Why Remove Impacted Wisdom Teeth?

February 6, 2023

Wisdom teeth, the last set of molars to develop, are notorious for causing dental problems when they don’t have enough room to grow in properly. Understanding what impacted wisdom teeth are, why early detection matters, and what the removal process looks like can help patients and parents

So, make informed decisions about your oral health. This guide walks through the earliest warning signs in adolescence to full recovery after surgery. Let’s get into it!

What Are Wisdom Teeth?

Wisdom teeth are the last teeth that develop in the jaw behind the molars. These teeth usually erupt when people are in their early to mid-20s. . During early adolescence, X-rays should be taken to see in what position the teeth are developing to evaluate the future risk of problems as the teeth approach eruption.

Teeth begin development in the jaw in childhood. The teeth develop from the crown down. As they develop, some wisdom teeth may become angled or impacted if there isn’t enough room for them to erupt properly ; their roots can develop close to the nerve that runs down the lower jawline. If left to develop fully, it can become more and more complicated to remove them without disturbing this nerve.

Read more – Dental X-Rays and Early Detection Explained

Why Early X-Rays Matter

Dental professionals advise getting wisdom teeth examined between the ages of 12 and 13 years old, even before problems occur. By then, the teeth will have developed sufficiently for their growth direction to be predicted relatively accurately. Early detection allows for a variety of approaches to be employed and results in a simpler procedure when tooth extraction becomes necessary.

During the development of the impacted wisdom tooth, the roots of the tooth become increasingly closer to the nerve, which lies near the lower jawbone. The longer the tooth is left in place, the more likely the roots can start surrounding or exerting pressure on the nerve. This makes it difficult to remove the tooth at a later stage.

How Do You Know If a Wisdom Tooth Needs to Come Out?

Not all wisdom teeth necessarily require extraction, and it depends upon whether there is sufficient room in the mouth for their eruption.

  • If a tooth is correctly positioned for eruption, it is usually left as is, provided it continues to grow normally.
  • If a tooth is angled in such a way that it is never going to erupt, as it is pushing against the roots of the adjacent tooth or is growing sideways or trapped under the gums, it is usually marked for extraction.

The monitoring process typically starts when the child is 12 years old and continues throughout their teenage years while the teeth are developing. When not treated, the impacted wisdom tooth will result in a series of problems such as:

  • Crowding of teeth that have already erupted, undoing the efforts put into orthodontics for years
  • Chronic pain caused by pressure building up in the jaw
  • Nerve encroachment, as the roots grow closer to the nerve running through the lower jaw
  • Partial eruption, where only part of the tooth breaks through the gum. It creates a pocket where food and bacteria can collect.
  • Tooth decay on the neighboring molar, caused by the horizontally impacted wisdom tooth
  • Infection around a partially erupted tooth, which can become painful and, in some cases, spread

What Happens If You Wait Too Long to Remove an Impacted Tooth?

It might seem reasonable to leave a problematic wisdom tooth alone if it isn’t causing pain yet. But dental professionals generally advise against this “wait and see” approach once a tooth is identified as impacted. Here’s why:

  • The tooth keeps developing. Whether it is capable of eruption or not, the development of the root system continues throughout life.
  • Roots get closer to the nerve. This increases the chances of involvement of the nerve in tooth extraction and nerve damage both temporarily and permanently.
  • Extraction becomes traumatizing. A tooth with well-developed roots makes the extraction process complicated because of manipulation of additional bone and tissues.
  • Risk of infection increases. A tooth trapped forever inside the jawbone puts the person at increased risk of getting an infection and needing emergency tooth extraction in the future.

What To Expect If Your Wisdom Teeth Need To Be Removed

The removal of wisdom teeth is among the most frequently undertaken oral surgeries, and it has an impressive safety record when carried out by a qualified expert.

Here’s what you can expect about the process of getting wisdom teeth removed:

  • Sedation
    Almost all patients, particularly young patients, require sedation during the procedure. The degree of sedation administered ensures that the patient does not recall the procedure after its completion but ensures that the patient breathes on his own, follows directions and can cough when necessary.

  • Local anesthesia
    Besides sedation, the area around the tooth is numbed by using local anaesthetic to ensure that the patient feels no pain during the tooth extraction.

  • The extraction
    In cases where the tooth is severely affected, the dental surgeon might have to remove some bone from the area or cut the tooth into pieces to extract it without causing any damage to the adjacent tissues.

  • Immediate aftercare
    As soon as the tooth extraction procedure is over, the patient is kept under observation for a short while until the effect of the sedation subsides.

The Benefits of Removing Wisdom Teeth Early

The most apparent benefit of extracting one’s wisdom teeth at an early age is the preventative aspect; one does not have to endure pain and infection. Other benefits must be noted, such as:

  • Faster healing in younger patients
    Oral surgery recovery capabilities in the body usually reduce as one gets older. This is why wisdom teeth extraction when one is still young results in much faster healing than doing so when one is older.

  • Lower infection risk during surgery
    Those patients who have no infection at the time of operation tend to recover considerably faster compared to those who have to go through an operation after an infection has occurred.

  • Reduced risk of nerve involvement
    Having a tooth extracted prior to its root development will minimize any risk of damage to nerves during extraction.

  • Avoiding emergency extractions
    Teeth that are left in place until they become infected often need to be removed under more urgent, less controlled circumstances a situation that’s generally more stressful and carries a higher risk profile than a planned, proactive removal.

The Bottom Line

Impacted wisdom teeth are unlikely to heal by themselves, as delaying treatment increases pain, chances of getting an infection, and even risks of damaging nerves. Early detection and treatment, which should begin at around 12 years of age, make the procedure easier and help you recover quickly. If you or your child is near the age for wisdom teeth eruption, consult your dentist for evaluation.

FAQs

Around age 12, via X-rays, so dentists can predict how they’ll develop.

No, only teeth that can’t erupt properly or risk damaging nearby teeth or nerves.

Patients are sedated and numbed, so the procedure itself is pain-free; some soreness follows during recovery.

Most patients recover within 3 to 5 days, with pain typically gone by the one-week checkup.

It can cause crowding, infection, decay, chronic pain, and increased risk of nerve damage over time.

author avatar
Dr. Catherine Mentesana, DDS
With 24 years of experience, Dr. Catherine Mentesana, DDS, delivers compassionate, advanced dental care to help patients achieve lasting healthy smiles.