My dentist suggested removing my wisdom teeth, but they do not cause any problems. Is removal of wisdom teeth necessary?
Answer by Thomas J. Salinas, DDS
Wisdom teeth – the third molars in your back mouth – may not need to be removed if they are healthy:
- Completely ingrown (completely broken out)  Properly positioned and properly biting with the opposing teeth
- Can be cleaned as part of daily hygiene practice.
Often, wisdom teeth have no place to grow properly and can cause problems. Breaking wisdom teeth can grow in the jaw at different angles, sometimes even horizontally. Problems can be wisdom teeth that:
- remain completely hidden in the gums. If they can not appear normally, wisdom teeth are trapped in your jaw. Sometimes this can lead to an infection or cause a cyst that can damage other tooth roots or the bone support.
- Escaping through the gums. Since this area is difficult to see and clean, wisdom teeth, which are partially formed, create a passageway that can become a magnet for bacteria that cause gum disease and oral infection.
- Crowd near teeth. If wisdom teeth do not have enough space to penetrate properly, they can force or damage nearby teeth.
Some dentists recommend removing wisdom teeth if they do not fully emerge. Many dentists believe that it is better to remove wisdom teeth at a younger age before the roots and bone are fully formed and recovery from the surgery is generally faster. Therefore, some young adults have pulled their wisdom teeth before the teeth cause problems.
According to the American Dental Association, removal of wisdom teeth may be required if changes occur in the area of these teeth, such as:
- Repeated soft tissue infection behind the lowest last tooth
- Fluid filled sacs (19659016) Cysts)
- damage to adjacent teeth
- gum disease
- extensive caries
The decision to remove wisdom teeth is not always clear. Talk to your dentist or an oral surgeon about the position and health of your wisdom teeth and the best conditions for your situation.
Release date: 2016-12-02