Wisdom Teeth

Wisdom Teeth: Why Removal May Be Necessary

Wisdom teeth, also known as third molars, are the final set of teeth to develop and emerge in your mouth, typically completing their growth between the middle teenage years and early twenties. While some individuals experience healthy wisdom teeth, they often present with various issues, requiring extra attention.

Why Wisdom Teeth Need Special Consideration

1. Difficulty Cleaning: Due to their location in the back of the mouth, wisdom teeth can be hard to floss and brush effectively, making them more vulnerable to cavities, gum disease, and decay.
2. Crowding: If there isn’t enough space for these teeth to fully emerge, they can push against adjacent teeth, causing crowding or misalignment, especially after orthodontic treatment.
3. Potential for Cysts or Tumors: Impacted wisdom teeth can lead to the development of cysts or tumors, which can be more serious and damaging if left untreated.

The Benefits of Early Removal

The best time for wisdom tooth extraction is often during the late teens or early twenties. In younger patients, the roots of the wisdom teeth are not fully formed, and the surrounding bone is softer, which reduces the risk of nerve damage and complications. An early assessment—usually around the teenage years—can lead to better outcomes, especially when performed by an experienced oral surgeon.

Why Should I Have My Wisdom Teeth Removed?

If there isn’t enough room for your wisdom teeth to emerge fully, they can lead to several potential problems:

1. Infection (Pericoronitis): One of the most common issues with impacted wisdom teeth is gum infection due to irritation and lack of space for full eruption. This infection can cause pain, swelling, and difficulty chewing or swallowing.

2. Cyst Formation: Impacted wisdom teeth can cause fluid-filled cysts within the jawbone, potentially destroying bone and teeth around the cyst. Though rare, tumors may also develop from untreated wisdom teeth.

3. Teeth Crowding: Impacted wisdom teeth can contribute to crowding, particularly in the lower front teeth, sometimes undoing the results of orthodontic treatment.

4. Damage to Adjacent Teeth: Insufficient space around wisdom teeth can harm the second molar, leading to gum disease, bone loss, or decay.

What Happens If I Don’t Remove My Wisdom Teeth Early?

As wisdom teeth mature, their roots grow longer, and the jawbone becomes denser, making removal more complicated later in life. Delaying extraction until the thirties or beyond can lead to a longer recovery period, increased complications, and a higher risk of infection. Early removal (typically in your teens or twenties) offers a faster, more predictable healing process with fewer complications.

What to Expect During Wisdom Teeth Removal

On the day of your surgery, sedation is typically offered for your comfort. Depending on the type of anesthesia selected, you’ll be kept relaxed throughout the procedure. The surgery is performed in a safe environment with modern monitoring equipment, and our highly trained team ensures that you are comfortable and well-cared-for.

After the procedure, you may need a responsible adult to stay with you for the rest of the day. If stitches are required, they usually dissolve within 3 to 5 days. A post-operative diet of clear liquids and soft foods is recommended to help your recovery.

Cost of Wisdom Teeth Removal and Insurance Coverage

The cost of wisdom teeth extraction varies depending on factors such as the difficulty of the extraction, the type of anesthesia required, and other individualized factors. During your consultation, your oral surgeon will evaluate your specific situation and provide an accurate estimate. Our office will work with you to maximize insurance coverage for your procedure.

Types of Wisdom Tooth Impactions

1. Soft Tissue Impaction: The wisdom tooth is unable to fully emerge from the gum, making it difficult to clean.
2. Partial Bony Impaction: The tooth partially erupts but does not function properly, causing cleaning difficulties and other issues.
3. Complete Bony Impaction: The tooth is fully embedded in the jawbone and requires more complex surgical removal.

Soft Tissue

Partial Bony

Complete Bony

Final Thoughts

Wisdom teeth require careful consideration, and early intervention often leads to the best outcomes. If you suspect issues with your wisdom teeth or if it’s time for a routine evaluation, don’t hesitate to consult with an experienced oral surgeon. We’re committed to providing exceptional care and ensuring your comfort throughout the process.