Wisdom tooth removal is a notorious procedure that causes pain and swelling. Some people see it as a rite of passage, but is it really necessary to remove these teeth?
The Mayo Clinic explains that for most people wisdom tooth removal will help avoid problems in the future. However, it is not always mandatory.
No removal required
You will not need to have your wisdom teeth removed if they are healthy, positioned correctly and fully grown in. They are like any other tooth in that as long as you can keep them clean, and they do not bother you, they can stay in your mouth.
A doctor who rushes to say you will have to have them removed may not be thinking of your best interests. You should always ask why the removal is necessary. You can specifically talk about the three points to see which one concerns the doctor.
Potential problems
If your wisdom teeth do not come in completely, they can allow for bacteria infections and lead to pain and suffering. If they fail to come in all the way, you usually will need to have them cut out.
Sometimes, your mouth is too small and the wisdom teeth lead to crowding. This can cause movement of your other teeth, impacting your bite and leading to pain. This is another case where removal is a good idea.
Finally, if they only partially come through the gums, they are more susceptible to decay because you cannot clean them properly. This will introduce infections and can be painful.
You should expect a full x-ray and examination before a doctor decides to remove your wisdom teeth. Remember that it is not always necessary, so ask why the doctor is making the recommendation.
Erb’s palsy is a serious condition that affects one or both of your baby’s arms and shoulders. The American Academy of Orthopaedic Surgeons explains that this birth injury while occurring in only about 0.02% of US births, happens when your baby’s neck becomes stretched during a difficult delivery.
Specific risk factors include the following:
- Breech presentation
- Large baby
- Prolonged labor
- Use of forceps or other delivery aids
Brachial plexus
Erb’s palsy, named for the doctor who first described it, is one type of brachial plexus palsy. The brachial plexus is the network of nerves in and around your baby’s neck that allows him or her to move and feel his or her shoulders, arms, hands and fingers. The word “palsy” is a medical term meaning weakness. Thus, Erb’s palsy causes weakness in your baby’s brachial plexus network that can hinder his or her ability to move or even feel his or her arms.
Erb’s palsy symptoms
In rare cases, Erb’s palsy can cause complete paralysis of one or both of your baby’s arms. More likely, however, it will affect only one arm. He or she may be able to feel and move his or her fingers, but will not be able to feel or move his or her shoulder. In other words, your baby will be unable to use the affected arm when reaching upward for an object. Rather, the affected arm will appear rotated in toward the body, and the fingers may remain in a curled position.
Physical therapy
The good news is that most Erb’s palsy babies respond well to a course of daily physical therapy exercises. This means that, in all likelihood, your child will eventually recover both sensation and movement in his or her affected arm.
