Wisdom teeth are an enigmatic Evil: No one wants you, but most of you have.
“Why they are there, no one knows,” says Prof. Torsten Reichert from the University hospital Regensburg. And because you will not really place in the mouth, they must be frequently moved.
For many hundreds of thousands of years, humans have 32 teeth, 8 on each side and floor. Wisdom teeth are the eighth and pierce through to the end.
In the case of our evolutionary ancestors, there was still no space problems. But in the course of the Evolution of head and brain were larger, the masticatory apparatus, however, small.
Wisdom teeth cause problems – but not always
“There are people that can chew with all the wisdom teeth well,” says Joachim Hüttmann, dentist in Bad Segeberg. Often, however, the “Eighth could not place themselves” on a regular basis.
Many of them grow out then: “If space is so tight, you have to take the last of what is left over,” says Reichert. Some even stay up and the only skin with a hump through the mucus.
Problems wisdom teeth often cause: inflammation and feelings of tension are also possible, such as a resolution of the bone or the formation of a cyst around the Tooth. Also neighbouring tilting of teeth or dissolution phenomena.
The wisdom teeth break through to the 20. Age of by. A distance should be 25 to. Birthday happen. “Then the roots are formed, but the surrounding bone is still easy to remove,” explains Hüttmann. Later, complications threaten.
Dentists pull out a little earlier today
Or not? Two reasons for the rash. The first; if there is an acute complication in the breakthrough – an infection around the tooth crown, which caused open in severe pain and restrictions in the Mouth.
And the second: if it is likely that the wisdom teeth will eventually make complications.
The corresponding guideline of the professional societies has been changed in the year 2019. “In a difficult situation of the tooth is now made of a three-dimensional x-ray image,” Hüttmann.
“On the PC of the doctor, and travels through the bone and detects whether there is contact between the nerve and the root of the tooth.” The nerve supplies the teeth of a jaw half and half of the lower lip.
Sometimes the teeth are roots close to the nerve or involve it even. “If you pull the Tooth then just get out, by tearing the nerve.”
Already 20 years ago, it has drawn from these reasons, wisdom teeth – “maybe now, but they tend to be a little more”, Reichert, the Director of the clinic and polyclinic for mouth, jaw and facial surgery at the University hospital Regensburg is prohibited.
SURGERY lasts under local anesthesia per Tooth for 10 to 15 minutes, in the case of very demanding teeth, you can take up to 30 minutes.
The Patient has the last word
“Ultimately, the Patient decides whether or not the Tooth is actually pulled,” says Hüttmann. Some reject the. “But you can rely on the evaluation of an experienced surgeon. If I say the Tooth is gonna make Trouble, then the probability is very high.”
Other patients want to even get all four teeth pulled once.
“The doctor needs to look at whether this is a good idea,” says Reichert. “And Yes, some limitation of the local anesthetic.”
It distributes the Pull on two sessions, once to the right, once to the left, “the Patient has the advantage that he can chew post-operatively on a page.”
Deutsche Presse-Agentur (dpa)
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