maxpingvietnam02
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I am a guy who had 4 wisdom teeth extracted but saw that my face gradually changed over time, especially when looking from the front, the 2 right angles of the jaw seemed to be narrower instead of widening like before, so I went to many places to learn such as forums, medical documents, dental and maxillofacial specialists,...
According to my theoretical point of view, it will be divided into 2 cases
Case 1: Wisdom teeth grow crooked
Why do they grow crooked? -> because the jaw does not develop to its maximum, when it comes to the age of wisdom teeth growing, they will grow crookedly and there will not be enough space, and they will grow in places where they should not grow, so from here there is a risk of complications, so many dentists recommend removing them for good reason.
So, will extracting impacted wisdom teeth cause complications of bone loss due to sunken face? In my opinion, no, because the location of these wisdom teeth is not on the main chewing dental arch, so after extraction, it will cause a modeling process (recreating the original shape) -> this area will be sunken after extraction and if x-rayed, there will be a black gap, but over time, a remodeling process (long-term bone restructuring) will occur -> at this time the bone will be reorganized to create a stable structure and that bone area will be stable for a long time.
Why is there no bone loss like in the area of tooth 6 and tooth 7 when they are extracted? Because as I said above, wisdom teeth grow crookedly, they are not located on the chewing arch and are located in a position that should not grow such as the jaw angle, crooked, hidden in the bone, gum papilla, .... -> the chewing coefficient of this pile of tooth 8 is almost non-existent and the places where they grow do not inherently need mechanical force from chewing like tooth 6 and tooth 7 to maintain the jaw bone structure, so when they are extracted, they will not be lost and the remodeling / modeling process will occur as I described above.
this is my case
photo 1 (December 2023) before removing 4 wisdom teeth (4 teeth are crooked as in the photo)
photo 2 (July 2024), after removing 4 wisdom teeth almost 1 year
recently no x-ray or 3d CT, as you can see, photo number 2, the two corners of the bone base in the area of the 8th tooth of the lower jaw and upper jaw are very full again, about 70% 80% compared to the original . In this picture of me with my mouth open, you can see the bones and gums protruding instead of the bone loss.
Case 2: Wisdom teeth grow straight
This is a female case
Photo 1 (before extraction), Photo 2 (after extraction)
As you can see in the red circle, the lower right jaw bone that was extracted is concave instead of flat, both upper jaw 8 tooth sockets are also black and empty
The reason is contrary to the logic as in case 1 I analyzed, the jaw structure of this case has enough position for all 4 wisdom teeth, all 4 grow beautifully but still extracted -> causing gradual bone loss over time is certain because the 8th tooth participates in the chewing function and creates mechanical chewing force to maintain the jaw bone structure
Final question:
These two pairs of photos, the first photos are before wisdom tooth extraction (I weigh 54kg), and the second photos are now , removed all 4 impacted wisdom teeth (I weigh 65kg). Do you see any difference in the jaw bone structure and jaw angle? Should I take a 3D CT scan to determine the most accurate result and do I need to have bone grafting in the wisdom tooth area?
According to my theoretical point of view, it will be divided into 2 cases
Case 1: Wisdom teeth grow crooked
Why do they grow crooked? -> because the jaw does not develop to its maximum, when it comes to the age of wisdom teeth growing, they will grow crookedly and there will not be enough space, and they will grow in places where they should not grow, so from here there is a risk of complications, so many dentists recommend removing them for good reason.
So, will extracting impacted wisdom teeth cause complications of bone loss due to sunken face? In my opinion, no, because the location of these wisdom teeth is not on the main chewing dental arch, so after extraction, it will cause a modeling process (recreating the original shape) -> this area will be sunken after extraction and if x-rayed, there will be a black gap, but over time, a remodeling process (long-term bone restructuring) will occur -> at this time the bone will be reorganized to create a stable structure and that bone area will be stable for a long time.
Why is there no bone loss like in the area of tooth 6 and tooth 7 when they are extracted? Because as I said above, wisdom teeth grow crookedly, they are not located on the chewing arch and are located in a position that should not grow such as the jaw angle, crooked, hidden in the bone, gum papilla, .... -> the chewing coefficient of this pile of tooth 8 is almost non-existent and the places where they grow do not inherently need mechanical force from chewing like tooth 6 and tooth 7 to maintain the jaw bone structure, so when they are extracted, they will not be lost and the remodeling / modeling process will occur as I described above.
this is my case
photo 1 (December 2023) before removing 4 wisdom teeth (4 teeth are crooked as in the photo)
photo 2 (July 2024), after removing 4 wisdom teeth almost 1 year
recently no x-ray or 3d CT, as you can see, photo number 2, the two corners of the bone base in the area of the 8th tooth of the lower jaw and upper jaw are very full again, about 70% 80% compared to the original . In this picture of me with my mouth open, you can see the bones and gums protruding instead of the bone loss.
Case 2: Wisdom teeth grow straight
This is a female case
Photo 1 (before extraction), Photo 2 (after extraction)
As you can see in the red circle, the lower right jaw bone that was extracted is concave instead of flat, both upper jaw 8 tooth sockets are also black and empty
The reason is contrary to the logic as in case 1 I analyzed, the jaw structure of this case has enough position for all 4 wisdom teeth, all 4 grow beautifully but still extracted -> causing gradual bone loss over time is certain because the 8th tooth participates in the chewing function and creates mechanical chewing force to maintain the jaw bone structure
Final question:
These two pairs of photos, the first photos are before wisdom tooth extraction (I weigh 54kg), and the second photos are now , removed all 4 impacted wisdom teeth (I weigh 65kg). Do you see any difference in the jaw bone structure and jaw angle? Should I take a 3D CT scan to determine the most accurate result and do I need to have bone grafting in the wisdom tooth area?
