prosthetics (in the absence or early removal of the seventh tooth in front);
- Sufficient patency of the root canals allows for high-quality filling in the treatment of pulpitis, periodontitis, or cysts of the wisdom tooth.
What is a Root Canal?
In addition to enamel and dentin, any tooth has an extensive internal cavity. Its main part is called the pulp chamber. Thin tubules depart from it. They are located along the entire length of the roots. These are the root canals. Different groups of teeth have different numbers of roots. Accordingly, the number of channels is also different. Anterior teeth have only 1 canal. Side groups can have from 2 to 4 of them.
Dental tubules are narrow tubules with many branches. They originate at the top of the root. This place is called the apical foramen. From here, neurovascular tissue passes to each root. If it is inflamed or dead, it is removed during endodontic treatment. Next, the resulting cavity is cleaned of its residues, disinfected, and sealed.
How is the Treatment Performed?
The general treatment course includes diagnostics, therapeutic manipulations, and subsequent dynamic monitoring of the patient’s condition. The treatment process takes place in stages.
The first step is a clinical diagnosis. Due to the special location of the dental canals, radiography is considered the most informative diagnostic method. Based on the picture, the doctor evaluates the position and length of the canal, the appropriateness, urgency, and methods of manipulation. With a pronounced inflammatory process and in the presence of complications, computed tomography may be recommended.
The second stage includes the study of the patient’s dental history, and the choice of anesthesia – usually an injection into the gum in the immediate vicinity of the diseased tooth.
The third stage is the preparation of the tooth with a bur to gain access to the pulp. The hole is drilled on the chewing surface – in the case of painters, on the back – in the case of fangs and incisors.
Next, the doctor de-palpates the tooth, cleans, disinfects, forms the root canal, and seals it. As for filling material, modern dentists most often use a special rubber resin – gutta-percha. In some cases, the doctor puts a temporary filling, with its subsequent replacement with a permanent one.
Takeaway
The dental department of Enfield Royal Dental Clinic provides a full range of therapeutic, surgical, and orthopedic dental services have all the necessary equipment for the treatment and removal of wisdom teeth. The high professional level of our doctors and an individual approach to each patient guarantee the optimal solution to dental problems of any complexity.
