Wisdom teeth near sinus cavity
 

I have read a lot of articles on the internet recommending people to have their upper wisom
teeth removed to forestall future problems so I've decided to visit a dentist. (My two lower wisdom teeth which were impacted had already been removed.) Upon reviewing my dental x-ray, he told me that my two upper wisdom teeth were too close to my sinus (one is horizontal while the other is impacted and tilted vertically). He also noted that my sinus were rather "ABNORMAL" for my age (30 years old) since it has already descended to my gumline. In order to avoid the risk of them getting inside my sinus, he suggested to have my second molars removed instead and recommended that I should undergo a sinus lift and have bone fillers and membranes inserted in order to "strengthen" my upper teeth. (I've researched about the procedure on the internet and found out that it was similar to having dental implants). Overall, I was quoted a wapping P208,000 (Philippine pesos) for the entire procedure or P104,000 for each tooth.

Could anyone please shed some light about my situation? Do I really need to have the bone filler and sinus lift or is it just optional? Has anyone heard of these procedures or any similar case? Any advice/info would be greatly appreciated :)

Hi fxb21,

Is there any indication that your upper wisdom teeth are infected or causing any anatomical problems? What is the reason for having them removed?

Generally, when the lower wisdom teeth are removed and the upper wisdom teeth are not impacted, but have erupted completely...there is a good chance that the upper wisdom teeth will drift downward because they have no opposing teeth to prevent the drifting. This can cause periodontal problems with the upper wisdom teeth because as they drift, they develop deep pocketing and bacteria becomes abundant. However, if the upper wisdom teeth are biting against the lower second molars, even just a little bit, that is often helpful in preventing the wisdom teeth from drifting downward. Also, if the upper wisdom teeth are impacted and not infected or causing any systemic health concerns, they can usually be left alone.

Bryanna