Wisdom Teeth

Should I Remove My Wisdom Teeth?

Wisdom teeth should be removed if they are impacted, causing pain, or leading to dental issues such as crowding, infections, or cavities. These third molars often lack the space to grow properly, which can result in swelling, discomfort, and difficulty cleaning the area. We recommend removal in the mid to late teens, as younger patients tend to heal faster and experience fewer complications. If wisdom teeth are left untreated, they may cause infections, which can be life threatening, caries (cavities), misalignment of adjacent teeth, gum disease, or cysts that can damage the jawbone. A dental evaluation with x-rays can determine if removal is necessary to maintain long-term oral health.

What Are “Impacted Wisdom Teeth”?

When teeth are physically prevented from erupting, they are considered to be impacted. Impacted teeth cannot erupt into the proper position for chewing and cleaning. Impaction occurs when the tooth is positioned against another tooth, bone, or soft tissue, and prevents the tooth from fully erupting from the gums into a healthy position. This is a common problem affecting 75% of the population and can lead to other issues if the tooth remains untreated.

There are four common classifications of impactions – soft tissue, partial bony, complete bony, and complete bony impacted difficult.

• Soft Tissue Impaction: The crown of the tooth is still covered by gum tissue.
• Partial Bony Impaction: The crown of the tooth is partially covered by bone, less than 50%.
• Complete Bony Impaction: The crown of the tooth is covered more than 50% by bone.
• Complete Bony Impaction, Difficult: Complete bony impaction but deep or involved with the nerve or with other circumstances that make it more difficult to extract.

The Wisdom Teeth Removal Process

1. Consultation and X-rays: Dr. Reynolds or Dr. Gresehover will assess your wisdom teeth and determine if removal is necessary.
2. Anesthesia Options: IV sedation or local anesthesia may be used depending on the complexity of the extraction.
3. Extraction Procedure: Our surgeons will make an incision (if needed), remove the tooth, and stitch the site for proper healing.
4. Recovery and Aftercare: Swelling and discomfort are common for a few days. Soft foods, pain management, and good oral hygiene are essential for healing.

Recovery Tips After Wisdom Teeth Removal

• Rest and avoid strenuous activities for 24-48 hours.
• Use cool packs to reduce swelling and bruising.
• Eat soft foods like yogurt, soup, mashed potatoes and scrambled eggs.
• Avoid using straws, smoking, or spitting to prevent dry sockets.

We have detailed post-operative instructions available here.