Can Wisdom Tooth Removal Change Your Face Shape? - Dentistry

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Wisdom teeth and facial shape?


Hello Doctor: Recently, I came across childhood photos and noticed that my facial shape is quite different from what it used to be.
I still have all four of my wisdom teeth, although they have been filled due to cavities.
I often hear people say that removing wisdom teeth can somewhat affect facial shape, but it's not definitive.
I would like to ask if removing my decayed wisdom teeth could slightly change my facial shape? (Currently, I have a square face, while my childhood face had softer angles; I hope to return to my childhood facial shape.)

Xiang, 20~29 year old female. Ask Date: 2009/12/30

Dr. Cao Guoqing reply Dentistry


There is a potential impact.

Reply Date: 2009/12/30

More Info


Wisdom tooth removal can indeed have an impact on your facial shape, but the extent of this change varies from person to person. Wisdom teeth, or third molars, are located at the back of your mouth and can sometimes cause crowding or misalignment of other teeth. When they are impacted or decayed, they can contribute to a variety of dental issues, including changes in the overall structure of the jaw and face.

When wisdom teeth are removed, particularly if they are causing crowding, there can be a subtle change in the alignment of your teeth and jaw. This may lead to a slight alteration in your facial appearance. For instance, if the removal of wisdom teeth alleviates crowding, it can create a more harmonious alignment of the remaining teeth, which may enhance the overall aesthetics of your smile and facial profile. However, it is important to note that the primary purpose of wisdom tooth extraction is to prevent dental complications rather than to change facial aesthetics.

In your case, you mentioned that you have a square face and are hoping to return to a more oval shape reminiscent of your childhood. While wisdom tooth removal may contribute to some changes in your facial structure, it is unlikely to dramatically alter the shape of your face. The shape of your face is primarily determined by the underlying bone structure, including the jawline, cheekbones, and forehead. Factors such as genetics, age, and overall body composition also play significant roles in determining facial shape.

If you are looking for more noticeable changes to your facial shape, there are other options to consider. For instance, orthodontic treatment can help align your teeth and jaw, potentially leading to a more oval appearance. Additionally, cosmetic procedures such as buccal fat removal or jawline contouring can provide more significant changes to the shape of your face. However, these procedures come with their own risks and considerations, so it is essential to consult with a qualified oral surgeon or cosmetic surgeon to discuss your goals and the best options for you.

It's also worth mentioning that the perception of facial shape can change over time due to factors such as weight fluctuations, aging, and even changes in hairstyle or makeup. Therefore, while removing wisdom teeth may contribute to some changes, it is just one of many factors that influence your overall facial appearance.

In conclusion, while wisdom tooth removal can lead to some changes in your facial shape, it is unlikely to result in a dramatic transformation. If you are seeking significant changes, it may be beneficial to explore additional orthodontic or cosmetic options. Always consult with a dental or medical professional to discuss your specific concerns and to develop a personalized treatment plan that aligns with your aesthetic goals.

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