A member asked:

Irritation inflamation gum around wisdom tooth. not impacted. root canal on wisdom tooth vs extraction ! two extracted -- 1 root canal - lower rt?

13 doctors weighed in across 8 answers

Not clear: If the wisdom tooth is extensively decayed and restored it may be better to have it removed. Eve though not impacted it may be so far back in the mouth that it is hard to keep clean and healthy. What does your dentist suggest?

Answered 8/22/2013

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Dr. Joel Doyon answered

Specializes in Dentistry - Cosmetic

Discuss with dentist: Is the tooth itself symptomatic: sensitive to hot or cold or biting? Or is it strictly related to the gingiva around the tooth? Do you have room for the tooth and are you able to brush and floss around it? Is the upper tooth in contact with this tooth? Do you need this tooth for function? These are questions you should discuss with your dentist.

Answered 8/22/2013

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Dr. Kayvon Javid answered

Specializes in Dentistry

Extraction : Wisdom teeth are not good candidates for root canal therapy and most often are recommended to be extracted. It is not clear as why you might be getting a root canal on your wisdom teeth. Ask your dentist to explain the pro's and the con's of the proposed treatments.

Answered 12/10/2013

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See a dentist: Gum irritation alone may not necessitate an extraction or a root canal. Best to see a dentist have him take x-rays and perform periodontal charting. This may be something as simple as food impaction that is causing the gingival inflammation. Your dentist will give you treatment options for that tooth and others if a full exam is performed.

Answered 10/10/2019

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Extract it: Having a root canal procedure on a wisdom tooth can be challenging for the dentist. This tooth usually has difficult access. Often there is not enough room present in the jaws to accomodate the wisdom teeth. See a dentist to have the tooth extracted.

Answered 1/9/2019

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Dr. Gary Sandler answered

Specializes in Dentistry

What to do?: Decisions such as these cannot be properly answered over the internet. We can only make some general observations and recommendations. It depends upon the condition & health of the wisdom tooth as well as the adjacent and opposing teeth, the alternatives and long term prognosis of treatment options, financial situation and risk level, etc. Trust your own dentist to help guide you.

Answered 11/9/2018

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Extraction: You mention gum inflammation, which may be pericoronitis or food impaction, a root canal would not be indicated. If the inflammatory process occurs several times: extract.

Answered 12/9/2013

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Dr. Ron E. Bell answered

Specializes in Cosmetic Dentistry

Depends : It depends on the amount of space available for treatment access. If other molars are missing and the wisdom tooth has moved forward, then saving and not extraction is the better option.

Answered 10/10/2019

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