Wisdom tooth problems

If your wisdom teeth are causing problems, you may have symptoms such as:

• Pain or jaw stiffness near an impacted tooth.
• Pain or irritation from a tooth coming in at an awkward angle and rubbing against your cheek, tongue, or top or bottom of your mouth.
• An infected swelling in the flap of gum tissue that has formed on top of an impacted tooth that has broken partway through the gum.
• Crowding of other teeth.
• Tooth decay or gum disease if there isn't enough room to properly clean your wisdom tooth and nearby teeth.

Most problems with wisdom teeth affect people between the ages of 15 and 25. People older than 30 usually don't have problems that require their wisdom teeth to be removed.

Your dentist will check for signs of a wisdom tooth coming through your gum or crowding other teeth. You will have X-rays to find out if your wisdom teeth are causing problems now or are likely to cause problems in the future

Wisdom teeth that cause problems should be removed, or extracted. This can be done by a dentist or an oral surgeon.

The dentist or surgeon will open the gum tissue over the tooth if needed and remove the tooth. Sometimes a tooth will be cut into smaller pieces to make it easier to take out. After the tooth is removed, you may need stitches.

If you have an infection, you may need to wait until it is gone before you have your wisdom teeth removed. The dentist or surgeon may prescribe antibiotics to help clear up the infection.

While you wait to have the teeth removed, you can take steps to reduce pain and swelling.

• Put an ice pack on your cheek for 15 to 20 minutes at a time. Do not use heat.
• Rinse your mouth gently with warm salt water every 2 to 3 hours. To make your own salt water, mix 1 tsp (5 mL) of salt in a cup 8 fl oz (240 mL) of warm water.
• Try an over-the-counter pain reliever such as ibuprofen or naproxen. Carefully read and follow the directions. Do not give aspirin to anyone younger than 20 because of the risk of Reye syndrome, a rare but serious disease.

Don't put an aspirin directly on your gums. Aspirin used in this way can damage your gums.