Can impacted wisdom teeth cause heaviness in the right jaw?

Question

Hello doctor,

During my recent dental visit, I discussed a concern with my dentist regarding persistent heaviness in my right jaw when chewing for extended periods. Following an examination, my dentist recommended an X-ray to further assess the issue. After reviewing the X-ray results, she advised that I undergo surgery to remove a specific tooth. However, my parents are hesitant about the surgery and suggest waiting for it to resolve naturally. I suspect that the source of the discomfort might be impacted wisdom tooth. I am eager to know your assessment based on the X-ray findings. Should I consider immediate removal, and if so, how many wisdom teeth require extraction? Also, which wisdom tooth should be removed to mitigate any adverse effects on my dental health, and which ones can be retained without causing problems? Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and I can understand your concern.

I have reviewed the attachment (attachments removed to protect the patient's identity), and it is evident that the cause of your discomfort is due to both of your lower wisdom teeth. They should be extracted as soon as possible because they are horizontally aligned, exerting pressure on adjacent teeth, resulting in the sensation of heaviness or tightness. Additionally, on the right lower side, there appears to be a supernumerary tooth or possibly remnants of a milk tooth.

I suggest you the sequence for extractions, firstly extract the lower right two horizontal molars and it should be done immediately, followed by lower left molar extraction only after the right molar extraction site has completely healed. You can wait longer for this one if it is not causing any discomfort, as your current complaint pertains primarily to the right side. I understand that convincing parents can take some time, as it is their way of showing care. However, try to explain gradually, and they will likely come to understand the urgency. These teeth would not naturally come out on their own and can only lead to potential infections. Ignoring the issue could also reduce your mouth's opening capacity.

I hope this helps.

For further inquiries, feel free to consult me at icliniq.com.

Thank you.