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I went in for my wisdom tooth extraction and I'm really satisfied with the results.
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I just got my wisdom tooth extracted. The upper wisdom tooth was tough. The extraction technique was great.
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View moreDo I really have to have my wisdom teeth extracted?[1]
Do wisdom teeth always have to be extracted? I don't have any pain or discomfort right now, but I'm wondering if it's better to have them removed in advance to prevent cavities, gum inflammation, and alignment issues in the future.
꼬영이26.06.14Views 19Likes 0 [Yonsei Barun Dental Clinic] I had my impacted wisdom tooth extracted after worrying about the pain.[15]
My lower right wisdom tooth grew in impacted. The pain has been coming and going periodically. Recently, the discomfort has worsened and the intensity of the pain has increased. I was considering getting a tooth extracted. I have such a strong phobia of dentists. I finally had a tooth extracted at Yonsei Barun Dental Clinic thanks to a friend's recommendation. The director here is an oral and maxillofacial surgery resident, so he is really good at extracting impacted wisdom teeth. They administered painless anesthesia, provided treatment to help me relax, and extracted the tooth in a flash. I regret suffering for so long without getting my tooth extracted because of my fear. If you are worried about your wisdom teeth, do not hesitate to have them extracted at a good dental clinic.
릴리윤26.06.04Views 67Likes 0 I had my upper wisdom tooth extracted; do I need to have my lower wisdom tooth extracted as well?[12]
I had my upper wisdom tooth extracted about 2 or 3 years ago.... If you extract the upper wisdom tooth I was told I need to have my lower wisdom tooth extracted as well. The dentist told me... I've been so busy with work that three years have already flown by... There is no inconvenience in daily life, but, Would it be better to have my lower wisdom tooth extracted now?
바다사랑태양26.05.14Views 450Likes 5 [Health Column] 🦷 Wisdom Tooth Pain: Does Enduring It Lead to Illness? A Complete Guide to Extraction Criteria[2]
hello! Lee Hyun-seop, Chief Director of Seoul Centum Dental Clinic no see. There are so many people who suffer from throbbing and swollen gums when their wisdom teeth start to come in, aren't there? "It'll be fine in a few days," "I'll just have to take painkillers and hang in there" Most people endure the pain, saying... However, wisdom tooth pain may simply be a fleeting pain, but It could be an 'inflammation signal' sent by my body. Today, I will clearly explain why wisdom tooth pain occurs and in which cases extraction is absolutely necessary! ✨ 1. Why on earth does wisdom tooth pain occur? The cause is a wisdom tooth that failed to properly settle due to insufficient jaw space! Wisdom teeth are the last molars to erupt, usually in the late teens or early twenties. The biggest problem is The fact that there is insufficient space in our jaw for wisdom teeth to erupt properly It is. 😥 Since it came out late after the other teeth had already taken their place, Situations where it protrudes obliquely, lies on its side, or is completely buried (impacted) within the gums This occurs. During this process, the surrounding gums and teeth are continuously irritated, causing pain. 📌 Wait! Is it perhaps something like this? If the gums around your wisdom tooth are swollen and throbbing every time you chew Pericoronitis It is highly likely. Food particles and bacteria have accumulated in the gaps between the wisdom teeth, causing inflammation, so it is dangerous to leave it untreated! ⚠️ 2. Should I go to the dentist right now for my wisdom tooth? ? 🦷 If the symptoms below recur, never dismiss them as mere discomfort! If you neglect wisdom tooth pain Causing cavities in the front molars or reducing concentration, etc. It can ruin your daily life. Check out the following list! ✔️ 🔸 The gums swell and subside periodically. 🔸 I feel a tingling sensation or pain when chewing food. 🔸 My breath seems to have gotten worse than before. 🔸 Food keeps getting stuck in the wisdom tooth area and won't come out. 🔸 It is difficult to carry on with daily life without taking painkillers. 3. When is wisdom tooth extraction absolutely necessary? 🦷 We don't extract all wisdom teeth, but extraction is recommended in these cases! Just because you come to the dental clinic, we do not tell you to have it extracted unconditionally. but Situations where tooth extraction is necessary for oral health This definitely exists. 