Are upper and lower left wisdom teeth linked for extraction?

Question

Hi doctor,

I am a 30-year-old male. I had cheek biting on the left side, and I removed my left upper wisdom tooth before three months. I have a white line and patch adjacent to the lower left wisdom tooth. I also have some white dots over the cheek. I had some sensitivity issue in the left lower wisdom tooth, and I consulted an endodontist.

The sharpness of the cusp was reduced, and GIC filling was done for the mild decay. Now, I am eating only on the right side of the tooth. I have a fear of damaging the filling, and so I am eating food on the right side. Now, I do not have pain, but, occasional sensitivity issues. I am advised to have braces after two months. I have an impacted lower left first premolar to erupt. Should I need to conserve the left lower wisdom tooth or can I extract it? I am attaching the images and X-rays. Please give your advice.

Answer 1

Hi,

Welcome to icliniq.com.

If you have sensitivity on your wisdom tooth, you should re-evaluate the filling. However, if it is not severe and increasing in nature, please wait for sometime, and it can subside on its own. The presence of wisdom tooth will not interfere with the braces treatment.

Usually, when the upper wisdom tooth of the same side is removed, it is advisable to remove the lower also, because without any opposing upper tooth, it is impossible to bite and it can cause supra eruption causing other problems. But it can be removed at the time if it causes trouble. It is not a mandatory procedure at this time.