Causes

Since the wisdom tooth is the last to break through, there is usually no room for it, which can lead to malpositions in the rest of the dentition. However, the tooth itself can also be stored routinely and cause complications due to its malposition. Each of these possibilities causes problems for the patient and is usually accompanied by painful inflammation, which can only be eliminated by removing the tooth.

In most cases an inflammation occurs when the wisdom teeth have only partially erupted. This makes it easy for the bacteria to get through the gums into the tooth pockets unnoticed and spread there. The tooth pocket becomes inflamed, first pain symptoms appear and the gums begin to swell.

Pressure effects on this area are very unpleasant. If it remains untreated, an accumulation of pus develops, which can penetrate into the surrounding tissue. In the worst case, an abscess can develop.

An abscess is an encapsulated cavity filled with pus. It also has an unpleasant taste and the mouth opening is restricted. Due to the fact that the 8s are located very far back, they have a close relationship to the temporomandibular joint and hinder the maximum mouth opening in case of inflammation.

In some situations it can also happen that the second molar, i.e. the 7 molar, hurts because the wisdom tooth presses on it due to an unfavorable position. The strong pain can usually not be relieved with common painkillers and a visit to the dentist is unavoidable. Another reason for an inflammation of the wisdom tooth can be the fracture.If a piece of the wisdom tooth breaks off, the dentine canals are often exposed and the dental nerve is irritated and painful.

If the fracture gap reaches the pulp directly, the pulp becomes infected with the bacteria of the oral cavity. This so-called tooth pulp inflammation can then spread to the tip of the root and into the surrounding tissue. Other signs besides pulsating pain for wisdom teeth inflammation can be an unpleasant pressure in the jaw angle, headache, bleeding gums, a swollen cheek, foreign body sensation under the gums, difficulty swallowing and facial pain.