Impacted Wisdom Tooth
Health Today Malaysia|August 2019

Wisdom tooth surgery is one of the most common minor oral surgical procedures performed in the dental clinic setting by a dentist, often under local anaesthesia (LA). But some complex and challenging cases are best undertaken by a trained consultant oral surgeon or an oral and maxillofacial surgeon, to minimize post-operative side effects. Dr Andrew Chan Kieng Hock explains the finer points of wisdom tooth surgery and how to survive it with as little discomfort as possible.

To Remove Or To Retain?

Usually, a wisdom tooth—or better known as a third molar— erupts in the oral cavity between the ages of 18 and 25 years. However, it is not uncommon for a wisdom tooth to emerge at a later date in some people. As a matter of fact, this tooth is the last molar and the final adult tooth to erupt. Most people will feel some form of discomfort, pain, swelling, or even fever during the phase of eruption.

The accurate definition of an impacted tooth means a failure to completely erupt into a normal functional chewing position due to insufficient space (limited jaw arch); an obstruction by another tooth; an abnormal development of a tooth position (ectopic position); and sometimes, but very rarely, due to a tooth being fused (ankylosed) with the alveolar bone.

A tooth is said to be completely impacted if it is entirely covered by the gum and/or the alveolar bone in the jaw hence rendering it clinically invisible. A partially impacted tooth is clinically visible but has failed to reach the functional chewing position.

Some studies among adults show that the prevalence of one or more impacted wisdom teeth is around 25% to 73%. The reason for the huge difference is mainly due to the fact that some dentists in certain countries believe strongly in prophylactic or preventive removal of asymptomatic wisdom tooth while dentists from other countries don’t. There are obvious differences in the consensus among dental practitioners from country to country. To overcome the differences, several established dental bodies and healthcare policymakers have produced certain guidelines and best clinical practice which are regularly updated to help surgeons make a more sound and objective decision in the management of impacted wisdom tooth. One such guideline is by the UK National Institute for Health and Care Excellence (NICE).

In this article, some of the more common reasons for surgical removal of impacted wisdom tooth and its associated side-effects are discussed.

Indications To Remove A Wisdom Tooth

There are various valid reasons to remove an impacted wisdom tooth before it develops harmful side-effects. Each tooth and each individual’s circumstances are unique. Therefore, the decision to remove must be solely based on careful risk-benefit assessment.

Continue reading your story on the app

Continue reading your story in the magazine

MORE STORIES FROM HEALTH TODAY MALAYSIAView All

Ice Those Wrinkles Away!

Today, we’re going to talk about Cryofacials.

2 mins read
Health Today Malaysia
August 2019

Awesome Tips To Manage Your Scalp Issues

Having dandruff or a red and itchy scalp can be bothersome, irritating and sometimes embarrassing. Dermatologist Dr Ch’ng breaks down some facts about dandruff and gives us some helpful tips on how to manage our scalp issues

3 mins read
Health Today Malaysia
August 2019

Need A Face Lift?

Botulinum toxin injections and dermal fillers may seem similar, but they are two very different things. Although they are both injectable cosmetic treatments performed by aesthetic physicians, that’s pretty much where their similarities end. An expert in the field answers some frequently asked questions and tells us all we need to know about these two popular non-invasive procedures.

5 mins read
Health Today Malaysia
August 2019

Food And Cancer … Is There A Link?

“Let food be thy medicine and medicine be thy food”— Hippocrates.

3 mins read
Health Today Malaysia
August 2019

Baby's Best Brain Food?

Breast Milk is called liquid gold for a good reason. It is a nutrient-rich food constantly changing in composition based on the baby’s nutritional needs, as well as a source of antibodies to help the baby fight off infections.

2 mins read
Health Today Malaysia
August 2019

An Inflammation In The Middle Ear

Previously, Professor Dato’ Dr Balwant Singh Gendeh touched on otitis externa, or inflammation of the outer ear. This month, he will take us on a closer look into another type of ear inflammation that commonly affects children—inflammation of the middle ear, or otitis media.

5 mins read
Health Today Malaysia
August 2019

Celebrating The Legacy Of A Legend Lee Chong Wei

The legendary shuttler needs no introduction. His recent retirement from professional badminton left friends and foes shattered and the badminton scene will never be the same.

