Do You Really Need to Extract Your Wisdom Teeth? Expert Insights

Q: Do You Really Need to Extract Your Wisdom Teeth? Expert Insights

Hello： Wisdom teeth, also known as third molars, erupt after the first and second molars. <br>If the teeth are larger or the jawbone is smaller, there may not be enough space for the wisdom teeth to emerge properly, leading to impaction. <br>This can create gaps between the wisdo

Wisdom teeth

Dr.
Liu: Hello, do I really need to have my wisdom teeth removed? I just developed my second wisdom tooth in the past year, and it has come in crooked.
There is mild inflammation present.
My experience with having my first wisdom tooth removed was very frightening; is it possible to avoid removing this one? Please let me know, thank you.

Shufen, 40~49 year old female. Ask Date: 2004/04/28

Dr. Liu Tiancai reply Dentistry

Hello: Wisdom teeth, also known as third molars, erupt after the first and second molars.
If the teeth are larger or the jawbone is smaller, there may not be enough space for the wisdom teeth to emerge properly, leading to impaction.
This can create gaps between the wisdom teeth and adjacent teeth, making it difficult to clean and resulting in plaque accumulation, which can cause cavities in the second molars.
Additionally, impacted wisdom teeth often do not fully erupt, with part of the gum covering the crown, making them prone to pericoronitis, which can cause swelling and pain.
Therefore, it is recommended: 1.
Wisdom teeth do not necessarily need to be extracted, but those that are impacted should be removed to prevent future issues.
2.
If you need to extract a wisdom tooth, please visit a dental clinic and have the procedure performed by an oral surgeon for better outcomes.
Sincerely, Dr.
Liu Tian-Cai, Director of Dentistry, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/04/28

More Info

The decision to extract wisdom teeth is a common concern among many individuals, particularly when they experience discomfort or complications related to these third molars. Wisdom teeth, or third molars, typically emerge in late adolescence or early adulthood, and their presence can lead to various dental issues, including impaction, infection, and misalignment of adjacent teeth.
In your case, the fact that your wisdom tooth has recently emerged and is growing at an angle, coupled with mild inflammation, suggests that it may not have enough space to grow properly. This situation is often referred to as "impacted wisdom teeth." When wisdom teeth are impacted, they can cause pain, swelling, and even infection, which can lead to more serious complications if left untreated.
Dentists and oral surgeons often recommend the extraction of wisdom teeth under such circumstances for several reasons:
1. Preventing Future Complications: Impacted wisdom teeth can lead to infections, cysts, or damage to neighboring teeth. By extracting them early, you can avoid these potential issues.

2. Easier Recovery: The younger you are when you undergo the extraction, the easier the recovery tends to be. The roots of the teeth are not fully developed in younger individuals, making the extraction process simpler and less traumatic.

3. Alignment of Teeth: Wisdom teeth can push against adjacent teeth, causing misalignment. This can undo years of orthodontic work or lead to the need for braces in the future.

4. Oral Hygiene Challenges: Wisdom teeth are located at the back of the mouth, making them difficult to clean properly. This can increase the risk of cavities and gum disease.

However, not all wisdom teeth need to be extracted. If your wisdom tooth is fully erupted, healthy, and positioned correctly without causing any discomfort or dental issues, your dentist may suggest monitoring it rather than immediate extraction. Regular dental check-ups and X-rays can help assess the situation over time.

Regarding your previous experience with wisdom tooth extraction being traumatic, it is essential to communicate your concerns with your dentist or oral surgeon. They can provide options for sedation or anesthesia that can make the procedure more comfortable. Many patients report that the anticipation of the procedure is often worse than the actual experience, especially with modern techniques and pain management strategies.

In summary, while not every wisdom tooth requires extraction, your current symptoms and the position of your tooth suggest that it may be beneficial to consider this option. It is crucial to have a thorough discussion with your dentist about your concerns, the potential risks of keeping the tooth, and the benefits of extraction. They can provide personalized advice based on your dental health and help you make an informed decision that prioritizes your well-being.

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