Is Wisdom Tooth Removal Necessary?
Wisdom teeth (also known as third molars) are located in the back of the mouth (two on the lower jawbone and two on the upper jawbone). They are usually the last teeth to emerge, usually erupting between the ages of 17 and 25.
Wisdom teeth extraction is one of the most common dental procedures performed in dental clinics across Australia, especially amongst teenagers and young adults. It is so common that it is almost considered a rite of passage.
But is wisdom teeth removal always necessary?
What is Wisdom Teeth Removal?
Wisdom teeth removal or extraction is a minor surgical procedure that is performed under sedation (either local or general anesthesia), in which one or more wisdom teeth are removed.
A wisdom tooth extraction is usually performed in a dental clinic. However, more complex cases may require treatment in a hospital under general anesthesia.
When Do Wisdom Teeth Need to Be Removed?
There are several oral issues that may be caused by the eruption of wisdom teeth. Some of these issues include:
- Impacted wisdom teeth: Impacted wisdom teeth are the most common reason for wisdom teeth removal. It occurs when the wisdom teeth aren’t able to erupt through the gums properly, but instead become trapped under the gum or grow at an angle.
Symptoms of impacted teeth include swollen, painful gums and jaw pain. - Crowded teeth: Some wisdom teeth may not erupt properly if there isn’t enough room in the mouth. This can cause them to push up against the surrounding teeth and push them out of alignment.
Crowded teeth can result in further complications, such as tooth decay and gum disease, as it becomes more difficult to clean them properly. - Partially erupted wisdom teeth: Partially erupted wisdom teeth only manage to erupt halfway through the gums but aren’t fully visible. This can cause pain, swelling, infection, and bacteria getting trapped under the gum.
- Over-erupted wisdom teeth: Over-erupted wisdom teeth are wisdom teeth that have grown too long and can affect your bite and impact the surrounding teeth.
- Sinus issues: The wisdom teeth found in the upper jawbone are located near the sinus cavities (maxillary sinuses), which can cause pressure, pain and congestion.
- Infection: Because wisdom teeth are located in the back of the mouth, they can be difficult to clean thoroughly, leading to plaque buildup, tooth decay, infection, and gum disease.
- Preventive action: Some dentists may recommend removing wisdom teeth, even if they are not causing any current issues. This is to prevent any future problems.
Some of the symptoms that may indicate problems with your wisdom teeth include:
- Pain and discomfort
- Swollen and tender gums
- Stiff jaw
- Difficulty opening the jaw
- Bad breath
- Teeth infections
- Gum disease
- Crowded mouth
- Cysts in your mouth
What Are the Benefits of Having Your Wisdom Teeth Removed?
The benefits of having your wisdom teeth removed include the following:
Pain Relief
One of the most significant benefits of wisdom teeth removal is the pain relief it offers. Impacted wisdom teeth can cause discomfort, pain and swollen and tender gums, so once your wisdom teeth have been removed, and you have healed from the procedure, you will be free of any tooth or jaw pain.
Protecting Surrounding Teeth
Impacted or partially erupted wisdom teeth can encroach on the surrounding teeth, pushing them out of alignment and causing further complications with oral health.
Reduce the Risk of Infection and Gum Disease
If your impacted wisdom teeth are left untreated, they can eventually lead to a tooth infection or gum disease (gingivitis or periodontitis), which can result in further health problems.
Improved Oral Hygiene
Impacted, partially erupted, or over-erupted wisdom teeth can make it more challenging to clean and floss your teeth thoroughly, making your teeth more susceptible to bacterial growth, plaque buildup, decay, and infection.
Preventing Future Oral Health Issues
Removing wisdom teeth soon after they start causing problems can prevent future dental or orthodontic work, saving you both money and time.
What Happens If You Don’t Get Your Wisdom Teeth Removed?
If you don’t get your wisdom teeth removed, it can lead to the following issues and complications:
- Infections
- Tooth decay
- Gum disease (gingivitis or periodontitis)
- Crowded teeth
- Misaligned teeth
- Cysts
- Jaw pain
- TMJ (temporomandibular joint) disorders
- Sinus issues
- Further health or mouth issues
Alternative Treatments to Wisdom Teeth Extraction
Surprisingly, wisdom teeth extraction isn’t the only treatment option for impacted wisdom teeth.
Here are some effective alternatives:
Coronectomy
A coronectomy is a less invasive procedure that is usually reserved for cases where the wisdom tooth is close to a nerve. It aims to minimise the risk of nerve damage.
A coronectomy includes the removal of the crown of the affected wisdom tooth, which leaves the roots of the tooth intact.
It is less invasive than a typical wisdom tooth extraction, but it may not be a suitable solution for every individual, and the remaining roots may cause further issues down the road.
Orthodontic Treatments (Braces and Aligners)
If wisdom teeth are causing crowding, orthodontic treatments like braces or Invisalign aligners can help improve tooth alignment.
It is important to note that this treatment will only be effective for people whose wisdom teeth aren’t severely impacted.
Root Canal Therapy
Root canal therapy may be considered for wisdom teeth if your dentist believes that the tooth can be saved with some intervention.
Operculectomy (Minor Gum Procedure)
In some cases, partially erupted wisdom teeth can be cleaned and disinfected, and a minor gum procedure known as operculectomy can be performed to remove any gum tissue covering the tooth, creating a bacteria- and infection-free space.
Is Wisdom Tooth Extraction the Right Option for Me?
Every case is different, and what is best for one patient might not suit another. The best course of action is to consult your dentist, who will thoroughly examine your teeth and determine the best treatment to ensure your optimal oral health.
Wisdom tooth extraction is an effective and safe procedure, and it is always considered in cases of impacted wisdom teeth.
Atria Dental Gordon is a family-owned dental clinic in Gordon, NSW, with a friendly, professional team and years of experience providing dental treatments. We understand the importance of our patients, and we put your care and comfort before all else. Our philosophy is to support our patients with the best dental care, delivering results that make you happy, give you renewed confidence, and help you love your smile.
To learn more about Atria Dental’s Wisdom Tooth Removal/Extraction procedure or any of our other treatments, please get in touch with us at 02 400 8310 or visit our website.
FAQs
Is Wisdom Teeth Removal Painful?
During the procedure, you may feel some slight discomfort and pressure as your wisdom teeth are removed. However, the local anesthetic will ensure that you won’t feel any pain and will keep you calm and relaxed.
Is Wisdom Tooth Extraction the Only Treatment Option?
No, with advances in dental technology and research, dentists are continually seeking new treatment options, including alternatives to traditional wisdom tooth extraction. Although in most cases, that remains the best treatment option.
Why May Dentists Suggest An Alternative Treatment?
Dentists will only offer an alternative to wisdom tooth extraction if they believe your teeth can be saved and that it won’t further impact your oral health or overall well-being.
Dentists do their best to save your natural teeth, and extraction is usually a last resort.
If My Wisdom Teeth Don’t Hurt, Do They Need to Be Removed?
It depends on your overall oral health and the condition of your other teeth. Even if you don’t feel any pain, your wisdom teeth can still affect the teeth around them and may cause issues in the future. So, the best option may be to get them removed.
