These are the complications of wisdom teeth eruption
Often there is not enough space for the wisdom teeth. Often they are also displaced, i.e. they are not in the optimal position or are in the wrong axis. In the end, this leads to them trying to grow out of the jaw at an angle.
The problem here is that the crowns of the wisdom teeth can then dissolve (“resorb”) the roots of the permanent teeth. This loosens the permanent tooth. The pressure to the front sets the entire row of teeth into small movement, so that the teeth can be displaced.
So-called “gum hoods” are a common problem. This means that the gums cover the tooth a little bit but do not stick to it. This creates a niche for bacteria and food which likes to settle there and lead to a very painful inflammation.
Because of the proximity between the jaw, jaw joint and ear, the pain can radiate into this area. In severe cases of a so-called “dentitio difficilis”, an aggravated tooth eruption, an abscess or cyst can develop, as bacteria can get under the gums. In addition, oral hygiene can be difficult due to the limited space available.
In particular, the wisdom tooth that has not yet completely erupted is hardly ever caught during normal tooth brushing. Therefore, caries of the wisdom teeth is not uncommon and can lead to considerable pain. An inflammation of the wisdom tooth during the eruption is not uncommon.
The eruption has more complications than the rest of the teeth. Often there is not enough space behind the last molar for the wisdom tooth to grow out. If the wisdom tooth cannot completely grow out of the bone with its crown, the gum is not pushed aside completely.
Bacteria can get between the tooth surface and the gums. They nest in the small cavity (“gum hood”) and multiply. This place is optimal for the growth of bacteria.
On the one hand, the oral cavity is always warm and humid, on the other hand, they get nutrients from the food they eat. Even thorough brushing of the teeth cannot clean sufficiently under this gum hood. The accumulation of bacteria leads to inflammation.
The pain of the inflammation is caused among other things by the fact that the pressure in the cavity increases and cannot be balanced. In the same way, any pus that may have formed cannot drain away. Usually the organism of young healthy teenagers is strong enough to fight the inflammation.
Often, however, in case of inflamed wisdom teeth, removal is recommended. This might also be of interest to you: Surgical removal of wisdom teethAs soon as the wisdom tooth has broken through the jawbone, it must still push through the gums. In many cases there is not enough space in the dental arch, so the tooth cannot break through completely.
If the crown of the tooth is not long enough, it cannot penetrate the gums completely. This usually leaves a small gum hood on the back side that overlaps the tooth. This is where food remains can reach that are difficult to reach with a toothbrush.
Over time, the gums can become inflamed with bacteria that form a so-called gum pocket. It is important that the wisdom tooth is cleaned especially during the eruption. During the eruption, small pockets also develop.
At one point, the tooth may already have erupted and made a hole in the gums. Bacteria can also enter through this hole and migrate down the root. If the problem occurs again and again, you can also consider removing the wisdom teeth.
