Is it ever best to remove all 4 wisdom teeth at the same time?

Question

I just took my 19yr old to dentist and he told her that it was best to have all 4 teeth removed at the same time even though she is in no pain and the teeth have not topped the gum - this is our second opinion. This doesn't make sense to me except that it would increase the cost because it is a dental 'surgery' instead of a simple extraction.

Doesn't it make sense to remove just what needs to be taken out when it needs to be taken out? I understand the problem with 'shifting teeth positions' but my child has never really had any problems with her teeth and I don't see how these all need to be removed at the same time especially when there is no pain or infection. Any comments?

Answer 1

It's fine if you want to go through all that intense pain for just that one time ~ if you can handle it. It also depends, not all wisdom teeth necessarily has to be pulled out if it isn't causing any complications. Additionally, you will need to be on painkillers for a few days, won't be able to eat very well for a few days, and you will be tasting a lot of blood in your mouth. I'd say talk to your dentist if that's the option you're considering.

Answer 2

wisdom teeth do not need removed unless there is a problem. unfortunately, a lot of times they are impacted and would crowd other teeth. but, unless they are hurting or decayed or causing a problem, you do not have to get all four out at once. some do, but i think it is best to do 2 at a time. i do recommend you see a biologic dentist, though, so they 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 3

I would say its normal for a dentist to recommend this. I had about 4 teeth pulled (including 2 wisdom teeth,..the other two were pulled out years before) for my braces and thank goodness I have dental insurance...I paid about $121 all together and my insurance footed the rest of the bill...

I think its best to get them all out so she don't have to experience the pains that come with it

Answer 4

if the dentist wants to take all 4, there is a reason. even if there's no pain, they might be coming in crooked. they may even be impacted. this can DESTROY the rest of her teeth. if she hes no pain, they probably arent that bad yet, but the dentist has experience. he sees a problem in the making. as for the pain, everyone's teeth are different. i had 4 pulled at once. no bruising/swelling, and LITTLE pain. however, my sister had only 1 pulled. she badly bruised, swelled up like a chipmunk, and was in pain for 2 weeks.

Answer 5

I had all four of mine removed at the same time. They weren't causes problems yet. But why what until they are infected or screwed up my beautiful smile before having them removed. And I would rarely only have the procedure done once compared to twice or 3 or 4 times as each tooth needs to come out.

Answer 6

i had my bottom 2 wisdom teeth removed last year because my dentist said they were crowding my regular teeth. the oral surgeon also said it would be better just to remove them all at once, but yeah it would be expensive. plus my top ones were ok and not doing anything bad.
it is your decision.

Answer 7

To say it doesnt hurt if you have a Wisdom Teeth pulled is crapp,it does I had it done .