To Pull or Not to Pull, that is the question? Sandy Springs Dentist

tooth extractionExtracting your wisdom teeth creates the ultimate Shakespearean dilemma.  And if you ask an oral surgeon, conventional wisdom is to pull them before they cause crowding, food packing, gum disease or tooth decay.[1]  Yet not all dentists agree with this assessment.  Watch and wait may be the better route to take.  New research is helping dentists identify more precisely those young patients who are headed for trouble and those who can be spared needless surgery. The emerging science also aids in timing extractions for patients who have yet to experience symptoms.[2]

We base our diagnosis on an individualized risk-benefit analysis and are not that quick to judgment.  The relationship of seemingly intact wisdom teeth to chronic tooth decay and periodontal disease is a relatively new finding, based on a continuing study at the University of North Carolina. Researchers in the dental school are monitoring 330 people, ages 20 to 29, all of them with intact wisdom teeth, to gauge whether the third molars influence subtler aspects of oral health.[3]

We are a multi-specialty practice that prides ourselves on conservative dentistry.  Wisdom teeth extraction can be complicated, especially when the teeth are impacted, requiring excavation from the jawbone. Dry socket is a painful inflammation of the wound site.  Other risks include wound infection and damage to the trigeminal nerve, which is responsible for sensation in the eyes, teeth, gums, lip and tongue.  With these potential issues in play, it’s still a judgment call by an experienced provider.

We are here to serve you.  If we can be of assistance please feel free to contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328


[1] 2007 study by oral surgeons endorses wisdom teeth being pulled.

[3] Dr. Raymond P. White Jr., the director of the project, ibid.

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