Should You Remove Wisdom Teeth? Dental Concerns - Dentistry

Share to:

Should wisdom teeth be extracted?


Hello, Doctor.
I've been quite troubled lately.
Every day when I wake up, it feels like my upper and lower front teeth (the six in the front) are slightly protruding.
Since my sophomore year in high school, it seems like my teeth have been growing outward, although the change is slow, I’m still very concerned and have been unsure of the exact reason.
After some time, I noticed that my lower right wisdom tooth has started to emerge a little, but it's only a tiny bit, and the others haven't come in yet.
I'm worried that my teeth might become misaligned because of the wisdom tooth growing in crooked, but the wisdom tooth hasn't fully erupted yet, and I don't experience any pain.
Should I have my wisdom tooth extracted? Also, if I have the wisdom tooth removed, will my teeth fill in the space where the wisdom tooth was? After the extraction, my teeth shouldn't continue to protrude, right? Since my teeth are already protruding, I really hope they can return to their proper alignment.
Thank you, Doctor!

Niming, 10~19 year old female. Ask Date: 2020/03/07

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended that you visit a clinic or hospital to get an X-ray to confirm the position of your wisdom teeth and to estimate whether they will erupt normally.
If you are concerned about alignment issues that may require orthodontic treatment, most cases will suggest the extraction of the wisdom teeth.
Thank you!

Reply Date: 2020/03/07

More Info


When it comes to the decision of whether or not to remove wisdom teeth, there are several factors to consider, especially in your case where you are experiencing concerns about the alignment of your teeth. Wisdom teeth, or third molars, typically emerge in late adolescence or early adulthood, and their presence can sometimes lead to dental issues, particularly if there is not enough space in the mouth for them to grow properly.


Understanding the Need for Wisdom Tooth Extraction
1. Impaction and Alignment Issues: If your wisdom teeth are impacted, meaning they are unable to fully emerge due to lack of space, they can exert pressure on adjacent teeth. This pressure can lead to misalignment, which may be contributing to your concern about your front teeth protruding. Even if your wisdom tooth has only partially erupted, it can still affect the positioning of your other teeth.

2. Potential for Crowding: As wisdom teeth grow, they can push against neighboring teeth, causing crowding or shifting. This could explain why you feel your front teeth are moving outward. If your dental professional suspects that your wisdom teeth could be contributing to this issue, they may recommend extraction to prevent further complications.

3. Lack of Symptoms: You mentioned that you are not experiencing pain, which is common in cases of asymptomatic wisdom teeth. However, the absence of pain does not necessarily mean that the teeth are not causing problems. Regular dental check-ups and X-rays can help assess the situation more accurately.


Post-Extraction Considerations
1. Space and Alignment: After the extraction of wisdom teeth, it is natural to wonder if your other teeth will shift back into a more aligned position. While removing the wisdom teeth can alleviate the pressure they exert on adjacent teeth, it does not guarantee that your teeth will automatically realign. Orthodontic treatment, such as braces or clear aligners, may be necessary to correct any existing misalignment.

2. Healing Process: After the extraction, your gums will heal, and the bone where the tooth was removed will fill in over time. This process can take several months. During this time, it is essential to maintain good oral hygiene to prevent infection and promote healing.

3. Consultation with an Orthodontist: If you are concerned about the alignment of your teeth, it may be beneficial to consult with an orthodontist. They can evaluate your bite and alignment and recommend appropriate treatment options, which may include braces or other orthodontic appliances to help correct the protrusion of your front teeth.


Emotional and Psychological Considerations
It is also important to address the emotional aspect of dental procedures. Many individuals experience anxiety about tooth extractions, especially if they have had negative experiences in the past. Here are some strategies to help manage this anxiety:
- Educate Yourself: Understanding the procedure and what to expect can help alleviate fears. Discussing your concerns with your dentist or oral surgeon can provide clarity and reassurance.

- Relaxation Techniques: Practicing deep breathing, meditation, or visualization techniques before your appointment can help reduce anxiety.

- Support System: Having a friend or family member accompany you to the appointment can provide emotional support and help you feel more comfortable.


Conclusion
In summary, the decision to remove wisdom teeth should be made in consultation with your dentist or oral surgeon, who can assess your specific situation and provide personalized recommendations. If your wisdom teeth are contributing to alignment issues, extraction may be a prudent choice. However, for optimal results in correcting any misalignment, you may also need to consider orthodontic treatment. Remember, maintaining good oral hygiene and regular dental visits are crucial for your overall dental health.

Similar Q&A

Should You Remove Wisdom Teeth? Understanding the Risks and Benefits

Hello Doctor, I recently developed two wisdom teeth. Although I don't feel any pain, I'm concerned about potential future issues since both are misaligned. Do I need to have my wisdom teeth removed? Thank you for your response!


Dr. Qiu Qiongyao reply Dentistry
If wisdom teeth are growing in crooked, it's important to keep them clean; otherwise, it may be better to have them extracted. This is because they can affect the cleanliness and cavity prevention of the second molars in front.

[Read More] Should You Remove Wisdom Teeth? Understanding the Risks and Benefits


Should You Remove Your Wisdom Teeth? Expert Insights and Advice

Hello, during my last visit to the dentist for a filling, the dentist advised me to have all my wisdom teeth extracted. However, he didn't explain why I should have them removed, and my wisdom teeth haven't fully erupted yet. Should I follow his recommendation?


Dr. Zeng Guanghui reply Dentistry
If the wisdom teeth are growing at an angle and cannot fully erupt into position, it may lead to difficulties in oral hygiene, increasing the risk of cavities and periodontal disease in the future. In such cases, extraction of the wisdom teeth may be considered.

[Read More] Should You Remove Your Wisdom Teeth? Expert Insights and Advice


Should You Remove Your Wisdom Teeth? Essential Dental Insights

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.


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 pro...

[Read More] Should You Remove Your Wisdom Teeth? Essential Dental Insights


Should You Remove Impacted Wisdom Teeth If They're Not Painful?

Hello doctor, I have a horizontal wisdom tooth, but I am not experiencing any pain at the moment. If I continue to have no pain and no inflammation or swelling, can I choose not to have it extracted?


Dr. Lin Jiayong reply Dentistry
Hello: It is advisable to consider the patient's own caries incidence and the spacing of the teeth. Additionally, there are concerns regarding the likelihood of temporomandibular joint symptoms and the occurrence of benign cysts. Please conduct examinations every six months ...

[Read More] Should You Remove Impacted Wisdom Teeth If They're Not Painful?


Related FAQ

Wisdom Teeth

(Dentistry)

Wisdom Tooth Extraction

(Dentistry)

Post-Wisdom Tooth Surgery

(Dentistry)

Tooth Extraction

(Dentistry)

Post-Extraction

(Dentistry)

Retained Tooth

(Dentistry)

Apicoectomy

(Dentistry)

Bruxism

(Dentistry)

Missing Teeth

(Dentistry)

Halitosis

(Dentistry)