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The upper and lower third molars, more commonly known as wisdom teeth, typically come during the late teens to early twenties. Popular belief holds that they are called wisdom teeth because by the time they grow out, a person would have been old enough to have gained some wisdom about life.

Wisdom teeth are also called vestigial organs, body parts that in the course of evolution have lost their significance. In early humans, the last set of molars were originally meant to help chew their relatively coarser diet. Their larger jaws ensured that there was ample space for the wisdom teeth to erupt after the second molars. As man evolved and our diet changed, human jaws became smaller. Most adults have a full set of four wisdom teeth, but the absence of one or more wisdom teeth is not unheard of. This condition is called hypodontia.

Unfortunately, wisdom teeth are prone to problems as a result of crowding in the jaw and improper positioning, and are typically removed. While some people have wisdom teeth that grow in healthy and properly aligned, many more experience impacted growth of the third molar.

Apart from examining a patient’s teeth and gums for signs of impaction, dentists will typically order panoramic x-rays of the jaws and teeth to see if the positioning of the wisdom teeth are correct. If the third molars are indeed impacted, they must be extracted as early as possible, to ensure that the roots of the tooth and the jaw bones are still underdeveloped. These make it easier for oral surgeons to remove the impacted tooth, and for the patient to have an easier recovery.

Extraction of an impacted third molar is typically done when:

*  there is not enough space in the jaw to accommodate the third molar

*  the growing tooth can only partially erupt, and the flap of gum tissue around it traps food, which then becomes a cause of swelling, pain, and infection

* the hard-to-reach position makes it difficult to brush and floss, making it vulnerable to tooth decay and gum disease

*  the position of the impacted tooth damages the adjacent teeth and the jawbone, or begins to affect the nerves in the mouth and jaw

*  fluid-filled sacs begin to form around the impacted tooth, which can result in the growth of a tumor

There are four types of impacted wisdom teeth, classified according to their position:

*  mesial, wherein the tooth is angled forward to the front of the mouth

*  vertical, wherein the tooth is unable to erupt past the gum line

*  horizontal, wherein the tooth grows sideways into the second molar

*  distal, wherein the tooth is angled toward the back of the mouth

To facilitate healing after surgery, it is extremely important that the patient follow their oral surgeon’s pre- and post- surgery instructions. During the first three days after the procedure, patients will experience facial swelling, pain, and bleeding. Pain medications and antibiotics are frequently prescribed for these symptoms. Warm salt rinses and a soft diet are also recommended during this time.

Carmen Narciso is a content writer and researcher who specializes in health topics and health-related issues such as online healthcare. For more information about online healthcare and discount pharmacy, please consult http://www.discountpharmacy.bz/.

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