Wisdom Tooth Problems

Treatment Overview

The most common treatment for wisdom tooth problems is removing the tooth (extraction). This involves opening the gum over the tooth, removing the tooth, and closing the gum with stitches if necessary. Recovery usually takes just a few days.

Experts disagree about whether to remove a wisdom tooth that is not causing obvious symptoms or problems.

• Some oral surgeons believe that it is best to remove a wisdom tooth, especially if it is impacted, before a person is 20 years old, to prevent future problems. Removing a wisdom tooth later in life is associated with more complications.^{1, 2}
• Some dentists think it is best to wait and remove a wisdom tooth only if there is a problem, especially if you are older than 30.
• Studies have not clearly shown what happens when an impacted wisdom tooth that is not diseased or causing problems is left in place.³
• Experts also disagree about whether disease-free wisdom teeth should be removed during orthodontic treatment.^{4, 5}

Wisdom teeth that are causing problems usually should be extracted. An oral or maxillofacial surgeon or your dentist can remove wisdom teeth.

Should I have a wisdom tooth removed?

What To Think About

Wisdom teeth are as useful as any other teeth if they come in properly and there is plenty of room in your mouth for good dental care.

Talk to your dentist about whether to have your wisdom teeth removed. You and your dentist may consider several factors, including:

• Whether your wisdom tooth is impacted and whether it is causing any problems for you.
• Your age and other medical conditions.
• Whether you are able to take good care of your wisdom tooth and the surrounding teeth every day with proper brushing or cleaning.

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Author:	Jeannette Curtis	Last Updated: September 25, 2007
Medical Review:	Kathleen Romito, MD - Family Medicine Steven K. Patterson, BSc, DDS, MPH - Dentist
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