👨⚕️ 🔸 When tooth extraction should be considered - When a wisdom tooth is lying sideways and pushing against an adjacent tooth - When swelling is severe due to recurrent inflammation - When cavities develop in the wisdom tooth itself or adjacent teeth - When future problems are anticipated due to the complexity of the ambush situation On the other hand, if the wisdom teeth have grown in straight and nicely and are well-maintained, Regular observation alone is sufficient You can do it. The important thing is knowing your own condition accurately, right? 4. Sudden pain, what first aid can be done at home? You can put out the immediate fire, but please remember that it is only a temporary fix! If your pain suddenly worsens at night or on weekends when it is difficult to visit the dentist, the following methods may be helpful. 📌 ✅ Cold compress: Please apply a cold compress to the swollen area. ✅ Pain relievers and anti-inflammatory drugs: Please take over-the-counter medicines available at pharmacies. ✅ Mouthwash/Waterpik: Please remove food particles from crevices using antibacterial mouthwash or a waterpik. ✅ Soft food: Please avoid irritating the painful area. ⚠️ Be careful! Cold compresses or taking medication only temporarily delay the pain. If the cause is not resolved, it can spread into more serious inflammation, so you must get a check-up! FAQ Q1. Does wisdom tooth pain go away if I just endure it? ? A1. It may subside temporarily, but due to its location, it is difficult to manage, so there is a very high probability that bacteria will multiply again and inflammation will recur. Q2. Do I need to have an impacted wisdom tooth extracted even if it doesn't hurt? A2. Even if it does not hurt now, extraction is sometimes recommended as a preventive measure if there is a possibility of damaging the roots of the front teeth or forming cysts. conclusion ✨ Wisdom tooth pain is primarily caused by a lack of space in the jaw and inflammation (pericoronitis). ✨ Recurring swelling, pus, severe bad breath This could be a sign of tooth extraction. ✨ Rather than extraction Check your 'current condition' through a precise dental check-up Doing it is the priority. Wisdom tooth pain won't be resolved by enduring it. Don't endure pain that disrupts your daily routine any longer; consult a specialist! 🦷✨ Seoul Centum Dental Clinic Chief Director Lee Hyun-seop Specialist in Integrated Dentistry Graduated from Korea University Master of Dentistry, Kyung Hee University College of Dentistry Regular member of the Korean Academy of Oral and Maxillofacial Implantology Regular member of the Korean Endodontic Society Regular member of the Korean Academy of Integrated Dentistry Member of the American Academy of Aesthetic Dentistry (AACD) Member of the American Academy of Implant Dentistry (AAID) Full member of the International Congress of Implantologists (ICOI) Experience in placing over 17,000 implants Possesses extensive overseas experience visiting over 10 countries Experience with numerous complex implant cases Read other health columns by Director Lee Hyun-seop > [Health Column] Why Are Impacted Wisdom Teeth a Problem? Pain, Inflammation, and Damage at a Glance [Health Column] Curious about implant lifespan? How long can they be used? [Health Column] I heard there are so many types of implant bone grafts… What criteria should I use to choose one?
이현섭 원장26.05.13Views 109Likes 1
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View more[Health Column] 🦷 Wisdom Tooth Pain: Does Enduring It Lead to Illness? A Complete Guide to Extraction Criteria[2]
hello! Lee Hyun-seop, Chief Director of Seoul Centum Dental Clinic no see. There are so many people who suffer from throbbing and swollen gums when their wisdom teeth start to come in, aren't there? "It'll be fine in a few days," "I'll just have to take painkillers and hang in there" Most people endure the pain, saying... However, wisdom tooth pain may simply be a fleeting pain, but It could be an 'inflammation signal' sent by my body. Today, I will clearly explain why wisdom tooth pain occurs and in which cases extraction is absolutely necessary! ✨ 1. Why on earth does wisdom tooth pain occur? The cause is a wisdom tooth that failed to properly settle due to insufficient jaw space! Wisdom teeth are the last molars to erupt, usually in the late teens or early twenties. The biggest problem is The fact that there is insufficient space in our jaw for wisdom teeth to erupt properly It is. 😥 Since it came out late after the other teeth had already taken their place, Situations where it protrudes obliquely, lies on its side, or is completely buried (impacted) within the gums This occurs. During this process, the surrounding gums and teeth are continuously irritated, causing pain. 