What is a 20 tooth? How about a 20-tooth extraction?

By | 18 February 2021

What is a 20 tooth? How about a 20-tooth extraction?

Wisdom teeth are the latest adult teeth, also known as wisdom teeth. 20 teeth, which are molars located at the back of the jaw, usually cause pain, abscess formation, and discomfort in most individuals because they do not adapt to the jaw structure. For this reason, many wisdom teeth need to be removed by tooth extraction or dental surgeries. These problems are caused by the lack of sufficient space in the jaw for wisdom teeth to come out. In addition to the severe pain it causes, it may also cause deterioration of the jaw structure and adversely affect the health of other teeth in its neighborhood. For this reason, when the wisdom teeth start to come out, it is beneficial to go through a check-in consultation with dentists. Wisdom teeth do not need to be removed in individuals with a suitable jaw structure. In some cases, wisdom teeth may remain embedded in the gum due to the wrong jaw structure and may not be visible when viewed from the outside. These teeth, called impacted wisdom teeth, usually reveal themselves with the pain they cause. In order not to adversely affect the jaw and tooth structure and to prevent unwanted problems such as abscesses, a dental examination should be passed regularly. With regular dental examination, the start and development of wisdom teeth can be followed, and in case of a negative situation, teeth can be extracted without harming oral and dental health.

What is a 20 tooth and how many is it?

Tooth development starts with a total of 20 deciduous teeth, 10 at the bottom and 10 at the top, completed between 6 months and 3 years in infancy. Then, from the age of 9-10, the milk teeth are gradually shed and replaced by adult teeth. Of the adult teeth (main teeth), which should have 32 in total, 28 are completed in childhood and early adolescence. The remaining 4 molars are the wisdom teeth located at the rear of the lower and upper jaws. As the name suggests, these teeth that grow around the age of 20 cannot usually come out healthily. It may remain buried or semi-buried, as well as it may cause many negativities such as squeezing the oral meat due to insufficient space, damaging other teeth, causing pain. 20 teeth do not cause any problems in individuals with a suitable jaw structure and sufficient exit space behind the molars for wisdom teeth. However, wisdom teeth, which are in a very difficult to reach a position in the back, may not be cleaned adequately even in individuals who regularly perform oral and dental care. For such reasons, if the wisdom teeth are pulled out or buried in some cases, they may be required to be surgically removed.

How old does a 20-tooth start to grow?

Wisdom teeth do not have to come out at the age of 20, although they are named in this way. These teeth, which are 4 in total, usually come out between the ages of 17-25. Even if it does not appear in this age range, it does not mean that there are no teeth. Wisdom teeth may not be noticed if they do not cause pain in the person because they are often embedded. In this case, the condition of the impacted teeth can only be seen in the x-ray examinations performed at the dentist’s controls. Individuals between the ages of 17-25 should consult their dentists if they feel pain in the area where the wisdom teeth will come out or if they have a tooth with an abnormal appearance.

What are the symptoms of 20 teeth?

Wisdom teeth that can find enough space in the gums and grow properly develop healthily and do not cause any discomfort symptoms. However, the wisdom teeth of most individuals cause problems due to the absence of this area. Common symptoms seen during the eruption or impacting of wisdom teeth are:

  • Pain in teeth and gums,
  • Gingival sensitivity,
  • Pain in the jaw and ear,
  • Swelling in lymph nodes,
  • Headache,
  • Bad smell in the mouth
  • Pain when chewing

Most of such symptoms in individuals between the ages of 17-25 are caused by wisdom teeth and complications caused by these teeth. Therefore, individuals experiencing these complaints should consult dentists.

How to understand the impacted 20 teeth?

In individuals with wisdom tooth pains and other symptoms, a dental x-ray is usually taken during oral and dental examinations. This X-ray provides clear images of the bone structures, angles, and impacted teeth, as well as the roots of all teeth. Wisdom teeth that are not visible from the outside, that are protruding horizontally, or are half-buried can be examined on x-ray. If the teeth that need to be extracted are detected during the X-ray examination, it can be decided whether they should be removed as ordinary tooth extraction or by surgical operation. Some impacted teeth can cause conditions such as infection, cyst formation. In case of such a situation, it may be necessary to apply drug treatments for them before making an appointment for tooth extraction.

How are 20 teeth extracted?

Embedded, semi-buried or clenched teeth can also cause different oral and dental problems such as inflammation of the surrounding gum tissue (pericoronitis), bad breath and tooth decay due to nutrient accumulation, tissue loss (resorption) in the roots and enamels of neighboring teeth. For this reason, in addition to semi-embedded and embedded teeth, wisdom teeth that cause tightness in the mouth despite coming out at a smooth angle should be removed. How to remove the wisdom tooth can be taken by looking at x-ray images. The wisdom teeth, which are at the right angle and need to be extracted due to problems such as congestion or decay, can be extracted just like other tooth extractions. In this case, no surgical operation is required. However, very few of the problematic wisdom teeth can be removed in this way. A larger part has to be withdrawn with the help of surgical interventions called wisdom tooth surgery.

How is 20 teeth surgery done?

How the wisdom tooth surgery will be performed is decided entirely according to the position of the tooth on the x-ray images. In cases where the wisdom tooth is located in the gum and the tooth roots are embedded in the jawbone, it is generally not possible to remove the tooth in one piece. In these cases, the wisdom to be extracted is divided into several parts by the dentist and taken in this way. Another method is to make an incision in the gingiva so that the tooth can be extracted. With the help of this incision, the tooth can be extracted more easily. After tooth extraction and cleaning of the area, the gum is stitched. These stitches should be removed a certain time after the operation. Such surgical procedures fall under the specialty of oral and maxillofacial surgeons. How long the surgery will take under local anesthesia may vary depending on the position of the tooth and the number of teeth to be extracted. It is normal for individuals with wisdom tooth surgery to have blood leakage in the operation area for a certain period of time. To ensure coagulation in the operation area, food and water should not be drunk for the period recommended by the physician. Swelling may occur in the area after the operation, and severe pain may develop as the effect of anesthesia passes. In this case, it is beneficial to use painkillers prescribed by the physician. The area where the tooth was extracted should not be touched with a hand or tongue, and the other side of the mouth should be used while eating. Smoking should be avoided during the first 24 hours as it will increase bleeding. Ice compresses can be used to relieve swelling.

If you also have problems similar to 20’s toothache, you can consult your dentist and be examined. By ensuring that your problematic wisdom teeth are removed in time, you can prevent damage to your other teeth and protect your oral and dental health.