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When is a Wisdom Tooth Removal Necessary?

Written by
Dr. Senthil Kumar
and medically reviewed by iCliniq medical review team.

Published on Jun 22, 2015 and last reviewed on Sep 07, 2019   -  2 min read

Abstract

Some conditions require you to get your wisdom tooth extracted. This article discusses all the possible causes that make wisdom tooth extraction necessary.

Contents
When is a Wisdom Tooth Removal Necessary?

What is Wisdom Tooth?

Wisdom teeth are the third/last molar teeth that erupts in oral cavity at or after the age of 18 years.There will be 4 wisdom teeth generally one each on all 4 dental corners.

1.Impaction:

2.Decay/Cavity:

3.Gum problem/Swelling:

Management

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Frequently Asked Questions


1.

How to Identify Whether My Wisdom Tooth Is Coming?

A few signs can identify the eruption of wisdom teeth. They are:
- Bad breath.
- Bleeding of the gums.
- Difficulty in opening the mouth.
- Pain in the jaws.
- Alteration in the taste.
- Swelling of the gums. This is particularly noticed in the area surrounding the second molars.

2.

When Does It Become Necessary to Remove the Wisdom Tooth?

It is not mandatory to remove your wisdom teeth. Only if there is any infection like pericoronitis or any tumor associated with the tooth, the doctor will advise you to remove it. If the tooth has no possibility of coming out and is causing pain, it is considered a dental condition called impaction. In impaction also the patient is recommended to remove the tooth to avoid complications in the future.

3.

What Is the Duration of Wisdom Teeth Surgery?

The duration of wisdom tooth surgery might vary according to the pain tolerance level, the patient's cooperation, the severity of the condition affecting the tooth, and the skill of the dentist. In general, the removal of wisdom teeth might take 45 minutes to one hour.

4.

Can I Drink Water Before Wisdom Teeth Removal?

It is better to avoid drinking water a few hours before the surgery. This will help in the effective functioning of the local anesthesia. If you are in a situation to take any regular medications before the surgery, you can consume very little quantities of water.

5.

How to Overcome the Pain Caused by an Erupting Wisdom Tooth?

The pain caused by the wisdom tooth can be relieved only by the removal of the wisdom teeth. The surgery is usually not planned suddenly, and till then, the usage of pain killer medication is suggested for overcoming the pain. In some patients, the pain due to wisdom teeth will last for one week even after the removal of the teeth.

6.

Does Everyone Have Wisdom Teeth?

Most people will have wisdom teeth. In case it is missing, it can be due to some congenital defects or genetic reasons. It is not completely necessary to have wisdom teeth for chewing purposes. In the case of missing third molars, the process of chewing can be done with the help of the first and the second molars.

7.

Is Wisdom Teeth Removal a Painful Procedure?

Yes, the removal of a wisdom tooth can be a painful procedure, but the pain can be reduced or overcome by the usage of local anesthetic agents during the removal procedure. If you are allergic to any of the anesthetic agents, then it is necessary to inform your dentist before starting the procedure.

8.

Will Wisdom Teeth Removal Alter the Shape of the Face?

No, removing your wisdom teeth does not cause any changes in the shape of your face. Only when the teeth that are present in the front region are removed, drastic changes can be observed in the face. You need no fear of any facial changes after wisdom teeth removal.

9.

How Long Will the Wisdom Tooth Pain Be Present?

The pain after the surgical removal of the wisdom tooth can last up to one week. It is necessary for the individual to practice mouth opening exercises for better healing. If these exercises are skipped, then it can result in other complications like ankylosis of the joints.

10.

Will My Wisdom Tooth Be Infected Always?

Your wisdom tooth can get affected if the tooth has not erupted into the oral cavity completely. The gums in the third molar area might get swollen and red. This is mostly seen along with pain. This condition is known as pericoronitis, and it can happen on one or both sides.

11.

What Are the Preparations Required for Wisdom Teeth Removal?

There are no special preparations required for the removal of wisdom teeth. You need to be mentally prepared to remove the wisdom teeth. You might require one week to ten days of rest after the surgery. You should avoid driving before and after the surgery to stay calm. You should also refrain from smoking eight hours before and after the surgery.

12.

What Are the Triggers for Wisdom Tooth Pain?

The triggering factors for wisdom tooth are:
- Teeth grinding habits like bruxism.
- Infection in the gums.
- Abscess.
- Tooth fracture.

13.

Will the Wisdom Tooth Pain Increase at Night?

During night, the lying down posture of the person might increase the blood flow to the head region. This can also increase the pressure on the head, resulting in an increased level of pain. The tooth pain can elevate this pressure.

14.

What Are the Side Effects of Wisdom Teeth Removal?

The wisdom tooth removal surgery can cause the following side effects.
- Bad breath.
- Tiredness.
- Sensitivity in the teeth.
- Swelling and pain in the jaw.
- Difficulty in speaking and eating normal foods.

15.

What Happens if You Never Get Your Wisdom Teeth Pulled Out?

Not having wisdom teeth is not a serious issue until your 25 years of age. Most of them do not require the third molar as they can chew with the help of the first and second molars. If the third molar is present and is trying to erupt partially, only then the patient experiences pain. If the partially erupted teeth do not come out completely, then it can lead to the possibility of infections like pericoronitis.

Last reviewed at:
07 Sep 2019  -  2 min read

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