Wisdom teeth are the last teeth in the permanent tooth sequence (3. Large tooth). Although it begins to drive at an average age of 17-21 years, it can often remain buried or semi-buried due to factors that prevent it from driving.2. And these buried and semi-buried wisdom teeth can remain without complaints, without symptoms, but sometimes pain, swelling, pericoronitis(asylum of the surrounding gums), bad breath due to accumulation of nutrients, resorption of the root and enamel of the adjacent teeth, bone resorption, and a much lower rate of the cyst and tumor formation can cause.
If there are no symptoms and complaints in the presence of a buried Wisdom tooth, it can be left buried in the jaw without being pulled, but it is useful to follow up with 6-month checks. If there are symptoms and complaints, the tooth can be removed by special surgical techniques or coronectomy (if tooth extraction is at risk of causing nerve damage)
In addition, even in people who pay attention to oral hygiene, it is difficult to prevent plaque and nutrient accumulation, as they make their way through the most difficult parts of the toothbrush in the jaws. In cases where the wisdom tooth in the opposite jaw is also absent from closure and is not included in future prosthetic treatment planning, causing problems such as cheek biting, the pull can be considered. Although there is no consensus in studies about the risk of causing confusion with the pressure, it exerts on the tooth arc during its duration before or after orthodontic treatments(1) , its attraction can be considered.
Pathologies associated with Wisdom teeth are as follows (2) : Clinical signs and symptoms: bruises, pain (jaw, ear, head) , swelling, paresthesia, Periodontal pockets Inflammatory non-Radiological Symptoms: Perikoronit, Root Resorption (external or Internal) , bone resorption (between adjacent teeth) ,mild inflammatory changes radiological:Perikoronit,abscesses, osteomyelitis
Other lesions very rarely associated with Wisdom teeth: Dentigerous cysts, Keratocystic, Odontomas, Ameloblastomas, Odontomas, Odontogenic fibromas, squamous cell carcinoma, fibrosarcomas, Mucoepidermoid carcinomas