Do You Really Need to Remove Your Wisdom Teeth?

Do wisdom teeth always need to be extracted?

I have my upper and lower left wisdom teeth that are growing normally, but they have only emerged a little bit.
The dentist said they are unlikely to fully erupt, so they recommend extraction.
Is it possible to not have them removed?

Chen, 20~29 year old female. Ask Date: 2001/12/26

Dr. Wu Jinjun reply Dentistry

It would be better to remove it.
If you choose not to, you must ensure thorough cleaning; otherwise, bacteria can accumulate easily, leading to inflammation, which could be problematic.

Reply Date: 2001/12/26

More Info

When it comes to the question of whether you really need to remove your wisdom teeth, the answer isn't straightforward and depends on several factors. Wisdom teeth, or third molars, typically emerge in late adolescence or early adulthood. In some cases, they can grow in normally and align properly with the rest of your teeth. However, many people experience complications due to insufficient space in the jaw, leading to impaction, which can cause pain, infection, and damage to adjacent teeth.

In your case, you mentioned that your left upper and lower wisdom teeth are only partially erupted and that your dentist has suggested removal. This recommendation is not uncommon, especially if the teeth are not fully emerging or if they are positioned in a way that could lead to future dental issues. Here are some considerations to keep in mind:
1. Impaction Risks: If your wisdom teeth are impacted, they can lead to pain and swelling, and they may also create a breeding ground for bacteria, leading to infections. Even if they are not currently causing problems, impacted teeth can lead to complications down the line.

2. Crowding: Wisdom teeth can contribute to crowding of your existing teeth. If your mouth is already tight on space, the emergence of wisdom teeth can shift your other teeth out of alignment, potentially undoing any orthodontic work you may have had.

3. Cysts and Tumors: In some cases, impacted wisdom teeth can lead to the development of cysts or tumors in the jaw, which can damage the bone and surrounding teeth. Regular dental check-ups and X-rays can help monitor the situation.

4. Age and Recovery: Younger patients tend to recover more quickly and with fewer complications from wisdom tooth extraction. If you are in your late teens or early twenties, it might be advisable to consider removal sooner rather than later.

5. Consultation with a Specialist: If you are uncertain about the need for extraction, consider seeking a second opinion from an oral surgeon or a dental specialist. They can provide a more detailed assessment based on X-rays and your specific dental anatomy.

6. Personal Comfort: If you are experiencing discomfort or have concerns about your wisdom teeth, it is essential to communicate these with your dentist. They can help you weigh the pros and cons of extraction versus monitoring the situation.

In conclusion, while it is possible to keep your wisdom teeth if they are not causing any issues, it is crucial to consider the potential risks and complications associated with them. Regular dental check-ups and open communication with your dentist will help you make the best decision for your oral health. If your dentist recommends removal, it is likely based on their professional assessment of your specific situation, and following their advice could prevent future dental problems.

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