It is often thought that if asymptomatic, wisdom teeth are not a problem. However, the absence of symptoms does not necessarily mean that there are no ongoing complications. Regular evaluation of third molars to identify any issues is very important.

Common indications for extraction include:

• Infections or gum disease
• Unrepairable caries
• Presence of cysts or tumors
• Damage to neighboring teeth

Wisdom teeth that are fully erupted, without decay, and surrounded by healthy gums may not require extraction, but need regular professional checkups and cleanings.

Removing wisdom teeth is generally easier in younger patients because the roots are not fully developed and the bone is softer. With age, the procedure can become more complex due to root formation and ossification of the jawbone.

A tooth is considered impacted when it fails to erupt fully into the mouth, often because of insufficient space. It is estimated that about 90% of people have at least one impacted wisdom tooth.

If left untreated, impacted wisdom teeth can cause a variety of problems, including:

• Damage to Neighboring Teeth: They can damage adjacent molars.
• Infections: The area is difficult to clean, making it susceptible to bacteria and gum disease.
• Systemic Problems: Bacteria can enter the bloodstream, causing infections that could cause damage that extends beyond the oral cavity.
• Cysts or Tumors: They can form around untreated teeth, causing bone and nerve damage.

Before the surgery, we will discuss the procedure and answer any questions you may have. It is important to communicate any medical conditions and medications you are taking, as these factors can affect the complexity of the extraction. Most extractions can be performed with local anesthesia or conscious sedation as needed.

After surgery, it is normal to have some swelling and mild discomfort. Cold compresses can help reduce swelling, while prescribed medications will relieve pain. It is advisable to modify the diet temporarily, gradually replenishing normal foods during the healing process.

If you decide to keep your wisdom teeth, practicing good oral hygiene is essential. Regular professional visits and annual x-rays are essential to monitor the health of your teeth and gums, ensuring that issues do not develop over time.