Treatment
If the above mentioned symptoms occur, it is advisable to consult a dentist, especially in case of severe pain. Not in every case it has to be wisdom teeth inflammation, but if it is, the dentist will examine the affected area and take an x-ray. The spread of the inflammation is analyzed, the position of the tooth in the jawbone is assessed and an extraction (removal) of the tooth is weighed.
A common practice nowadays is that wisdom teeth are often removed very early, even if they do not cause any problems, in order to avoid future dangers. However, depending on the case and the treatment situation, this should be carefully considered, as it is a medical procedure that also involves risks. Antibiotics can be administered, but only if the cause can be eliminated.
However, if the tooth is not worth preserving, for example, because it is too badly damaged by caries, taking such medication would not have much effect and the tooth must be extracted. Preoperative treatment with antibiotics should only be attempted in certain situations (weakened immune system). If a tooth pocket has developed, it can be cleaned by the dentist and closed again after the tooth has completely erupted.
If there are no space problems in this case, the tooth can be preserved and offers a good bridge anchor for a possible later intervention, for example. If an abscess had already formed, it is opened and emptied, which causes an abrupt relief of pain. The pressure is relieved with this procedure and the surrounding tissue or nerves are not further stressed.
If, however, an extraction is unavoidable, among other things due to a malposition, a surgical procedure is prepared. Depending on the case, this can be differently complicated and time-consuming. If the tooth is completely erupted, the removal is usually somewhat easier.
A block anaesthesia is often sufficient, but a short anaesthesia is also possible at the patient’s request or due to necessity. The pain becomes weaker in the course of the following week after the operation until it disappears completely. Sometimes an antibiotic is prescribed after the extraction if the area around the removed tooth was highly inflamed.
As a complication after the operation, it is possible that the bone cavity becomes inflamed, wound healing disorders occur on the tooth, infections develop or tissue death may occur. In the lower jaw, the nerve may be severed or damaged during the operation, as the roots of the wisdom tooth often reach up to the nerve canal. However, this happens in less than 1% of cases.
Later numbness of the affected side of the lower lip, which can be temporary or permanent, is the consequence. If all four wisdom teeth have to be removed, this is usually done in two separate procedures. Antibiotics should only be prescribed in exceptional cases, if they are really necessary.
If they are taken too frequently, the antibiotic will eventually stop working. Slight signs of inflammation alone are no reason to prescribe them, since painkillers such as ibuprofen can also help here. This is due to the anti-inflammatory effect of the drug.
Only when the signs are getting worse and worse, and the pain is accompanied by redness or swelling, should an antibiotic be taken. In individual cases, however, it is up to the dentist in charge to decide on this and to initiate the correct treatment measure. In no case one should take a medicine rashly without having obtained a professional opinion.
The risks would be too high here. There are many home remedies against inflammation. Cooling the aching cheek with a cold pack is very simple.
This causes the blood vessels to contract and the pain is relieved. Here it is important to take cooling breaks and not to cool for longer than 10-15 minutes at a time. The breaks should be as long as the cooling phases.
Rinsing with strong chamomile tea is another good method of supporting the treatment of inflammation, as chamomile tea has an antibacterial effect.Similar effects are said to be caused by cloves, which are also supposed to relieve pain. For this, oil of cloves can be drizzled on the affected area or 2-3 cloves can be chewed. Garlic has an anti-inflammatory effect.
To develop it, a clove must be chewed or crushed against the aching tooth. Onion develops antiseptic effect when chewed for about 5 minutes on a raw slice. Furthermore, it has an antimicrobial and an antibacterial effect.
Therefore pain is relieved and causing germs are killed. Finally, sage should also be mentioned. An anti-inflammatory and pain-relieving effect unfolds when rinsed with strong tea, which should be done several times a day.
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