“I Never Had My Wisdom Teeth Out. Should I?”

nervous dental patient

Do you still have wisdom teeth? Not everyone is born with them, but most who are have them surgically removed as teens or young adults. Many dentists believe it’s better to remove wisdom teeth at a young age, before the roots and bone are fully formed, because they are more easily removed at this stage, and recovery from the surgery is quicker.

Because humans have evolved to have smaller jaws, most people do not have room in their mouths for wisdom teeth to grow in properly. That’s why we often recommend young adults have them taken out before these back teeth cause problems. In the adult mouth, wisdom teeth are the most common for infection, cavities, bone loss, damage to adjacent teeth, and cyst formation.

In spite of all this, many people over 25 still have their wisdom teeth. Maybe they chose not to have them removed because it didn’t seem like there would be problems in the future, they were afraid of the surgery, or financial concerns made the surgery impossible.

What Can Go Wrong

You can certainly live your whole life with your wisdom teeth intact. Sometimes they never erupt and never cause any problems. But several issues may require you to have them removed as an older adult:

  • Wisdom teeth may erupt partially and become impacted. When this happens, you can’t clean them properly, so they start to decay, causing gum disease. Cysts or tumors can develop. If a tooth is fully impacted in bone and x-rays show that eruption is not likely, removal will be recommended.
  • The teeth may grow in at an unnatural angle. Wisdom teeth that come in properly can have problems later, because cleaning them is tricky. If you have wisdom teeth, be vigilant about brushing and flossing them, and take your semi-annual wellness dental appointments seriously.
  • You may not have enough room in your mouth for the wisdom teeth to come in properly. They may damage nearby teeth and affect your smile or bite.
  • Cavities or gum disease may make them a liability. Wisdom teeth naturally attract bacteria because they are hard to clean at the back of your mouth.

If a problem with your wisdom teeth does arise, you may or may not have pain. Pain in the jaw can be the first sign of trouble. You may feel pressure at the back of your mouth, or, the gum of the erupting wisdom tooth may become sensitive, swollen or inflamed.

Why We Watch Adult Wisdom Teeth Carefully

Because serious complications such as infection can occur, Dr. Puckett keeps a close eye on his adult patients with intact wisdom teeth.

He recommends leaving them intact, however, as long as they don’t become infected or pose a risk to adjoining teeth. If another dentist or oral surgeon recommends removing your wisdom teeth without a good reason, get a second opinion.

The Sooner The Better

Teenagers and young adults have lower bone density than older adults. Therefore, oral surgery is easier to perform, and their bones regenerate faster. So if you need wisdom teeth out later in life, the surgery can be more involved and the recovery time can be longer.

Preventing Long-Term Problems

It is still a good idea to get your wisdom teeth out if they are causing problems in your mouth. The long-term issues you can face if the wisdom teeth are left intact can be much more serious than the hassle of surgery and recovery.

If you have any concerns about your wisdom teeth, make an appointment with Dr. Puckett, Oral Surgeon at Wilmington Oral Surgery, located in Wilmington Ohio – and worth the drive from Cincinnati. He will assess your situation and make appropriate recommendations.