Wisdom tooth extraction is a surgical procedure to remove one or more wisdom teeth — the four permanent adult teeth located at the back corners of your mouth on the top and bottom.
If a wisdom tooth doesn’t have room to grow (impacted wisdom tooth), resulting in pain, infection or other dental problems, you’ll likely need to have it removed. Wisdom tooth extraction is an area where we have a great deal of expertise.
To prevent future problems with your teeth we recommend recommend wisdom tooth extraction even if impacted teeth aren’t currently causing problems because they in the future.
Why it’s done
Wisdom teeth, usually appear between the ages of 17 and 25. Some people never develop wisdom teeth. For others, wisdom teeth erupt normally — just as their other molars did — and cause no problems.
Many people develop impacted wisdom teeth — teeth that don’t have enough room to erupt into the mouth or develop normally. Impacted wisdom teeth may erupt only partially or not at all.
An impacted wisdom tooth may:
- Grow at an angle toward the next tooth (second molar)
- Grow at a right angle to the other teeth, as if the wisdom tooth is “lying down” within the jawbone
- Grow straight up or down like other teeth but stay trapped within the jawbone
- Grow at an angle toward the back of the mouth
Problems with impacted wisdom teeth
You’ll likely need your impacted wisdom tooth pulled if it results in problems such as:
- 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