Why do some foreign doctors not recommend wisdom teeth extraction, while many domestic doctors do?

Wisdom teeth don't have to be pulled out, but they don't have to wait until something goes wrong. As a dentist, my answer is: it is not an incurable disease to pull out wisdom teeth. What doesn't exist abroad is better than ours. Wisdom teeth erupt at the latest, mostly because the jaws are underdeveloped, often uneven, and there is a serious risk of oral diseases. So it is often recommended to remove it.

Wisdom teeth, also known as wisdom teeth, are called the third molar in medicine, and most of them begin to appear in the mouth at the age of 18. However, with the progress of human civilization, great changes have taken place in the environment and diet, and the development of maxilla and mandible is gradually deteriorating. Therefore, many people have more or less problems with wisdom teeth, and even some groups have no wisdom teeth or fewer than four.

Some people think that existence is reasonable, and since it belongs to a tooth in the mouth, it should not be pulled out rashly. It is true that wisdom teeth do not need to be removed as long as they erupt normally, have a good occlusal relationship and can undertake important chewing functions.

Unfortunately, wisdom teeth are not easy to clean, and most of them don't grow well, either they don't grow together, or they lean against the second molar, or they are prone to food impaction, or their gums are often inflamed. Therefore, it is very necessary to remove wisdom teeth early and eliminate hidden dangers, and we will regret it if it develops into a big problem.

After talking about the disadvantages of wisdom teeth, let's talk about its useful side. In clinical work, there are two main applications of wisdom teeth that people hate.

The first is the implantation of isolated teeth. That is to say, if the molars in other parts have a large area defect and cannot be preserved after root canal treatment, we can consider removing wisdom teeth as soon as possible, implanting them into the extraction socket, and observing for a period of time to stabilize and exercise chewing function. The second is orthodontic traction to repair molar defects. Many times, after six-year-old teeth fall off early due to poor oral hygiene maintenance, we can consider pulling wisdom teeth forward by orthodontic means to replace molars.

Wisdom tooth extraction, with the update of medical technology and knowledge, anesthesia and instruments have been improved, especially painless injection and minimally invasive tooth extraction, without too much pain and fear.

In addition, before tooth extraction, it is necessary to improve the relevant inspection. If you have hypertension, diabetes, coronary heart disease, etc. It is necessary to control stability and avoid fasting. After tooth extraction, you can ice the operating area, eat lightly, maintain oral hygiene, and take antibiotics and painkillers orally when necessary to prevent infection and relieve pain.

Whether wisdom teeth need to be pulled out or not, even doctors who have just started to work can master the indications for tooth extraction. Not all of them need to be pulled out, let alone delayed. In addition, foreign wisdom teeth extraction is not necessarily better than domestic wisdom teeth extraction, but the cost in many countries is ridiculously high. Every year, we receive many patients who fly back from abroad to have their teeth extracted. According to them, it takes tens of thousands to pull out a wisdom tooth abroad, and the difficulty will increase a lot.

That's because you think foreign moons are round! Don't pull out your wisdom teeth when they are straight, and no dentist will come to say that you should pull them out if you have wisdom teeth. Only when there is a problem with the wisdom tooth or the position is not correct will it be recommended to remove it! So there is no distinction between domestic and foreign countries, and I tell you, it is impossible to pull out a tooth abroad without tens of thousands of RMB, while China only has 1800, depending on the region!

One of my wisdom teeth is crooked and leans against the next one. I've been afraid to pull it out. It's been 10 years without pain. It has started to hurt recently. I found that the root of the next tooth was damaged by the tooth piece. The doctor said it's a pity that the next tooth [tears streaming down her face] leaned against the long root and touched the neural tube below. My tooth was bleeding this morning, and I had two stitches. No problem with tooth extraction. Then you need to do root canal treatment for the next tooth immediately, and you may have to get braces later. I regret not pulling it out earlier, so I don't even have to spend money. Treatment of toothache requires frequent appointments. It takes at least three times to treat my next tooth. Going back to work must be getting busy. I don't have time to have my teeth treated first, so forget it. I suggest friends go and have a look early. The wisdom teeth must be pulled out as soon as possible! [Cover your face]

Blood test before tooth extraction. After tooth extraction, the material is put in the tooth (I don't remember). Because the nerve tube is exposed, the blood can't stop when sewing the needle at the back. There is still bleeding after biting the cotton ball for more than 1 hour, and hemostatic materials are put in. The total cost is * * * 65,438+0,300 (excluding the dental piece, the other tooth was taken when it was made 65,438+0 months ago). Although it is not cheap, it is acceptable! I pulled it out in a private dental clinic, because it's close and convenient to make an appointment, and a big hospital can't make an appointment at all!

It has evolved for hundreds of millions of years, and its existence is reasonable. Pulling it out will definitely affect the gums or the teeth next door. Doctors like to pull it out because it is difficult to treat it inside.