📌 Wait! Is it perhaps something like this? If the gums around your wisdom tooth are swollen and throbbing every time you chew Pericoronitis It is highly likely. Food particles and bacteria have accumulated in the gaps between the wisdom teeth, causing inflammation, so it is dangerous to leave it untreated! ⚠️ 2. Should I go to the dentist right now for my wisdom tooth? ? 🦷 If the symptoms below recur, never dismiss them as mere discomfort! If you neglect wisdom tooth pain Causing cavities in the front molars or reducing concentration, etc. It can ruin your daily life. Check out the following list! ✔️ 🔸 The gums swell and subside periodically. 🔸 I feel a tingling sensation or pain when chewing food. 🔸 My breath seems to have gotten worse than before. 🔸 Food keeps getting stuck in the wisdom tooth area and won't come out. 🔸 It is difficult to carry on with daily life without taking painkillers. 3. When is wisdom tooth extraction absolutely necessary? 🦷 We don't extract all wisdom teeth, but extraction is recommended in these cases! Just because you come to the dental clinic, we do not tell you to have it extracted unconditionally. but Situations where tooth extraction is necessary for oral health This definitely exists. 👨⚕️ 🔸 When tooth extraction should be considered - When a wisdom tooth is lying sideways and pushing against an adjacent tooth - When swelling is severe due to recurrent inflammation - When cavities develop in the wisdom tooth itself or adjacent teeth - When future problems are anticipated due to the complexity of the ambush situation On the other hand, if the wisdom teeth have grown in straight and nicely and are well-maintained, Regular observation alone is sufficient You can do it. The important thing is knowing your own condition accurately, right? 4. Sudden pain, what first aid can be done at home? You can put out the immediate fire, but please remember that it is only a temporary fix! If your pain suddenly worsens at night or on weekends when it is difficult to visit the dentist, the following methods may be helpful. 📌 ✅ Cold compress: Please apply a cold compress to the swollen area. ✅ Pain relievers and anti-inflammatory drugs: Please take over-the-counter medicines available at pharmacies. ✅ Mouthwash/Waterpik: Please remove food particles from crevices using antibacterial mouthwash or a waterpik. ✅ Soft food: Please avoid irritating the painful area. ⚠️ Be careful! Cold compresses or taking medication only temporarily delay the pain. If the cause is not resolved, it can spread into more serious inflammation, so you must get a check-up! FAQ Q1. Does wisdom tooth pain go away if I just endure it? ? A1. It may subside temporarily, but due to its location, it is difficult to manage, so there is a very high probability that bacteria will multiply again and inflammation will recur. Q2. Do I need to have an impacted wisdom tooth extracted even if it doesn't hurt? A2. Even if it does not hurt now, extraction is sometimes recommended as a preventive measure if there is a possibility of damaging the roots of the front teeth or forming cysts. conclusion ✨ Wisdom tooth pain is primarily caused by a lack of space in the jaw and inflammation (pericoronitis). ✨ Recurring swelling, pus, severe bad breath This could be a sign of tooth extraction. ✨ Rather than extraction Check your 'current condition' through a precise dental check-up Doing it is the priority. Wisdom tooth pain won't be resolved by enduring it. Don't endure pain that disrupts your daily routine any longer; consult a specialist! 🦷✨ Seoul Centum Dental Clinic Chief Director Lee Hyun-seop Specialist in Integrated Dentistry Graduated from Korea University Master of Dentistry, Kyung Hee University College of Dentistry Regular member of the Korean Academy of Oral and Maxillofacial Implantology Regular member of the Korean Endodontic Society Regular member of the Korean Academy of Integrated Dentistry Member of the American Academy of Aesthetic Dentistry (AACD) Member of the American Academy of Implant Dentistry (AAID) Full member of the International Congress of Implantologists (ICOI) Experience in placing over 17,000 implants Possesses extensive overseas experience visiting over 10 countries Experience with numerous complex implant cases Read other health columns by Director Lee Hyun-seop > [Health Column] Why Are Impacted Wisdom Teeth a Problem? Pain, Inflammation, and Damage at a Glance [Health Column] Curious about implant lifespan? How long can they be used? [Health Column] I heard there are so many types of implant bone grafts… What criteria should I use to choose one?
