The Lowdown on Wisdom Teeth: When to Keep Them, When to Let Them Go

Becoming a young adult ushers in many changes, including the arrival of your final set of permanent teeth: the third molars, commonly known as wisdom teeth. Despite their name, these teeth rarely bring added wisdom and often come with a host of potential problems. If you're experiencing issues with your wisdom teeth, your dentist may suggest their removal – a recommendation often made for very good reasons. One of the most frequent reasons for wisdom tooth removal is impaction. Located at the very back of the mouth, these teeth often lack sufficient space to erupt properly. This can lead to them growing in crooked or sideways within your jaw. Such a condition, known as an impacted tooth, is remarkably common; the American Academy of Oral and Maxillofacial Surgeons (AAOMS) reports that nine out of ten patients have at least one impacted tooth. Your dentist might recommend removing an impacted wisdom tooth to safeguard your overall oral health. Impacted wisdom teeth can exert pressure on neighboring second molars, potentially damaging otherwise healthy teeth. Furthermore, their difficult-to-reach position makes them prone to decay and infection, as proper brushing and flossing can be challenging. In some cases, fluid-filled cysts or even tumors can develop around the base of an impacted wisdom tooth, leading to damage to the jawbone, nearby nerves, and adjacent teeth. So, when is the best time to have them removed? If your dentist identifies problems with your wisdom teeth or anticipates future complications, they will likely advise extraction. The good news is that removal is generally easier when you're younger. At a younger age, the roots of these teeth may not be fully developed, and the surrounding bone is less dense. This reduces the likelihood of damage to nerves, other teeth, or bone during the extraction procedure. However, not all wisdom teeth require removal. If you have a wider jaw, your wisdom teeth might erupt without significantly interfering with your other teeth. It's crucial to consult with your dentist to ensure that these teeth are functional and do not negatively affect your bite. Additionally, wisdom teeth that are kept should be cavity-free, surrounded by healthy gum tissue, and not causing any pain. To maintain a healthy, complete smile, rigorous oral hygiene is essential, especially if you retain your wisdom teeth. This includes consistent brushing with fluoride toothpaste, paying extra attention to the back of your mouth, and regular flossing or interdental cleaning. Using an antibacterial mouthwash can also help reduce bacteria. Remember to schedule regular dental check-ups and X-rays to proactively address any potential wisdom teeth issues and protect your smile.