Wisdom teeth are the last adult teeth to come in, usually in late teens or early adulthood. Known as the third molars, they are located at the very back of the jaw and are quite large. Because of their size and position, they can be troublesome. Many people’s jaws simply cannot accommodate them, leading to impaction, severe pain, infection, and other complications.
"While not everyone needs to have their wisdom teeth removed, the procedure is common and recommended because these teeth are often positioned in a way that makes them difficult to clean, leading to decay, infection and the potential for other oral health problems," explains says Dr. Chad Dammling, Oral and Maxillofacial Surgeon at Carolinas Center for Oral & Facial Surgery.
Statistically, almost nine out of ten people will have some or all of their wisdom teeth removed at some point. Patients will generally see an oral surgeon for the procedure if extraction is recommended, as it can be more complicated than a simple tooth extraction.
Surgeons prefer to remove the wisdom teeth when the patient is still young before their root structure is fully developed. Wisdom tooth complications are less frequent in childhood, and young people tend to heal faster. Hence, the procedure is typically done before the age of 25.
Do I Need To Remove My Wisdom Teeth?
Wisdom tooth extraction is not something that’s “always” done. Some wisdom teeth come in perfectly straight and cause no pain or discomfort at all.
Jaws are growing smaller over time due to dietary changes and evolutionary adaptation, so overcrowding can cause the wisdom teeth to come in at an angle, either toward other teeth or to the back of the mouth. They could even get trapped within the jawbone itself, causing additional issues:
- Impaction occurs when the tooth doesn’t emerge fully, causing pressure on neighboring teeth, pain, and headaches.
- Infection can develop in the gum tissue surrounding the tooth, causing cysts around the tooth, swelling and discomfort, and gum disease.
"Early assessment is key," Dr. Dammling adds. "By monitoring the development of wisdom teeth, we can often predict if they will cause problems and recommend timely removal. Since serious wisdom tooth issues do not always present right away, many will choose to have them removed as a preventative measure.”
If the time comes to remove your wisdom teeth, either because of a problem or as a preventative measure, your dentist or orthodontist will refer you to an oral surgeon.
Read more about the top 5 reasons to get your wisdom teeth removed.
Why is an Oral Surgeon the Best Qualified to Remove Wisdom Teeth?
While dentists may perform basic tooth extractions, oral and maxillofacial surgeons are dental specialists who complete an additional four to six years of training after dental school to become specialized in many types of oral surgery—including the surgical removal of wisdom teeth.
Here are four top reasons to see an oral surgeon about wisdom tooth removal.
An oral surgeon can tell you whether surgery is the right choice for you.
An oral surgeon can examine your mouth and determine whether removing your wisdom teeth is recommended. If the teeth are impacted, decay or infection is present, the neighboring teeth have cavities, or if your wisdom teeth are painful, they may recommend surgery to remove them.
It can be a complex surgery.
Wisdom tooth removal is a surgical procedure that involves cutting the gum and, sometimes, removing some bone around the tooth so the teeth can be removed safely. If there are complications, such as tooth impaction, nerve injury, sinus issues, or excessive bleeding, a surgeon is qualified to handle whatever might arise.
A surgeon can provide anesthesia options.
While some people may choose local anesthesia and nitrous oxide for simple extractions, many prefer IV sedation or general anesthesia for a relaxed, pain-free procedure. Oral surgeons have specialized training to administer a variety of anesthesia options to ensure your safety and comfort. This is ideal for patients who are anxious or need multiple teeth removed at once.
Lower risk of complications during the procedure
Oral surgeons have specialized training in managing and preventing complications. An oral surgery practice has the latest equipment to help your doctor monitor your vitals during the operation. Though it’s an outpatient procedure, and you will go home once it’s done, the technology is like that of a modern hospital, designed for safety and efficiency.
What to Expect When Having Your Wisdom Teeth Removed
If your oral surgeon recommends wisdom tooth extraction, they will book your appointment and provide instructions to help you prepare for the procedure. Reading and understanding these guidelines is critical as they could impact your results.
Much like surgery in a hospital, you won’t be able to eat or drink for a period of time before the surgery, especially if you are having a general anesthetic. Be sure to tell your oral surgeon about all your medications and any allergies you have.
After your surgery, you will be sent home with detailed instructions for aftercare.
Dr. Dammling offers these tips to ensure fast recovery:
- Follow post-op care instructions carefully: This includes taking over-the-counter or prescribed pain medication and avoiding certain foods and activities for a few days.
- Ice packs help with swelling: Apply ice for 20 minutes on and 20 minutes off during the first 24 hours.
- Rest and hydrate: Get plenty of rest and stay hydrated, but avoid using straws to minimize the risk of painful conditions like dry socket.
- Monitor for complications: Complications are rare, but if you experience severe pain, fever, or unusual swelling, contact your dentist or surgeon immediately.
Final Thoughts from Dr. Dammling
"Wisdom teeth removal may seem intimidating, but it’s one of the most common and safe dental procedures," Dr. Dammling says. "With the right care and attention, you can expect a smooth recovery and an end to any discomfort or future issues caused by wisdom teeth."
Contact our office today to book a consultation and learn more about your options.
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