이현섭 원장26.05.13Views 109Likes 1 [Health Column] Wisdom Tooth Extraction: Should You Get It Pulled Out Even If It Doesn't Pain? A Complete Guide to Extraction Criteria by Type[8]
hello. Director Jae-wook Jeong of Gangnam Saero Dental Clinic no see. Wisdom teeth, located at the very back of the mouth, often cause deep worry about whether or not to have them extracted, just as much as the pain when they erupt. Wisdom teeth are not simply a matter of removing a single tooth, An important process of managing 'potential risks' to overall oral health no see. today Types of wisdom teeth, extraction criteria, and the risks of leaving them untreated Let's take a closer look at this. 1. What shape are your wisdom teeth growing in? ? 👋 It is divided into 4 main types depending on the jawbone space and gum condition. . The way wisdom teeth grow varies from person to person, but they can be broadly classified into four types. ✔️ Normal eruption It is positioned to grow straight up vertically, just like the other molars. If there is enough space, the fit is good, and it is kept clean, you do not necessarily have to pull it out. ✔️ Partially Ambush Only the crown of the tooth is slightly visible, and the rest is covered by the gums. It is very easy for food to get stuck, so there is a very high chance of inflammation. ✔️ Complete ambush It is completely buried within the gum bone. Even if it is not visible on the outside, regular checkups are essential because cysts can form or bone resorption can occur internally. ✔️ Horizontal (impacted wisdom tooth) It lies completely sideways and grows toward the roots of the front molars. Press on the front teeth The main culprit that twists teeth It is. 📌 A word from the Director! In order to know exactly what condition my wisdom tooth is in It is most accurate to have an X-ray taken at a dental clinic. 2. Is it okay to just leave a painless wisdom tooth alone? ? 👋 Even if there is no immediate pain, you should consider extraction if there is a hidden 'potential risk'. . Many people ask, "Why extract it when it doesn't hurt?" However, leaving abnormally grown wisdom teeth untreated can lead to the following problems. ⚠️ Domino Cavities : Because of food stuck between the wisdom tooth and the front molar Even healthy molars will decay along with it. ⚠️ Tooth misalignment : Wisdom teeth growing horizontally can push against the front teeth, causing the teeth alignment that was carefully corrected to become misaligned again. ⚠️ Chronic inflammation and bad breath : As food particles decompose, they cause terrible bad breath and gum disease, and in severe cases, can even dissolve surrounding bone. Of course, if your wisdom tooth grows in properly and does not affect the adjacent teeth, you do not need to have it extracted. However, if management is difficult, a 'management plan for the future' is necessary. 3. When is the best time to decide on wisdom tooth extraction? ? 👋 Check the recommended action guide based on the condition. classification Major status Recommended measures tooth extraction is mandatory Recurring pain, swollen gums, cavities in front molars, discovery of a cyst in the jawbone Extract the tooth as soon as possible Follow-up observation Erupted properly and well cared for, deeply embedded in the bone with no effect on surrounding teeth. Regular X-ray checkups ❓ FAQ Q1. How should I choose a hospital for wisdom tooth extraction? ? A1. Check just three things! Since they are often adjacent to the jaw nerve A skilled oral and maxillofacial surgeon Whether there is, Precision equipment such as 3D CT Whether it is equipped with, and Same-day extraction and aftercare It is a good idea to check if it is systematic. Q2. I'm worried my face will swell a lot after the extraction. A2. Although there are individual differences, swelling is usually most severe during the 48 hours after extraction. During this period Ice pack If you do this consistently, it will be of great help in reducing swelling. Q3. The pain is very scary. Is it manageable? ? A3. Recently Painless anesthesia system or sedation anesthesia We are minimizing pain through the back. If you take the prescribed medication properly and pay attention to applying cold compresses, you can recover without much discomfort. 📝 conclusion Careful selection and regular checkups are the answer! Not all wisdom teeth necessarily have to be extracted. but Inconvenience in daily life or potential risks If this exists, it must be checked. Rather than making a decision blindly Consultation with skilled medical professionals through Management methods that suit me I hope you find it. Gangnam Saero Dental Clinic Director Jeong Jae-wook Ministry of Health and Welfare Prosthodontics Specialist Graduate of Yonsei University College of Dentistry Master's degree from Yonsei University Graduate School of Dentistry Yonsei University Sinchon Severance Hospital Intern , Completed Prosthodontics Residency Certified and Regular Member of the Korean Academy of Prosthodontics Korean Academy of Oral and Maxillofacial Implantology (KAOMI) Excellent member Regular member of the Korean Academy of Temporomandibular Joint and Occlusion Member of the Korean Academy of Aesthetic Dentistry jeon ) Adjunct Professor, Yonsei University College of Dentistry jeon ) Served as Representative Director of Yonsei Good Day Dental Clinic Yangjae Branch hyeon ) Board of Directors of the Korean Academy of Prosthodontics , Specialist Committee · Academic Affairs Committee hyeon ) Korean Academy of Oral and Maxillofacial Implantology (KAOMI) Director of Academic Planning View more expert columns on laminates > [Health Column] No-prep Veneers, Are They Really 'No Prep'? A Summary of Key Points You Must Know [Health Column] Airnate – Why Minimally Removed Laminates Allow for Reshaping Your Teeth in Just One Week If you would like to check the causes of bad breath and your oral condition in more detail with Director Jae-wook Jeong of Gangnam Saero Dental Clinic > This column was written with reference to the Korea Disease Control and Prevention Agency's National Health Information Portal and related oral health information materials.
