Reviewed by Dr. Benjamin Foley

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Wisdom teeth, or third molars, typically erupt in the late teens or early twenties. Limited jaw space often leads to problems as wisdom teeth develop, making removal appropriate in some cases.

Table of Contents

Why Are Wisdom Teeth Removed?

Wisdom teeth are removed when they pose a risk to oral health or are likely to cause problems over time. Common reasons include:

  • Lack of space: Many jaws cannot accommodate wisdom teeth, leading to crowding or pressure on nearby teeth.
  • Impaction: Wisdom teeth may remain partially or fully trapped beneath the gum or bone, increasing the risk of pain, infection, or cyst/tumor formation.
  • Tooth decay: Due to their location, wisdom teeth are difficult to clean, making them more susceptible to cavities.
  • Gum disease: Bacteria and food debris can accumulate around partially erupted wisdom teeth, increasing the risk of periodontal bone loss, inflammation, and infection.

Is Wisdom Teeth Removal Necessary?

Wisdom teeth do not always require removal. Teeth that erupt fully, are in a functional occlusion, and can be cleaned effectively may be monitored over time. However, wisdom teeth that appear asymptomatic can still develop problems below the surface. 

Because issues can develop beneath the gum and bone without warning signs, regular imaging is used to evaluate wisdom teeth before complications arise.

Advantages of Removing Wisdom Teeth

Removing wisdom teeth can help reduce the risk of both immediate and long-term oral health issues.

  • Reduced risk of decay and gum disease: Wisdom teeth are difficult to clean effectively. Removal reduces bacterial buildup and lowers the risk of cavities and gum infection on the wisdom teeth and adjacent second molars.
  • Protection of neighboring teeth: Impacted or poorly positioned wisdom teeth can damage adjacent teeth or create areas where bacteria collect. Extraction helps protect surrounding teeth.
  • Reduced risk of crowding: Erupting wisdom teeth may contribute to tooth movement in some cases. Early removal can help limit orthodontic complications.
  • Relief from pain and inflammation: Problematic wisdom teeth can cause pain, swelling, and recurrent infection. Removal addresses the source of these symptoms.
  • Reduced risk of cysts and tumors: Impacted wisdom teeth that are not removed can result in the development of cysts and tumors in the jawbone. Wisdom teeth that are not removed require yearly X-rays to monitor for the development of pathology

For these reasons, removal is often advised when wisdom teeth present a risk to oral health.

Disadvantages of Removing Wisdom Teeth

Wisdom tooth removal is a surgical procedure, and like any surgery, it involves certain risks and recovery considerations. Surgical risks include:

  • Dry socket: Loss of the blood clot at the extraction site can delay healing and cause pain.
  • Infection: Infection is possible if bacteria enter the surgical site. Following post-operative instructions helps reduce this risk.
  • Nerve irritation: Nearby nerves may be temporarily irritated during extraction, with persistent numbness occurring in rare cases.
  • Extended recovery: Healing time varies depending on the complexity of the extraction and individual response.

These risks are relatively uncommon and are addressed through careful surgical technique and appropriate post-operative care.

Wisdom Tooth Removal in Boulder, CO

If you are experiencing symptoms related to your wisdom teeth or have been advised to consider removal, a consultation can help determine the most appropriate course of care.

To schedule an appointment at our oral surgery office in Boulder, CO, call (303) 444-2255 or visit us at 1420 28th St, Suite 100, Boulder, CO.

FAQs

Do they put you to sleep when removing wisdom teeth?

Many patients are given anesthesia during the procedure, ranging from local numbing agents to IV sedation or general anesthesia. The type of anesthesia depends on the patient’s preference, medical history, and the complexity of the extraction.

Can you talk after wisdom teeth removal?

Though you may experience some discomfort and swelling, you can typically talk after the procedure. It’s best to avoid excessive talking during the first few days of recovery to promote healing and minimize potential complications.

How long does an extraction take?

The length of an extraction can vary based on the complexity of the case. On average, it takes about 45 minutes to one hour to remove all four wisdom teeth.

Will there be any pain after surgery?

Some discomfort after surgery is expected and can be managed with prescribed or over-the-counter medication. Pain should improve over several days. Contact your oral surgeon if pain is severe or does not improve.

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