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Can a dental visit for an impacted wisdom tooth be delayed?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

If I have an impacted wisdom tooth, can I wait a week before going to a dentist? I am 16 years old and I have frequent pain but it is bearable. I have not removed any of my wisdom teeth but my dentist told me last year that I would need them removed at some point in the future. I am going on vacation, so I would like to know if this is an emergency. Kindly suggest.

Thank you.

Hi,

Welcome to icliniq.com.

I can understand your concern.

I went through your query and attached image (attachments removed to protect the patient's identity). I feel sorry for the discomfort that you are facing. The image depicts inflammation due to the erupting third molar in the lower jaw but the whitish area looks like an ulcer due to trauma caused by the upper third molar which seems to be tilted a bit towards the cheek. The image of the upper third molar region is not clear. If possible, upload another image that includes the third molar of the upper jaw too.

Since you are just 16 years old, the lower third molar can erupt on its own. It generally erupts within 18 to 21 years of age. Till then, if the upper third molar is ground slightly, it would prevent it from poking the gum of the lower jaw and will bring immediate relief. My advice is that you can wait for a week. I will prescribe medications that will ease all.your discomfort. It is quite misleading to extract an erupting third molar at just 16 years of age. You just need a bit of grinding of your upper third molar and your problem will subside spontaneously.

I would recommend the following-

  1. Capsule Sporidex 500 mg (Cephalexin 500mg)- One capsule BD for five days.
  2. Tablet Ibuprofen- One tablet BD for five days.
  3. Capsule Omeprazole- One capsule before meal (BD) for five days.
  4. Use Betadine (Povidone-iodine) mouthwash and gargle with lukewarm water two to three times a day.
  5. Brush twice gently and avoid sticky or sweet foods as much as possible.

Start the medications. You do not need extraction as it is too early for your age. You just need a bit of grinding in your upper right third molar. Kindly upload an image that covers the tooth of the upper jaw too. That will be more helpful.

I hope this helps. Revert in case of any further queries.

Thank you.

The Probable causes

The probable cause could be an erupting lower right third molar and trauma caused by the upper right third molar causing discomfort and pain.

Investigations to be done

Kindly upload another image of the area that includes the upper right third molar.

Treatment plan

Kindly take medications for now. After a week, get the upper right third molar grounded and wait till 18 years of age. You will know for sure if it is erupting or not. Rushing and getting it extracted is not a good choice. A simple grinding can solve all your discomforts. Start the medications as soon as possible.

Medically reviewed byDr. Sneha Kannan

Published At August 18, 2020
Reviewed AtDecember 31, 2024

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