- 08 Jun 2025
When Is Wisdom Tooth Extraction Necessary?
Wisdom teeth, also called third molars, are the last permanent teeth to appear, typically between ages 17 and 25. While some people never develop them, others may experience problems due to impaction, misalignment, or lack of space.
🦷 Why Do Wisdom Teeth Cause Problems?
- Lack of space in the jaw:
As humans evolved, jaw sizes became smaller, often leaving no room for wisdom teeth to erupt properly. This can lead to misalignment or impaction. - Impacted or partially erupted teeth:
Impacted teeth remain trapped beneath the gum or bone. Partially erupted teeth are difficult to clean and prone to infection. - Pain and inflammation:
Bacteria may accumulate around the tooth, leading to pericoronitis (gum infection), swelling, difficulty opening the mouth, and pain. - Damage to adjacent teeth:
Wisdom teeth can push against second molars, causing root resorption, tooth decay, or disrupting orthodontic treatments. - Cyst or tumor formation:
Cysts may form around impacted teeth and, if left untreated, can damage the jawbone or nerves.
⏰ When Should a Wisdom Tooth Be Removed?
- Persistent pain, swelling, or infection is present
- Before beginning orthodontic treatment
- Recurrent gum inflammation occurs
- X-rays reveal cysts or abnormal positioning
- If the tooth is decayed and inaccessible for treatment
✅ When Is Removal Not Necessary?
If the wisdom tooth has fully erupted, is properly aligned, and causes no issues, it can stay in place. However, regular monitoring is still recommended.
🩺 Post-Extraction Care Tips
- Avoid hot food and beverages for 24 hours
- Don’t smoke or drink alcohol
- Avoid rinsing or spitting forcefully
- Take all medications as prescribed
Apply cold compress to reduce swelling