As oral surgeons, this is one of the questions we encounter most frequently in daily practice. Why do these teeth remain impacted and why do they not come out? If they don’t come out, why do they exist?

Although there are many scientific reasons and theories for impacted teeth, the real question that should be asked is perhaps what harm these impacted teeth that do not come out can cause to patients.

Under normal conditions, teeth are surrounded by an envelope before erupting into the oral environment. Normally, the bag or envelope around this tooth, which erupts into the oral environment, disappears naturally. However, the job is a little different for non-erupting teeth. This envelope actually consists of cell structures that we call epithelium. If we are talking about cells, then we need to talk about the differentiation of cells or the fact that they put pressure on the surrounding tissue, expand the surrounding bone and cause the formation of structures we call “cysts”. This is exactly where the problem starts. This cyst either causes serious deformation in the jawbone or undergoes a cellular change, causing some very unpleasant (!!!) pathologies.

This is why; We are in favor of removing impacted teeth before they cause such problems. On the other hand, other problems await us with semi-erupted teeth.

What are these?

While the tooth is in a semi-erupted position, it is now open to the environment of the mouth. The oral environment is in balance at a temperature of 37 degrees, rich in food residues and in the presence of bacteria in its natural microflora. No matter how hard you think you are cleaning a semi-buried tooth that opens to the mouth environment by opening the gum and cannot erupt fully, inflammatory reactions may develop due to food accumulation and changes in the mentioned conditions in favor of microorganisms. In this case, pain, facial swelling, and limitation of oral functions are observed. And more importantly, what a coincidence that this situation is annoying and occurs at unexpected times, such as before an exam, before a trip, or on the eve of a wedding.

If all these are considered, I think the value of a regular dental examination becomes evident. And if your dentist detects such a situation, he will definitely refer you to an oral surgeon.

Because surgical extraction requires the experience and training of an oral surgeon. In another article, I will also share with you why experience and the notion of surgery are needed. Because the extraction of your wisdom teeth, which you decided to remove for the reasons I have tried to simplify here, actually involves some risks. That’s why it has to be done by an expert.

Stay with Love and Health…