Wisdom is the word we use to describe a level of knowledge that can only be earned with time, which is why it seems a bit of a misnomer when you’re describing wisdom teeth. After all, in many cases they grow sideways or trapped underneath other teeth and need to be extracted, which if you ask me isn’t very smart. However, their name isn’t inspired by their intelligence; it’s in reference to the older age most people are when they finally erupt. If you’ve been wondering if yours need to be removed, here’s why they might, and how I as a dentist make that determination for my own patients.
All Wisdom Teeth Aren’t Created Equally
While it’s true that many wisdom teeth can be problematic, the good news is that not all of them will need to be extracted. In fact, many do erupt safely, are well aligned, and create no crowding or hygiene problems. If yours are on track for healthy growth, you can likely keep them. Just be sure to maintain your regular dental checkups and cleanings so your dentist can keep an eye on them over time.
Reasons to Remove Wisdom Teeth
Unfortunately, while some wisdom teeth aren’t problematic, in many cases they are. Thus, whether they’re already causing the patient problems or if X-rays help me determine they eventually could be dangerous, I will likely recommend extraction. Here are some common reasons they may need to be removed:
- Impaction: this occurs when the tooth is lodged under the gums or bone and cannot erupt naturally and can be very painful.
- Decay: If your tooth is decayed and it cannot be accessed to repair, it should come out.
- Partial impaction: If the tooth has started to erupt but is partially trapped underneath the gums and is causing excess buildup or infection, keeping it will likely cause more harm than good.
- Dental damage: cysts, gum disease, or even crowding-related damage to nearby teeth can develop around wisdom teeth, making their removal essential for good oral health.
Making the Call
Determining whether you need your wisdom teeth extracted involves three important steps: a discussion with your dentist, a physical examination of your mouth, and a review of your X-rays.
X-rays are instrumental in showing me how your teeth are aligned, how developed your wisdom teeth roots are, and their proximity to other areas including your sinuses and nerves. If your images reveal that you are at a significant risk for pain, damage to your other teeth, or dental infections, I will likely recommend removing the offending teeth. While there’s no exact timetable for extracting wisdom teeth, the sooner you do it, the less the chance they’ll have to cause permanent damage. For patients who are nervous or afraid of treatment, I highly recommend dental sedation to help keep you feeling calm and comfortable during your procedure.
Questions for Your Dentist
If your dentist is recommending wisdom tooth extraction, don’t hesitate to ask for more information. They’ll be happy to show you your X-rays and explain the dangers of leaving them intact.
Remember, while nobody ever wants to hear they need extractions, with wisdom teeth this is often the best way to prevent or eliminate painful dental damage. If you’re still unsure you really need yours removed and would like a second opinion, feel free to contact my office to schedule a consultation and I’ll be honored to give you my honest opinion!
About Dr. Parry
Dr. Tristan Parry earned his undergraduate degree at Utah State University and his dental doctorate at Ohio State University. He is currently a Master in the Academy of General Dentistry and a proud graduate of the KOIS Center in Seattle, WA with over 500 hours of continuing education under his belt. His trusted opinion has also earned him a spot as an Advisory Circle Member of the American Dental Association, where his expertise is instrumental in helping the US dental community select and implement new oral health products. To schedule a consultation for wisdom tooth extraction at Magnolia Shores Dental, visit our website or call us today at (336) 644-2770.