정재욱 원장26.04.06Views 484Likes 1 [Health Column] Do I Really Need Wisdom Tooth Extraction? 8 Wisdom Tooth Myths You Might Be Getting[6]
hello! Lee Hyeon-seop, Director of Seoul Centum Dental Clinic no see. Have you ever worried about your wisdom teeth? When I consult with dentists, many people ask similar questions. “Do I really need to have my wisdom teeth pulled?” “They say that wisdom teeth change the shape of your face?” “Will it be a big problem if I drink or smoke after tooth extraction?” Like this Myths about wisdom tooth extraction There are more than you think. Today, many people are curious about 8 Common Misconceptions About Wisdom Teeth and the Real Facts Let's organize it. 🦷 1. Do wisdom teeth always have to be extracted? 🦷Depending on the condition, wisdom teeth may not need to be extracted. Not all wisdom teeth are necessarily candidates for extraction. In the following cases: There are cases where extraction is not necessary. ✔ If it erupts normally ✔ If it does not affect surrounding teeth ✔ If you are in a manageable location But in reality There are also quite a few wisdom teeth that cause problems. Typical problems include: 🔸 Cavities 🔸 Gum inflammation 🔸 Damage to front teeth 🔸 Food stuck especially wisdom tooth When a cavity occurs in the tooth right in front (second molar = second large wisdom tooth) In some cases, preventive extraction is recommended. 2. Can I only get my wisdom teeth pulled when they hurt? 🦷In some cases, it is better to extract the tooth before it becomes painful. Many people “If it hurts, why don’t you just pull it out then?” I think. but If the pain has already started In ✔ Gum inflammation ✔ Abscess ✔ Swelling of surrounding tissues The same problem may appear together. In this case There may be situations where treatment of inflammation is required first, followed by tooth extraction. So wisdom teeth Checking the condition through regular checkups This is important. 3. Will my face shape change because of my wisdom teeth? 🦷Wisdom teeth rarely change the shape of your face. Wisdom teeth can change the structure of your jawbone It is rare for something to have great power. Changes in face shape are common ✔ Weight changes ✔ Muscle development ✔ Temporomandibular joint problems same Other causes It is more likely because of this. 4. Will my teeth become misaligned because of my wisdom teeth? 🦷It is not common for teeth to become misaligned due to just one wisdom tooth. When using dental floss Pulling hard like sawing can cause gum bleeding This could be it. This is a somewhat divisive topic. However, the current research results show that Wisdom teeth push other teeth It is difficult to conclude that the force generated is enough to move the entire tooth. Moving teeth is not as easy a process as you might think. Even in orthodontics Strong, continuous force must be applied to move teeth. Because it does. so It is rare for a single wisdom tooth to move the entire row of teeth. 5. Will my wisdom teeth continue to bleed after extraction? 🦷In most cases, the bleeding does not last long. One of the reasons people fear wisdom teeth extraction is bleeding. But in general ✔ About 1-2 days after extraction ✔ Slight bleeding In many cases, only a small amount is shown. If you bite down on the gauze well and stop the bleeding, It rarely causes major problems in daily life. ⚠️ Just If bleeding persists, it is recommended to consult a dentist. 6. Is it dangerous to drink alcohol or smoke after wisdom tooth extraction? 