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Wisdom Teeth: Removal or Monitoring?

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Publisher: Saatçi Dental Clinic

About 3 min read

Illustration of instructions, a calendar, toothbrush and water for aftercare and reviews.
In this article

A symptom-free wisdom tooth does not automatically need removal. Position, cleaning access and surrounding tissues are assessed; if monitoring is advised, ask about the review interval and symptoms that should prompt an earlier visit.

What Is a Wisdom Tooth?

Wisdom teeth are the third molars located at the very back of the jaw. They usually try to find their place in the mouth during young adulthood.

However, situations such as insufficient space in the jaw, an angled position of the tooth, or failure to erupt fully may require the wisdom teeth to be evaluated.

What Symptoms May Occur?

Wisdom teeth may cause no symptoms in some people. In certain cases, however, they can cause discomfort in the mouth.

  • Pain or a feeling of pressure in the back of the mouth

  • Swelling of the gums

  • Difficulty opening the mouth

  • Discomfort while chewing

  • Sensitivity around the back teeth

  • Bad breath or an unpleasant taste

  • Rubbing against or irritating the cheek

  • Recurring signs of gum inflammation

These symptoms do not constitute a definitive diagnosis. The evaluation must be carried out by a dentist.

What Does an Impacted Wisdom Tooth Mean?

Some wisdom teeth cannot fully erupt into the mouth. Part of the tooth may remain under the gum, or it may be completely impacted. The impact of this on oral health varies from person to person.

The position of the impacted tooth, its proximity to neighboring teeth, and its relationship with the jawbone can be examined through an X-ray evaluation.

Can a Wisdom Tooth Affect Neighboring Teeth?

In some cases, a wisdom tooth may put pressure on the adjacent tooth, create an area that is difficult to clean, or cause plaque accumulation around it. This may be accompanied by decay, gum sensitivity, or complaints of discomfort.

Whether these effects are present, however, can only be determined through an individual examination.

Must Every Wisdom Tooth Be Extracted?

No. Extraction may not be necessary for every wisdom tooth. If the tooth is properly positioned, oral hygiene can be maintained, and it causes no problems for the surrounding tissues, it can be monitored.

Whether extraction is needed should be determined based on the tooth's position, the patient's complaints, X-ray findings, and the condition of the mouth.

What Is Considered During the Evaluation?

  • The position of the tooth in the mouth

  • Whether the tooth has fully erupted

  • Its relationship with neighboring teeth

  • The condition of the gums

  • The presence of pain or swelling

  • Oral hygiene

  • X-ray findings, if deemed necessary

Related questions and reading

Further information

  • NICE — Wisdom teeth guidance

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This article provides general information. An individual diagnosis and treatment plan require a dental examination.

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