Sometime during human evolution, the large third molars that erupt during the late teens and early adult years, called wisdom teeth, became obsolete. Our modern diet does not require us to chew hard roots, bark, and nuts; we now consume a primarily soft diet. Wisdom teeth aren’t only unnecessary now, but they can cause oral health problems and mouth pain. The question is, should you have wisdom tooth extraction?

In today’s blog, we’ll discuss the why, when, and how of wisdom tooth extraction. You’ll learn:

  • 4 Reasons for wisdom tooth removal
  • The best age for wisdom tooth extraction
  • How we perform extractions while keeping patients comfortable

Reasons for Wisdom Tooth Removal

In many cases, wisdom teeth fall victim to excessive tooth decay because these large third molars in the very back of the mouth are difficult to thoroughly clean. Food particles trapped between back teeth and in the crevices of the chewing surfaces cause cavities. In addition, plaque that builds up at the root line and between teeth will eventually cause gum disease. Wisdom teeth do not get thoroughly cleaned with brushing and flossing should be extracted to restore and maintain good oral health for the patient.

When third molars are impacted, people may experience irritation, toothaches, and infection. Impaction occurs when wisdom teeth try to erupt at an angle. The large molars press against the roots of neighboring teeth. Without wisdom tooth extraction, the patient will experience pain and an increased risk of infection. In severe cases, neighboring teeth may incur damage, as well.

Lastly, wisdom teeth may cause shifting of front teeth, which results in crowding and overlapping teeth. Teeth movement also disrupts occlusion, which is the term used to describe the relationship between upper and lower teeth when the mouth is shut. Malocclusion, or a “bad bite,” may ultimately create TMJ problems and/or teeth grinding (called bruxism). Furthermore, the esthetic of a smile is altered when front teeth don’t have sufficient space to line up uniformly.

Best Age for Wisdom Tooth Removal

Dentists prefer to recommend wisdom tooth extraction for patients ages between ages 18 and 24 because this demographic experiences fewer complications than older patients. As for patients younger than 18 years, third molars may not have sufficiently developed. The goal is to extract wisdom teeth that have developed to at least ⅔ of their predicted, fully developed size. X-rays will reveal the size and position of teeth roots, as well as nerves.

How We Perform Extractions

To remove third molars, patients receive local anesthetic and, if requested or advised, a mild to moderate sedative. Rest assured, we will keep you or your child safe and comfortable during all procedures, including tooth extraction.

The procedure our dentists use depends upon the size and location of the third molars, as well as whether they are impacted or fully erupted. In short, the tooth may be removed in one piece or sectioned for easier extraction. 

We will send you home with recovery instructions. Follow them closely, and you should have a rapid recovery. Most patients return to work or school within a day or two of tooth extraction. 

Your Wisdom Tooth Extraction Consultation

If your wisdom teeth bother you, don’t delay. Patients with extensive decay, pain, or irritation in or around wisdom teeth should call Metro Dental Care of Denver, CO, at 303.534.2626 for x-rays and a consultation. Our dentists will take the time to explain their findings and answer all of your questions about wisdom tooth extraction, including questions about insurance and financing.