Reviewed By Dr. Jeffery Kesecker, DDS
Reading Time: 6 minutes
You woke up with a weird ache in the back of your mouth, or maybe your dentist casually mentioned that your third molars “look a bit crowded.”
Before you start Googling all the worst-case scenarios, read on to learn how to decide if it’s time to bid those pesky wisdom teeth adieu.
In this blog, we will discuss common signs that may indicate that you need your wisdom teeth removed and, if you do need them removed, how to prepare for the procedure.
Table of Contents
Key Takeaway
Your dental or an oral surgeon may recommend removing wisdom teeth if they cause pain, swelling, infections, or crowding that risks damaging adjacent teeth.
Why Do We Have Wisdom Teeth?
Wisdom teeth, or third molars, are believed to be evolutionary leftovers from a time when our ancestors relied on tough, raw foods like plants and roots. These extra molars provided the additional chewing power needed for such a diet.
As humans evolved and our diets shifted to softer, cooked foods, the need for these teeth diminished. Over time, our jawbones also became smaller, leaving little room for wisdom teeth to emerge properly.
While some people have wisdom teeth that grow in without issue, many experience problems such as impaction, overcrowding, or pain that requires surgical removal.
Top Reasons to Consider Wisdom Teeth Removal
Here are the most common reasons you might need to have your wisdom teeth removed.
Crowding & Alignment Issues
Third molars can push against nearby teeth, causing misalignment and undoing the results of orthodontic treatments like braces or aligners.
Risk of Infection & Gum Disease
Partially erupted wisdom teeth are difficult to clean, making them a hotspot for bacteria. This can lead to oral infections, gum disease, and even bone loss or damage to neighboring teeth if left untreated.
Tooth Decay & Bad Breath
The hard-to-reach position of wisdom teeth often becomes a breeding ground for bacteria, increasing the risk of cavities and unpleasant breath that can impact your daily interactions.
Pain & Swelling
Impacted wisdom teeth can cause persistent pain and swelling that radiates to the jaw and cheeks. If this happens, it’s important to consult an oral surgeon for treatment options.
Cyst Formation & Other Complications
In rare cases, fluid-filled cysts can form around impacted wisdom teeth. These cysts can damage the jawbone and surrounding structures, requiring surgical intervention.
Do I Need My Wisdom Teeth Removed Quiz
Answer the questions below. If you find yourself saying “yes” to most of them, it might be time to consider a consultation with an oral surgeon.
Do you have persistent or constant pain behind your molars?
- A) Yes, it’s constant and impossible to ignore.
- B) Occasionally, but nothing major.
- C) No pain at all.
Has your dentist or oral surgeon mentioned that your wisdom teeth are impacted?
- A) Yes, they said they’re stuck and causing problems.
- B) They mentioned it might be a concern but weren’t definitive.
- C) No, it’s never come up.
Are your wisdom teeth partially erupted, making it hard to keep them clean?
- A) Yes, brushing and flossing around them is nearly impossible.
- B) They’re a bit tricky, but I manage.
- C) No, they haven’t erupted yet
Have you noticed swelling, gum disease, or bleeding around your wisdom teeth?
- A) Yes, the area is constantly irritated and swollen.
- B) Occasionally, but it’s not too bad.
- C) No, my gums are perfectly healthy.
Do you have bad breath or a bad taste in your mouth coming from the back of your jaw?
- A) Yes, and it’s hard to get rid of.
- B) Sometimes, but not often.
- C) No, my breath is always fresh.
Quiz Results
If you answered mostly A’s, it might be time to consult an oral surgeon. Removing your wisdom teeth could relieve your discomfort and help safeguard your oral health.
The Extraction Process: What to Expect
When performed at Legacy Oral Surgery, removal is a straightforward procedure designed with your comfort and safety in mind.
Here’s an overview of what you can expect:
Before the Procedure
Your oral surgeon will take X-rays to evaluate the position of your wisdom teeth and determine the best approach for removal.
They will discuss your personalized treatment plan, including sedation options based on your needs and the complexity of the procedure.
For more details, check out our article: How is Wisdom Tooth Extraction Performed?
During the Surgery
- The surgeon will make a small incision in the gum tissue to access the tooth.
- If the tooth is impacted, it may be divided into sections for easier removal.
- A blood clot will naturally form in the empty socket to support healing.
- While surgical complications like infection or dry socket can occur, these are rare and largely preventable with proper aftercare.
Aftercare and Recovery
- Use an ice pack to manage swelling during the first 24 hours.
- Stick to soft or liquid foods and avoid hot drinks for the first few days.
- Refrain from strenuous activities that could disrupt the blood clots.
- Mild discomfort is normal, but if you experience severe pain, fever, or prolonged bleeding, contact our office immediately.
Check out these 21 FAQs About Wisdom Teeth Removal Recovery.
FAQs
When do you get your wisdom teeth?
Most people notice their third molars emerging between the ages of 17 and 25, but the timing can vary based on genetics and individual development. If you are over 30 and haven’t seen or felt them yet, they may never come in—or they could be impacted and hidden within the jawbone.
Does everyone have wisdom teeth?
No, not everyone develops wisdom teeth. Some people are born without them, while others might even have extra molars. If you are unsure whether you have wisdom teeth, a simple dental X-ray can provide a clear answer.
How long does it take to get your wisdom teeth out?
The removal process typically takes 30 minutes to an hour, depending on the complexity of the case. Straightforward extractions may be quicker, while more involved procedures—such as removing impacted teeth or those that need to be sectioned—can take a bit longer. At Legacy Oral Surgery, we aim to make the process as efficient and comfortable as possible.
Book a Visit With an Oral Surgeon in Harrisonburg, VA
At Legacy Surgery, our experienced oral surgeon, Dr. Kesecker, is here to guide you through every step of your care—from the initial consultation to the completion of your oral surgery. We will create a personalized treatment plan to meet your unique needs and support your long-term oral health goals.
To book an appointment at our office in Harrisonburg, VA, call (540) 437-1230, or visit us at 2071 Pro Pointe Lane, Harrisonburg, VA 22801.