Wisdom teeth are the final molars to emerge, typically appearing in the late teens or early twenties. While some people experience little or no trouble with these teeth, others face discomfort, infections, or alignment issues that make extraction necessary. Knowing when and why to remove wisdom teeth can help you maintain optimal oral health and avoid long-term complications. This guide will walk you through the reasons for removal, signs to watch out for, and what you can expect from the extraction process.

Why Do Wisdom Teeth Get Removed?

Wisdom teeth frequently cause problems because our mouths often lack the space to accommodate the emerging teeth. As they try to emerge, they may push against other teeth, grow at odd angles, or remain partially or fully trapped below the gum (a condition known as impaction). Impacted wisdom teeth can lead to significant discomfort, infection, and even damage to nearby teeth. Removing them prevents these complications and can spare you from more extensive treatments down the line.

Does everyone have to get their wisdom teeth removed?

Not everyone will need to remove their wisdom teeth. In some cases, these teeth come in straight and fit well within the jawline without causing crowding or pain. When this happens, dentists may recommend keeping them and opt for regular checkups to monitor. However, for most people, the lack of space or misalignment makes extraction advisable to avoid future issues.

Can you live with wisdom teeth?

Yes, you can live with wisdom teeth as long as they’re healthy, aligned, and don’t disrupt other teeth. Many people retain their wisdom teeth without experiencing any complications. However, even if your wisdom teeth aren’t currently causing problems, regular check-ups are essential to monitor their condition and ensure they don’t cause issues further down the line. Dentists might still recommend preventive removal if they anticipate future problems based on your oral health.

Signs Your Wisdom Teeth Might Need to be Removed?

While some wisdom teeth remain problem-free, there are clear warning signs that indicate they may need to come out. These signs include:

• Pain or discomfort: This can occur in the back of the mouth or jaw.
• Swollen gums: Redness or swelling around the gums can signal infection or irritation.
• Jaw stiffness: Difficulty opening your mouth fully can indicate an impaction.
• Bad breath: Persistent halitosis may result from bacteria trapped around partially emerged wisdom teeth.
• Pressure on other teeth: Wisdom teeth pressing against other molars can cause alignment issues.

If you’re experiencing any of these symptoms, it’s wise to consult a dentist to assess whether extraction is necessary.

When should you get wisdom teeth removed?

Wisdom teeth are often removed preemptively, especially when they appear likely to cause issues. Dentists frequently recommend extraction in the late teens or early twenties, as this timing typically results in a quicker recovery. At this stage, the roots are less developed, and the jawbone is more forgiving, reducing the risk of complications. However, wisdom teeth can be removed at any age if they start causing issues.

How does Wisdom Teeth Extraction Work?

Wisdom teeth extraction is a routine outpatient procedure performed under local or general anaesthesia, depending on the complexity of the case and your desired comfort level. For impacted teeth, a small incision is made in the gum to access and remove the tooth. If the tooth is fully or partially covered by bone, the dentist may need to remove some of the bone tissue around it. Once the tooth is extracted, stitches may be used to aid healing. The entire procedure typically takes about an hour, and patients can go home the same day.

Is Wisdom Teeth Extraction Painful?

The extraction itself is not painful because anaesthesia keeps you comfortable throughout the procedure. However, mild discomfort is common during the recovery period. Swelling, minor pain, and jaw stiffness are to be expected in the first few days. Over-the-counter pain relief, ice packs, and a soft-food diet can help ease these symptoms. Most people find their discomfort subsides within a week and are able to return to regular activities shortly after.

What to Expect in Recovery

After wisdom teeth extraction, it’s normal to experience some swelling and tenderness. Following your dentist’s aftercare instructions can help ensure a smooth recovery:

• Rest: Avoid strenuous activities for at least 24 hours.
• Ice packs: Apply to the cheeks to reduce swelling.
• Soft diet: Stick to foods like yogurt, mashed potatoes, and smoothies to avoid irritation.
• Stay hydrated: Drink plenty of fluids, but avoid using straws, as the suction can disrupt healing.
• Oral hygiene: Gently rinse with warm salt water starting the day after surgery to keep the area clean.

Following these guidelines will help speed up the healing process and minimise any potential complications.

While wisdom teeth don’t necessarily require removal for everyone, monitoring them closely is essential to maintaining long-term oral health. Regular dental check-ups can help detect any emerging issues early, making it easier to address them before they become more serious.

If you’re experiencing symptoms or are unsure about the condition of your wisdom teeth, it’s time to take action. At Totally Smiles, our experienced dental team is here to assess your needs and provide personalised guidance. Book a check-up with Totally Smiles today and take the next step toward a healthy, comfortable smile.