¡Se Habla Español! Insurance/Medicaid Dental Emergencies

Do Your Wisdom Teeth Always Have to Come Out?

July 15, 2025

Cross section of wisdom teeth

Wisdom teeth, also called third molars, are the last set of permanent teeth to appear, usually between the ages of 17 and 25. While some people never experience problems, many find these teeth cause more trouble than they are worth. That’s why wisdom teeth removal is one of the most common dental procedures. But is it always necessary?

What Are Wisdom Teeth?

For our ancestors, wisdom teeth were helpful for chewing tough, unprocessed foods. Today, our diets are softer, and our jaws tend to be smaller, meaning there is often not enough space for these extra molars. When wisdom teeth lack room to grow in properly, a number of dental problems can arise.

Common Problems Caused by Wisdom Teeth

Impaction

If a wisdom tooth becomes trapped under the gumline or jawbone, it is considered impacted. Impacted teeth can cause swelling, pain, and even damage to nearby teeth.

Crowding

When there isn’t enough space, wisdom teeth can push other teeth out of position. This may cause bite misalignment or undo previous orthodontic work.

Infection

Partially erupted wisdom teeth are difficult to keep clean, creating a breeding ground for bacteria. This can lead to gum infections or periodontal disease.

Tooth Decay

Because they sit far back in the mouth, wisdom teeth are challenging to brush and floss thoroughly. As a result, they are at a higher risk for developing cavities.

Cysts or Tumors

In rare cases, impacted wisdom teeth can cause cysts or tumors to form, potentially damaging the jawbone and surrounding teeth.

When Removal May Not Be Necessary

Not everyone needs their wisdom teeth removed. If they are healthy, fully erupted, well-aligned, and easy to clean, your dentist may recommend leaving them in place. Regular checkups and X-rays can ensure that no hidden issues are developing.

The Best Time to Remove Wisdom Teeth

Dentists often recommend extraction in the late teen years or early twenties, even before symptoms occur. At this stage, the roots are not fully formed, which makes the procedure easier and recovery faster. Waiting until complications develop can result in a more complex surgery and longer healing time.

While wisdom teeth do not always require removal, ignoring potential issues can lead to pain, infection, and long-term dental problems. A dentist can determine the safest and healthiest option for your smile.

About the Practice

At Taylor Choice Dental, we provide comprehensive care for patients in need of wisdom tooth evaluation and extraction. Our expert dental team offers gentle techniques, local anesthesia, and sedation options to ensure a comfortable experience. Serving the community with personalized treatment plans and modern technology, we are dedicated to helping every patient maintain a healthy, confident smile.

Call us at (737) 301-8555 or request an appointment online.