🦷It may not be dangerous, but it may have a negative impact on recovery. “If you drink alcohol, the bleeding won’t stop.” “If you smoke, you’ll be in big trouble.” You may have heard this story: In fact, just because you drink or smoke It doesn't necessarily mean that a dangerous situation will arise. However, this is not recommended for the following reasons: ✔ Delayed wound healing ✔ Increased risk of inflammation ✔ Possibility of dry socket especially Because smoking can increase your risk of dry socket. It is helpful to quit smoking for a period of time after tooth extraction. ✔️What is a dry socket? This refers to a condition in which the pain worsens as the scab (blood clot) at the extraction site falls off. This blood clot Role in protecting bones and nerves and helping wound healing . 7. Will my headache go away if I get my wisdom teeth pulled? 🦷There is rarely a direct link between headaches and wisdom teeth. The causes of headaches are very diverse. so It is difficult to say for sure that your headaches are caused by your wisdom teeth. However, in cases where the inflammation around the wisdom tooth is severe, As the pain decreases, you may feel that your headache is getting better. 8. When a wisdom tooth comes in, does it always swell and cause a fever? 🦷Just because a wisdom tooth grows doesn't mean it will always become inflamed. Wisdom teeth ✔ Normally erupted ✔ If the surrounding area is well managed The following symptoms may not appear: ✔ Swelling ✔ Pain ✔ Fever but If your wisdom tooth is partially covered by the gums Food can become lodged and cause inflammation. At this time Determining whether to extract the tooth after treating inflammation It will be done. FAQ Q1. How many wisdom teeth can grow? A1. It varies from person to person, but usually there can be a total of four on both the top and bottom. Q2. Does wisdom tooth extraction hurt a lot? A2. It depends on the individual's condition, but if treated with an accurate diagnosis and plan, treatment is often possible without major problems. Q3. When is it best to get my wisdom teeth checked? A3. Even if you don't have symptoms, it's helpful to check your condition through regular checkups. conclusion Wisdom tooth extraction is a treatment that many people fear. But in reality In most cases, treatment is possible without major problems if done with an accurate diagnosis and plan. Wisdom teeth vary from person to person. ✔ Location ✔ Angle ✔ Gum condition Because they are all different It is important to determine whether or not to extract the tooth through a thorough examination. 📌 If you are experiencing discomfort due to your wisdom teeth If you are wondering whether to have your teeth extracted or not It is recommended that you check your condition through a dental checkup. Seoul Centum Dental Clinic CEO Lee Hyeon-seop Integrated Dentistry Specialist Graduated from Korea University Master of Dentistry, College of Dentistry, Kyung Hee University Regular member of the Korean Society of Oral and Maxillofacial Implantology Full member of the Korean Academy of Endodontics Full member of the Korean Academy of Integrative Dentistry Full member of the American Academy of Aesthetic Dentistry (AACD) Full member of the American Academy of Implant Dentistry (AAID) Full member of the International Congress of Implantology (ICOI) Experience in placing over 17,000 implants Has extensive overseas experience, having visited more than 10 countries Experience with numerous high-difficulty implant cases Read other health columns by Director Lee Hyeon-seop > [Health Column] Impacted Wisdom Teeth: Why Are They a Problem? Pain, Inflammation, and Damage All at a Glance [Health Column] Curious about the implant lifespan? How long can I use it? [Health Column] There are so many different types of implant bone grafting... What criteria should I use to choose?
