Do I need my wisdom teeth removed?
All patients are unique, however in general wisdom teeth may need to be removed when there is evidence of changes in the mouth such as:
Pressure from the wisdom tooth may caused pain in the tooth next to it. Pain can also be caused by infection around the wisdom tooth.
When an impacted wisdom tooth starts to push through the gum, an infection can start around the top of the tooth. Infection and inflammation (swollen, red gums) can cause pain, swelling, and jaw stiffness. The infection can cause bad breath and an unpleasant taste. Swallowing may be painful. You may feel generally unwell.
A wisdom tooth may push nearby teeth out of their correct position.
If a wisdom tooth is not removed, a sac of fluid called a cyst can form around the tooth and may displace the tooth. The cyst can destroy bone and damage other teeth and the gums. Cyst formation around unerupted teeth is fairly common.
An upper wisdom tooth may push sideways out of the gum. It may cause an ulcer where it rubs against the inside of the cheek.
A Food Trap
Food becomes trapped between the wisdom tooth and the molar next to it. This can cause cavities in both teeth.
An impacted wisdom tooth may keep pushing against the molar next to it. This can cause a resorption cavity where the wisdom tooth hits the other molar. This ofter lease to serious damage to both teeth. The molars may become infected or abscessed. Removal of both molars is often needed.