In my experience, after taking an X-ray, the dentist will tell you which wisdom tooth to pull out. I will check and wash my teeth regularly. Both wisdom teeth (long crooked) were found to have cavities when I was washing my teeth, and I was worried that it would infect other teeth if I didn't brush them well for a long time, so I pulled them out. In order to compare the difference between public and private dentists (I also work hard), I chose one in a large chain dental clinic, with a doctor (deputy chief physician) and a nurse. The whole process (with anesthetic) was very relaxing and the experience was good. The price is 700! The other one was pulled out in the dental surgery department of the third-class hospital. A doctor (attending physician) manages four consulting rooms and a nurse manages two consulting rooms. Give an injection and wait for the tooth to be extracted in one breath. My roots are not complicated, so it took me more than ten minutes. The doctors shuttled through the consultation posts in wheelchairs [tears streaming down their faces], and finally signed the bill and left [I want to be quiet], brushing medical insurance 180!

Whether your wisdom teeth should be pulled out depends on how long your wisdom teeth are.

I have four wisdom teeth. When my left cheek grows out, it squeezes the meat, but not the other teeth. So the doctor said to cut off the extruded meat, but don't pull out the teeth. The other two, one normal, one pulled out, regardless of the advice of doctors at home and abroad. What you said didn't happen.

One of my wisdom teeth is crooked, and it will become inflamed almost every once in a while, and then I will take medicine to reduce inflammation. This situation lasted for more than twenty years.

As a native of Shandong, I usually like to eat raw green onions, garlic and sometimes some peppers, so my gums are more prone to inflammation. By 20 18, the pain was severe, which coincided with being abroad. Although there is a dentist nearby, it's too expensive to see it. I looked in the mirror with a flashlight and found that the gums of the big teeth next to me were swollen and suppurated. I pricked it with a needle, squeezed out pus and washed it with salt water. Later, when the pain was severe, I went to the drugstore to buy painkillers (you can't eat too much, which is harmful) and pay attention to your diet. The situation has eased slightly.

After returning to China for vacation, I went to the hospital to see a dentist. After the examination, I said that the big tooth next to the wisdom tooth was broken and needed to be pulled out and inserted again. It takes more than a month before and after. Because the holiday was not that long, the hospital didn't pull out teeth.

After a day, I can't get over it. What should I do if my teeth are inflamed and painful? After all, going out for a stay is half a year. I went to a dental clinic and asked the doctor to pull out the crooked wisdom tooth, which cost 80 yuan. Later, due to careful diet, the inflamed big teeth gradually got better. It's been a year and a half now, and it hasn't hurt.

Foreign doctors do not recommend wisdom teeth extraction, which varies from person to person. I worked in a dentist's office in Australia for four years. I have worked with dentists from Britain, Serbia, China, India and Uzbekistan (dentists trained in these countries immigrated to Australia and passed the Australian Dentist Qualification Examination), and I have also worked with dentists trained in Australia. I found that the probability of wisdom teeth being recommended by dentists depends on my own situation. If they are impacted wisdom teeth (impacted wisdom teeth are the third molars that don't have enough room to grow or develop normally at the back of the mouth), dentists usually recommend pulling them out. If it is normal, it is not recommended to pull it out.

My wisdom teeth were pulled out like a swollen pig's head in Germany. I asked the doctor that there are very few people who are not swollen normally. Are foreigners gods? Do you have wisdom teeth that don't take medicine?

It is true that not all "wisdom teeth" need to be pulled out. In the following cases, it can be pulled out or temporarily pulled out.

(1) If the maxillary teeth erupt normally, the occlusal relationship is good, and they can function, they may not be extracted.

(2) If you are older, have never suffered from pericoronitis, and the adjacent teeth have no caries, you can temporarily not pull them out and observe their changes.

(3) If the second molar located in front of the third molar can't be treated due to dental caries or periodontal disease and needs to be pulled out, the third molar should be kept for restoration.

(4) For patients who have established a good relationship with the opposite jaw teeth and are often inflamed due to gingival covering, if the tooth position is normal and the covered gingival flap is removed during the non-acute inflammation period, the "wisdom tooth" may not be removed.

Whether it is necessary to remove the "wisdom teeth" after orthodontic treatment, in addition to the above situation, we should also consider whether the "wisdom teeth" will affect the maintenance of orthodontic effect.

In the process of eruption of wisdom teeth, if the eruption gap is not enough, it will promote the incisors and easily cause or aggravate the crowding of incisors. Therefore, whether the "wisdom teeth" that have sprouted in place should be removed can be considered according to the above criteria. For "wisdom teeth" that have not erupted, it is necessary to consider whether there is enough bone mass in the jaw to accommodate the "wisdom teeth" and whether the eruption direction of the "wisdom teeth" is correct. Wisdom teeth with incorrect eruption direction and insufficient eruption space should be removed as soon as possible after orthodontic treatment.