이현섭 원장26.03.11Views 319Likes 5 [Health Column] Orthodontic Extraction vs. Non-Extraction: Is Extraction Always Necessary? A Summary of Criteria, Pros, and Cons[3]
hello, Director Jo Byeong-ju of Shine Orthodontics no see. 👋 There are certain questions that people considering orthodontic treatment ask most frequently in the consultation room. These are inquiries mixed with concern, such as, "Do I really have to have teeth extracted?" and "Can a protruding mouth be corrected with non-extraction orthodontics?" There is a lot of information on the internet claiming that non-extraction is always better or that extraction drastically changes one's face, which further confuses patients. However, actual orthodontic treatment is not determined solely by whether or not to extract a tooth, Comprehensive diagnosis of tooth alignment, facial shape, degree of space shortage, etc. You must do it. In this column, I will explain the true differences between extraction and non-extraction orthodontics and provide clear selection criteria in an easy-to-understand manner. I hope this helps you find the right treatment direction for you! ✨ 1️⃣ What is the most important key point regarding tooth extraction versus non-extraction in orthodontic treatment? 📐 The essence that determines the success or failure of orthodontic treatment lies in 'securing space' to move the teeth. For both extraction and non-extraction orthodontics, the key to the treatment outcome is how much space can be secured to properly align the teeth. This is because only when adequate space is secured in our mouth can we use it to push a protruding mouth inward and straighten crookedly overlapping extra teeth. Generally, when performing extraction orthodontics Premolars (small molars) with a width of about 7 to 8 mm You will gain that much extra space by extracting the tooth. On the other hand, with the recent development of various orthodontic devices non-extraction By utilizing every possible means to the fullest extent through orthodontics, it has become possible to create space comparable to that of tooth extraction. Representative techniques for creating space without tooth extraction include Arch expansion (3~4mm) , Interdental reduction/IPR (3~4mm) , Posterior movement of molars (3~4mm) There are methods available, and by combining all of them, it is possible to secure about 9mm of usable space. < Case of Posterior Molar Movement > 📍 Example: If the space for tooth alignment is too narrow, resulting in severe crowding or a situation where a protruding mouth needs to be moved back significantly, securing space through premolar extraction can be a clear solution. However, if conditions allow for the precise application of non-extraction techniques, meaningful space can be achieved without extracting teeth. 📌 "Rather than relying solely on extreme online reviews and insisting on a specific method, it is essential to first undergo a precise dental diagnosis to determine the actual amount of space missing." 2️⃣ Can non-extraction space creation methods be applied equally to all patients? 📐 The three techniques for creating space without tooth extraction must be applied strictly and selectively based on the patient's oral and jawbone structure. The three methods for creating space for tooth movement through non-extraction orthodontics are excellent alternatives, but unfortunately, they cannot be unconditionally applied to all patients. This is because each patient has different anatomical characteristics. ① Expansion of the dental arch : This method is actually Limited use only for patients with a narrow jaw width You must do it. If this procedure is performed excessively on a patient with a normal jaw width solely for the purpose of widening the space, the overall occlusion may collapse or long-term stability after treatment may be significantly compromised. ② Interdental Reduction (IPR) : The side of the tooth Finely trim by 0.2~0.5mm It is a method of gathering the entire gap space. Generally, if the procedure is performed within 0.5mm per area, there are no problems with dental health, and it is advantageous to distribute the work evenly across multiple tooth surfaces rather than grinding down a large portion of a single tooth. If performed to the maximum extent on all areas, approximately 3mm of space can be obtained per side. ③ Posterior movement of molars This is a technique that creates space in the front by pushing the entire dentition backward. The most important thing here is Does there actually exist space within the bone for the molars to move backward? no see. In particular, a precise 3D diagnosis must be performed beforehand to determine if there is available space in the posterior area of the mandible (lower jaw). 📍 Example: If posterior movement is forcibly attempted on a patient who has absolutely no space to push the molars back due to structural limitations of the lower jawbone, the teeth may not move properly or side effects may occur. 📌 It is essential to receive a precise diagnosis from an orthodontist to determine whether arch expansion is necessary, or if the tooth structure allows for the safe application of interproximal reduction or posterior movement. 3️⃣ If you are on the borderline between extraction and non-extraction, what criteria should you use to make a decision? 