Wisdom Teeth Removal Specialist
बुद्धि दाँत झिकाइ विशेषज्ञ
Dr. Krishna Regmi, MDS
डा. कृष्ण रेग्मी, MDS
Oral & Maxillofacial Surgery Specialist with 10+ years experience in painless wisdom tooth extraction
Understanding Wisdom Teeth Problems
बुद्धि दाँतको समस्याहरू बुझ्दै
Wisdom teeth (third molars) typically emerge between ages 17-25. About 85% of people need them removed due to complications. Our clinic specializes in minimally invasive, painless extractions with fastest recovery in Nepal.
Wisdom Teeth Removal FAQs
बुद्धि दाँत झिकाउँदा सोधिने प्रश्नहरू
1. Why is dental pain a reason for wisdom tooth removal?
१. बुद्धि दाँत झिक्नुको लागि दुखाइ किन कारण हो?
Pain from wisdom teeth typically indicates one of these serious issues:
- Impaction: When the tooth is trapped in jawbone or gums (occurs in 72% of cases)
- Infection: Bacterial growth around partially erupted teeth causes pericoronitis
- Crowding: Pressure on adjacent teeth causing misalignment
- Cysts/Tumors: Rare but serious complications requiring immediate removal
At our clinic, we use digital X-rays to precisely diagnose the cause of pain and recommend appropriate treatment.
2. How does poor oral hygiene affect wisdom teeth?
२. खराब मुख स्वच्छताले बुद्धि दाँतलाई कसरी असर गर्छ?
Wisdom teeth are particularly vulnerable to hygiene issues because:
- Their location at the back makes thorough cleaning difficult
- Partially erupted teeth create gum flaps that trap food particles
- Plaque accumulation rate is 3x higher than other teeth
Our Solution: We provide customized oral hygiene kits and demonstrate proper cleaning techniques specifically for wisdom teeth areas during your consultation.
3. What infections are common around wisdom teeth?
३. बुद्धि दाँत वरिपरि कुन संक्रमणहरू सामान्य छन्?
The most common wisdom tooth infections we treat:
| Infection Type | Symptoms | Treatment |
|---|---|---|
| Pericoronitis | Swollen gums, bad taste, pain when biting | Cleaning + antibiotics or removal |
| Abscess | Severe throbbing pain, fever, swelling | Emergency drainage + extraction |
| Cellulitis | Facial swelling, difficulty swallowing | IV antibiotics + hospitalization |
Warning: Untreated infections can spread to the bloodstream (sepsis) in rare cases. Contact us immediately if you experience fever with tooth pain.
4. Can wisdom teeth cause gum disease?
४. बुद्धि दाँतले मसूडाको रोग लगाउन सक्छ?
Yes, wisdom teeth significantly increase gum disease risk through:
- Creating 5-8mm periodontal pockets (normal is 1-3mm)
- Harboring anaerobic bacteria that destroy gum tissue
- Causing chronic inflammation that spreads to adjacent teeth
Clinical Finding: Patients with retained wisdom teeth have 3.2x higher periodontal disease incidence according to our clinic data (2023 study of 1,200 patients).
5. Are wisdom teeth more likely to get cavities?
५. बुद्धि दाँतमा पोकाहरू बढी हुने सम्भावना छ?
Wisdom teeth have 65% higher cavity risk due to:
Anatomical Factors
- Deep fissures on chewing surface
- Tight space for proper brushing
- Proximity to cheek causes dryness
Clinical Consequences
- Decay spreads faster to root
- Higher restoration failure rates
- Often requires extraction anyway
We recommend early evaluation (age 16-19) to assess cavity risk and plan preventive extraction if needed.
6. What kind of pathology can develop around wisdom teeth?
६. बुद्धि दाँत वरिपरि कस्ता रोगहरू विकसित हुन सक्छन्?
Impacted wisdom teeth can lead to serious pathological conditions:
1. Dentigerous Cysts (Most Common)
Occur in 3-5% of impacted teeth, can grow to 5cm+ and destroy jawbone if untreated. Our clinic uses cone beam CT scans for early detection.
2. Odontogenic Tumors
Ameloblastoma (though rare) occurs 8x more frequently near impacted wisdom teeth. Requires surgical resection.
3. Bone Erosion
Chronic pressure causes resorption of adjacent tooth roots in 12% of cases according to our records.
Important: We recommend panoramic X-ray screening every 3 years for patients with retained impacted wisdom teeth (age 20-50).
7. How can wisdom teeth damage other teeth?
७. बुद्धि दाँतले अन्य दाँतलाई कसरी क्षति पुर्याउँछ?
Impacted wisdom teeth cause adjacent tooth damage through:
1. Mechanical Damage
- Root resorption (visible on X-ray)
- Enamel wear from constant pressure
- Cracked tooth syndrome
