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Wisdom teeth--to be extracted or not?

User Level:
Patient
Posted by: betterone  (8 years ago)
Hi there!

I have never had any problems with me teeth all my life. Recently, I went to the dentist for teeth cleaning. The dentist told me that my four wisdom teeth needed to be removed. Based from the x-ray, the two wisdom teeth on the bottom are growing towards my other teeth. None of the teeth is aching and I do not have any problems with them. I went to other dentists for a second opinion. One dentist told me that if I don’t get them removed, they may trap bacteria and can cause infection. The second one told me that if they do not cause any problem, I could leave them alone. If I have them pulled, the teeth beside the bottom wisdom teeth might become loose because they are so close to each other. He also mentioned about the possibility of getting nerve damage. So, should I have them removed or not? I do not experience any pain from them but I am concerned about the position of the bottom ones.

Thanks!
User Level:
Dentist
Hi there!

I have never had any problems with me teeth all my life. Recently, I went to the dentist for teeth cleaning. The dentist told me that my four wisdom teeth needed to be removed. Based from the x-ray, the two wisdom teeth on the bottom are growing towards my other teeth. None of the teeth is aching and I do not have any problems with them. I went to other dentists for a second opinion. One dentist told me that if I don’t get them removed, they may trap bacteria and can cause infection. The second one told me that if they do not cause any problem, I could leave them alone. If I have them pulled, the teeth beside the bottom wisdom teeth might become loose because they are so close to each other. He also mentioned about the possibility of getting nerve damage. So, should I have them removed or not? I do not experience any pain from them but I am concerned about the position of the bottom ones.

Thanks!


It is a rare partially erupted wisdom tooth that does not cause bone loss and gum disease around the second molars. Unless they are so deeply impacted they pose a grave surgical risk, it is almost better to remove them. Whether or not you have symptoms at the present time makes no difference. Recovery after removal gets more difficult with each passing year.

Kim Henry, D.M.D.
Posted 8 years ago
User Level:
Student
Posted by: ghnane  (8 years ago)
Dentistry is split on the wisdom tooth issue. There always the risk of damaging the lingual nerve when performing a wisdom tooth extraction and in some instances the proximity forces the extraction to be avoided. I have 2 of mine partially erupted and one impacted but I am a little worried about the extraction and complications. Everyone reacts and heals somewhat differently I am sure you have noticed the number of forum posts on wisdom teeth. It is ultimately your decision. If you prefer you can monitor and see if impactions becomes more severe.
User Level:
Student
Posted by: Novocaine  (8 years ago)
Based from the x-ray, the two wisdom teeth on the bottom are growing towards my other teeth. None of the teeth is aching and I do not have any problems with them. I went to other dentists for a second opinion.

If that is true, I think you are better off getting them extracted. Symptomatic or not, you will find it incredibly hard to keep the area consistently free from issues, and the fact that the tooth is still erupting puts this scenario beyond your control. Pericoronitis, damage to other teeth, cysts and decay are some of the complications a wisdom tooth can be responsible for.

I say don't wait for it as it certainly isn't worth the risk. Be well!
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