When to Remove Your Wisdom Teeth

Do You Need to Get Your Wisdom Teeth Removed?

Wisdom teeth removal is a common dental procedure, but many people are still unsure about when to remove wisdom teeth or why they may need it. With so many questions and concerns surrounding this topic, it’s easy to feel overwhelmed.

Our Hilliard, OH, dentist and dental team are here to help. We’ll explain the signs that point to needing to get your wisdom teeth removed. If you have any questions or are looking to schedule a consultation, contact our Hilliard dental office today by calling (614) 771-6060.

Wisdom Teeth Growth

Wisdom teeth, also known as third molars, typically emerge in late adolescence or early adulthood, between the ages of 17 and 21. In some cases, wisdom teeth may not grow properly, leading to a condition known as impaction. Impacted wisdom teeth can cause significant structural issues in the jaw, displace other teeth, and have a detrimental effect on the strength and health of the jaw.

However, not all wisdom teeth need to be removed. Some people have healthy wisdom teeth that grow properly and don’t cause any issues. In these cases, wisdom teeth management may involve regular dental check-ups and diligent oral hygiene practices to ensure their continued health.

Types of Impacted Wisdom Teeth

Tooth impaction occurs when a tooth doesn’t fully emerge from the gums. Wisdom teeth, located at the back of your mouth, can become impacted at different angles:

• Vertical impaction
• Horizontal impaction
• Distal impaction
• Mesial impaction

Given the various angles and levels of impaction, consulting with an experienced dentist or oral surgeon for an assessment of your wisdom teeth is key to determining the appropriate course of action for your specific case.

Signs Indicating the Need for Wisdom Teeth Removal

Persistent Pain and Discomfort

One of the most common issues associated with wisdom teeth is persistent pain and discomfort. You may experience any of the following:

• Red or swollen gums
• Tender or bleeding gums
• Jaw pain
• Swelling around the jaw
• Bad breath
• Gum disease
• Bacterial buildup in broken gums
• Impacted tooth
• Tooth decay

Inflammation and Infection

Inflammation and infection are critical signs indicating the need for wisdom teeth removal. Oral inflammation is often caused by wisdom teeth breaking through the gum line and impacting the surrounding gum tissue. Potential risks associated with wisdom teeth inflammation include oral cysts, which can be fluid-filled, sinus issues, and gum disease. The possible consequences of wisdom teeth inflammation include discomfort, edema, and infection, which can also affect nearby teeth.

Tooth Crowding and Damage

Tooth crowding and damage caused by wisdom teeth can lead to shifting teeth, overbite/underbite, and decay. Keeping wisdom teeth that cause such issues may result in painful dry sockets, infection, bleeding, swelling, and pain.

If your dentist notices that your wisdom teeth are causing tooth crowding or damage, it’s crucial to consider their removal to maintain your overall oral health. Early intervention can prevent more severe complications that may require extensive dental treatment.

Factors Affecting the Decision to Remove Wisdom Teeth

Age

Dentists recommend wisdom teeth removal at a younger age — typically between the ages of 18 and 24 — to avoid complications that may arise from the bone and tooth roots being fully formed. Extracting wisdom teeth at an earlier age, when only two-thirds of the roots have formed, is advantageous, as healing typically progresses more quickly after the procedure.

Wisdom teeth removal can be performed at any age, and the decision should be based on individual circumstances and the advice of your dentist or oral surgeon.

Oral Health 

Poor oral health can potentially increase the risk of complications during the procedure. Before the procedure, our dentist will ensure you’re in good overall oral health. Maintaining proper hygiene post wisdom teeth removal is also vital for preventing complications and ensuring a smooth recovery.

Orthodontic Considerations

If a patient is receiving orthodontic treatment, an orthodontist might recommend the removal of wisdom teeth to prevent any potential future alignment issues or to create space.

Prophylactic Removal

Some dental professionals recommend the removal of wisdom teeth even if they aren’t currently causing problems. The rationale is that potential complications can be avoided, and younger patients might recover from the procedure more quickly than older individuals.