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Wisdom Teeth

How does a dentist know whether an impacted wisdom tooth is infected or not? Is there way a patient can figure this out by himself. Is the pain caused by the impaction or the infection? Are there any cutting edge methods(or methods in research) to deal with impacted wisdom teeth instead of surgical
extraction - say some laser stuff or something? If a Wisdom teeth is impacted but not paining, is it an eventuality that it will be infected or start paining at some point in time. Is it an eventuality that it has to be removed at some point in time.

This is a pretty big subject. Most infected wisdom teeth are only partially impacted, and the gum gets inflamed around the partially erupted tooth which is covered by a flap of tissue called an operculum. It's tough for a patient to clean out under this. No one will have to tell you it's infected--it will hurt, the gum will swell. Sometimes it becomes difficult to open the mouth wide. Not all impacted teeth will become infected, but there are other potential problems, such as cysts, tumors, compromising the periodontal health of the second molar in front of it. A surgeon will sometimes decide that the extraction of a wisdom tooth is riskier than retaining it and watching, but generally you're better off if they can be removed.

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