Is it necessary to extract a wisdom tooth with pulpitis?

Jun 29, 2024 Source: Cainiu Health
Disease description:

I've been experiencing toothache for the past few days, and upon examination, it was found to be a wisdom tooth pulp inflammation. I would like to ask, must a wisdom tooth with pulp inflammation be extracted?

Doctor's answer (1)
Dr. Guo Huijie
Pericoronitis of the wisdom tooth does not necessarily require extraction; this decision depends on the specific condition and the patient's oral status. Pericoronitis of the wisdom tooth is caused by bacterial infection or inflammatory invasion of the pulp tissue, with symptoms including pain, swelling, and sensitivity. During treatment, doctors will formulate an appropriate treatment plan according to the patient's specific condition. If the wisdom tooth erupts in a normal position and has sufficient opposing teeth to perform a chewing function, root canal treatment may be considered to preserve the wisdom tooth and restore its function. However, if the wisdom tooth erupts in an abnormal position, has already damaged adjacent teeth, or effective root canal treatment cannot be performed, extraction of the wisdom tooth might be a better option. Treatment of pericoronitis of the wisdom tooth requires comprehensive consideration of the patient's condition, oral status, and post-treatment outcomes, with a personalized treatment plan formulated by the dentist. During the treatment process, patients should actively follow the dentist's recommendations to facilitate recovery.