Wisdom Teeth Management

Understanding the wisdom behind wisdom teeth management

Wisdom teeth, clinically known as third molars, are the last teeth to develop and appear in your mouth. They come in between the ages of 17 and 25, a time of life that has been called the "Age of Wisdom."

Wisdom Teeth Growth

wisdom teeth growth by age

Wisdom teeth are easier to remove when the patient is younger, since their roots are not completely formed, the surrounding bone is softer, and there is less chance of damaging nearby nerves or other structures. Removal of wisdom teeth at a later age becomes more complicated as the roots have fully developed (and may involve the nerve), and the jawbone is denser.

What is an Impacted Tooth?

When a tooth doesn't fully grow in, it's "impacted" – usually unable to break through the gums because there isn't enough room.

How Serious is an Impacted Wisdom Tooth?

An impacted wisdom tooth can damage neighboring teeth or become infected. Because it's in an area that's hard to clean, it also can invite bacteria that lead to gum disease. Oral bacteria also can travel through your bloodstream and lead to infections and illnesses that affect your heart, kidneys and other organs. In some cases, a cyst or tumor can form around the base of the impacted tooth, which can lead to more serious problems as it hollows out the jaw and damages surrounding nerves, teeth and other parts of your mouth and face.

complications from impacted wisdom teeth

Must the Tooth Come Out if It Hasn't Caused Any Problems Yet?

Wisdom teeth may not need to be extracted if they grow in completely and are functional, painless, cavity-free, disease-free and in a hygienic environment with healthy gum tissue. They do, however, require regular, professional cleaning, annual check-ups and periodic X-rays to monitor for any changes.

the worst thing to do is ignore your wisdom teeth

Generally, dental and medical professionals agree that wisdom teeth should be surgically removed when there are:

  • Infections and/or periodontal (gum) disease
  • Cavities that can't be restored
  • Cysts, tumors or other pathologies
  • Damage to neighboring teeth

To learn more and find an oral and maxillofacial surgeon in your area, visit MyOMS.org.

The information provided here is not intended as a substitute for professional medical advice, diagnosis or treatment. It is provided to help you communicate effectively when you seek the advice of your oral and maxillofacial surgeon.