When is wisdom tooth extraction necessary?

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Wisdom molars, which are the third molars in order at the back of your mouth, may not need to be extracted if they are:

  • Healthy

  • fully grown (fully appeared)

  • Its position is correct, and it applies to its corresponding correctly when biting

  • May be cleaned as part of daily hygiene practices

But in many cases, the wisdom teeth do not have the space to grow properly, and they can cause problems. An erupting wisdom tooth can grow at different angles in the jaw, sometimes even growing horizontally. Wisdom teeth problems can include:

  • To remain completely hidden inside the gums. If a wisdom tooth cannot erupt normally, it may become lodged inside your jaw. Sometimes this can lead to infection, or it can cause a cyst that damages the roots of other teeth or the bony support.

  • To partially protrude from the gums. Because this area is difficult to see and clean, a partially erupted wisdom tooth creates an opening that may become a hotspot for bacteria that cause gum disease and oral infections.

  • crowding of adjacent teeth. If the wisdom tooth does not have enough space to grow to erupt properly, it may crowd out or damage adjacent teeth.

Some dentists recommend that wisdom teeth be removed if they are not fully erupted. Many dentists believe that it is preferable to extract wisdom teeth at a younger age, before the roots and bone have fully developed, as recovery after surgery is generally faster. Therefore, some young people undergo wisdom teeth extraction before they cause any problems.

According to the American Dental Association, wisdom teeth extraction may be necessary if changes occur in the area of those molars, such as:

  • the pain

  • Recurrence of infection in the soft tissues behind the last lower tooth

  • Bags filled with fluid

  • Tumors

  Damage to adjacent teeth

  • Gum disease

  • Severe tooth decay

Sometimes there are no clear factors that can be relied upon to make the decision to have wisdom teeth removed. Talk to your dentist or oral surgeon about the position and health of your wisdom teeth and the best approach for you.

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