Dental Services

Wisdom tooth extraction

The four permanent adult teeth known as wisdom teeth are placed at the top and bottom back corners of your mouth. A wisdom tooth extraction is a surgical procedure to remove one or more of these teeth.

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You'll probably need to have a wisdom tooth removed if it is impacted, or if it is causing you pain, an infection, or other dental issues. Wisdom tooth extraction may be done by a dentist or an oral surgeon.

Even if impacted teeth aren't currently causing issues, some dentists and oral surgeons advise wisdom tooth extraction to avoid potential future issues.

Why it's done

The final permanent teeth to erupt in the mouth are the wisdom teeth, sometimes known as third molars. Between the ages of 17 and 25, these teeth often erupt. Some individuals never get wisdom teeth. Others do not experience any issues when their wisdom teeth erupt naturally, just like their other molars did.

Wisdom teeth that don't have enough room to erupt into the mouth or develop normally are known as impacted wisdom teeth. Impacted wisdom teeth may partially or completely fail to emerge.

Problems with impacted wisdom teeth

You'll likely need your impacted wisdom tooth pulled if it results in problems such as:

  • Pain
  • Trapping food and debris behind the wisdom tooth
  • Infection or gum disease (periodontal disease)
  • Tooth decay in a partially erupted wisdom tooth
  • Damage to a nearby tooth or surrounding bone
  • Development of a fluid-filled sac (cyst) around the wisdom tooth
  • Complications with orthodontic treatments to straighten other teeth
Preventing future dental problems

Dental specialists disagree about the value of extracting impacted wisdom teeth that aren't causing problems (asymptomatic).

It's difficult to predict future problems with impacted wisdom teeth. However, here's the rationale for preventive extraction:

  • Symptom-free wisdom teeth could still harbor disease.
  • If there isn't enough space for the tooth to erupt, it's often hard to get to it and clean it properly.
  • Serious complications with wisdom teeth happen less often in younger adults.
  • Older adults may experience difficulty with surgery and complications after surgery.
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