📐 For borderline patients with a space shortage of 4 to 7 mm, the decision is made by comprehensively considering tooth shape, caries activity, type of appliance, and the patient's pain sensitivity. Based on the results of a precise examination, if the required space is significantly lacking by more than 9mm on each side, extraction is easily determined, while if it is slightly lacking by 4mm or less, non-extraction is recommended. The problem lies with 'borderline patients' who have a space deficiency of 4 to 7 mm. In this case, since both methods are possible, you must use the following five detailed criteria as a guide. ① Shape of the teeth: If the shape is close to a triangle, non-extraction treatment is much more advantageous. do. This is because it is shaped to fully utilize Interproximal Reduction (IPR), and the reduction can naturally reduce the 'black triangle,' the empty space between teeth. ② Number of prosthetics and dental caries (cavity) activity: If you have a lot of dental prosthetics in your mouth or an environment where cavities form easily, extraction orthodontics is actually better. This is because it is difficult to adequately perform interdental reduction, which involves finely grinding the sides of the teeth, in such an oral condition. ③ Type of calibration device used: Invisalign achieves arch expansion much faster, but traditional brackets (wire devices) perform molar posterior movement better. do. Therefore, even for patients who appeared capable of non-extraction posterior movement based on brackets, insisting on using Invisalign may actually lead to a situation where extraction becomes necessary. ④ Anatomical spatial limits: Regardless of whether wisdom teeth are extracted, it is necessary to determine how much bone space remains behind the molars that can actually be moved, and whether the jawbone is capable of accommodating arch expansion. If both non-extraction pathways are structurally blocked, it is advisable to choose extraction for a clean result. ⑤ Discomfort and pain felt by the patient: This is a point that many people misunderstand, In fact, the tooth extraction treatment itself is almost painless. In fact, arch expansion devices or posterior movement devices used in non-extraction orthodontics often cause greater discomfort and pain in the mouth. Therefore, if you prefer a slightly more comfortable and less cumbersome process during the orthodontic treatment period, we recommend tooth extraction. 📍 Example: If a borderline patient with square-shaped teeth and significant traces of cavity treatment finds it difficult to tolerate the pain and foreign body sensation of complex non-extraction devices, choosing to extract premolars rather than forcing a non-extraction procedure may be advantageous in terms of both the treatment process and the outcome. 📌 "When you are teetering on the edge, that is precisely when in-depth communication with medical staff truly shines. Please share your lifestyle and pain tendencies with the medical team in detail." 🔍 FAQ (Frequently Asked Questions) Q1. Doesn't interproximal reduction (IPR) cause significant tooth sensitivity during non-extraction orthodontics? A1. No, you don't need to worry too much. 🙅♂️ Common tooth sensitivity usually occurs when the neck of the tooth (cervical area) is worn down. During interdental reduction, the area that is ground down very finely is the outermost 'proximal enamel' region of the tooth, where sensory nerves are not distributed. Since the amount removed is also very minimal, you do not need to worry about side effects such as sensitivity. However, if not performed precisely, food particles can get trapped between the teeth, creating an environment where cavities (dental caries) are likely to develop, so the procedure must be performed accurately by a skilled specialist. Q2. After having wisdom teeth extracted, will space naturally form to push the molars back? A2. It is half right and half wrong. 💡 When extracting a wisdom tooth that has erupted straight into the mouth, available space is created to push the molars backward by utilizing that opening. However, for impacted wisdom teeth that are completely buried in the gum bone, simply extracting them does not automatically create space for the tooth to move. In this case, the limit of the practically usable posterior space is determined by the anatomical boundary between the soft tissue and bone behind the tooth, rather than the presence or absence of wisdom teeth. 📋 Conclusion Today, we have taken a detailed look at the key criteria for tooth extraction versus non-extraction, which is the biggest concern for those facing orthodontic treatment. Having operated an orthodontic clinic in Nowon for a long time and personally treated countless cases, there are certainly tricky cases where even I, as an expert, agonize deeply over which approach—extraction or non-extraction—will bring the most perfect results to the patient. This is because orthodontic treatment is a precise medical field that must encompass not only visible gaps between teeth but also the condition of the gums, the overall treatment duration, changes in facial shape, and even the anatomical limitations imposed by the appliance. ⚠️ Please make sure to remember this! 📌 Rather than blindly deciding on a treatment method based solely on rumors such as "non-extraction is better" or "extraction is faster," the first step is to thoroughly examine your precise diagnostic condition. 📌 The wise choice at the borderline may vary depending on the shape of your teeth (whether they are triangular), the activity of cavities, and your sensitivity to pain. Above all, the most important key to success is to accurately align your desired aesthetic and functional goals through constant communication with medical professionals, and for the doctor and patient to move forward step by step while looking toward the same goal. As this is a significant journey that determines your smile and dental health for a lifetime, I sincerely hope you find a trustworthy orthodontist to discover the right solution that fits your oral structure perfectly. 🦷 Shine Orthodontics Director Cho Byeong-ju Graduated from Seoul National University Graduate School of Dentistry / Doctor of Dental Surgery Catholic University of Korea Seoul St. Mary's Hospital Department of Orthodontics Intern / Resident Graduated from Catholic University of Korea Graduate School of Medicine with a minor in Plastic Surgery / Master of Medicine Visiting Professor, Department of Orthodontics, Catholic University of Korea Seoul St. Mary's Hospital Visiting Professor at CHA University Gangnam Hospital Invisalign Official Faculty Regular member of the Korean Association of Orthodontists (KAO) Member of the Korean Society of Clinical Orthodontists (KSO) 2019/2020/2021/2022 Awarded the Excellent Case Presentation by the Korean Association of Orthodontists
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