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The Truth About Wisdom Teeth: Should You Remove Them?

The Truth About Wisdom Teeth: Should You Remove Them?

Wisdom teeth, those mysterious third molars erupting in late adolescence or early adulthood, can cause confusion. 

Should you keep them or have them extracted? Let’s explore the facts about wisdom teeth and empower you to make informed decisions alongside your dentist.

Wisdom Teeth: Evolutionary Relics

Wisdom teeth, also known as third molars, are the last teeth to erupt in the mouth. 

Our ancestors relied on them for chewing tough, fibrous foods. 

However, with modern diets consisting of softer, processed foods, wisdom teeth have become somewhat vestigial – organs that have lost some of their original function.

When Wisdom Teeth Become Troublesome

While some wisdom teeth erupt flawlessly, others pose problems due to a lack of space in the jaw. This can lead to several complications:

  • Impaction: Wisdom teeth become trapped within the jawbone or emerge at an angle, causing pressure and pain .
  • Crowding: Emerging wisdom teeth can push other teeth out of alignment, affecting your smile and bite .
  • Pain and Discomfort: Impacted or partially erupted wisdom teeth can cause significant pain, swelling, and tenderness .
  • Infection: Impacted wisdom teeth create a breeding ground for bacteria, increasing the risk of infection and gum disease .
  • Cyst Formation: In rare cases, impacted wisdom teeth can lead to the development of fluid-filled sacs called cysts within the jawbone .

To Extract or Not to Extract

The decision to remove wisdom teeth depends on individual circumstances. Here’s a breakdown to guide you:

  • Wisdom teeth are impacted: To prevent complications like infection, cyst formation, or damage to surrounding teeth .
  • There’s persistent pain or discomfort: Pain can be a sign of pressure or infection, and removal may be the best course of action .
  • There’s a risk of infection: Swelling, tenderness, or recurring infections around wisdom teeth suggest extraction may be necessary .

Removal Might Not Be Necessary When:

  • Wisdom teeth are healthy and well-aligned: If they erupt fully, function properly, and don’t cause any issues, they may not need removal .
  • There’s no pain or discomfort: Regular dental check-ups are crucial to monitor wisdom teeth, even if they don’t cause immediate problems .

The Wisdom Tooth Removal Process

If you and your dentist decide on wisdom tooth removal, here’s what to expect:

  • Consultation: Your dentist will examine your teeth, take X-rays, and discuss the extraction procedure in detail .
  • Procedure: Wisdom teeth are typically removed under local anesthesia, though sedation dentistry might be used for complex cases .
  • Recovery: Expect some swelling, discomfort, and bleeding for a few days after surgery. Your dentist will provide specific instructions to ensure a smooth recovery .

Alternatives to Wisdom Tooth Removal

Not all wisdom teeth require removal. Consider these alternatives:

  • Monitoring: Regular dental check-ups allow your dentist to monitor the growth and position of your wisdom teeth .
  • Non-surgical Treatments: If issues arise, such as mild infections, antibiotics or other non-surgical treatments may be recommended .


Mayo Clinic: Wisdom Teeth Overview (https://www.mayoclinic.org/diseases-conditions/wisdom-teeth/symptoms-causes/syc-20373808)

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