Wisdom Teeth: When Should They Be Removed?

Wisdom teeth, also known as third molars, are the last set of permanent teeth to develop—typically emerging between the ages of 17 and 25. For some people, these teeth come in without any issues. But for many, wisdom teeth can cause discomfort, crowding, or other complications that may require removal.

So how do you know when it’s time to consider having your wisdom teeth removed? Let’s break it down.

What Are Wisdom Teeth?

Wisdom teeth are located at the very back of your mouth, two on the top and two on the bottom. They are called “wisdom” teeth because they usually emerge at a more mature age than the rest of your adult teeth.

Some people are born with all four wisdom teeth, while others may have fewer—or none at all.

When Wisdom Teeth Don’t Cause Problems

In some cases, wisdom teeth can erupt fully and align properly without causing any issues. If they are healthy, positioned correctly, and can be cleaned easily as part of your daily oral hygiene routine, removal may not be necessary.

Regular dental checkups and X-rays can help monitor the position and health of your wisdom teeth over time.

When Should Wisdom Teeth Be Removed?

Wisdom teeth are often recommended for removal if they:

  • Are impacted (trapped under the gums or in the jawbone)

  • Grow in at an angle, pressing against other teeth

  • Cause crowding or shifting of other teeth

  • Lead to pain, swelling, or jaw stiffness

  • Result in infection, cysts, or gum disease

  • Create areas that are difficult to clean, increasing the risk of tooth decay

Even if symptoms aren’t yet present, a dentist may recommend proactive removal to prevent future complications.

What Is an Impacted Wisdom Tooth?

An impacted wisdom tooth is one that fails to erupt fully through the gums. This can happen due to lack of space, or the tooth coming in sideways. Impacted teeth can lead to:

  • Infection

  • Damage to adjacent teeth

  • Development of cysts or tumors

  • Pain or swelling in the jaw or face

Impacted wisdom teeth are one of the most common reasons for surgical extraction.

Is There a Right Age for Removal?

There is no one-size-fits-all answer, but many dental professionals recommend evaluating wisdom teeth in the late teens or early twenties. At this stage:

  • The roots may not be fully developed, making removal simpler

  • Recovery is typically faster for younger patients

  • It may prevent problems before they begin

Your dentist will use X-rays and a clinical exam to determine the best time for removal based on your individual case.

What to Expect During and After Removal

If your dentist or oral surgeon recommends removal, the procedure is usually done under local anesthesia, sedation, or general anesthesia, depending on the complexity. Most extractions are completed in a single visit.

After the procedure:

  • Expect some swelling and discomfort for a few days

  • Follow post-operative instructions closely

  • Stick to soft foods and keep the area clean

  • Attend follow-up appointments as recommended

Your dental team will ensure you have the information and support needed for a smooth recovery.

Talk to Your Dentist

If you’re experiencing discomfort, swelling, or have concerns about your wisdom teeth, don’t wait to seek advice. Early evaluation can help prevent complications and ensure the best outcome.

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