Scaling and wisdom tooth?

Question

I have 2 questions from a dentist
1. My teeth are in agood condition...do i need scaling...i had it 5 years back.So i just have a feeling that it's not good to have it done without any reason.

2. My wisdom tooth is growing sideways.It's not painful but my dentist says it should be exracted because it can disfigure my teeth.So how much pain should i expect in the procedure and afterwards.
Thanks

Answer 1

If it has been 5 years, you should have your teeth scaled. They get under the gums which harbor bacteria and can lead to heart disease if not taken care of. You never know what is under your gums.

I had all of my wisdom teeth extracted on the same day and for me, the procedure was pain free because they knocked me out but afterwards my mouth hurt quite bad. Keep in mind they took all at one time.

Answer 2

You probably need scaling, especially if you had it before. What has happened is bacteria has gotten under you gumline and is being harbored in calculus ( also called tartar). This is mostly formed when plaque is not remove from your teeth and gums. The plaque hardens and becomes calculus. Both of these hold "bad bacteria" which cause gingivitis and lead to periodontal disease. Gingivitis is gum disease and periodontal disease is when the structure that holds the tooth in is diseased. Those structures include the gums, bone , and periodontal ligaments around your tooth. If those aren't healthy then your bone level and gums around your tooth can be lost. In turn eventually over time your teeth will become loose. You can have no cavities in your mouth but still loose your teeth. If you do have the scaling make sure you go for routine cleanings and of course make sure you are brushing and flossing two times a day or the bacteria will come back again.

Answer 3

Yes you need scaling every 6 months, maybe more for some people. Scaling is the process of a dental hygienist (usually NEVER a dentist) removing hard deposits called calculus from your teeth. Calculus is calcified plaque. It harbors bacteria and can lead to cavities (your teeth ROTTING). You need your teeth scaled to remove that hard calculus. ONLY scaling in a dental office can remove it. Brushing only removes plaque, which are soft deposits. Once the plaque hardens to calculus it has to be removed with metal instruments by a trained dental professional. If you havent been to have your teeth cleaned in 5 years then I dont even need to see your teeth to KNOW that you have tons of calculus on them.

An oral surgeon is who removed wisdom teeth. It wont be that painful (they give you drugs) and the pain will go away after your gums heal where the tooth was removed. The oral surgeon will explain all the risks.

Answer 4

If you have not had a professional cleaning in five years it is time that you have one. Everyone develops plaque which can turn to calculus/tartar which can not be removed by home care brushing and flossing. This can form on the tooth or the root surface below the gums and can only be removed by a professional cleaning.

Regarding the wisdom tooth, if not removed could damage your adjacent tooth, so it needs to come out. Post operative pain depends on the level impaction of the tooth and how difficult it is and what measures the dentist used to get it out.

Answer 5

no, don't do scaling unless you have plaque or tarter under the gumline that cannot be gotten out from a normal dental cleaning.

wisdom teeth pain varies with each person. it can hurt for a week or two or just a few days. it depends on how deep and strong the roots are, how impacted.

i recommend going to a biologic dentist so you don't get a cavitation.

CAVITATIONS

A cavitation is an unhealed hole in the jawbone caused by an extracted tooth [or a root canal or an injury to a tooth]. Since wisdom teeth are the most commonly extracted teeth, most cavitations are found in the wisdom tooth sites. Please see the graphic and photo below to get a glimpse of what may be in your mouth and the effects it is having. The photo and diagram demonstrate the destructive and pathologic consequence of a routine tooth extraction. Dentists are taught in dental school that once they pull a tooth, the patient's body heals the resulting hole in the jawbone. However, approximately 95% of all tooth extractions result in a pathologic defect called a cavitation. The tooth is attached to the jawbone by a periodontal ligament which is comprised of "jillions" of microscopic fibers. One end of each fiber is attached to the jawbone and the other end of the fiber is attached to the tooth root. When a tooth is extracted, the fibers break midway between the root and the bone. This leaves the socket (the area where the root was anchored in the bone) coated with periodontal ligament fibers.

There are specialized cells in the bone called osteoblasts. Osteoblasts make new bone. The word "osteoblast" means bone former. They are active during growth and maintenance. However, the periodontal ligament prevents the osteoblasts from filling in the tooth socket with bone since the periodontal ligament fibers lining the socket act as a barrier beyond which the osteoblasts cannot form bone. In other words, an osteoblast "sees" a tooth when it "sees" periodontal ligament fibers. Since there are billions of bacteria in the mouth, they easily get into the open tooth socket. Since the bone is unable to fill in the defect of the socket, the newly formed "cavitation" is now infected. Since there is no blood supply to the "cavitation" it is called "ischemic" or "avascular" (without a blood supply). This results in necrosis (tissue death). Hence we call a cavitation an unhealed, chronically infected, avascular, necrotic hole in the bone. The defect acts to an acupuncture meridian the same way a dead tooth (or root canal tooth) acts. It causes an interference field on the meridian which can impair the function and health of other tissues, organs and structures on the meridian. Significantly, the bacteria in the cavitation also produce the same deadly toxins that are produced by the bacteria in root canals (see Root Canals). These toxins are thio-ethers (most toxic organic substance known to man), thio-ethanols, and mercaptans. They have been found in the tumors in women with breast cancer.

Answer 6

Oral Prophylaxis is very important. You may feel you don't need it, but what you don't understand is when they do the cleaning it will also expose any cavities hidden under the plaque/calculus.

getting a tooth extraction/odontectomy, is all about technique, so if your dentist takes great care in the extraction you should have a fairly painless procedure, but no matter what you will have some pain for a few days after.