From the image, please advise if it is a must to remove my wisdom tooth.

Hi,

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From the picture (attachment removed to protect patient identity), I can make out that the position of your wisdom tooth is not vertical that means, it is not coming at the normal position. My concern is, are you getting any pain in gums area? Is there any uneasiness while eating or not? One more thing is that if tooth remains in the same position it will create a space for food accumulation, which can harm your gums and tooth next to wisdom tooth too. Another thing is that it can also push your adjacent tooth which we do not want as it is needed in chewing and function. One more fact is wisdom toothdoes not help in chewing as it is a vestigial organ just like an appendix. I shall recommend you get an x-ray done so that one can make out a position of the tooth and plan out what further can be done.