Should You Remove Your Wisdom Teeth? Essential Dental Insights - Dentistry

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Should wisdom teeth be extracted or not?


Hello Doctor, I recently noticed that my upper right wisdom tooth seems to be coming in while the surrounding gum tissue is gradually receding.
I would like to know if it is necessary to have the wisdom tooth extracted, or if any special cleaning is required.
Thank you.

Zhang Qiao, 10~19 year old female. Ask Date: 2016/08/04

Dr. Lin Jiayong reply Dentistry


Hello: The decision to extract the tooth can only be made after assessing your actual oral condition.
Factors to consider include your rate of cavities, your ability to maintain oral hygiene, and the ease of cleaning that particular tooth.
Of course, since this is an elective procedure, your personal preference is the key factor in determining whether the surgery should be performed.
Wishing you peace and health.

Reply Date: 2016/08/04

More Info


When it comes to wisdom teeth, also known as third molars, the decision to remove them is often a topic of considerable debate among dental professionals and patients alike. The necessity for extraction largely depends on several factors, including the position of the teeth, the presence of symptoms, and the overall dental health of the individual.

Firstly, wisdom teeth can become problematic if they are impacted, meaning they do not have enough room to emerge properly. This can lead to various complications, such as pain, infection, and damage to adjacent teeth. Even if your wisdom tooth is not currently causing discomfort, it can still pose a risk for future dental issues. For example, if the tooth is partially erupted, it can create a pocket that traps food and bacteria, leading to gum disease or cavities. Therefore, regular monitoring and dental check-ups are crucial.

If your wisdom tooth is growing in straight and is positioned correctly, and if you can maintain good oral hygiene around it, your dentist may suggest that you keep it. However, if there are signs of crowding, decay, or gum disease, extraction may be recommended. It's essential to have a thorough examination, including X-rays, to assess the position of the tooth and its potential impact on your oral health.

Regarding special cleaning, maintaining excellent oral hygiene is vital, especially if your wisdom tooth is emerging. This includes brushing your teeth at least twice a day with fluoride toothpaste, flossing daily, and possibly using an antibacterial mouthwash to help reduce plaque buildup around the area. If the tooth is partially erupted, you may need to be extra diligent in cleaning the surrounding gum tissue to prevent infection.

In summary, the decision to remove wisdom teeth should be made in consultation with your dentist or oral surgeon. They will evaluate your specific situation, including the position of your wisdom teeth and your overall dental health, to provide personalized advice. If you have any concerns or experience pain, swelling, or difficulty in cleaning the area, it is crucial to seek professional dental advice promptly. Regular dental visits are essential to monitor the situation and ensure that any potential issues are addressed before they become more serious.

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