Dealing with a Cavity on Your Upper Left Wisdom Tooth: Removal or Filling?

When facing a cavity on your upper left wisdom tooth, the decision to remove or fill the tooth can often be confusing. This article discusses the factors to consider and the best course of action based on your specific case.

Understanding Wisdom Teeth

Wisdom teeth, also known as third molars, are the last adult teeth to erupt. They can be functional and useful for chewing, but often they create alignment and cleaning issues. If a wisdom tooth has a cavity but is properly aligned and functional, it may be possible to fill it. However, if the tooth is misaligned, overcrowded, or unable to clean effectively, it might be best to remove it to prevent further issues.

Factors to Consider

The condition of the tooth, whether it has an opposing tooth, and its overall health are crucial factors in making the decision. If the cavity is small and the wisdom tooth functions properly, it might be suitable to fill the tooth. However, if it is positioned poorly and cannot be properly cleaned or treated, removal is typically recommended.

Anatomical Considerations and Restoration

Wisdom teeth anatomically are not ideal for restoration. They are usually positioned far back in the mouth, making them difficult to clean efficiently. Therefore, fillings on wisdom teeth are often ineffective. Additionally, the risk of complications during restoration, such as infection or swelling, can make this option less favorable.

Treatment Recommendation

If the cavity causes discomfort or affects chewing, it is advisable to consult a dentist immediately. The dentist will perform an X-ray to assess the extent of the cavity and determine the best course of action.

Initial Steps

Visit Your Dentist: Make an appointment with your nearest dentist as soon as possible.

Get an X-ray: An X-ray is necessary to see the full extent of the cavity and any potential issues with the pulp tissue of the tooth.

Further Treatment: The treatment will depend on the proximity of the cavity to the pulp tissue. For smaller, early cavities, your dentist might use composite, tooth-coloured materials to fill the tooth. For more advanced cavities, extraction might be necessary. Removal of wisdom teeth generally does not affect chewing abilities and is a common procedure.

Root Canal and Extraction Considerations

Unlike in other teeth, root canal treatment for wisdom teeth is not always recommended due to the complex anatomy of these teeth. The root canal area is small, and proper visibility and accessibility can be challenging. There is also a risk of accidental swallowing or inhalation of small dental instruments during treatment. When a tooth is badly damaged or has very little remaining material, extraction is often the best option.

Conclusion

Deciding between filling and removing a cavity in your wisdom tooth is a case-dependent decision. Consulting a professional dentist is crucial before making a final decision. Always seek professional medical advice and follow your dentist's recommendations based on your specific condition.

Disclaimer

This information is provided for general informational purposes only and is not a substitute for professional medical advice. Always seek the advice of your doctor or dentist before starting or changing treatment.