Explore why some people need their third molars extracted, the signs to watch for, and when it’s safe to keep them.
Wisdom teeth—also known as third molars—are the last set of teeth to erupt, typically appearing between the ages of 17 and 25. For some people, they grow in normally and don’t cause any issues. For others, wisdom teeth can lead to pain, crowding, infection, or other oral health complications.
So, do they always need to be removed? Not necessarily. At Pecan Tree Family Dentistry, we help patients determine whether their wisdom teeth are a concern and provide guidance based on your unique oral anatomy and symptoms.
What Are Wisdom Teeth?
Wisdom teeth are your third set of molars located at the very back of your mouth—one in each quadrant. In evolutionary terms, they were helpful for our ancestors, who had larger jaws and diets that required more grinding and chewing.
Today, however, many people don’t have enough room in their mouths for these extra teeth, which can lead to problems.
Why Are Wisdom Teeth Often Removed?
There are several common reasons a dentist may recommend removing wisdom teeth:
1. Impaction
An impacted tooth is one that doesn’t fully emerge through the gums, often because there isn’t enough space. This can lead to pain, swelling, and risk of infection.
2. Crowding
Wisdom teeth can push against neighboring teeth and cause misalignment, especially if you’ve had orthodontic treatment like Invisalign.
3. Infection or Gum Disease
Partially erupted wisdom teeth can trap food and bacteria, increasing the risk of inflammation or gum disease.
4. Cysts or Jaw Damage
In rare cases, a fluid-filled sac (cyst) can form around an impacted wisdom tooth and damage surrounding bone or nerves.
📌 Learn more about our approach to oral surgery and safe extractions.
Signs You May Need Wisdom Teeth Removed
If you’re experiencing any of the following symptoms, it’s time to schedule an evaluation:
- Pain or pressure at the back of your mouth
- Swollen or bleeding gums
- Jaw stiffness or difficulty opening your mouth
- Headaches or earaches near the affected area
- Bad breath or unpleasant taste near the molars
When Wisdom Teeth Can Stay
In some cases, wisdom teeth do not cause any problems and may not need to be removed. This is more likely if:
- They are fully erupted and properly aligned
- You can keep them clean and cavity-free
- There’s no sign of crowding or infection
- Routine dental x-rays show healthy roots and surrounding bone
Your dentist will monitor their position over time during dental checkups to ensure they remain healthy.
What to Expect During Removal
If removal is necessary, the procedure is typically done in-office under local anesthesia, with sedation available. Recovery usually takes a few days and includes:
- Mild swelling and soreness
- Soft foods and rest
- Cold compresses and over-the-counter pain relief
Our team provides full post-operative care instructions to support your healing process.
Final Thoughts: Wisdom Tooth Removal Isn’t One-Size-Fits-All
Not everyone needs their wisdom teeth removed, but leaving them untreated when they’re problematic can lead to bigger issues. Regular exams and x-rays will help your dentist determine the best course of action.
📞 Have questions about your wisdom teeth? Contact Pecan Tree Family Dentistry to schedule your consultation today.
