May 15, 2025

Why You Shouldn’t Wait: The Hidden Danger of Horizontally Impacted Wisdom Teeth

Ever felt like your mouth was on fire, even though you haven’t eaten anything spicy or hot? If that burning sensation shows up out of nowhere, it’s not just in your head. When it spreads across your tongue, lips, or even your whole mouth, you might be dealing with a condition called Burning Mouth Syndrome.

It’s a frustrating (and often painful) condition that affects around 1.3 million Americans each year. It can interfere with your daily activities like eating, swallowing, speaking, and drinking. While it’s not always linked to an underlying health issue, if the symptoms don’t improve within two weeks, it’s important to seek professional help.

Keep reading to find out what causes Burning Mouth Syndrome, when to seek treatment, and whether it can be cured.

What Are Horizontally Impacted Wisdom Teeth?

Wisdom teeth — also known as third molars — are the last set of teeth to erupt, usually between the ages of 17 and 25. But not everyone has the space in their mouth to accommodate them.

When there’s no room for them to come in properly, they can become impacted, meaning they’re trapped beneath the gum and jawbone. A horizontal impaction is one of the most serious types — the tooth lies sideways, pushing directly into the roots of the second molar.

The Real Problem: Damage to the Second Molars

Horizontally impacted wisdom teeth don’t just stay quietly beneath the surface. Over time, they can press into the roots of your healthy back molars, causing:

  • Decay that starts below the gumline and is difficult to detect until it’s advanced
  • Bone loss around the roots of your second molars
  • Infection or cyst formation that eats away at surrounding bone
  • Root resorption, a condition where the second molar’s root dissolves from pressure

By the time symptoms appear — pain, swelling, or a visible cavity — the damage may already be extensive. In some cases, we’re forced to remove not just the wisdom tooth, but also the second molar that it damaged.

Why Early Evaluation Matters — Especially in Your 20s

In your late teens or early 20s, your wisdom teeth may still be developing — and that’s the perfect time to act. Removing them early means:
  • Faster and smoother healing
  • Lower risk of complications
  • Prevention of decay and bone damage to adjacent teeth
  • Easier surgeries due to less developed roots and softer bone
Think of it as protecting your real molars — the ones you chew with every day.

What Complications Can Happen When You Wait Too Long

Delaying wisdom tooth removal can lead to serious complications, especially if the teeth become more deeply embedded in the jaw over time. As roots continue to grow and develop, they can come dangerously close to the inferior alveolar nerve — the main nerve that runs through the lower jaw. Removing wisdom teeth at this stage increases the risk of nerve damage, which can result in numbness, tingling, or even permanent loss of sensation in the lips, chin, or tongue. Early removal, typically in your late teens or early 20s, significantly reduces these risks and leads to easier, safer recovery.

Don’t Wait for Pain — Get Checked Early

If you’re in your 20s and haven’t had your wisdom teeth evaluated yet, now is the time. Just because they’re not causing pain doesn’t mean they’re not causing harm.

At All Smiles Dentistry, we use digital imaging and a thorough evaluation to determine if your wisdom teeth are coming in safely — or if early removal could save your healthy teeth and prevent future dental surgery.

Schedule Your Wisdom Teeth Evaluation Today

Protect your smile by being proactive. Contact us today to schedule a wisdom teeth consultation — especially if you’re in your 20s and haven’t had them checked. One simple visit could save you pain, expense, and tooth loss down the road.
Picture of Dr. Susann Mentesana
Dr. Susann Mentesana
Dr. Susann Mentesana has been serving the Allen community for 22 years. Her experience is vast and her skill set is extensive. She is always ready to discus options and give detailed explainaitions to make you feel comfortable.

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