5 mins read
Health Today Malaysia
August 2019

IN BLACK, IN THE CHURCH … DANCING & CRYING

In legendary R&B diva Patti LaBelle’s music video If You Asked Me To, she was seen in tears. Most people assumed that she was being a consummate showperson, overwhelmed by her emotional performance, but the story behind the video was far more heartbreaking.

2 mins read
Health Today Malaysia
August 2019

Impacted Wisdom Tooth

Wisdom tooth surgery is one of the most common minor oral surgical procedures performed in the dental clinic setting by a dentist, often under local anaesthesia (LA). But some complex and challenging cases are best undertaken by a trained consultant oral surgeon or an oral and maxillofacial surgeon, to minimize post-operative side effects. Dr Andrew Chan Kieng Hock explains the finer points of wisdom tooth surgery and how to survive it with as little discomfort as possible.

5 mins read
Health Today Malaysia
August 2019

Explaining Eczema

The world of a child with eczema is an itchy one.

10+ mins read
Health Today Malaysia
August 2019
RELATED STORIES

Chef Special: Cat Cora's 6 Tips To Help Kids Eat Healthily

Cat Cora is world-renowned chef, author, restaurateur, contributing editor, television host and personality, avid philanthropist, health and fitness expert, lifestyle entrepreneur and above all a proud mother of six boys.

1 min read
Women Fitness
September 2021

Altered traits

DR. RICHARD DAVIDSON is a prolific and well-known neuroscientist, speaker, meditator and author. In March 2021, Richie was interviewed by THANGAM VENKATESAN, professor of medicine at the Medical College of Wisconsin and ANAGHA MATAPURKAR, Ph.D. MBA, about his life’s journey and latest initiatives to bring well-being to humanity.

9 mins read
Heartfulness eMagazine
August 2021

Briefing

Information about the markets and your money.

4 mins read
Kiplinger's Personal Finance
September 2021

Find Health Insurance You Can Afford

Millennial Money

3 mins read
Kiplinger's Personal Finance
September 2021

7 Ways To Snack Smarter

Make healthy snacking easy. Keeping fruit, vegetables and other accessible nutritious ingredients in the refrigerator or pantry increases the chances you’ll reach for a better-for-you option when a snack craving strikes. Having staple ingredients on hand that can be paired with vegetables or whole-grain crackers like Fresh Cravings Hummus makes it easy to create healthy snacks. Made with high-quality ingredients like smooth Chilean extra-virgin olive oil, savory tahini, which is known to be a source of antioxidants, vitamins and minerals, and non-GMO chickpeas, the line is available in Classic Hummus, Roasted Red Pepper and Roasted Garlic varieties and can be found in 100% recyclable packaging in the produce aisle of your local grocery store.

4 mins read
Natural Solutions
June 2021

A skeptic's journey with CBD

Life really does fly by. Before I knew it, my 40s 30ish had arrived, and with them came some new gifts from dear ol’ Mother Nature— frequent knee pain, stress, low energy and sleeplessness.

4 mins read
Oxygen
Summer 2021

What Free Market Health Care Would Actually Look Like

Dr. Lee Gross’ direct primary care practice takes the complexity and unaffordability out of health care.

10+ mins read
Reason magazine
July 2021

Other help Keep You YOUNGER LONGER

When we think about how we can put the brakes on aging, what’s usually top of mind is how well we take care of our bodies with food, movement, exercise, rest — the physical essentials.

5 mins read
Alternative Medicine
April 2021

Lasagna for The Magic Food Bus Community Garden

ANOTHER VIEW - A grassy lawn is not always the best use of the land around a house. Instead, it can be a great place to grow an attractive assortment of flowers, herbs, fruits, and vegetables. Right in the middle of Blue Hill, across from the public library and in front of a beautiful old home now owned by Northern Light Blue Hill Hospital, Healthy Peninsula has its office. For years, we’ve had a demonstration garden in the front yard, using a raised bed system. But raised beds are often water guzzlers, and our wooden beds were falling apart.

2 mins read
The Weekly Packet
May 20, 2021

15 Snacks to Stabilize Your Blood Sugar

Eat small, quick, balanced food combinations to prevent low energy, mood swings, and crankiness in between meals.

5 mins read
Better Nutrition
May 2021