Wisdom Teeth Naperville IL

What Are Wisdom Teeth?

Third molars are commonly referred to as wisdom teeth. They are usually the last teeth to develop and are located in the back of your mouth, behind your second molars. Their development is usually completed between the middle teenage years and early twenties, a time traditionally associated with the onset of maturity and the attainment of wisdom.

Experiencing Wisdom Teeth Issues?

What Is An Impacted Tooth?

Although most people develop and grow 32 permanent adult teeth, many times their jaws are too small to accommodate the four wisdom teeth. Often these teeth are malpositioned. Teeth are called “impacted” if they have not erupted into normal position. Often there is inadequate space for them to erupt into the proper position for chewing and cleaning.  If wisdom teeth cannot be kept clean they tend to develop infection in the gum tissue about them.

Many patients are confused about what constitutes an impacted tooth. Most patients believe it is a tooth that is in a sideways position in their jaw. An erupted third molar is one that is completely visible in the mouth and is not covered by bone or soft tissue on the back aspect of the tooth. An impacted third molar is one that is still covered partially or totally by soft tissue and/or bone.

SHOULD MY WISDOM TEETH BE REMOVED?

We will need to see you for an evaluation to determine if you will benefit from wisdom tooth removal. A special x-ray of your mouth and jaws (panorex) will be taken to determine if your wisdom teeth are impacted, if there is room for them to erupt, and how difficult it will be to have them removed.

A diagram half mouth X-ray with teeth impaction and half digital graphic highlighting impacted teeth

In some cases we may suggest that we take a CT scan of the jaws if the wisdom teeth are close to a nerve or if pathology is present about the wisdom teeth.

wisdom teeth on ct scan

CT Scan Of Jaws To Detect Relation Of Nerve To The Wisdom Tooth

At your examination Drs. Blecha and Jandali will evaluate your wisdom teeth and suggest what treatment is most appropriate for you. We do not simply suggest that wisdom teeth always be removed. Should removal of wisdom teeth be recommended, Drs. Blecha and Jandali will discuss:

  • Advantages and disadvantages of wisdom teeth removal
  • Recovery
  • Appropriate anesthesia for the procedure
  • Use of medications

Types Of Impactions

We will need to see you for a consultation to determine if you will benefit from wisdom tooth removal. A special x-ray of your mouth and jaws (panorex) will be taken to determine if your wisdom teeth are impacted, if there is room for them to erupt, and how difficult it will be to have them removed.

  • Soft Tissue Impaction: There is not enough room to allow the gum tissue to retract for adequate cleaning of the tooth.
  • Partial Bony Impaction: There is enough space to allow the wisdom tooth to partially erupt. However, the tooth cannot function properly in the chewing process, and creates cleaning problems, among others.
  • Complete Bony Impaction: There is NO space for the tooth to erupt. It remains embedded in the jaw bone or if even partially visible requires complex surgical techniques for removal.The impacted wisdom tooth may also be in an unusual position and difficult to remove. This situation can also arise when the shape or size of the jaw bone and other facial structures make removal of this tooth significantly more complex.
A representation of a wisdom tooth impacted by soft tissueSoft Tissue
An example of a wisdom tooth with a partial bony impactionPartial Bony
An illustration of a wisdom tooth completely impacted by boneComplete Bony